Silver

银色
  • 文章类型: Journal Article
    植入物广泛用于骨科和牙科科学领域。钛(TI)及其合金已成为应用最广泛的植入材料,但植入物相关感染仍然是植入物手术后常见且严重的并发症.此外,钛表现出生物惰性,防止植入物和骨组织强烈结合,并可能导致植入物松动和脱落。因此,预防植入物感染和提高其骨诱导能力是重要目标。
    研究纳米银/聚乳酸乙醇酸(NSPTICU)涂层钛铜合金植入物的抗菌活性和骨诱导能力,为抑制植入物相关感染和促进骨整合提供新的途径。
    我们首先通过研究MC3T3-E1细胞的增殖和分化来检查NSPTICU植入物的体外成骨能力。此外,通过显微计算机断层扫描(micro-CT)研究了NSPTICU植入物诱导SD大鼠成骨活性的能力,苏木精-伊红(HE)染色,masson染色,免疫组织化学和范吉森(VG)染色。用革兰氏阳性金黄色葡萄球菌(Sa)和革兰氏阴性大肠杆菌(E。大肠杆菌)细菌。Sa被用作试验细菌,通过粗视标本采集研究了NSPTICU植入大鼠体内的抗菌能力,细菌菌落计数,HE染色和Giemsa染色。
    茜素红染色,碱性磷酸酶(ALP)染色,实时定量聚合酶链反应(qRT-PCR)和蛋白质印迹分析显示,NSPTICU促进MC3T3-E1细胞的成骨分化。体外抗菌结果表明,NSPTICU植入物表现出更好的抗菌性能。动物实验表明,NSPTICU可抑制炎症反应,促进骨缺损的修复。
    NSPTICU具有出色的抗菌和骨诱导能力,骨缺损的治疗具有广阔的应用前景。
    UNASSIGNED: Implants are widely used in the field of orthopedics and dental sciences. Titanium (TI) and its alloys have become the most widely used implant materials, but implant-associated infection remains a common and serious complication after implant surgery. In addition, titanium exhibits biological inertness, which prevents implants and bone tissue from binding strongly and may cause implants to loosen and fall out. Therefore, preventing implant infection and improving their bone induction ability are important goals.
    UNASSIGNED: To study the antibacterial activity and bone induction ability of titanium-copper alloy implants coated with nanosilver/poly (lactic-co-glycolic acid) (NSPTICU) and provide a new approach for inhibiting implant-associated infection and promoting bone integration.
    UNASSIGNED: We first examined the in vitro osteogenic ability of NSPTICU implants by studying the proliferation and differentiation of MC3T3-E1 cells. Furthermore, the ability of NSPTICU implants to induce osteogenic activity in SD rats was studied by micro-computed tomography (micro-CT), hematoxylin-eosin (HE) staining, masson staining, immunohistochemistry and van gieson (VG) staining. The antibacterial activity of NSPTICU in vitro was studied with gram-positive Staphylococcus aureus (Sa) and gram-negative Escherichia coli (E. coli) bacteria. Sa was used as the test bacterium, and the antibacterial ability of NSPTICU implanted in rats was studied by gross view specimen collection, bacterial colony counting, HE staining and Giemsa staining.
    UNASSIGNED: Alizarin red staining, alkaline phosphatase (ALP) staining, quantitative real-time polymerase chain reaction (qRT-PCR) and western blot analysis showed that NSPTICU promoted the osteogenic differentiation of MC3T3-E1 cells. The in vitro antimicrobial results showed that the NSPTICU implants exhibited better antibacterial properties. Animal experiments showed that NSPTICU can inhibit inflammation and promote the repair of bone defects.
    UNASSIGNED: NSPTICU has excellent antibacterial and bone induction ability, and has broad application prospects in the treatment of bone defects related to orthopedics and dental sciences.
