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1.
Water Sci Technol ; 88(4): 885-900, 2023 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-37651327

RESUMO

A major portion of phosphatic fertilizer comes from the limiting natural resource, rock phosphate, which demands a timely alternative. Struvite, a crystalline mineral of low solubility, is a worthwhile alternative. Evaluation of the local wastewater streams for their ability to precipitate struvite and its capability as phosphatic fertilizer under an alkaline soil environment was studied. Two stirring speeds, a pH range of 8.0-11.0, and a constant molar ratio were used to optimize local wastewater streams for struvite precipitation. Struvite was used in five different combinations to assess the release of phosphorus (P), including control (no P source), single superphosphate, struvite, struvite + sulfur, and rock phosphate with or without inoculation of sulfur-oxidizing bacteria (SOB). For struvite precipitation, low stirring speeds are ideal because the precipitates readily sink to the bottom once they form. Furthermore, the amalgamation of SOB with sulfur significantly improved P use efficiency under alkaline soils through increased phosphorus sources solubility and enabled optimum wheat production due to its low solubility in an alkaline soil condition. Due to its capacity to recycle phosphorus from wastewater, struvite is poised to emerge as a sustainable fertilizer and had an opportunity to capture a share of this expanding market.


Assuntos
Fertilizantes , Águas Residuárias , Estruvita , Fosfatos , Enxofre , Fósforo , Bactérias , Solo , Oxirredução
2.
Sensors (Basel) ; 22(19)2022 Oct 08.
Artigo em Inglês | MEDLINE | ID: mdl-36236711

RESUMO

Advanced Persistent Threat is an attack campaign in which an intruder or team of intruders establishes a long-term presence on a network to mine sensitive data, which becomes more dangerous when combined with polymorphic malware. This type of malware is not only undetectable, but it also generates multiple variants of the same type of malware in the network and remains in the system's main memory to avoid detection. Few researchers employ a visualization approach based on a computer's memory to detect and classify various classes of malware. However, a preprocessing step of denoising the malware images was not considered, which results in an overfitting problem and prevents us from perfectly generalizing a model. In this paper, we introduce a new data engineering approach comprising two main stages: Denoising and Re-Dimensioning. The first aims at reducing or ideally removing the noise in the malware's memory-based dump files' transformed images. The latter further processes the cleaned image by compressing them to reduce their dimensionality. This is to avoid the overfitting issue and lower the variance, computing cost, and memory utilization. We then built our machine learning model that implements the new data engineering approach and the result shows that the performance metrics of 97.82% for accuracy, 97.66% for precision, 97.25% for recall, and 97.57% for f1-score are obtained. Our new data engineering approach and machine learning model outperform existing solutions by 0.83% accuracy, 0.30% precision, 1.67% recall, and 1.25% f1-score. In addition to that, the computational time and memory usage have also reduced significantly.


Assuntos
Segurança Computacional , Aprendizado de Máquina
3.
PLoS One ; 19(4): e0297534, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38635816

RESUMO

The secret keys produced by current image cryptosystems, which rely on chaotic sequences, exhibit a direct correlation with the size of the image. As the image dimensions expand, the generation of extensive chaotic sequences in the encryption and decryption procedures becomes more computationally intensive. Secondly, a common problem in existing image encryption schemes is the compromise between privacy and efficiency. Some existing lightweight schemes reveal patterns in encrypted images, while others impose heavy computational burdens during encryption/decryption due to the need for large chaotic sequences. In this study, we introduce a lightweight image encryption scheme that involves partitioning the image into uniformly sized tiles and generating a chaotic sequence accordingly. This approach diminishes the necessity to create extensive chaotic sequences equal to the tile size, which is significantly smaller than the original image. As a result, it alleviates the processing burden associated with generating sequences equivalent to the original image size. The results confirm that our proposed scheme is lightweight and secure compared to the latest state-of-the-art image encryption schemes. Additionally, sensitivity analysis demonstrates that the proposed image encryption technique, with a UACI value of 33.48 and NPRC value of 99.96, affirms its resistance to differential attacks.


