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Prehospital Time Intervals in Thailand during COVID-19 2019冠状病毒病期间泰国院前时间间隔
Pub Date : 2023-11-13 DOI: 10.31584/jhsmr.20231013
Patiman Chanrak, Kanthika Kraisawat
Objective: To determine the effect of the coronavirus disease, 2019 (COVID-19) pandemic on the prehospital time intervals of emergency medical services (EMS) in Thailand. Material and Methods: This retrospective cohort study analyzed the prehospital time intervals of EMS in Thailand; from January 1, 2019 to September 30, 2021 using data obtained from the national EMS database. Patients with incomplete medical records, prehospital time intervals <1 or >300 minutes, and those admitted between January 1 and March 31, 2020 were excluded. Data were compared between the following groups: Group 1, pre-COVID-19; Group 2, first- and second-wave of COVID-19; and Group 3, third-wave of COVID-19: Kruskal–Wallis, Wilcoxon rank-sum, and chi-square tests were used. Results: A total of 3,863,153 patients were enrolled into this study. The median total prehospital time was significantly longer in Group 2 when compared to Group 1, [25 (17,34) vs. 24 (17,33) minutes, p-value<0.001]; longer on-scene time, [4 (2,7) vs. 3 (2,6) minutes, p-value<0.001]; shorter transportation time, [10 (6,17) vs. 11 (6,18) minutes, p-value<0.001]. The median total prehospital time [27 (19,37) vs. 25 (17,34) minutes, p-value<0.001], response time [8 (5,14) vs. 7 (4,11) minutes, p-value<0.001], and transportation time were significantly longer in Group 3 than in Group 2 [11 (6,18) vs. 10 (6,17) minutes, p-value<0.001]. Conclusion: The EMS prehospital time intervals in Thailand during COVID-19 were significantly longer in both the non-trauma and trauma subgroups. Appropriate pre-hospital strategies and monitoring should be developed to manage future pandemics.
目的:了解2019冠状病毒病(COVID-19)大流行对泰国急诊医疗服务院前时间间隔的影响。材料和方法:本回顾性队列研究分析了泰国EMS的院前时间间隔;从2019年1月1日至2021年9月30日,使用从国家EMS数据库获取的数据。排除病历不完整、院前时间间隔1 ~ 300分钟、2020年1月1日~ 3月31日住院的患者。比较以下两组数据:第一组,未感染covid -19;第2组,第一波和第二波COVID-19;第3组,第三波COVID-19:采用Kruskal-Wallis、Wilcoxon秩和和卡方检验。结果:共有3,863,153例患者入组。与1组相比,2组的院前总中位数时间明显更长,[25(17,34)比24(17,33)分钟,p值<0.001];更长的现场时间,[4 (2,7)vs. 3(2,6)分钟,p值<0.001];运输时间更短,[10 (6,17)vs. 11(6,18)分钟,p值<0.001]。院前总时间中位数[27 (19,37)vs. 25 (17,34) min, p值<0.001]、反应时间[8 (5,14)vs. 7 (4,11) min, p值<0.001]、转运时间中位数3组明显大于2组[11 (6,18)vs. 10 (6,17) min, p值<0.001]。结论:在泰国,非创伤亚组和创伤亚组在COVID-19期间的EMS院前时间间隔均显着延长。应制定适当的院前战略和监测,以管理未来的大流行病。
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引用次数: 0
Anesthesia For Patients Receiving Single-Lung Transplantation in Non-Pulmonary Surgical Intervention: A Case Report 非肺外科干预中单肺移植患者的麻醉:1例报告
Pub Date : 2023-11-09 DOI: 10.31584/jhsmr.20231012
Laortip Rattanapittayaporn, Mantana Saetang, Wirat Wasinwong, Jutarat Tanasansuttiporn
With improvements in the survival rate following lung transplantation, lung transplant recipients occasionallyundergo subsequent non-pulmonary surgical interventions that are not directly related to their pulmonary disease. Bothanesthesia and surgical procedures can affect the transplanted lungs and other organs in such patients. Moreover, these patients may show pulmonary function impairment; depending on the type of surgery and anatomical site. An adequate understanding of the physiology of the transplanted lung, careful preoperative evaluation and preparation, appropriate utilization of airway equipment, and proper management of intraoperative fluids and ventilation are crucial for superior perioperative outcomes.