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  • 文章类型: Journal Article
    骨折被认为是导致严重并发症的医疗紧急情况。
    本研究旨在描述Ag-NPs-FG对兔骨折愈合的加速作用。
    用胡芦巴(FG)还原银NPs(AgNPs),装入淀粉凝胶基质中,并研究了它们的形态,尺寸,和收费。40只成年雄性兔随机组成4组。在每只兔的右胫骨的近端干meta处产生3.5mm直径的骨缺损。第1-4组注射安慰剂生理盐水,AgNPs-FG,普通凝胶,和骨缺损区的FG凝胶,分别。术后8周根据影像学评估愈合情况,骨转换标记,和组织病理学检查。
    获得的AgNPs-FG为淡红色,球形,吸光度为423nm,尺寸为118.0±1.7nm,和-7.8±0.518mV的表面电荷。制备的AgNPs-FG水凝胶清晰,半透明,和同质的。pH值为6.55-6.5±0.2,粘度为4,000和1,875cPs,FG和AgNPs-FG水凝胶的铺展性分别为1.6±0.14和2.0±0.15,分别。与其他治疗组相比,第2组的放射学结合量表显着改善(p<0.05),骨转换标志物显着增加(p<0.05)。组织病理学检查显示,第2组和第4组在术后第28天形成成熟骨。
    载有AgNPs-FG水凝胶的胶体纳米制剂可能是加速兔胫骨骨愈合过程的有前途的制剂。
    UNASSIGNED: A fracture is considered a medical emergency leading to considerable complications.
    UNASSIGNED: This study aimed to describe the accelerating action of Ag-NPs-FG on fracture healing in rabbits.
    UNASSIGNED: Silver NPs (AgNPs) were reduced with fenugreek (FG), loaded into a starch gel base, and investigated for their morphology, size, and charge. Four equal groups were randomly formed of 40 adult male rabbits. A 3.5 mm diameter bone defect was created at the proximal metaphysis of the right tibia in each rabbit. Groups 1-4 were injected with placebo saline, AgNPs-FG, plain gel, and FG-gel at the bone defect zone, respectively. The healing was assessed for 8 weeks postoperatively based on the radiographic, bone turnover markers, and histopathological examinations.
    UNASSIGNED: The AgNPs-FG was obtained as a faint reddish color, spherical in shape, with an absorbance of 423 nm, a size of 118.0 ± 1.7 nm, and a surface charge of -7.8 ± 0.518 mV. The prepared AgNPs-FG hydrogel was clear, translucent, and homogenous. The pH values were 6.55-6.5 ± 0.2, the viscosity of 4,000 and 1,875 cPs, and spreadability of 1.6 ± 0.14 and 2.0 ± 0.15 for both FG and AgNPs-FG hydrogel, respectively. The radiographic union scale was significantly (p < 0.05) improved in group 2 with a significant (p < 0.05) increase in bone turnover markers was found in comparison to other treated groups. Histopathological examination revealed the formation of mature bone on the 28th postoperative day in groups 2 and 4.
    UNASSIGNED: Colloidal nano-formulation of AgNPs-FG loaded hydrogel could be a promising formulation to accelerate rabbits\' tibial bone healing process.
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  • 文章类型: Journal Article
    溶液处理的石墨烯有利于大规模,低成本生产。然而,它的横向尺寸小,可变层厚度,和不可控的氧化水平仍然制约着其广泛的电子应用。在这项研究中,介绍了一种新开发的电化学剥离工艺,并通过界面自组装制备了石墨烯贴片膜电极。我们能够通过电压和电解质调制来最大程度地减少剥离过程中石墨烯胶体的劣化,但是石墨烯电极的补片结构仍然显示出低电导率,具有许多片间连接。因此,我们确定了通过直流电沉积在多层堆叠的石墨烯膜上生长完全网络银结构的最佳条件,这些银-石墨烯复合膜显示出显着降低的石墨烯胶体贴膜表面电阻。
    Solution-processed graphene is beneficial for large-scale, low-cost production. However, its small lateral size, variable layer thickness, and uncontrollable oxidation level still restrict its widespread electronic application. In this study, a newly developed electrochemical exfoliation process was introduced, and a graphene-patched film electrode was fabricated by interfacial self-assembly. We were able to minimize the deterioration of graphene colloids during exfoliation by voltage and electrolyte modulation, but the patched structure of the graphene electrode still showed low conductivity with numerous inter-sheet junctions. Therefore, we determined the optimal conditions for the growth of fully networked silver structures on the multi-stacked graphene film by direct current electro-deposition, and these silver-graphene composite films showed significantly lowered graphene-colloid-patched film surface resistance.