Assuntos
Privacidade , Resiliência Psicológica
4.
Biomed Mater ; 19(2)2024 Feb 09.
Artigo em Inglês | MEDLINE | ID: mdl-38290159

RESUMO

Bone defects caused by diseases and trauma are considered serious clinical challenges. Autologous and allogeneic transplantations are the most widely used methods to mitigate bone defects. However, transplantation poses risks such as secondary trauma, immune rejection, and disease transmission to patients. Preparing a biologically active bone tissue engineering scaffold as a bone substitute can overcome this problem. In the current study, a PLGA/gelatin (Gel) short fiber-reinforced composite three-dimensional (3D) scaffold was fabricated by electrospinning for bone tissue defect repair. A hybrid scaffold adding inorganic materials hydrotalcite (CaAl-LDH) and osteogenic factors deferoxamine (DFO) based on PLGA and Gel composite filaments was prepared. The structure, swelling, drug release, and compressive resilience performance of the 3D scaffolds in a wet state were characterized and the osteogenic effect of the crosslinked scaffold (C-DLPG) was also investigated. The scaffold has shown the optimum physicochemical attributes which still has 380 kPa stress after a 60% compression cycle and sustainedly released the drug for about twenty days. Moreover, a promisingIn vivoosteogenic performance was noted with better tissue organization. At 8 weeks after implantation, the C-DLPG scaffold could fill the bone defect site, and the new bone area reached 19 mm2. The 3D microfiber scaffold, in this study, is expected to be a promising candidate for the treatment of bone defects in the future.


Assuntos
Biomimética , Osso e Ossos , Humanos , Regeneração Óssea , Alicerces Teciduais/química , Osteogênese , Engenharia Tecidual/métodos , Gelatina/química
5.
PeerJ Comput Sci ; 9: e1270, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37346587

RESUMO

After February 2020, the majority of the world's governments decided to implement a lockdown in order to limit the spread of the deadly COVID-19 virus. This restriction improved air quality by reducing emissions of particular atmospheric pollutants from industrial and vehicular traffic. In this study, we look at how the COVID-19 shutdown influenced the air quality in Lahore, Pakistan. HAC Agri Limited, Dawn Food Head Office, Phase 8-DHA, and Zeenat Block in Lahore were chosen to give historical data on the concentrations of many pollutants, including PM2.5, PM10 (particulate matter), NO2 (nitrogen dioxide), and O3 (ozone). We use a variety of models, including decision tree, SVR, random forest, ARIMA, CNN, N-BEATS, and LSTM, to compare and forecast air quality. Using machine learning methods, we looked at how each pollutant's levels changed during the lockdown. It has been shown that LSTM estimates the amounts of each pollutant during the lockout more precisely than other models. The results show that during the lockdown, the concentration of atmospheric pollutants decreased, and the air quality index improved by around 20%. The results also show a 42% drop in PM2.5 concentration, a 72% drop in PM10 concentration, a 29% drop in NO2 concentration, and an increase of 20% in O3 concentration. The machine learning models are assessed using the RMSE, MAE, and R-SQUARE values. The LSTM measures NO2 at 4.35%, O3 at 8.2%, PM2.5 at 4.46%, and PM10 at 8.58% in terms of MAE. It is observed that the LSTM model outperformed with the fewest errors when the projected values are compared with the actual values.

