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1.
Chemosphere ; 352: 141359, 2024 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-38309604

RESUMO

Dibutyl phthalate (DBP) is a widely used plasticizer to make plastic flexible and long-lasting. It is easily accessible in a broad spectrum of environments as a result of the rising level of plastic pollution. This compound is considered a top-priority toxicant and persistent organic pollutant by international environmental agencies for its endocrine disruptive and carcinogenic propensities. To mitigate the DBP in the soil, one DBP-degrading bacterial strain was isolated from a plastic-polluted landfill and identified as Paenarthrobacter ureafaciens PB10 by 16S rRNA gene sequence-based homology. The strain was found to develop a distinct transparent halo zone around grown colonies on an agar plate supplemented with DBP. The addition of yeast extract (100 mg/L) as a nutrient source accelerated cell biomass production and DBP degradation rate; however, the presence of glucose suppressed DBP degradation by the PB10 strain without affecting its ability to proliferate. The strain PB10 was efficient in eliminating DBP under various pH conditions (5.0-8.0). Maximum cell growth and degradation of 99.49% at 300 mg/L DBP were achieved in 72 h at the optimized mineral salt medium (MS) conditions of pH 7.0 and 32 °C. Despite that, when the concentration of DBP rose to 3000 mg/L, the DBP depletion rate was measured at 79.34% in 72 h. Some novel intermediate metabolites, like myristic acid, hexadecanoic acid, stearic acid, and the methyl derivative of 4-hydroxyphenyl acetate, along with monobutyl phthalate and phthalic acid, were detected in the downstream degradation process of DBP through GC-MS profiling. Furthermore, in synchronization with native soil microbes, this PB10 strain successfully removed a notable amount of DBP (up to 54.11%) from contaminated soil under microcosm study after 10 d. Thus, PB10 has effective DBP removal ability and is considered a potential candidate for bioremediation in DBP-contaminated sites.


Assuntos
Dibutilftalato , Micrococcaceae , Ácidos Ftálicos , Dibutilftalato/metabolismo , Biodegradação Ambiental , Ácido Mirístico , RNA Ribossômico 16S/genética , Ácidos Ftálicos/metabolismo , Solo
2.
Int J Biol Macromol ; 263(Pt 2): 130372, 2024 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-38395275

RESUMO

The present study reports the synthesis of micellar conjugates, wherein curcumin (Cur), a bioactive compound with poor bioavailability, was covalently bonded to a bacterial exopolysaccharide (EPS). These conjugates were synthesized by utilizing succinic acid that linked Cur to the pyranosyl moiety of the EPS. The Cur-EPS conjugates appeared as spherical micelles in aqueous solution and were found to have an average hydrodynamic diameter of 254 ± 2.7 nm. The micellar conjugates showed superior stability than Cur as evident from their negative surface charge (-27 ± 1.8 mV) and low polydispersity index (PDI) (0.33 ± 0.04). The in vitro studies on release kinetics helped elucidate the pH-responsive characteristics of the Cur-EPS conjugate, as 87.50 ± 1.45 % of Cur was released at an acidic pH of 5.6, in contrast to 30.15 ± 2.61 % at systemic pH of 7.4 at 150 h. The conjugates were hemocompatible and exhibited cytotoxic effect against the osteosarcoma cell line (MG-63) after 48 h treatment. They also demonstrated superior antibacterial, antibiofilm, and antioxidant activities in comparison to free Cur. Therefore, the Cur-EPS conjugates have potential pharmaceutical applications as therapeutic biomaterial that can be applied as a drug delivery system.


Assuntos
Antineoplásicos , Neoplasias Ósseas , Curcumina , Humanos , Curcumina/química , Micelas , Antineoplásicos/química , Sistemas de Liberação de Medicamentos , Neoplasias Ósseas/tratamento farmacológico , Concentração de Íons de Hidrogênio , Portadores de Fármacos/química
3.
Mol Biochem Parasitol ; 256: 111593, 2023 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-37708914

RESUMO

Cell death in unicellular protozoan parasite Entamoeba histolytica is not yet reported though it displays several features of autophagic cell death. Autophagic cell death was reported to take place in ancient protozoans under several stresses. Here we report the occurrence of autophagic cell death in the Entamoeba histolytica trophozoites under oxidative stress as well as by the treatment with metronidazole, the most-widely-used drug for amoebiasis treatment and was shown to generate oxidative stress in the trophozoites. The autophagic flux increases during nutrient deprivation and metronidazole treatment and decreases upon oxidative stress. During oxidative stress the autophagy leads to nucleophagy that is ultimately destined to be digested within the lysosomal chamber. The formation of nucleophagosome depends on the apoptosis-inducing factor (AIF) that translocates to the nucleus from cytoplasm upon oxidative stress. It was experimentally proved that ATG8 (Autophagy-related protein 8) binds with the AIF in the nucleus of the trophozoites and helps in ATG8 recruitment and autophagy initiation overall suggesting that oxidative stress-driven AIF translocation to nucleus results in binding with ATG8 and initiates nucleophagy leading to cell death.