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  • 文章类型: Journal Article
    背景:鲍曼不动杆菌耐药菌株导致死亡率增加,治疗费用,以及住院时间的增加。如今,纳米粒子被认为是抗生素的替代品。本研究旨在确定设拉子皮肤标本中银(Ag)和氧化锌(ZnO)纳米颗粒(NPs)对生物膜产生鲍曼不动杆菌的MIC,并确定MIC与外排泵基因频率之间的关系。2021-2022年伊朗西南部。
    方法:在本研究中,标本于2021年4月至2022年6月在设拉子的Namazi和Faqihi医院收集。通过微量滴定板法对多药耐药(MDR)分离株中的生物膜产生进行了研究。合成的纳米粒子通过紫外-可见光谱进行表征,X射线衍射(XRD)和电子显微镜。AgNPs和ZnONPs对分离株的MIC使用CLSI指南(2018)中描述的方法进行。NPs的MIC对无生命物体的抗菌作用通过菌落计数来完成。外排泵基因的患病率(adeR,adeC,adea,abeM,adeK,adeI)也通过PCR技术进行了研究。
    结果:确定了最高的头孢曲松耐药性(68%)和最低的粘菌素耐药性(7%)。57%的分离株为MDR。此外,71.9%的菌株能产生生物膜,28.1%的菌株不能产生生物膜。在本研究中,AgNPs和ZnONPs的平均尺寸为48和<70nm,分别。纳米颗粒是球形的。ZnONPs的MIC和MBC分别在125至250μg/mL的范围内。此外,对于AgNPs,MIC和MBC在62.5至250微克/毫升的范围内,分别。AbeM基因频率最高,AdeK基因频率最低。统计分析表明,adeA的频率之间存在一定的关系,adeC,和adeM基因对AgNPs和ZnONPs的MIC。
    结论:根据本研究的结果,无生命的物体,例如与AgNPs(6000µg/ml持续240分钟)或ZnONPs(5000µg/ml持续120分钟)接触的手术刀,可以不含生物膜,产生具有外排泵基因的鲍曼不动杆菌。
    BACKGROUND: Acinetobacter baumannii resistant strains lead to increased mortality, treatment costs, and an increase in the length of hospitalization. Nowadays, nanoparticles are considered a substitute for antibiotics. This study aimed to determine the MIC of Silver (Ag) and Zinc Oxide (ZnO) Nanoparticles (NPs) on Biofilm-Producing Acinetobacter baumannii and determine the relationship between MIC and frequency of efflux pump genes in cutaneous specimens in Shiraz, Southwest Iran in 2021-2022.
    METHODS: In this study, specimens were collected from April 2021 to June 2022 at Namazi and Faqihi Hospitals in Shiraz. Investigation of biofilm production in multidrug resistance (MDR) isolates was done by the microtiter plate method. Synthesized nanoparticles were characterized by UV-vis spectrum, X-ray diffraction (XRD), and electron microscopy. The MIC of AgNPs and ZnONPs for isolates was done using the method described in the CLSI guideline (2018). The antibacterial effect of MIC of NPs on inanimate objects was done by colony counts. The prevalence of efflux pump genes (adeR, adeC, adeA, abeM, adeK, adeI) was also investigated by PCR technique.
    RESULTS: The highest ceftriaxone resistance (68%) and lowest colistin resistance (7%) were identified. 57% of isolates were MDR. In addition, 71.9% could produce biofilm and 28.1% of isolates could not produce biofilm. The average size of AgNPs and ZnONPs in the present study is 48 and < 70 nm, respectively. The nanoparticles were spherical. The MIC and the MBC of the ZnONPs were in the range of 125 to 250 µg/mL respectively. Also, for AgNPs, the MIC and the MBC were in the range of 62.5 to 250 µg/ml, respectively. AbeM gene had the highest frequency and the AdeK gene had the lowest frequency. Statistical analysis showed that there is a relationship between the frequency of adeA, adeC, and adeM genes with the MIC of AgNPs and ZnONPs.
    CONCLUSIONS: According to the results of the present study, inanimate objects such as scalpels in contact with AgNPs (6000 µg/ml for 240 min) or ZnONPs (5000 µg/ml for 120 min) can be free of biofilm producing Acinetobacter baumannii  with efflux pump genes.