随着肺移植术后生存率的提高,肺移植受者偶尔会接受与肺部疾病没有直接关系的非肺外科干预。麻醉和外科手术会影响这类患者移植的肺和其他器官。此外,这些患者可能出现肺功能障碍;取决于手术类型和解剖部位。充分了解移植肺的生理学,仔细的术前评估和准备,适当使用气道设备,以及正确管理术中液体和通气,对于获得良好的围手术期结果至关重要。
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引用次数: 0
Establishment of Thin Layer Chromatographic Fingerprints for the Quality Control of Chanthalila Preparation, A Thai Traditional Antipyretic Medicine 泰国传统解热药鸡头菜制剂质量控制的薄层色谱指纹图谱建立
Pub Date : 2023-11-07 DOI: 10.31584/jhsmr.20231010
Dujhathai Anekchai, Athip Sakunphueak
Objective: This study aimed to develop thin layer chromatographic (TLC) fingerprints to control the quality of Chanthalila preparation (CP).Material and Methods: Twelve batches of reference CP were prepared from various sources and used as reference batches (CP1 to CP12). Artemisinin, atractylodin, eurycomanone, imperatorin and loureirin A were used as markers. The common and characteristic bands were assigned using the reference TLC fingerprints and applied to assess the qualitative parameters used in the identification and chemical profiling of eight commercial CPs.Results: The reference TLC fingerprints were established on a silica gel GF254 plate with two mobile phase systems, System A and System B. In System A, atractylodin, imperatorin, and loureirin A were assigned as characteristic bands along with 10-12 common bands under Ultraviolet (UV) 254 nm, UV 366 nanometer (nm), and derivatization. In System B, 6 common bands were observed under UV 254 nm, while 11 fluorescent bands were detected under UV 366 nm. Eurycomanone and artemisinin were not found in any reference CP batches, which revealed the TLC method had poor sensitivity. The TLC patterns of commercial CPs were markedly different from those of the reference fingerprints. Most commercial products failed to meet the specification criteria because only imperatorin appeared in the chromatogram.Conclusion: TLC fingerprinting is a fast and efficient method that can be employed in the quality control of CP. It enables the revelation of the quality of the raw materials in the chromatograms, which can be useful to manufacturers to evaluate their supplier sources. However, the sensitivity of this method for determining some markers was quite low.
目的:建立鸡头菜制剂的薄层指纹图谱,以控制其质量。材料与方法:从不同来源制备12批标准CP,作为标准批号(CP1 ~ CP12)。以青蒿素、苍术素、eurycomanone、欧前胡素和丁香素A作为标记物。利用参考薄层色谱指纹图谱划分共同波段和特征波段,并应用于评价8种商品cp鉴别和化学分析的定性参数。结果:采用两种流动相体系a和b,在GF254硅胶板上建立了参考薄层指纹图谱。在体系a中,白术素、欧前胡素和紫花素a分别在254 nm、366 nm和衍生化下具有10-12个共同波段。系统B在UV 254 nm下检测到6条共有荧光带,在UV 366 nm下检测到11条荧光带。在CP对照批中均未检出Eurycomanone和artemisinin,说明TLC方法灵敏度较差。商品cp的薄层指纹图谱与参考指纹图谱存在明显差异。大多数商品不符合规范标准,因为色谱中只出现了欧前胡素。结论:薄层色谱指纹图谱是一种快速、高效的方法,可用于CP的质量控制。薄层指纹图谱能揭示原料的质量,为生产企业评价供应商来源提供依据。然而,该方法对某些标记物的检测灵敏度很低。
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引用次数: 0
Dietary Fibre Consumption in a Sample of Italian Adults: Relationship Between Dietary Habits and Gender, Ponderal Status and Physical Activity 意大利成年人的膳食纤维摄入量:饮食习惯与性别、身体状况和体力活动之间的关系
Pub Date : 2023-11-07 DOI: 10.31584/jhsmr.20231011
Myriam Galfo, Fabrizia Maccati, Francesca Melini, Valentina Melini
Objective: The aim of this study was to investigate the consumption frequency of foods rich in dietary fibre; in relation to gender, ponderal status and physical activity, in a sample of Italian adults.Material and Methods: A cross-sectional online survey was conducted; from November 2021 to June 2022, on 300 subjects by a questionnaire on sociodemographic characteristics, lifestyle behaviours and consumption frequency of dietary fibre-rich foods.Results: The consumption frequency of dietary fibre is higher in females than in males. A higher percentage of obese people never or rarely consumed foods rich in dietary fibre. In regards to the consumption of whole-meal biscuits/whole-meal rusks/whole grains, it was observed that a higher percentage of overweight subjects ate them every day, more so than those who were obese, of normal-underweight and in overweight females; with the difference being significant (52.6% vs 16.7% and 32.6%; p-value=0.0366). The same trend was observed for fruit and vegetable consumption; wherein, 11.1% of overweight participants consumed 5 or more servings per day of fruit and vegetables. In contrast, only 7.9% of normal-underweight and 3.6% of obese behave according to WHO recommendations. In overweight females, this difference was significant (12.8% vs 8.3% and 8.3%; p-value=0.0103). A significant (p-value<0.05) higher consumption of dietary fibre was observed in physically active people than in physical inactive people, while no significant differences existed between those who exercise for at least 150 minutes/week and those who exercise less than 150minutes.Conclusion: Dietary fibre consumption was moderately associated with gender and weight status and significantly associated with physical activity.