Assuntos
Entamoeba histolytica , Entamoeba histolytica/metabolismo , Fator de Indução de Apoptose/metabolismo , Metronidazol/farmacologia , Metronidazol/metabolismo , Morte Celular , Autofagia
4.
Environ Res ; 236(Pt 2): 116824, 2023 Nov 01.
Artigo em Inglês | MEDLINE | ID: mdl-37549783

RESUMO

The highest exposure of Endocrine disrupting compounds (EDC) into the water bodies as a result of extensive production and application of Covid-19 related drugs is a growing concern now a days. Herein, a novel nanocomposite material was developed by impregnating green synthesized copper oxide nanoparticles on the porous surface of fabric waste derived biochar to eliminate the concerned EDCs along with a sustainable disposal strategy for the spent adsorbent. Morphological characterizations by Field emission scanning electron microscopy confirmed the formation of hierarchical porous structured material. X-ray analysis revealed presence of both amorphous nature of biochar matrix as well as the crystalline nature attributed from monodispersion of copper oxide nanoparticles onto biochar surface. Batch sorption study showed removal of doxycycline hydrochloride (DOX) of >97% after 2 h at pH 7, 30 mg L-1 initial concentration of DOX and 2 g L-1 of adsorbent dose at room temperature after a two-step optimization process. Spectroscopic study and Raman shift suggested that pore filling, strong complexation and electrostatic interactions maximise the adsorption of DOX in the CuO/biochar composite as compared to the pristine biochar. However disposal of spent adsorbent is a crucial aspect for the environment and therefore, a sustainable recycling strategy for DOX loaded adsorbent as electrode material has been proposed for the first time in this study. Maximum specific capacitance value was observed in the range of 221.9-297.3 F g-1 for the DOX loaded nanocomposite at 1 mV s-1 comparable with other reported heteroatom-doped carbonaceous material as electrode. Therefore the excellent adsorption capacity of green synthesized CuO/biochar composite and its recycling after DOX adsorption can be recommended as a sustainable solution for mitigation of pharmaceuticals from wastewater. A detail study on degradation of DOX into eco-friendly products and its cost-effectiveness would be beneficial to suggest appropriate mitigation strategy for such compounds.

5.
Diagn Cytopathol ; 51(11): E314-E316, 2023 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-37540041

RESUMO

Chordoid glioma is an uncommon low-grade glioma and is a CNS WHO grade 2 tumour in the current WHO 2021 classification. Predominantly it is seen in the third ventricle and in young adults. Although the histological features of chordoid glioma are well documented, there is sparse literature describing its cytological features. Here we describe the squash cytological features of a case of chordoid glioma along with summary of prior published cases. The smears tend to be quite cellular, the cells show mild pleomorphism, anisonucleosis, and absent mitotic activity. The background shows a distinctive bluish myxoid stroma. It can be mistaken for high grade glioma on squash cytology.


Assuntos
Neoplasias do Ventrículo Cerebral , Glioma , Terceiro Ventrículo , Adulto Jovem , Humanos , Glioma/patologia , Neoplasias do Ventrículo Cerebral/patologia , Terceiro Ventrículo/patologia , Citodiagnóstico , Imageamento por Ressonância Magnética
6.
Mol Microbiol ; 119(5): 640-658, 2023 05.
Artigo em Inglês | MEDLINE | ID: mdl-37037799