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  • 文章类型: Journal Article
    预期的研究旨在探索由金和银纳米颗粒组成的混合纳米流体的对流现象。这项研究是新颖而重要的,因为缺乏对具有重要物理性质的血液基础液的混合纳米颗粒的流动行为的现有研究,特别是在侧壁破裂的情况下扩张的动脉。组合的纳米颗粒而不是未掺杂的纳米颗粒的实施是促进流体的热传导的最关键因素之一。研究方法包括利用先进的生物流体动力学软件来模拟纳米流体的流动。物理背景阐明了动量的控制方程,质量,动量,和偏微分方程的能量。结果以表格和图形形式显示,以演示数值和图形解决方案。通过图形说明了物理参数对速度分布的影响。此外,这项研究的发现是独特和原始的,这些计算发现以前没有任何研究人员发表过。这一发现表明,利用混合纳米颗粒作为药物载体在减轻血液流动的影响方面具有巨大的前景。可能增强药物输送,尽量减少对身体的影响。
    The intended research aims to explore the convection phenomena of a hybrid nanofluid composed of gold and silver nanoparticles. This research is novel and significant because there is a lack of existing studies on the flow behavior of hybrid nanoparticles with important physical properties of blood base fluids, especially in the case of sidewall ruptured dilated arteries. The implementation of combined nanoparticles rather than unadulterated nanoparticles is one of the most crucial elements in boosting the thermal conduction of fluids. The research methodology encompasses the utilization of advanced bio-fluid dynamics software for simulating the flow of the nanofluid. The physical context elucidates the governing equations of momentum, mass, momentum, and energy in terms of partial differential equations. The results are displayed in both tabular and graphical forms to demonstrate the numerical and graphical solutions. The effect of physical parameters on velocity distribution is illustrated through graphs. Furthermore, the study\'s findings are unique and original, and these computational discoveries have not been published by any researcher before. The finding implies that utilizing hybrid nanoparticles as drug carriers holds great promise in mitigating the effects of blood flow, potentially enhancing drug delivery, and minimizing its impact on the body.
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  • 文章类型: Journal Article
    银纳米粒子(AgNPs)在商业和工业应用中的广泛使用导致它们在环境中的存在增加,引起人们对其生态和健康影响的担忧。本研究率先调查了不同涂层的AgNPs对斑马鱼的慢性和短期急性毒理学影响,对以前未探索的甲状腺干扰作用进行了新的关注。结果表明,AgNO3(0.128mg/L)的急性毒性从高到低,PVP-AgNPs(1.294mg/L),柠檬酸盐-AgNPs(6.984mg/L),未涂覆的AgNPs(8.269mg/L)。对于生物积累,在2天观察到初始峰,随着时间的推移,在浓度为13和130μg/L的未包被AgNPs和柠檬酸盐AgNPs中,最终的富集最高。此外,四个暴露组的T3水平显着增加,比对照组高1.28-2.11倍,甲状腺过氧化物酶(TPO)和甲状腺球蛋白(TG)含量的显着变化,提示甲状腺功能紊乱.基因表达分析显示HPT轴相关基因有明显变化,提供了不同AgNP诱导的甲状腺毒性的潜在机制。斑马鱼体内Ag浓度越高,甲状腺破坏作用越强,这反过来又影响了增长和发展,按柠檬酸盐-AgNPs的顺序,未涂覆-AgNPs>AgNO3,PVP-AgNPs。这项研究强调了在风险评估中考虑纳米颗粒涂层的重要性,并提供了对AgNPs影响水生生物内分泌系统的机制的见解。强调仔细使用纳米技术的必要性以及这些发现对理解环境污染物在甲状腺疾病中的作用的相关性。
    The widespread use of silver nanoparticles (AgNPs) in commercial and industrial applications has led to their increased presence in the environment, raising concerns about their ecological and health impacts. This study pioneers an investigation into the chronic versus short-term acute toxicological impacts of differently coated AgNPs on zebrafish, with a novel focus on the thyroid-disrupting effects previously unexplored. The results showed that acute toxicity ranked from highest to lowest as AgNO3 (0.128 mg/L), PVP-AgNPs (1.294 mg/L), Citrate-AgNPs (6.984 mg/L), Uncoated-AgNPs (8.269 mg/L). For bioaccumulation, initial peaks were observed at 2 days, followed by fluctuations over time, with the eventual highest enrichment seen in Uncoated-AgNPs and Citrate-AgNPs at concentrations of 13 and 130 μg/L. Additionally, the four exposure groups showed a significant increase in T3 levels, which was 1.28-2.11 times higher than controls, and significant changes in thyroid peroxidase (TPO) and thyroglobulin (TG) content, indicating thyroid disruption. Gene expression analysis revealed distinct changes in the HPT axis-related genes, providing potential mechanisms underlying the thyroid toxicity induced by different AgNPs. The higher the Ag concentration in zebrafish, the stronger the thyroid disrupting effects, which in turn affected growth and development, in the order of Citrate-AgNPs, Uncoated-AgNPs > AgNO3, PVP-AgNPs. This research underscores the importance of considering nanoparticle coatings in risk assessments and offers insights into the mechanisms by which AgNPs affect aquatic organisms\' endocrine systems, highlighting the need for careful nanotechnology use and the relevance of these findings for understanding environmental pollutants\' role in thyroid disease.