6.
Adv Healthc Mater ; 11(15): e2200499, 2022 08.
Artigo em Inglês | MEDLINE | ID: mdl-35670086

RESUMO

Repairing irregular-shaped bone defects poses enormous challenges. Scaffolds that can fully fit the defect site and simultaneously induce osteogenesis and angiogenesis hold great promise for bone defect healing. This study aimed to produce superelastic organic/inorganic composite aerogel scaffolds by blending silica nanofibers (SiO2 ) and poly (lactic acid)/gelatin (PLA/gel) nanofibers; the content of SiO2 nanofibers is varied from 0-60 wt% (e.g., PLA/gel, PLA/gel/SiO2 -L, PLA/gel/SiO2 -M, and PLA/gel/SiO2 -H for 0%, 20%, 40%, and 60% of SiO2 nanofibers, respectively) to produce a range of scaffolds. The PLA/gel/SiO2 -M scaffold has excellent elasticity and good mechanical properties. In vitro experiments demonstrate that the silicon ions released from PLA/gel/SiO2 -M scaffolds promote the differentiation of rat bone marrow-derived mesenchymal stem cells into osteoblasts, enhancing alkaline phosphatase activity and bone-related genes expressions. The released silicon ions also promote the proliferation of human umbilical vein endothelial cells and the expression of vascular endothelial growth factors, thereby promoting angiogenesis. The assessment of these scaffolds in a calvarial defect model in rats shows good potential of PLA/gel/SiO2 -M to induce bone regeneration as well as promote osteogenesis and angiogenesis. Overall, these organic/inorganic composite scaffolds have good biological activity, which may have broad applications for tissue engineering.


Assuntos
Nanofibras , Animais , Regeneração Óssea , Diferenciação Celular , Células Endoteliais , Humanos , Osteogênese , Poliésteres , Ratos , Silício , Dióxido de Silício , Engenharia Tecidual , Alicerces Teciduais
7.
Colloids Surf B Biointerfaces ; 217: 112691, 2022 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-35834997

RESUMO

ddECMMA is the methacrylating product of decellularized dermal extracellular matrix with biological signals and capable of photocrosslinking. Thiolated chitosan (TCS) is an effective antibacterial component. PCLPBA is a kind of plasma-treated polycaprolactone nanofiber dispersions (PCLP) that regulates macrophage polarization and promotes angiogenesis. In this study, we obtained ddECMMA via methacrylation reaction. TCS was prepared by reaction between chitosan and thioglycolic acid. PCLPBA was fabricated via reaction between PCLP and 3-buten-1-amine. TCS and PCLPBA were mixed in ddECMMA solution and photocrosslinked to form DTP4 hydrogel. The hydrogel showed rapid gelation, good mechanical strength, antibacterial and antioxidant properties. When it was cocultured with NIH 3T3 cells, the cells showed good morphology and proliferation rate. After applying it to the full-thickness cutaneous wound, wounds almost healed in 2 weeks via re-epithelialization and neovascularization with negligible scar tissue. The results indicate that DTP4 hydrogel is a promising candidate for clinic skin wound healing.


Assuntos
Quitosana , Nanofibras , Animais , Antibacterianos/farmacologia , Hidrogéis/farmacologia , Camundongos , Cicatrização/fisiologia
8.
Acta Biomater ; 140: 233-246, 2022 03 01.
Artigo em Inglês | MEDLINE | ID: mdl-34852300

RESUMO

Ligament injuries are common in sports and other rigorous activities. It is a great challenge to achieve ligament regeneration after an injury due the avascular structure and low self-renewal capability. Herein, we developed vascular endothelial growth factor (VEGF)-binding aligned electrospun poly(caprolactone)/gelatin (PCL/Gel) scaffolds by incorporating prominin-1-binding peptide (BP) sequence and exploited them for patellar ligament regeneration. The adsorption of BP onto scaffolds was discerned by various techniques, such as Fourier-transform infrared spectroscopy, X-ray photoelectron spectroscopy, and confocal laser scanning microscope. The accumulation of VEGF onto scaffolds correlated with the concentration of the peptide in vitro. BP-anchored PCL/Gel scaffolds (BP@PCL/Gel) promoted the tubular formation of human umbilical vein endothelial cells (HUVECs) and wound healing in vitro. Besides, BP containing scaffolds exhibited higher content of CD31+ cells than that of the control scaffolds at 1 week after implantation in vivo. Moreover, BP containing scaffolds improved biomechanical properties and facilitated the regeneration of matured collagen in patellar ligament 4 weeks after implantation in mice. Overall, this strategy of peptide-mediated orchestration of VEGF provides an enticing platform for the ligament regeneration, which may also have broad implications for tissue repair applications. STATEMENT OF SIGNIFICANCE: Ligament injuries are central to sports and other rigorous activities. Given to the avascular nature and poor self-healing capability of injured ligament tissues, it is a burgeoning challenge to fabricate tissue-engineered scaffolds for ligament reconstruction. Vascular endothelial growth factor (VEGF) is pivotal to the neo-vessel formation. However, the high molecular weight of VEGF as well as its short half-life in vitro and in vivo limits its therapeutic potential. To circumvent these limitations, herein, we functionalized aligned electrospun polycaprolactone/gelatin (PCL/Gel)-based scaffolds with VEGF-binding peptide (BP) and assessed their biocompatibility and performance in vitro and in vivo. BP-modified scaffolds accumulated VEGF, improved tube formation of HUVECs, and induced wound healing in vitro, which may have broad implications for regenerative medicine and tissue engineering.