目的:本研究的目的是调查富含膳食纤维的食物的食用频率;与性别、身体状况和身体活动的关系。材料与方法:采用横断面在线调查;从2021年11月至2022年6月,对300名受试者进行了一项关于社会人口特征、生活方式行为和富含膳食纤维食物消费频率的问卷调查。结果:女性食用膳食纤维的频率高于男性。较高比例的肥胖者从不或很少食用富含膳食纤维的食物。在食用全麦饼干/全麦面包/全谷物方面,研究发现,超重受试者每天食用全麦饼干/全麦面包/全谷物的比例高于肥胖、正常体重不足和超重女性;差异显著(52.6% vs 16.7%和32.6%;假定值= 0.0366)。水果和蔬菜的消费也出现了同样的趋势;其中,11.1%的超重参与者每天食用5份或更多的水果和蔬菜。相比之下,只有7.9%的正常体重过轻者和3.6%的肥胖者按照世卫组织的建议行事。在超重女性中,这种差异是显著的(12.8% vs 8.3%和8.3%;假定值= 0.0103)。运动人群的膳食纤维消耗量显著高于不运动人群(p值<0.05),而每周运动至少150分钟的人群与少于150分钟的人群之间没有显著差异。结论:膳食纤维摄入量与性别和体重状况有中度相关性,与体力活动有显著相关性。
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引用次数: 0
Electrospinning of Polycaprolactone Nanofibrous Scaffolds Containing Folic Acid for Nerve Tissue Engineering 静电纺丝制备含叶酸聚己内酯纳米纤维支架用于神经组织工程
Pub Date : 2023-11-06 DOI: 10.31584/jhsmr.20231007
Rattanan Thaitrong, Praneet Opanasopit, Natthan Charernsriwilaiwat
Objective: The aim of the study was to employ electrospinning technology to fabricate aligned nanofibrous scaffolds of polycaprolactone (PCL) containing folic acid (FA) for nerve tissue engineering. Material and Methods: Scanning electron microscopy (SEM) was used to assess the diameter distribution and degree of alignment of the nanofibers. Fourier transform infrared spectroscopy (FTIR) and powder X-ray diffraction (PXRD) were used to analyze the chemical and crystalline structures of the scaffold. Additionally, the content and release behavior of FA in the PCL fibrous scaffolds were examined. Finally, the biocompatibility of the scaffolds was evaluated using rat Schwann cells, assessing cell proliferation, alignment, and morphology. Results: The study revealed that the nanofiber diameters ranged from 210.07 to 227.36 nm, and the scaffolds maintained an amorphous form with no effects on their chemical structure following the electrospinning process. The investigation demonstrated that PCL fibers could accommodate FA loading within a range of 99.25-102.49% w/w and that the release profile of FA followed Higuchi model. Moreover, the FA-containing PCL nanofibrous scaffolds significantly enhanced rat Schwann cell proliferation during the initial two days of culture when compared to a normal PCL nanofiber scaffold. The hydrophilic properties of folic acid are thought to have facilitated directional growth along the electrospun nanofibers, contributing to the observed results. Conclusion: Finally, PCL-containing FA nanofibrous scaffolds may be applicable to nerve tissue engineering.
