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1.
Polymers (Basel) ; 15(6)2023 Mar 08.
Artigo em Inglês | MEDLINE | ID: mdl-36987127

RESUMO

The construction of ballistic-resistant body armor is experiencing an increasing use of flexible unidirectional (UD) composite laminates that comprise multiple layers. Each UD layer contains hexagonally packed high-performance fibers with a very low modulus matrix (sometimes referred to as binder resins). Laminates are then made from orthogonal stacks of these layers, and these laminate-based armor packages offer significant performance advantages over standard woven materials. When designing any armor system, the long-term reliability of the armor materials is critical, particularly with regard to stability with exposure to temperature and humidity, as these are known causes of degradation in commonly used body armor materials. To better inform future armor designers, this work investigates the tensile behavior of an ultra-high molar mass polyethylene (UHMMPE) flexible UD laminate that was aged for at least 350 d at two accelerated conditions: 70 °C at 76% relative humidity (RH) and 70 °C in a desiccator. Tensile tests were performed at two different loading rates. The mechanical properties of the material after ageing demonstrated less than 10% degradation in tensile strength, indicating high reliability for armor made from this material.

2.
Eye (Lond) ; 37(4): 714-719, 2023 03.
Artigo em Inglês | MEDLINE | ID: mdl-35347292

RESUMO

PURPOSE: To assess the prognostic value of T category of the 8th edition of American Joint Committee on Cancer (AJCC) classification in periocular sebaceous gland carcinoma (SGC). METHODS: Retrospective interventional case series of 119 cases. RESULTS: Based on the T category of 8th edition of AJCC classification, 119 periocular SGCs were classified into T1 (n = 33, 28%), T2 (n = 37, 31%) T3 (n = 17, 14%) and T4 (n = 32, 27%). There were no statistically significant differences in the rate of tumour recurrence based on T category. The outcome measures that showed significant increase with increase in T category included regional lymph node metastasis (3% for T1, 3% for T2, 12% for T3, and 44% for T4; p < 0.0001), systemic metastasis (0% for T1, 0% for T2, 12% for T3, and 25% for T4; p = 0.002) and death due to metastasis (0% for T1, 0% for T2, 12% for T3, and 22% for T4; p = 0.005). The 5-year Kaplan-Meier estimate rate for regional lymph node metastasis, systemic metastasis and metastasis-related death were all higher for the T4 category tumours (42%, p = 0.005; 34%, p = 0.0002; and 43%, p = 0.0001 respectively) compared to T1 (9%, 0%, and 0%), T2 (5%, 0%, and 0%) and T3 (10%, 17 and 8%) tumours. CONCLUSION: Primary tumour (T) category of the 8th edition AJCC classification predicts the prognosis of patients with periocular SGC. The rates of lymph node metastasis, systemic metastasis, and death is much higher in T4 tumours compared to T1, T2, and T3 tumours. There was no association between T category and tumour recurrence.


Assuntos
Adenocarcinoma Sebáceo , Neoplasias das Glândulas Sebáceas , Humanos , Estados Unidos , Metástase Linfática , Estadiamento de Neoplasias , Recidiva Local de Neoplasia , Estudos Retrospectivos , Glândulas Sebáceas , Adenocarcinoma Sebáceo/secundário , Prognóstico
3.
Soft Matter ; 18(35): 6511-6516, 2022 Sep 14.
Artigo em Inglês | MEDLINE | ID: mdl-36000270