Assuntos
Nanofibras , Ligamento Patelar , Animais , Gelatina/química , Gelatina/farmacologia , Células Endoteliais da Veia Umbilical Humana/metabolismo , Humanos , Camundongos , Nanofibras/química , Poliésteres/química , Poliésteres/farmacologia , Engenharia Tecidual/métodos , Alicerces Teciduais/química , Fator A de Crescimento do Endotélio Vascular/metabolismo , Fator A de Crescimento do Endotélio Vascular/farmacologia , Cicatrização
9.
Colloids Surf B Biointerfaces ; 199: 111557, 2021 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-33434880

RESUMO

Diabetic infection is a long-term complication difficult to cure. The skin of diabetic patients is prone to damage, the healing is slow after the injury, and the wound occurs repeatedly. Therefore, there is an urgent need to develop an effective method for treating diabetes wounds. In this study, we used the electrospinning technique to load Huangbai Liniment (Compound Phellodendron Liquid, CPL) into Silk fibroin (SF) /poly-(L-lactide-co-caprolactone) (PLCL) to prepare the nanofiber membrane (SP/CPL) to treat the diabetic wound. The morphology and structure of the nanofibers were observed by scanning electron microscope (SEM). The SEM results indicate the smooth and bead free fibers and the diameter of the fiber decreased with increasing drug concentration. The release profile indicates the sustained release of the drug. Moreover, the drug-loaded nanofibers showed inhibitory effects for S.aureus and E.coli. Furthermore, in vitro cell culture studies showed the increased proliferation and adhesion of NIH-3T3 cells on the drug-containing nanofiber membrane. Animal experiments showed that the nanofiber membrane loaded with CPL increases the expression of the TGF-ß signaling pathway and collagen during wound healing, inhibits the expression of pro-inflammatory factors, and thus effectively promotes wound healing in diabetic mice. Therefore, the SP/CPL nanofiber scaffold with CPL loading is a potential candidate for diabetic wound dressings and tissue engineering.


Assuntos
Diabetes Mellitus Experimental , Fibroínas , Nanofibras , Animais , Caproatos , Diabetes Mellitus Experimental/tratamento farmacológico , Dioxanos , Medicamentos de Ervas Chinesas , Humanos , Lactonas , Linimentos , Camundongos , Poliésteres , Seda , Alicerces Teciduais , Cicatrização
10.
Bioact Mater ; 6(10): 3254-3268, 2021 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-33778203