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  • 文章类型: Journal Article
    根据估计,30%到40%,全球的水果被浪费了,导致收获后损失,并在全球范围内造成100至1000亿美元的经济损失。其中,所有水果中被丢弃的橙子的比例约为20%。利用橙皮的一种新颖且增值的方法是纳米科学。在本研究中,进行了一种合成方法来制备金属纳米颗粒(铜和银);通过利用食物废物(柑橘植物皮)作为生物活性还原剂。此外,柑橘提取物对金属盐氯化铜和硝酸银具有还原活性,形成Cu-NP(铜纳米颗粒)和Ag-NP(银纳米颗粒)。研究了两种制备的纳米颗粒的体外潜力,以对抗植物病原菌欧文氏菌(Pectobacteriumcarotovorum)和病原体对人类健康大肠杆菌的影响(E。大肠杆菌)和金黄色葡萄球菌(S.金黄色葡萄球菌)。此外,通过与植物(马铃薯切片)的相互作用来检查两种类型的纳米颗粒的体内拮抗潜力。此外,还检查了其他抗致病性(抗病毒和抗真菌)特性。进行统计分析以解释合成的Ag-NP和Cu-NP之间的显著性水平和抗致病性有效性。表面形貌,通过扫描电子显微镜分析了颗粒的元素描述和尺寸,透射电子显微镜,能量色散光谱和zetasizer(此外,多分散指数和zeta电位)。通过UV-Vis光谱法(铜在339nm处的激发峰和银在415nm处的激发峰)进行颗粒制备的理由,并且通过X射线衍射观察结晶性质。因此,制备的颗粒对植物中的软腐病病原体非常有效,也可以有效地用于一些其他多功能应用,如生物活性运动服,手术礼服,生物活性绷带和手腕或膝盖压缩绷带,等。
    According to an estimate, 30% to 40%, of global fruit are wasted, leading to post harvest losses and contributing to economic losses ranging from $10 to $100 billion worldwide. Among, all fruits the discarded portion of oranges is around 20%. A novel and value addition approach to utilize the orange peels is in nanoscience. In the present study, a synthesis approach was conducted to prepare the metallic nanoparticles (copper and silver); by utilizing food waste (Citrus plant peels) as bioactive reductants. In addition, the Citrus sinensis extracts showed the reducing activity against metallic salts copper chloride and silver nitrate to form Cu-NPs (copper nanoparticles) and Ag-NPs (Silver nanoparticles). The in vitro potential of both types of prepared nanoparticles was examined against plant pathogenic bacteria Erwinia carotovora (Pectobacterium carotovorum) and pathogens effect on human health Escherichia coli (E. coli) and Staphylococcus aureus (S. aureus). Moreover, the in vivo antagonistic potential of both types of prepared nanoparticles was examined by their interaction with against plant (potato slices). Furthermore, additional antipathogenic (antiviral and antifungal) properties were also examined. The statistical analysis was done to explain the level of significance and antipathogenic effectiveness among synthesized Ag-NPs and Cu-NPs. The surface morphology, elemental description and size of particles were analyzed by scanning electron microscopy, transmission electron microscopy, energy-dispersive spectroscopy and zeta sizer (in addition polydispersity index and zeta potential). The justification for the preparation of particles was done by UV-Vis Spectroscopy (excitation peaks at 339 nm for copper and 415 nm for silver) and crystalline nature was observed by X-ray diffraction. Hence, the prepared particles are quite effective against soft rot pathogens in plants and can also be used effectively in some other multifunctional applications such as bioactive sport wear, surgical gowns, bioactive bandages and wrist or knee compression bandages, etc.