RESUMO

Modern design of common adhesives, composites and polymeric parts makes use of polymer glasses that are stiff enough to maintain their shape under a high stress while still having a ductile behavior after the yield point. Typically, material compositions are tuned with co-monomers, polymer blends, plasticizers, or other additives to arrive at a tradeoff between the elastic modulus and toughness. In contrast, strong changes to the mechanics of a glass are possible by changing only the molecular packing during vitrification or even deep in the glassy state. For example, physical aging or processing techniques such as physical vapor deposition increase the density, embrittle the material, and increase elastic modulus. Here, we use molecular simulations, validated by positron annihilation lifetime spectroscopy (PALS) and quasi-elastic neutron scattering, to understand the free volume distribution and the resulting dynamics of glassy co-polymers where the composition is systemically varied between polar 5-norbornene-2-methanol (NBOH) and non-polar ethylidene norbornene (ENB) monomers. In these polymer glasses, we analyze the structural features of the unoccupied volume using clustering analysis, where the clustering is parameterized to reproduce experimental measurements of the same features from PALS. Further, we analyze the dynamics, quantified by the Debye-Waller factor, and compare the results with softer, lower density states. Our findings indicate that faster structural relaxations and potentially improved ductility are possible through changes to the geometric structure and fraction of the free volume, and that the resulting changes to the glass dynamics are comparable to large changes in the monomer composition.

4.
Sci Adv ; 8(10): eabl8160, 2022 Mar 11.
Artigo em Inglês | MEDLINE | ID: mdl-35263122

RESUMO

Carbon molecular sieve (CMS) membranes prepared by carbonization of polymers containing strongly size-sieving ultramicropores are attractive for high-temperature gas separations. However, polymers need to be carbonized at extremely high temperatures (900° to 1200°C) to achieve sub-3.3 Å ultramicroporous channels for H2/CO2 separation, which makes them brittle and impractical for industrial applications. Here, we demonstrate that polymers can be first doped with thermolabile cross-linkers before low-temperature carbonization to retain the polymer processability and achieve superior H2/CO2 separation properties. Specifically, polybenzimidazole (PBI) is cross-linked with pyrophosphoric acid (PPA) via H bonding and proton transfer before carbonization at ≤600°C. The synergistic PPA doping and subsequent carbonization of PBI increase H2 permeability from 27 to 140 Barrer and H2/CO2 selectivity from 15 to 58 at 150°C, superior to state-of-the-art polymeric materials and surpassing Robeson's upper bound. This study provides a facile and effective way to tailor subnanopore size and porosity in CMS membranes with desirable molecular sieving ability.

5.
ACS Appl Mater Interfaces ; 14(8): 10793-10804, 2022 Mar 02.
Artigo em Inglês | MEDLINE | ID: mdl-35179343

RESUMO

Polymer nanocomposites containing self-assembled cellulose nanocrystals (CNCs) are ideal for advanced applications requiring both strength and toughness as the helicoidal structure of the CNCs deflects crack propagation and the polymer matrix dissipates impact energy. However, any adsorbed water layer surrounding the CNCs may compromise the interfacial adhesion between the polymer matrix and the CNCs, thus impacting stress transfer at that interface. Therefore, it is critical to study the role of water at the interface in connecting the polymer dynamics and the resulting mechanical performance of the nanocomposite. Here, we explore the effect of polymer confinement and water content on polymer dynamics in CNC nanocomposites by covalently attaching a fluorogenic water-sensitive dye to poly(diethylene glycol methyl ether methacrylate) (PMEO2MA), to provide insights into the observed mechanical performance. Utilizing fluorescence lifetime imaging microscopy (FLIM), the lifetime of dye fluorescence decay was measured to probe the polymer chain dynamics of PMEO2MA in CNC nanocomposite films. The PMEO2MA chains experienced distinct regions of differing dynamics within Bouligand structures. A correlation was observed between the average fluorescence lifetime and the mechanical performance of CNC films, indicating that polymer chains with high mobility improved the strain and toughness. These studies demonstrated FLIM as a method to investigate polymer dynamics at the nanosecond timescale that can readily be applied to other composite systems.