RESUMO

Apoptosis-inducing factor (AIF) is the major component of the caspase-independent cell death pathway that is considered to be evolutionarily ancient. Apoptosis is generally evolved with multicellularity as a prerequisite for the elimination of aged, stressed, or infected cells promoting the survival of the organism. Our study reports the presence of a putative AIF-like protein in Entamoeba histolytica, a caspase-deficient primitive protozoan, strengthening the concept of occurrence of apoptosis in unicellular organisms as well. The putative cytoplasmic EhAIF migrates to the nucleus on receiving stresses that precede its binding with DNA, following chromatin degradation and chromatin condensation as evident from both in vitro and in vivo experiments. Down-regulating the EhAIF expression attenuates the apoptotic features of insulted cells and increases the survival potency in terms of cell viability and vitality of the trophozoites, whereas over-expression of the EhAIF effectively enhances the phenomena. Interestingly, metronidazole, the most widely used drug for amoebiasis treatment, is also potent to elicit similar AIF-mediated cell death responses like other stresses indicating the AIF-mediated cell death could be the probable mechanism of trophozoite-death by metronidazole treatment. The occurrence of apoptosis in a unicellular organism is an interesting phenomenon that might signify the altruistic death that overall improves the population health.


Assuntos
Fator de Indução de Apoptose , Entamoeba histolytica , Fator de Indução de Apoptose/metabolismo , Fator de Indução de Apoptose/farmacologia , Entamoeba histolytica/genética , Entamoeba histolytica/metabolismo , Metronidazol/farmacologia , Metronidazol/metabolismo , Apoptose/fisiologia , Caspases/metabolismo , Caspases/farmacologia , Cromatina/metabolismo
7.
Environ Res ; 214(Pt 3): 114059, 2022 11.
Artigo em Inglês | MEDLINE | ID: mdl-35961545

RESUMO

Phthalates are a family of reprotoxicant compounds, predominantly used as a plasticizer to improve the flexibility and longevity of consumable plastic goods. After their use these plastic products find their way to the waste disposal sites where they leach out the hazardous phthalates present within them, into the surrounding environment, contaminating soil, groundwater resources, and the nearby water bodies. Subsequently, phthalates move into the living system through the food chain and exhibit the well-known phenomenon of biological magnification. Phthalates as a primary pollutant have been classified as 1B reprotoxicants and teratogens by different government authorities and they have thus imposed restrictions on their use. Nevertheless, the release of these compounds in the environment is unabated. Bioremediation has been suggested as one of the ways of mitigating this menace, but studies regarding the field applications of phthalate utilizing microbes for this purpose are limited. Through this review, we endeavor to make a deeper understanding of the cause and concern of the problem and to find out a possible solution to it. The review critically emphasizes the various aspects of phthalates toxicity, including their chemical nature, human health risks, phytoaccumulation and entry into the food chain, microbial role in phthalate degradation processes, and future challenges.


Assuntos
Poluentes Ambientais , Ácidos Ftálicos , Humanos , Ácidos Ftálicos/química , Ácidos Ftálicos/toxicidade , Plastificantes/química , Plastificantes/toxicidade , Plásticos
8.
Turk Arch Pediatr ; 57(5): 569-570, 2022 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-35866323
10.
J Low Genit Tract Dis ; 26(3): 276-282, 2022 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-35763612

RESUMO

OBJECTIVE: Nonvenereal genital dermatoses may be a reason for considerable concern to the patient and often pose diagnostic dilemma to the treating physicians. The objective of the present study was to find out the demographical and clinical profile of nonvenereal genital dermatoses including systemic comorbidities in a tertiary care hospital. MATERIALS AND METHODS: This was an observational study, carried out at the outpatient department of dermatology of a tertiary care hospital of Eastern India over a period of 12 months. Female patients with genital lesions were included in the study after excluding venereal disease. Results were tabulated and analyzed. RESULTS: A total of 189 female patients were evaluated having 39 different dermatoses. The age ranged from 2 months to 72 years with most patients belonged to the fourth decade and 70.4% patients were from reproductive age group. Most of the patients were literate (81%) and hailing from rural areas. Most of them were homemakers and belonged to lower socioeconomic status (42.3%). Itching (77.3%) was the most common presenting complaint followed by burning sensation (9.5%). Common dermatoses encountered were vulval candidiasis (40.7%), lichen sclerosus (15.3%), tinea cruris (13.8%), lichen planus (4.2%), vitiligo (3.2%), irritant contact dermatitis (2.6%), psoriasis (2.6%), lichen simplex chronicus (2.1%), among others. Most common associated comorbidity was diabetes mellitus. CONCLUSIONS: This study provides important data on the spectrum of vulvar diseases in Eastern Indian patients and emphasizes the importance of proper and timely diagnosing nonvenereal vulvar dermatoses.