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  • 文章类型: Journal Article
    种植疗法是牙科和骨科的常见治疗选择,但它的应用通常与植入物表面微生物污染的风险增加有关,导致骨组织受损。这项研究旨在开发两种富含银的富血小板血浆(PRP)多功能支架,同时具有预防植入物相关感染和刺激骨再生的活性。商业乳酸银(L)和新合成的脱氧胆酸银:β-环糊精(B),进行了体外研究。最初,已在微生物浮游细胞上研究了两种银可溶形式和富含两种银形式的PRP的抗菌活性。同时,已通过对人类原代成骨细胞(hOB)的MTT测试评估了富含银的PRP的生物相容性。之后,进行了一项研究,以评估选定浓度和形式的富含银的PRP在抑制微生物生物膜形成和刺激hOB分化方面的活性。PRP-L(0.3µg/mm2)和PRP-B(0.2µg/mm2)可抵消金黄色葡萄球菌,表皮葡萄球菌和白色念珠菌浮游细胞生长和生物膜形成,保持hOB活力而不干扰其分化能力。总的来说,获得的结果表明,富含L和B的PRP代表了一种有前途的预防生物膜相关植入物感染的策略,并证明了一种新的银配方,与增加的纤维蛋白结合一起保护截短的锥形环状寡糖中的银,在较低浓度的原核细胞上获得了可比的抑制结果。
    Implant therapy is a common treatment option in dentistry and orthopedics, but its application is often associated with an increased risk of microbial contamination of the implant surfaces that cause bone tissue impairment. This study aims to develop two silver-enriched platelet-rich plasma (PRP) multifunctional scaffolds active at the same time in preventing implant-associated infections and stimulating bone regeneration. Commercial silver lactate (L) and newly synthesized silver deoxycholate:β-Cyclodextrin (B), were studied in vitro. Initially, the antimicrobial activity of the two silver soluble forms and the PRP enriched with the two silver forms has been studied on microbial planktonic cells. At the same time, the biocompatibility of silver-enriched PRPs has been assessed by an MTT test on human primary osteoblasts (hOBs). Afterwards, an investigation was conducted to evaluate the activity of selected concentrations and forms of silver-enriched PRPs in inhibiting microbial biofilm formation and stimulating hOB differentiation. PRP-L (0.3 µg/mm2) and PRP-B (0.2 µg/mm2) counteract Staphylococcus aureus, Staphylococcus epidermidis and Candida albicans planktonic cell growth and biofilm formation, preserving hOB viability without interfering with their differentiation capability. Overall, the results obtained suggest that L- and B-enriched PRPs represent a promising preventive strategy against biofilm-related implant infections and demonstrate a new silver formulation that, together with increasing fibrin binding protecting silver in truncated cone-shaped cyclic oligosaccharides, achieved comparable inhibitory results on prokaryotic cells at a lower concentration.
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  • 文章类型: Journal Article
    活性炭布(ACC),被称为Zorflex敷料,已成为治疗糖尿病足溃疡(DFU)中细菌感染的创新方法。这项初步研究是为了确定ZorflexACC敷料(Chemviron碳布师,英国)与DFU的标准银基敷料相比。
    一个开放的标签,比较,在2022年8月至2023年8月期间,进行了纳入糖尿病足门诊就诊患者的随机对照试验.主要终点是8周内与银基敷料相比,ACC敷料的伤口面积减少差异为20%。次要终点是完全愈合的比例,愈合时间和不良事件。
    该队列包括40名患者。ACC组患者在8周时的平均伤口减少百分比为85.40±16.00%,而银基敷料组为65.08±16.36%。在ACC臂中的20名患者中有6名观察到完全愈合,而银基敷料臂中的20名患者中有2名完全愈合。
    这些数据表明,ACC敷料比银基敷料促进DFU患者更好的溃疡愈合。
    UNASSIGNED: Activated carbon cloth (ACC), known as Zorflex dressing, has emerged as an innovative approach in managing bacterial infection in diabetic foot ulcer (DFU) treatment. This pilot study was undertaken to determine the efficacy of Zorflex ACC dressing (Chemviron Carbon Cloth Division, UK) compared to standard silver-based dressing on DFUs.