6.
Ophthalmic Plast Reconstr Surg ; 37(4): 341-345, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33237664

RESUMO

PURPOSE: To assess the relationship between age at presentation and outcomes of patients with periocular sebaceous gland carcinoma. METHODS: Retrospective case series of 241 patients. RESULTS: Of 241 cases, 29 (12%) were young adults (≤40 years), 122 (51%) were middle-aged adults (41-60 years), and 90 (37%) were older adults (>60 years). Based on the eighth edition of American Joint Committee on Cancer, most tumors belonged to T1 category (n = 78, 32%) on presentation. Wide excisional biopsy was the most common treatment modality (n = 183, 79%). There were no statistically significant differences in the clinical presentation, treatment approaches, and histopathology features amongst different age groups, except pagetoid spread which was higher in middle-aged adults (61%, p = 0.004). The incidence of tumor recurrence was higher in older age group compared to younger age groups, with 5-year, 10-year Kaplan-Meier estimate at 31%, 31% in young adults, 38%, 38% in middle-aged adults, and 45%, 100% in older adults (p = 0.03), respectively. The 10-year Kaplan-Meier estimate rate of locoregional lymph node metastasis, systemic metastasis, and death was higher in young adults (51%, 48%, and 48%, respectively) compared to middle-aged (30%, 17%, and 12%, respectively) and older adults (24%, 25%, and 27%, respectively), but the differences were not statistically significant. CONCLUSIONS: There is no difference in the clinical presentation of periocular sebaceous gland carcinoma based on age. However, the tumor recurrence rate is much higher in the older age group and death higher in younger patients despite the same treatment strategies in all age groups.


Assuntos
Adenocarcinoma Sebáceo , Neoplasias Palpebrais , Neoplasias das Glândulas Sebáceas , Adenocarcinoma Sebáceo/epidemiologia , Idoso , Humanos , Pessoa de Meia-Idade , Recidiva Local de Neoplasia , Estudos Retrospectivos , Neoplasias das Glândulas Sebáceas/epidemiologia , Glândulas Sebáceas , Adulto Jovem
7.
SN Appl Sci ; 2(4)2020.
Artigo em Inglês | MEDLINE | ID: mdl-33043248

RESUMO

Soft body armor is typically comprised of materials such as aramid. Recently, copolymer fibers based on the combination of 5-amino-2-(p-aminophenyl) benzimidazole (PBIA) and PPTA were introduced to the body armor marketplace. The long-term stability of these copolymer fibers have not been the subject of much research, however they may be sensitive to hydrolysis due to elevated humidity because they are condensation polymers. Efforts to evaluate the impact of environmental conditions on fiber strength is very important for the adoption of these materials in armor systems. Three PBIA-based fibers were selected for the study, and were aged at 25 °C, 75 % RH; 43 °C, 41 % RH; 55 °C, 60 % RH; and 70 °C, 76 % RH for up to 524 d. Molecular spectroscopy, scanning electron microscopy, and single fiber tensile testing were performed to characterize changes in their chemical structure, tensile strength, and failure strain as a function of exposure time to different conditions. The fibers were all found to have some reduction in strength at high humidity conditions, with an approximately 14 % reduction for the copolymers and a 29 % reduction for the homopolymer. Molecular spectroscopy revealed some changes which suggest that hydrolysis of the benzimidazole ring is occurring at these elevated temperatures, possibly explaining the observed change in strength.

8.
J Mater Sci ; 55(3)2020.
Artigo em Inglês | MEDLINE | ID: mdl-33041370

RESUMO

Flexible Unidirectional (UD) composite laminates are commonly being used for ballistic-resistant body armor. These laminates comprise UD layers, each constructed by laminating thin layers of high-performance fibers held in place using very low modulus binder resins, with the fibers in each layer oriented parallel to each other. As these materials are used in body armor, it is important to investigate their long-term reliability, particularly with regards to exposure to temperature and humidity as these are known causes of degradation in other commonly used body armor materials. This work investigates the tensile behavior of a poly(p-phenylene terephthalamide), or PPTA flexible UD laminate aged for up to 150 d at accelerated conditions of 70 °C and 76 % relative humidity (RH). Tests were performed at three different crosshead displacement rates and three different gauge lengths. The effect of ageing on the mechanical properties of the material resulted in less than 10 % degradation in tensile strength, with a more significant reduction in longer specimens when tested at slower rates.