目的:采用静电纺丝技术制备含叶酸聚己内酯(PCL)纳米纤维定向支架用于神经组织工程。材料与方法:采用扫描电子显微镜(SEM)对纳米纤维的直径分布和排列程度进行了表征。利用傅里叶变换红外光谱(FTIR)和粉末x射线衍射(PXRD)分析了支架的化学和晶体结构。此外,还考察了FA在PCL纤维支架中的含量和释放行为。最后,利用大鼠雪旺细胞评价支架的生物相容性,评估细胞增殖、排列和形态。结果:经静电纺丝制备的纳米纤维直径在210.07 ~ 227.36 nm之间,其结构基本保持无定形,化学结构不受影响。结果表明,PCL纤维可在99.25 ~ 102.49% w/w范围内容纳FA, FA的释放曲线符合Higuchi模型。此外,与正常的PCL纳米纤维支架相比,含fa的PCL纳米纤维支架在培养的头两天显著增强了大鼠雪旺细胞的增殖。叶酸的亲水性被认为促进了静电纺纳米纤维的定向生长,有助于观察到的结果。结论:含聚乳酸FA纳米纤维支架可用于神经组织工程。
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引用次数: 0
Assessing the Impact of Feeding Stray Dogs on Stray Dog-Related Issues: A Community-Based Study in Songkhla, Thailand 评估喂养流浪狗对流浪狗相关问题的影响:泰国宋卡的一项社区研究
Pub Date : 2023-11-06 DOI: 10.31584/jhsmr.20231008
Afia Saree, Anda Klinpikul, Apissara Kongchu, Arya Wongaree, Bussabong Navykarn, Chaowanet Songsakul, Chayapa Kongsuwan, Chuttama Kiewlek, Hillmee Waesalaemae, Isarawadee Sarasutjari, Jehrusdee Benjama, Napak Thongprasert, Nathchanon Sukchaiya, Nititon Suksai, Pakjira Jongthitinon, Pattiya Chorueangsak, Pattamaporn Kiattisaksophon, Pawanya Boonbandan, Phansang Sanguthai, Ponnapat Apiwatgaroon, Pornlapat Rattanakhot, Prapasiri Poomivanichakij, Sattawat Kao-ian, Supatcha Thongchai, Surathep Ongprakobkul, Tanabadee Sritulakan, Thanatcha Saisrikosol, Sikarin Sae Jong, Jutapoln Sunghan, Panya Chamroonkiadtikun, Polathep Vichitkunakorn
Objective: Increasing stray dog populations have transformed stray dog issues from a third-world problem to a global public health priority. This study aimed to determine factors related to feeding stray dogs and other factors that can impact stray dog-related issues. Material and Methods: This community-based cross-sectional study was conducted in Songkhla, Thailand, from the 4th to the 29th of January 2021. Data was collected via phone interviews. Logistic regression was performed to measure the association between the independent variables and problems related to stray dogs. Results: Among 168 participants, 137 (81.5%) reported having experienced a negative impact in connection with problems caused by stray dogs. The most common problem was garbage scavenging (62.5%), which predominantly occurred between 18:00 and midnight. Feeding stray dogs was significantly associated with stray dog-related problems (odds ratio [OR]=3.94 with a 95% confidence interval [CI] 1.26-17.41). Conclusion: Providing food to stray dogs causes problems and is also prohibited by law. It is important for media, community leaders, and other influential groups to create awareness and foster cooperation among communities to address this issue.
目的:流浪狗数量的增加使流浪狗问题从第三世界的问题转变为全球公共卫生的优先事项。本研究旨在确定与喂养流浪狗相关的因素以及其他可能影响流浪狗相关问题的因素。材料和方法:这项以社区为基础的横断面研究于2021年1月4日至29日在泰国宋卡进行。数据是通过电话采访收集的。采用Logistic回归来衡量自变量与流浪狗相关问题之间的相关性。结果:在168名参与者中,137人(81.5%)报告说他们经历过与流浪狗引起的问题有关的负面影响。最常见的问题是垃圾清理(62.5%),主要发生在18:00至午夜之间。喂养流浪狗与流浪狗相关问题显著相关(优势比[OR]=3.94, 95%可信区间[CI] 1.26-17.41)。结论:给流浪狗提供食物是有问题的,也是法律禁止的。重要的是,媒体、社区领导人和其他有影响力的团体要提高认识,促进社区之间的合作,以解决这一问题。
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引用次数: 0
Phytochemical Analysis and Evaluation of Antioxidant and Antibacterial Activities of Kratom-Containing Formulations of Ya-Gae-Bid-Na-Ron 含紫丁香制剂抗氧化、抗菌活性的植物化学分析与评价
Pub Date : 2023-11-03 DOI: 10.31584/jhsmr.20231006
Suhaila Doloh, Boonsong Wungsintaweekul, Juraithip Wungsintaweekul