    UNASSIGNED: An open label, comparative, randomised controlled trial enrolling patients who attended the diabetic foot clinic was conducted between August 2022 and August 2023. The primary endpoint was a difference of 20% in wound area reduction with the ACC dressing compared to silver-based dressing within eight weeks. The secondary endpoints were proportion of complete healing, time to healing and adverse events.
    UNASSIGNED: The cohort comprised 40 patients. The mean wound reduction percentage at 8 weeks for patients in the ACC arm was 85.40±16.00% compared with 65.08±16.36% in the silver-based dressing arm. Complete healing was observed in six of 20 patients in the ACC arm compared to two of 20 in the silver-based dressing arm.
    UNASSIGNED: These data suggest that the ACC dressing promotes better ulcer healing in DFU patients than the silver-based dressing.
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  • 文章类型: Journal Article
    具有用于将陶瓷可靠地接合到钛的方法将是非常有益的。尽管已经开发并测试了几种技术来防止钛陶瓷系统中广泛的界面化学反应,界面固有脆性的主要问题仍未解决。为了在牙科应用中也克服这个问题,我们决定使用需要满足以下要求的夹层材料:首先,它必须是生物相容的,第二,它不应该在粘合温度以下熔化,第三,它不应该与钛反应太强烈,使其可塑性得以保持。考虑到可能的材料选择只有金属:金,铂金,钯,和银,满足第一和第二要求。在没有广泛的实验测试程序的情况下,找出四种金属中哪一种最符合第三个要求,组合的热力学和反应动力学模型被用来评估有多少和如何厚的反应层之间形成的层间金属和钛。在理论建模的帮助下,事实证明,白银最好地满足了最后一个要求。然而,在开始实验测试银层对牙科陶瓷/Ag/Ti接头的机械完整性的影响之前,决定使用三点弯曲试验的机械分析,结果表明,银层显著提高了接头的粘结强度。这一结果鼓励我们开发一种在钛上镀银的新技术。随后,我们进行了许多三点弯曲测试,这表明镀银的钛陶瓷接头比传统的钛陶瓷接头坚固得多。因此,可以得出结论,组合热力学,反应动力学,而机械建模方法也可以成为医学研发工作中非常有价值的工具。
    It would be very beneficial to have a method for joining of ceramics to titanium reliably. Although several techniques have been developed and tested to prevent extensive interfacial chemical reactions in titanium-ceramic systems, the main problem of the inherent brittleness of interfaces was still unsolved. To overcome this problem also in dental applications, we decided to make use of an interlayer material that needs to meet the following requirements: First, it has to be biocompatible, second, it should not melt below the bonding temperatures, and third, it should not react too strongly with titanium, so that its plasticity will be maintained. Considering possible material options only the metals: gold, platinum, palladium, and silver, fulfill the first and second requirements. To find out-without an extensive experimental testing program-which of the four metals fulfills the third requirement best, the combined thermodynamic and reaction kinetic modeling was employed to evaluate how many and how thick reaction layers are formed between the interlayer metals and titanium. With the help of theoretical modeling, it was shown that silver fulfills the last requirement best. However, before starting to test experimentally the effect of the silver layer on the mechanical integrity of dental ceramic/Ag/Ti joints it was decided to make use of mechanical analysis of the three-point bending test, the result of which indicated that the silver layer increases significantly the bond strength of the joints. This result encouraged us to develop a new technique for plating silver on titanium. Subsequently, we executed numerous three-point bending tests, which demonstrated that silver-plated titanium-ceramic joints are much stronger than conventional titanium-ceramic joints. Hence, it can be concluded that the combined thermodynamic, reaction kinetic, and mechanical modeling method can also be a very valuable tool in medical research and development work.
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