10.
J Vis Exp ; (146)2019 04 27.
Artigo em Inglês | MEDLINE | ID: mdl-31081808

RESUMO

Many body armor designs incorporate unidirectional (UD) laminates. UD laminates are constructed of thin (<0.05 mm) layers of high-performance yarns, where the yarns in each layer are oriented parallel to each other and held in place using binder resins and thin polymer films. The armor is constructed by stacking the unidirectional layers in different orientations. To date, only very preliminary work has been performed to characterize the ageing of the binder resins used in unidirectional laminates and the effects on their performance. For example, during the development of the conditioning protocol used in the National Institute of Justice Standard-0101.06, UD laminates showed visual signs of delamination and reductions in V50, which is the velocity at which half of the projectiles are expected to perforate the armor, after ageing. A better understanding of the material property changes in UD laminates is necessary to comprehend the long-term performance of armors constructed from these materials. There are no current standards recommended for mechanically interrogating unidirectional (UD) laminate materials. This study explores methods and best practices for accurately testing the mechanical properties of these materials and proposes a new test methodology for these materials. Best practices for ageing these materials are also described.


Assuntos
Teste de Materiais , Polímeros/química , Estresse Mecânico , Resistência à Tração
11.
Artigo em Inglês | MEDLINE | ID: mdl-32166225

RESUMO

Carbon nanotube (CNT) grafted glass fiber reinforced epoxy nanocomposites (GFRP) present a range of stiffnesses (MPa to GPa) and length scales (µm to nm) at the fiber-matrix interface. The contribution of functionalized CNT networks to the local and bulk polymer dynamics is studied here by using a combination of torsion dynamical mechanical thermal analysis (DMTA), positron annihilation lifetime spectroscopy (PALS), and neutron scattering (NS) measurements. DMTA measurements highlight a reduction in the storage modulus (G') in the rubbery region and an asymmetric broadening of the loss modulus (G″) peak in the α-transition region. NS measurements show a suppressed hydrogen mean-square displacement (MSD) in the presence of glass fibers but a higher hydrogen MSD after grafting functionalized CNTs onto fiber surfaces. PALS measurements show greater free volume characteristics in the presence of the functionalized CNT modified composites, supporting the view that these interface layers increase polymer mobility. While NS and DMTA are sensitive to different modes of chain dynamics, the localization of functionalized nanotubes at the fiber interface is found to affect the distribution of polymer relaxation modes without significantly altering the thermally activated relaxation processes.

12.
J Vis Exp ; (139)2018 09 01.
Artigo em Inglês | MEDLINE | ID: mdl-30222168

RESUMO

Traditionally, soft body armor has been made from poly(p-phenylene terephthalamide) (PPTA) and ultra-high molecular weight polyethylene. However, to diversify the fiber choices in the United States body armor market, copolymer fibers based on the combination of 5-amino-2-(p-aminophenyl) benzimidazole (PBIA) and the more conventional PPTA were introduced. Little is known regarding the long-term stability of these fibers, but as condensation polymers, they are expected to have potential sensitivity to moisture and humidity. Therefore, characterizing the strength of the materials and understanding their vulnerability to environmental conditions is important for evaluating their use lifetime in safety applications. Ballistic resistance and other critical structural properties of these fibers are predicated on their strength. To accurately determine the strength of the individual fibers, it is necessary to disentangle them from the yarn without introducing any damage. Three aramid-based copolymer fibers were selected for the study. The fibers were washed with acetone followed by methanol to remove an organic coating that held the individual fibers in each yarn bundle together. This coating makes it difficult to separate single fibers from the yarn bundle for mechanical testing without damaging the fibers and affecting their strength. After washing, fourier transform infrared (FTIR) spectroscopy was performed on both washed and unwashed samples and the results were compared. This experiment has shown that there are no significant variations in the spectra of poly(p-phenylene-benzimidazole-terephthalamide-co-p-phenylene terephthalamide) (PBIA-co-PPTA1) and PBIA-co-PPTA3 after washing, and only a small variation in intensity for PBIA. This indicates that the acetone and methanol rinses are not adversely affecting the fibers and causing chemical degradation. Additionally, single fiber tensile testing was performed on the washed fibers to characterize their initial tensile strength and strain to failure, and compare those to other reported values. Iterative procedural development was necessary to find a successful method for performing tensile testing on these fibers.