Assuntos
Neurodermatite , Dermatopatias , Doenças da Vulva , Estudos Transversais , Feminino , Humanos , Lactente , Dermatopatias/epidemiologia , Dermatopatias/patologia , Vulva/patologia , Doenças da Vulva/diagnóstico
11.
Planta ; 255(4): 87, 2022 Mar 18.
Artigo em Inglês | MEDLINE | ID: mdl-35303194

RESUMO

MAIN CONCLUSION: A critical investigation into arsenic uptake and transportation, its phytotoxic effects, and defense strategies including complex signaling cascades and regulatory networks in plants. The metalloid arsenic (As) is a leading pollutant of soil and water. It easily finds its way into the food chain through plants, more precisely crops, a common diet source for humans resulting in serious health risks. Prolonged As exposure causes detrimental effects in plants and is diaphanously observed through numerous physiological, biochemical, and molecular attributes. Different inorganic and organic As species enter into the plant system via a variety of transporters e.g., phosphate transporters, aquaporins, etc. Therefore, plants tend to accumulate elevated levels of As which leads to severe phytotoxic damages including anomalies in biomolecules like protein, lipid, and DNA. To combat this, plants employ quite a few mitigation strategies such as efficient As efflux from the cell, iron plaque formation, regulation of As transporters, and intracellular chelation with an array of thiol-rich molecules such as phytochelatin, glutathione, and metallothionein followed by vacuolar compartmentalization of As through various vacuolar transporters. Moreover, the antioxidant machinery is also implicated to nullify the perilous outcomes of the metalloid. The stress ascribed by the metalloid also marks the commencement of multiple signaling cascades. This whole complicated system is indeed controlled by several transcription factors and microRNAs. This review aims to understand, in general, the plant-soil-arsenic interaction, effects of As in plants, As uptake mechanisms and its dynamics, and multifarious As detoxification mechanisms in plants. A major portion of this article is also devoted to understanding and deciphering the nexus between As stress-responsive mechanisms and its underlying complex interconnected regulatory networks.


Assuntos
Arsênio , Arsênio/metabolismo , Arsênio/toxicidade , Transporte Biológico , Produtos Agrícolas/metabolismo , Proteínas de Membrana Transportadoras/metabolismo , Fitoquelatinas/metabolismo
12.
BMJ Case Rep ; 15(3)2022 Mar 03.
Artigo em Inglês | MEDLINE | ID: mdl-35241448

RESUMO

Polymyositis is an immune-mediated inflammatory myopathy usually presenting with weakness of proximal muscles in a symmetric pattern. Generalised subcutaneous oedema as presenting feature of inflammatory myopathy, especially polymyositis, has rarely been reported. We report here a case of a young woman who was admitted to our facility with generalised severe subcutaneous oedema. During hospital stay, she gradually developed significant proximal muscle weakness with bulbar symptoms. The initial presentation of the patient masqueraded with other causes of anasarca. However, detailed clinical features, laboratory evaluation, electromyography and muscle biopsy clinched the diagnosis of polymyositis. She was treated with systemic corticosteroids and azathioprine. The patient responded well to treatment and the swelling gradually subsided.


Assuntos
Miosite , Polimiosite , Azatioprina/uso terapêutico , Edema/complicações , Feminino , Humanos , Debilidade Muscular/tratamento farmacológico , Debilidade Muscular/etiologia , Miosite/complicações , Miosite/diagnóstico , Miosite/tratamento farmacológico , Polimiosite/diagnóstico
13.
Curr Res Microb Sci ; 3: 100101, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35024643

RESUMO

In agricultural soil, cadmium (Cd) pollution compromises soil health, reduces crop yield, and produces Cd-contaminated crops. Bio-based approaches are necessary as an eco-friendly and sustainable solution to mitigate Cd-polluted areas. A heavy metal-resistant rhizobacterial strain (AS10) has been isolated from a heavy metal-defiled rice field. The 16S rDNA sequence and MALDI-TOF MS analyses of ribosomal protein reveal its identity closely similar to Enterobacter cloacae. The strain was found to withstand up to 4000 µg/ml Cd2+, 3312 µg/ml Pb2+ and 1500 µg/ml As3+. The Cd2+ removal efficiency was recorded as high as 72.11% when grown in 4000 µg/ml Cd2+. The strain's Cd-accumulation efficiency was also apprehended by TEM-EDAX followed by XRD-XRF-FTIR analyses. Besides, the strain showed solubilization of inorganic phosphate, ACC deaminase activity, nitrogen fixation and IAA production ability. Added further, the strain, as an efficient bioinoculant, significantly improved rice plant growth at the seedling stage through Cd immobilization. It prevented the surge of stress ethylene and oxidative stress in rice seedlings, resulting in overall plant growth improvement. Hence, the strain AS10 as potent plant growth-promoting rhizobacteria (PGPR) may be beneficial, especially in heavy metal-contaminated crop fields.