RESUMO

Vascularization and bone regeneration are two closely related processes during bone reconstruction. A three-dimensional (3D) scaffold with porous architecture provides a suitable microenvironment for vascular growth and bone formation. Here, we present a simple and general strategy to construct a nanofibrous poly(l-lactide)/poly(ε-caprolactone) (PLLA/PCL) scaffold with interconnected perfusable microchannel networks (IPMs) based on 3D printing technology by combining the phase separation and sacrificial template methods. The regular and customizable microchannel patterns within the scaffolds (spacings: 0.4 mm, 0.5 mm, and 0.6 mm; diameters: 0.8 mm, 1 mm, and 1.2 mm) were made to investigate the effect of microchannel structure on angiogenesis and osteogenesis. The results of subcutaneous embedding experiment showed that 0.5/0.8-IPMs (spacing/diameter = 0.5/0.8) and 0.5/1-IPMs (spacing/diameter = 0.5/1) scaffolds exhibited more vascular network formation as compared with other counterparts. After loading with vascular endothelial growth factor (VEGF), VEGF@IPMs-0.5/0.8 scaffold prompted better human umbilical vein endothelial cells (HUVECs) migration and neo-blood vessel formation, as determined by Transwell migration, scratch wound healing, and chorioallantoic membrane (CAM) assays. Furthermore, the microangiography and rat cranial bone defects experiments demonstrated that VEGF@IPMs-0.5/0.8 scaffold exhibited better performance in vascular network formation and new bone formation compared to VEGF@IPMs-0.5/1 scaffold. In summary, our results suggested that the microchannel structure within the scaffolds could be tailored by an adjustable caramel-based template strategy, and the combination of interconnected perfusion microchannel networks and angiogenic factors could significantly enhance vascularization and bone regeneration.

11.
Bioact Mater ; 6(9): 2783-2800, 2021 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-33665509

RESUMO

Diabetic wound (DW) healing is a major clinical challenge due to multifactorial complications leading to prolonged inflammation. Electrospun nanofibrous (NF) membranes, due to special structural features, are promising biomaterials capable to promote DW healing through the delivery of active agents in a controlled manner. Herein, we report a multifunctional composite NF membrane loaded with ZnO nanoparticles (NP) and oregano essential oil (OEO), employing a new loading strategy, capable to sustainedly co-deliver bioactive agents. Physicochemical characterization revealed the successful fabrication of loaded nanofibers with strong in vitro anti-bacterial and anti-oxidant activities. Furthermore, in vivo wound healing confirmed the potential of bioactive NF membranes in epithelialization and granulation tissue formation. The angiogenesis was greatly prompted by the bioactive NF membranes through expression of vascular endothelial growth factor (VEGF). Moreover, the proposed NF membrane successfully terminated the inflammatory cycle by downregulating the pro-inflammatory cytokines interleukin -6 (IL-6) and matrix metalloproteinases-9 (MMP-9). In vitro and in vivo studies revealed the proposed NF membrane is a promising dressing material for the healing of DW.

12.
J Mater Chem B ; 9(5): 1452-1465, 2021 02 07.
Artigo em Inglês | MEDLINE | ID: mdl-33470267

RESUMO

Zinc oxide nanoparticles (ZnO NPs) are known for their antibacterial, antioxidant, and anti-inflammatory activities. Moreover, ZnO NPs can stimulate cell migration, re-epithelialization, and angiogenesis. All these attributes are highly relevant to wound healing. Local administration of ZnO NPs to the wound can be achieved through electrospun nanofibers. We hypothesized that the use of poly(lactide-co-glycolic acid) (PLGA)/silk fibroin (SF) nanofiber-based delivery of ZnO would maintain the bioavailability of NPs on the wound area and synchronization with the unique structural features of electrospun nanofibers, could stimulate wound closure, re-epithelialization, collagen deposition, cellular migration, and angiogenesis. In this study, we fabricated PLGA/SF (PS) nanofibrous (NF) membranes with and without ZnO NPs and extensively characterized them for various physicochemical and biological attributes. Scanning electron microscopy (SEM) revealed smooth fibers and ZnO concentration-dependent increase in the fiber diameter. Transmission electron microscopy (TEM) also confirmed the encapsulation of ZnO NPs in the polymer matrix. The successful loading of ZnO was further confirmed by X-ray diffraction. Furthermore, mechanical testing revealed a ZnO concentration-dependent increase in the tensile strength. Moreover, biocompatibility was evaluated through in vitro cell culture. A mild anti-oxidant activity was also noted mainly due to the presence of silk fibroin. In vitro antibacterial tests revealed a ZnO concentration-dependent increase in antibacterial activity and PLGA/SF/3% ZnO (PSZ3) remained completely active against E. coli and S. aureus. More importantly, NF membranes were evaluated for their in vivo wound healing potential. The PSZ3 NF membrane not only facilitated the early wound closure but also remarkably enhanced the quality of wound healing confirmed through histopathological analysis. Re-epithelialization, granulation tissue formation, collagen deposition, and angiogenesis are some of the key parameters significantly boosted by ZnO loaded composite NF membranes. Based on extensive characterization and biological evaluation, the PSZ3 NF membrane has turned out to be a potential candidate for wound healing applications.