Assuntos
Teste de Materiais/métodos , Polímeros/química , Resistência à Tração/fisiologia
14.
Carbon N Y ; 125: 63-75, 2017 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-29170562

RESUMO

As carbon nanotube (CNT) infused hybrid composites are increasingly identified as next-generation aerospace materials, it is vital to evaluate their long-term structural performance under aging environments. In this work, the durability of hierarchical, aligned CNT grafted aluminoborosilicate microfiber-epoxy composites (CNT composites) are compared against baseline aluminoborosilicate composites (baseline composites), before and after immersion in water at 25 °C (hydro) and 60 °C (hydrothermal), for extended durations (90 d and 180 d). The addition of CNTs is found to reduce water diffusivities by approximately 1.5 times. The mechanical properties (bending strength and modulus) and the damage sensing capabilities (DC conductivity) of CNT composites remain intact regardless of exposure conditions. The baseline composites show significant loss of strength (44 %) after only 15 d of hydrothermal aging. This loss of mechanical strength is attributed to fiber-polymer interfacial debonding caused by accumulation of water at high temperatures. In situ acoustic and DC electrical measurements of hydrothermally aged CNT composites identify extensive stress-relieving micro-cracking and crack deflections that are absent in the aged baseline composites. These observations are supported by SEM images of the failed composite cross-sections that highlight secondary matrix toughening mechanisms in the form of CNT pullouts and fractures which enhance the service life of composites and maintain their properties under accelerated aging environments.

15.
Sci Rep ; 5: 13858, 2015 Sep 09.
Artigo em Inglês | MEDLINE | ID: mdl-26350049

RESUMO

Prevention of microbially induced corrosion (MIC) is of great significance in many environmental applications. Here, we report the use of an ultra-thin, graphene skin (Gr) as a superior anti-MIC coating over two commercial polymeric coatings, Parylene-C (PA) and Polyurethane (PU). We find that Nickel (Ni) dissolution in a corrosion cell with Gr-coated Ni is an order of magnitude lower than that of PA and PU coated electrodes. Electrochemical analysis reveals that the Gr coating offers ~10 and ~100 fold improvement in MIC resistance over PU and PA coatings respectively. This finding is remarkable considering that the Gr coating (1-2 nm) is ~25 and ~4000 times thinner than the PA (40-50 nm), and PU coatings (20-80 µm), respectively. Conventional polymer coatings are either non-conformal when deposited or degrade under the action of microbial processes, while the electro-chemically inert graphene coating is both resistant to microbial attack and is extremely conformal and defect-free. Finally, we provide a brief discussion regarding the effectiveness of as-grown vs. transferred graphene films for anti-MIC applications. While the as-grown graphene films are devoid of major defects, wet transfer of graphene is shown to introduce large scale defects that make it less suitable for the current application.


Assuntos
Corrosão , Grafite , Polímeros , Eletroquímica , Grafite/química , Polímeros/química , Propriedades de Superfície
16.
Microbes Infect ; 16(8): 640-7, 2014 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-24998491

RESUMO

Streptococcus pneumoniae and nontypeable Haemophilus influenzae (NTHi) often share a common niche within the nasopharynx, both associated with infections such as bronchitis and otitis media. This study investigated how the association between NTHi and S. pneumoniae and the host affects their propensity to form biofilms. We investigated a selection of bacterial strain and serotype combinations on biofilm formation, and the effect of contact with respiratory epithelial cells. Measurement of biofilm showed that co-infection with NTHi and S. pneumoniae increased biofilm formation following contact with epithelial cells compared to no contact demonstrating the role of epithelial cells in biofilm formation. Additionally, the influence of phosphorylcholine (ChoP) on biofilm production was investigated using the licD mutant strain of NTHi 2019 and found that ChoP had a role in mixed biofilm formation but was not the only requirement. The study highlights the complex interactions between microbes and the host epithelium during biofilm production, suggesting the importance of understanding why certain strains and serotypes differentially influence biofilm formation. A key contributor to increased biofilm formation was the upregulation of biofilm formation by epithelial cell factors.