15.
Clin Exp Dermatol ; 47(5): 967-969, 2022 May.
Artigo em Inglês | MEDLINE | ID: mdl-34939220

RESUMO

In systemic sclerosis, vitiligo-like depigmentation of salt and pepper pigmentation usually spares the perifollicular areas. Pigmentation is also known to be preserved over the superficial veins. We describe a case series of salt and pepper pigmentation with some unusual features. We would like to emphasize that in about 40% of patients of the present series, the salt and pepper pigmentation spared the skin creases and folds, which appears to be a hitherto unreported finding.


Assuntos
Hipopigmentação , Transtornos da Pigmentação , Escleroderma Sistêmico , Vitiligo , Humanos , Pigmentação , Pigmentação da Pele , Vitiligo/etiologia
16.
Microbiol Res ; 250: 126809, 2021 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-34166969

RESUMO

The toxic metalloid arsenic (As), is a major pollutant of soil and water, imposing severe health concerns on human lives. It enters the food chain mainly through As-contaminated crops. The uptake, translocation and accumulation of As in plant tissue are often controlled by certain soil-inhabiting microbial communities. Among them, indigenous, free-living As-resistant plant growth-promoting rhizobacteria (PGPR) plays a pivotal role in As-immobilization. Besides, the plant's inability to withstand As after a threshold level is actively managed by these PGPR increasing As-tolerance in host plants by a synergistic plant-microbe interaction. The dual functionality of As-resistant PGPR i.e., phytostimulation and minimization of As-induced phytotoxic damages are one of the main focal points of this review article. It is known that such PGPR having the functional arsenic-resistant genes (in ars operon) including As-transporters, As-transforming genes contributed to the As accumulation and detoxification/transformation respectively. Apart from assisting in nutrient acquisition and modulating phytohormone levels, As-resistant PGPR also influences the antioxidative defense system in plants by maneuvering multiple enzymatic and non-enzymatic antioxidants. Furthermore, they are effective in reducing membrane damage and electrolyte leakage in plant cells. As-induced photosynthetic damage is also found to be salvaged by As-resistant PGPR. Briefly, the eco-physiological, biochemical and molecular mechanisms of As-resistant PGPR are thus elaborated here with regard to the As-exposed crops.


Assuntos
Arsênio/farmacologia , Biodegradação Ambiental , Produtos Agrícolas/microbiologia , Desenvolvimento Vegetal , Rhizobiaceae/fisiologia , Poluentes do Solo/metabolismo , Solo/química , Arsênio/análise , Produtos Agrícolas/efeitos dos fármacos , Raízes de Plantas/microbiologia
17.
Mater Sci Eng C Mater Biol Appl ; 123: 112013, 2021 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-33812632

RESUMO

In the sphere of liver tissue engineering (LTE), 3D bioprinting has emerged as an effective technology to mimic the complex in vivo hepatic microenvironment, enabling the development of functional 3D constructs with potential application in the healthcare and diagnostic sector. This review gears off with a note on the liver's microscopic 3D architecture and pathologies linked to liver injury. The write-up is then directed towards unmasking recent advancements and prospects of bioprinting for recapitulating 3D hepatic structure and function. The article further introduces available stem cell opportunities and different strategies for their directed differentiation towards various hepatic stem cell types, including hepatocytes, hepatic sinusoidal endothelial cells, stellate cells, and Kupffer cells. Another thrust of the article is on understanding the dynamic interplay of different hepatic cells with various microenvironmental cues, which is crucial for controlling differentiation, maturation, and maintenance of functional hepatic cell phenotype. On a concluding note, various critical issues and future research direction towards clinical translation of bioprinted hepatic constructs are discussed.