Assuntos
Antibacterianos/uso terapêutico , Fibroínas/química , Nanopartículas/química , Copolímero de Ácido Poliláctico e Ácido Poliglicólico/metabolismo , Cicatrização/fisiologia , Óxido de Zinco/química , Antibacterianos/farmacologia , Humanos
13.
Colloids Surf B Biointerfaces ; 196: 111352, 2020 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-32919244

RESUMO

The use of natural biocompatible drugs is highly desirable in wound dressing compared to synthetic chemicals. Oregano essential oil (OEO) is a promising natural compound with marked antibacterial, antioxidant and anti-inflammatory activities. The topical delivery of OEO may result in lower therapeutic efficacy and irritation to the skin. Moreover, OEO is a volatile compound results in instability as well. To overcome these drawbacks, we successfully encapsulated OEO in Poly (L-lactide-co-caprolactone) (PLCL)/ Silk fibroin (SF) nanofibers membrane (NF) and achieved the encapsulation efficiency (%) up to 59.14 ± 0.58. The fabricated membranes were undergone through physicochemical as well as biological evaluation. SEM characterization revealed that OEO could be successfully encapsulated maintaining a smooth profile of nanofibers. The biocompatibility of the NF membrane was confirmed by cytotoxicity assay. Antibacterial results indicated that OEO containing nanofibrous membranes are highly active against both gram-positive and gram-negative bacteria. The result revealed that 5% is the optimized concentration of OEO capable to completely inhibit bacterial growth. Moreover, the NF membranes were evaluated for their in vivo wound healing potential. The results confirmed that OEO containing NF membrane is not only capable to accelerate the wound contraction but also enhances the quality of wound healing confirmed through histology analysis. H&E and Masson's trichrome staining indicated the neo-epithelialization, granulation tissue formation, angiogenesis, and collagen deposition in a group treated with PLCL/SF/5% OEO. Based on the physicochemical and biological evaluation, PLCL/SF/5% OEO NF membrane can be considered as a potential wound dressing candidate.


Assuntos
Fibroínas , Nanofibras , Óleos Voláteis , Origanum , Antibacterianos/farmacologia , Bandagens , Bactérias Gram-Negativas , Bactérias Gram-Positivas , Óleos Voláteis/farmacologia
14.
Pharmaceutics ; 11(8)2019 Aug 02.
Artigo em Inglês | MEDLINE | ID: mdl-31382396

RESUMO

Essential oils are complex volatile compounds, extracted from specific plant species, with promising therapeutic potentials. However, their volatile nature presents a major hindrance in using them as therapeutic agents. In the current study, we successfully encapsulated oregano essential oil (OEO) into Poly (l-lactic acid-co-e-caprolactone) /Silk Fibroin (PLCL/SF) polymers through electrospinning. The nanofibrous membrane (NF) was fabricated and characterized for various physico-chemical and biological attributions. Homogenous and bead free morphology was confirmed by scanning electron microscopy (SEM). Attenuated total reflection Fourier transform infrared spectroscopy (ATR-FTIR) confirmed the successful loading of OEO and its physical interaction with the blend of PLCL/SF. Moreover, thermogravimetric analysis (TGA) also confirmed the successful loading and thermostability of the OEO. Although a significant change was noted in tensile strength due to the loading of OEO, the mechanical behaviour still falls into the acceptable ranges required for skin tissue engineering. Similarly, fabricated material was evaluated for its biological significance. Liquid chromatography-mass spectrometry (LC-MS) was employed to determine the release behaviour of OEO from electrospun membranes. LC-MS data, noted for 48 h, confirmed the biphasic release of OEO. Furthermore, NF membranes have shown strong antioxidant and anti-tumor activities. This material is promising and can be implanted to avoid the recurrence of the tumor after its surgical removal.

