Use of platelet-rich plasma in the healing of chronic ulcers of the lower extremity.

INTRODUCTION AND OBJECTIVES: Platelet-rich plasma (PRP) is used as an adjuvant in the treatment of chronic ulcers of the lower extremity and has shown particularly promising results in the case of neuropathic ulcers. There has been less research, however, into its use in venous and hypertensive ulcers. Our aim was to assess the safety and feasibility of using PRP in the treatment of chronic ulcers of the lower extremity and to evaluate its potential benefits in directed healing. MATERIAL AND METHODS: We prospectively selected 11 patients with nonischemic ulcers of the lower extremity that had been present for at least 6 weeks. PRP was injected subcutaneously into the perilesional tissue and applied topically in 4 sessions held at 1-week intervals. We assessed quality of life (SF-12 questionnaire), pain (visual analog scale), and the circumference of the ulcer before and after treatment. RESULTS: There was a predominance of women (8/11, 73%), and venous ulcers (7/11, 64%) were more common than hypertensive ulcers (4/11, 36%). The median age of the patients was 79 years and the median time since onset of the ulcer was 17 months (range, 6-108 months). We observed a significant reduction in pain (P<.05) and a significant improvement in the physical and mental components of the SF-12 (P<.05). The mean reduction in ulcer size was 60%, and complete healing was achieved in 5 cases. No adverse effects were observed. CONCLUSION: The local application of PRP is a valuable and practical procedure that promotes the healing of chronic ulcers of the lower extremity; it can improve patient quality of life and is particularly effective in local pain relief.

Protein and lysine content, grain yield, and other technological traits in durum wheat under Mediterranean conditions.

A major problem for durum wheat production in the Mediterranean region is yield fluctuation. This fluctuation is a result of year-to-year variation in precipitation and heat stress during grain growth, which is typical of the Mediterranean climate. Both yield stability and good quality are needed in adapted durum wheat ideotypes. Ten durum wheat cultivars differing in drought resistance were grown during 1998, under both rainfed and irrigated conditions, at three sites in southern Spain. The main traits studied were protein and lysine content, grain yield, test weight, SDS sedimentation, semolina color, and grain vitreousness. Results show a high influence of site on all traits. Only test weight (TW), SDS sedimentation, grain vitreousness, and protein per kernel appeared to be determined also by cultivar effect. Vitreousness was positively correlated with TW (r = 0.48**) and semolina color (r = 0.46**). An inverse relationship was found between grain yield and protein content. Regression of cultivar mean values of protein content and grain yield showed a negative correlation (r = -0.72***), probably due to dilution of protein by non-nitrogen compounds and reduced starch accumulation in the grain under drought conditions. Lysine content was negatively associated with protein content (r = -0.86***), indicating the difficulty of a simultaneous breeding for both characteristics.

Quantitative phenotypical expression of three mutant genes in barley and the basis for defining an ideotype for Mediterranean environments.

Three mutants induced in the two-rowed barley variety Beka and their three binary recombinants have been used in an attempt to define an ideotype suitable for Mediterranean agroclimatic conditions. Physiological methods (classical plant growth analysis) together with the study of genotype x environment interaction for grain yield were used to characterize the genotypes. That characterization brought out the huge phenotypical variation produced by only three mutant genes, suggesting that single Mendelian genes may alone explain the quantitative variation, including grain yield, without the necessity of using the polygenic concept. The genotype best adapted to the environments studied is later in heading and has shorter straw and denser spikes than Beka; it also has higher inverse of leaf area rate and grain: leaf area ratio, a lower rate of leaf senescence, and a shorter grain filling period than the original variety.

Integration of statistical and physiological analyses of adaptation of near-isogenic barley lines.

Seven near-isogenic barley lines, differing for three independent mutant genes, were grown in 15 environments in Spain. Genotype x environment interaction (G x E) for grain yield was examined with the Additive Main Effects and Multiplicative interaction (AMMI) model. The results of this statistical analysis of multilocation yield-data were compared with a morpho-physiological characterization of the lines at two sites (Molina-Cano et al. 1990). The first two principal component axes from the AMMI analysis were strongly associated with the morpho-physiological characters. The independent but parallel discrimination among genotypes reflects genetic differences and highlights the power of the AMMI analysis as a tool to investigate G x E. Characters which appear to be positively associated with yield in the germplasm under study could be identified for some environments.