Assuntos
Bioimpressão , Células Endoteliais , Fígado , Impressão Tridimensional , Engenharia Tecidual
18.
Environ Sci Pollut Res Int ; 28(17): 21633-21649, 2021 May.
Artigo em Inglês | MEDLINE | ID: mdl-33411291

RESUMO

Population detonation and rapid industrialization are the major factors behind the reduction in cultivable land that affects crop production seriously. This situation is further being deteriorated due to the negative effects of abiotic stresses. Under such conditions, plant growth-promoting rhizobacteria (PGPR) are found to improve crop production which is essential for sustainable agriculture. This study is focused on the isolation of potent arsenic (As)-resistant PGPR from the agricultural land of West Bengal, India, and its application to reduce As translocation in rice seedlings. After screening, an As-resistant PGPR strain AS18 was identified by phenotypic characters and 16S rDNA sequence-based homology as Pantoea dispersa. This strain displayed nitrogen fixation, phosphate solubilization, 1-aminocyclopropane-1-carboxylic acid deaminase (ACCD) activity, indole-3-acetic acid (IAA) production, in addition to As (III) resistance up to 3750 µg/mL. The As removal efficiency of this strain was up to 93.12% from the culture medium as evidenced by AAS. The bioaccumulation property of AS18 strain was further validated by TEM-EDAX-XRD-XRF-FTIR studies. This strain showed significant morpho-biochemical improvements including antioxidant enzymatic activities and As-minimization in plant (rice) cells. Thus, being an As-resistant potent PGPR, AS18 strain is expected to be applied in As-spiked agricultural fields for bioremediation and phytostimulation.


Assuntos
Arsênio , Oryza , Índia , Pantoea , Plântula , Microbiologia do Solo
19.
Biomacromolecules ; 22(2): 514-533, 2021 02 08.
Artigo em Inglês | MEDLINE | ID: mdl-33289564

RESUMO

Low strength and rapid biodegradability of acellular dermal matrix (ADM) restrict its wider clinical application as a rapid cell delivery platform in situ for management of burn wounds. Herein, the extracted ADM was modified by a dual cross-linking approach with ionic crosslinking using chitosan and covalent cross-linking using an iodine-modified 2,5-dihydro-2,5-dimethoxy-furan cross-linker, termed as CsADM-Cl. In addition, inherent growth factors and cytokines were found to be preserved in CsADM-Cl, irrespective of ionic/covalent crosslinking. CsADM-Cl demonstrated improvement in post crosslinking stiffness with a decreased biodegradation rate. This hybrid crosslinked hydrogel supported adhesion, proliferation, and migration of human foreskin-derived fibroblasts and keratinocytes. Also, the angiogenic potential of CsADM-Cl was manifested by chick chorioallantoic membrane assay. CsADM-Cl showed excellent antibacterial activity against Escherichia coli and Staphylococcus aureus. Moreover, CsADM-Cl treated full thickness burn wounds and demonstrated rapid healing marked with superior angiogenesis, well-defined dermal-epidermal junctions, mature basket weave collagen deposition, and development of more pronounced secondary appendages. Altogether, the bioactive CsADM-Cl hydrogel established significant clinical potential to support wound healing as an apt injectable antibacterial matrix to encounter unmet challenges concerning critical burn wounds.


Assuntos
Derme Acelular , Queimaduras , Queimaduras/tratamento farmacológico , Matriz Extracelular , Humanos , Hidrogéis , Cicatrização
20.
Childs Nerv Syst ; 37(4): 1113-1119, 2021 04.
Artigo em Inglês | MEDLINE | ID: mdl-33188445

RESUMO

OBJECTIVE: Ventriculo-subgaleal shunt is an established treatment of hydrocephalus following germinal matrix haemorrhage in low birth weight neonates. It is also used in treatment of post-infective hydrocephalus in children. We intend to emphasise the impact of its extended use in multiple clinical conditions to reduce the number of permanent shunt implantation in infants. METHOD: Retrospective review of clinical cases in a single institution from medical records. RESULTS: VSG shunts with low-pressure valve system were useful in variety of hydrocephalus in infants (post-haemorrhagic, post-infective, post-myelomeningocele, post-shunt block, post-traumatic, hydrocephalus associated with brain tumours). A significant number of infants especially those with post-haemorrhagic and post-myelomeningocele hydrocephalus could be made free of permanent shunt placement. CONCLUSIONS: Ventriculo-subgaleal shunt is an effective, less risky temporary solution of hydrocephalus in infants and can be used in a variety of hydrocephalus in children and helps in avoiding shunt dependency in some of them.


Assuntos
Hidrocefalia , Hemorragia Cerebral/cirurgia , Derivações do Líquido Cefalorraquidiano , Criança , Humanos , Hidrocefalia/cirurgia , Lactente , Recém-Nascido de Baixo Peso , Recém-Nascido , Próteses e Implantes , Estudos Retrospectivos , Derivação Ventriculoperitoneal
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