Assuntos
Aderência Bacteriana , Biofilmes/efeitos dos fármacos , Células Epiteliais/microbiologia , Haemophilus influenzae/fisiologia , Interações Microbianas , Fosforilcolina/metabolismo , Streptococcus pneumoniae/fisiologia , Biofilmes/crescimento & desenvolvimento , Linhagem Celular , Interações Hospedeiro-Patógeno , Humanos
17.
ACS Nano ; 6(9): 7867-78, 2012 Sep 25.
Artigo em Inglês | MEDLINE | ID: mdl-22881216

RESUMO

Conventional graphitic anodes in lithium-ion batteries cannot provide high-power densities due to slow diffusivity of lithium ions in the bulk electrode material. Here we report photoflash and laser-reduced free-standing graphene paper as high-rate capable anodes for lithium-ion batteries. Photothermal reduction of graphene oxide yields an expanded structure with micrometer-scale pores, cracks, and intersheet voids. This open-pore structure enables access to the underlying sheets of graphene for lithium ions and facilitates efficient intercalation kinetics even at ultrafast charge/discharge rates of >100 C. Importantly, photothermally reduced graphene anodes are structurally robust and display outstanding stability and cycling ability. At charge/discharge rates of ~40 C, photoreduced graphene anodes delivered a steady capacity of ~156 mAh/g(anode) continuously over 1000 charge/discharge cycles, providing a stable power density of ~10 kW/kg(anode). Such electrodes are envisioned to be mass scalable with relatively simple and low-cost fabrication procedures, thereby providing a clear pathway toward commercialization.


Assuntos
Fontes de Energia Elétrica , Eletrodos , Grafite/química , Lítio/química , Nanoestruturas/química , Desenho de Equipamento , Análise de Falha de Equipamento , Grafite/efeitos da radiação , Temperatura Alta , Luz , Nanoestruturas/ultraestrutura , Oxirredução/efeitos da radiação
18.
Adv Otorhinolaryngol ; 72: 116-20, 2011.
Artigo em Inglês | MEDLINE | ID: mdl-21865707

RESUMO

The dynamic interactions of the major respiratory microbial pathogens are complex. An understanding of the impact on naturally acquired immune responses to respiratory polymicrobial commensal bacteria is slowly evolving. Maintaining a micro-floral balance and the host's ability to respond to imbalances associated with disease is critical. Studies of acquired immune responses have found that both antibody and cellular immune responses are suppressed by the presence of multiple bacteria when compared with colonization by the single microbe. Microbes interact with the mucosal epithelium through a range of receptor-ligand interactions, including interactions with Toll-like receptors and adhesion molecules. Regulation of the inflammatory response associated with commensal colonization suggests a possible role for Treg cells in controlling the upper airway responses to bacterial microflora with both bacteria-bacteria and bacteria-host interactions affecting colonization and immune responses.


Assuntos
Bactérias/imunologia , Imunidade Celular/imunologia , Imunidade nas Mucosas/imunologia , Inflamação/imunologia , Mucosa Respiratória/imunologia , Infecções Respiratórias/imunologia , Simbiose/imunologia , Humanos , Inflamação/microbiologia , Mucosa Respiratória/microbiologia , Infecções Respiratórias/microbiologia
19.
Curr Drug Targets ; 12(4): 521-30, 2011 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-21194403