15.
J Pak Med Assoc ; 56(4): 171-3, 2006 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-16711338

RESUMO

OBJECTIVE: To assess the effects of pre-existing malnutrition on the treatment outcome of children with acute lymphoblastic leukaemia. METHODS: One hundred and sixty three patients with Acute Lymphoblastic Leukaemia (ALL) below the age of 14 years with L1 and L2 FAB morphology were included in this study. Treatment protocol used was FBM. Patients were classified according to Waterlow classifications of malnutrition (1976). Group-I, as Under-Nourished children (UNC) and Group-II as Well-nourished children (WNC). Percentages in both groups were calculated with respect to total expired, relapses and completed treatment. RESULTS: In Group-I (UNC) 46% completed treatment and were alive, 9.8% relapsed and 45% expired. In Group-II (WNC) 59% completed treatment and were alive, 21.3% relapsed and 19% expired. Overall, in WNC group 13.5% completed treatment and were alive, 8% relapsed and 7.3% expired. In UNC group 28.8% completed treatment and were alive, 6% relapsed and 27% expired. CONCLUSION: Pre-Existing malnutrition adversely effects the treatment outcome in children with Acute Lymphoblastic Leukaemia (ALL).


Assuntos
Protocolos de Quimioterapia Combinada Antineoplásica , Desnutrição/complicações , Leucemia-Linfoma Linfoblástico de Células Precursoras/tratamento farmacológico , Resultado do Tratamento , Doença Aguda , Adolescente , Criança , Pré-Escolar , Humanos , Lactente , Recém-Nascido , Leucemia-Linfoma Linfoblástico de Células Precursoras/complicações , Leucemia-Linfoma Linfoblástico de Células Precursoras/mortalidade , Estudos Prospectivos , Medição de Risco , Fatores de Tempo
16.
J Ayub Med Coll Abbottabad ; 18(2): 53-6, 2006.
Artigo em Inglês | MEDLINE | ID: mdl-16977815

RESUMO

BACKGROUND: Malnutrition is prevalent on large scale in hospitalized patients which increases morbidity and mortality, reduces the effectiveness of medical treatment in our hospitals and impairs the quality of life significantly. Early diagnosis and treatment of malnutrition is gaining the significance day by day. METHODS: A prospective study was carried out to assess the effects of hypoproteinemia malnutrition on the treatment outcome of children with acute lymphoblastic leukemia. One hundred and sixty three patients with Acute Lymphoblastic Leukemia (ALL) below the age of 14 years with L1 and L2 FAB morphology were included in this study. Treatment protocol used was FBM. Patients were classified according to Waterlow classifications of malnutrition (1976). Group-I, as Well-Nourished children (WNC) and Group-II as Mal-nourished children (MNC). Percentages in both groups were found out with respect to total expired, Relapses and completed treatment. RESULTS: In Group-I (WNC) 50 (81.96%) completed treatment and alive, 5 (8.19%) relapsed and 6 (9.8%) expired. In Group-II (MNC) 31(30.39%) completed treatment and alive,8 (7.84%) relapsed and 63 (61.76%) expired. Overall, in WNC group-I 50(30.67%) completed treatment and alive, 5 (3.07%) relapsed and 6(3.68%) expired. In MNC group-II 31 (19.02%) completed treatment and alive, 8 (4.91%) relapsed and 63 (38.65 %) expired. CONCLUSION: Hypoproteinemia affects treatment outcome in children with acute Lymphoblastic


Assuntos
Hipoproteinemia/complicações , Leucemia-Linfoma Linfoblástico de Células Precursoras/terapia , Adolescente , Criança , Feminino , Humanos , Masculino , Estado Nutricional , Prognóstico , Estudos Prospectivos , Recidiva , Resultado do Tratamento
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