RESUMO

A key characteristic of airway inflammation in chronic obstructive pulmonary disease (COPD) is the persistent presence of bacteria in the lower airways. The most commonly isolated bacteria in the lower respiratory tract of COPD patients are nontypeable Haemophilus influenzae, Moraxella catarrhalis and Streptococcus pneumoniae, with growing evidence of the significance of Pseudomonas aeruginosa infections in severe COPD disease. This review focuses on the antibiotic resistant mechanisms associated with the gram-negative bacteria H. influenzae and M. catarrhalis and comparison with P. aeruginosa infection because of the recent evidence of its significance in patients with severe COPD disease. These mechanisms of resistance to ß-lactams in H. influenzae and M. catarrhalis are mostly associated with serine ß-lactamases of class A type, whereas P. aeruginosa strains exhibit a much broader repertoire with class A-D type mechanisms. Other mechanisms of antibiotic resistance include membrane permeability, efflux pump systems and mutations in antimicrobial targets. Antimicrobial resistance within biofilm matrices appears to be different to the mechanisms observed when the bacteria are in the planktonic state. P. aeruginosa exhibits a more numerous and diverse range of antimicrobial resistance mechanisms in comparison to M. catarrhalis and H. influenzae. The recognition that P. aeruginosa is associated with exacerbations in patients with more severe COPD and that turnover in infecting strains is detected (unlike in cystic fibrosis patients), then further investigation is required to better understand the contribution of antimicrobial resistance and other virulence mechanisms to poor clinical outcomes to improve therapeutic approaches.


Assuntos
Antibacterianos/farmacologia , Doença Pulmonar Obstrutiva Crônica/complicações , Infecções Respiratórias/tratamento farmacológico , Biofilmes , Farmacorresistência Bacteriana , Bactérias Gram-Negativas/efeitos dos fármacos , Bactérias Gram-Negativas/isolamento & purificação , Infecções por Bactérias Gram-Negativas/tratamento farmacológico , Infecções por Bactérias Gram-Negativas/etiologia , Infecções por Bactérias Gram-Negativas/microbiologia , Humanos , Inflamação/etiologia , Inflamação/microbiologia , Testes de Sensibilidade Microbiana , Doença Pulmonar Obstrutiva Crônica/microbiologia , Infecções Respiratórias/etiologia , Infecções Respiratórias/microbiologia , Índice de Gravidade de Doença
20.
Microbes Infect ; 11(5): 545-53, 2009 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-19306940

RESUMO

Otitis media (OM) is a highly prevalent paediatric disease with both bacterial and viral triggers of infection. This study has investigated how combinations of bacteria associated with nasal colonisation and the occurrence and absence of viral infection (Sendai virus) induce OM in a mouse nasal colonisation model. The respiratory virus significantly contributed to bacterial OM for all bacterial combinations (p<0.001). Streptococcus pneumoniae consistently dominated as the causative bacterium of OM and when co-infected with S. pneumoniae, Moraxella catarrhalis more significantly affected pneumococcal OM than did non-typeable Haemophilus influenzae (p<0.001) by increasing the incidence rate, infection bacterial load and duration of infection. Nitric oxide levels in the middle ear, an indicator of inflammation, peaked at day 3 in single bacterium groups, but at day 1 in mixed bacterial groups and was produced in all bacteria inoculated groups even in the absence of viable bacterial recovery. Phagocytic cells were recruited rapidly to the ear following nasal inoculation but over time their numbers did not correlate with persistence of bacterial infection. The study has shown that the composition of bacteria in the nasal cavity and respiratory viral infection significantly affected the OM incidence rate, duration of infection and bacterial load (severity).


Assuntos
Moraxella catarrhalis/isolamento & purificação , Cavidade Nasal/microbiologia , Cavidade Nasal/virologia , Otite Média/microbiologia , Infecções Pneumocócicas/microbiologia , Vírus Sendai/isolamento & purificação , Streptococcus pneumoniae/patogenicidade , Animais , Orelha Média/química , Orelha Média/patologia , Haemophilus influenzae/isolamento & purificação , Incidência , Camundongos , Óxido Nítrico/análise , Infecções Pneumocócicas/imunologia
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