Objective: This study aimed to evaluate the antioxidant and antibacterial activities of Ya-Gae-Bid-Na-Ron (YGBNR).Material and Methods: YGBNR formulations were prepared using kratom collected from different provinces in Thailand. Mitragynine content was determined using high-performance liquid chromatography (HPLC), while total phenolic content (TPC), total tannin content (TTC), and total flavonoid content (TFC) were determined using colorimetric methods. Antioxidant power was estimated using the 2,2-diphenyl-1-picrylhydrazyl (DPPH) and ferric-reducing antioxidant power (FRAP) assays. The minimum inhibitory concentration (MIC) and minimum bactericidal concentration (MBC) of YGBNR were determined using a broth dilution technique and plating of the bacterial solution, respectively.Results: Mitragynine content, TPC, TTC, and TFC varied among different sources of kratom. DPPH assay indicated that YGBNR had an average IC50 of 0.44±0.04 mg/mL, and the FRAP assay ranged from 61.48±0.55 to 102.98±0.94 mg gallic acid equivalent (GAE), per gram of dry extract. YGBNR extracts did not exhibit any antibacterial activity. However, the volatile oil fraction showed MIC against Escherichia coli and Pseudomonas aeruginosa at a concentration of 3 mg/mL.Conclusion: Phytochemical analysis revealed the abundance of phenolic compounds in YGBNR. YGBNR exhibits promising antioxidant potential, but does not exert any antibacterial activity.
目的:研究亚盖比德纳龙(YGBNR)的抗氧化和抗菌活性。材料与方法:以泰国不同省份的苦参为原料制备YGBNR制剂。采用高效液相色谱法测定米特拉金碱含量,采用比色法测定总酚含量(TPC)、总单宁含量(TTC)和总黄酮含量(TFC)。利用2,2-二苯基-1-苦味酰肼(DPPH)和铁还原抗氧化能力(FRAP)测定了抗氧化能力。分别采用肉汤稀释法和菌液镀法测定了YGBNR的最低抑菌浓度(MIC)和最低杀菌浓度(MBC)。结果:米特拉金碱的含量、TPC、TTC和TFC在不同来源的苦参中存在差异。DPPH法测定YGBNR的IC50平均值为0.44±0.04 mg/mL, FRAP法测定的IC50平均值为61.48±0.55 ~ 102.98±0.94 mg没食子酸当量(GAE) / g。YGBNR提取物不具有抗菌活性。而挥发油馏分在浓度为3 mg/mL时,对大肠杆菌和铜绿假单胞菌的抑制作用为MIC。结论:植物化学分析表明,黄芪中含有丰富的酚类化合物。YGBNR具有良好的抗氧化潜力,但不具有抗菌活性。
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引用次数: 0
Design and Development of Nanoparticles Containing α-Mangostin for Wound Application 伤口用α-山竹苷纳米颗粒的设计与研制
Pub Date : 2023-11-01 DOI: 10.31584/jhsmr.20231005
Peerapat Chidchai, Kanokwan Singpanna, Kamonchai Ketduang, Aristarn Uamjan, Prasopchai Patrojanasophon, Chaiyakarn Pornpitchanarong
Objective: The objective of this research was to design and develop nanoparticles containing α-mangostin (α-MG) for wound applications. Material and Methods: The nanoparticles were composed of polycaprolactone (PCL) and Eudragit® S 100 (EDG), with 10% wt of α-MG; wherein, the optimal compositions of the nanoparticles were studied using a mixture-typed simplex lattice design. The amount of PCL (5-20 milligram/milliliter (mg/mL)) and EDG (5-20 mg/mL) were varied, and the effects of the components toward particle size, size distribution, zeta potential; drug content, and drug release were examined. The physicochemical properties of the nanoparticles were analyzed using a zetasizer. The content of α-MG was quantified using High Pressure Liquid Chromatography. Results: It was found that the nanoparticles having different mixtures of PCL and EDG did not affect the physicochemical properties nor the drug content. However, the release of α-MG can be tuned by varying the nanoparticle composition. Formulations with higher EDG showed greater drug release at pH 7.4, because of the polymer dissolution at a specified pH. The composition of the optimized formulation composed of 16.5 mg/mL of EDG and 8.5 mg/mL of PCL. The optimized nanoparticle showed a controlled release profile of up to 12 h, which was superior to the α-MG solution. Conclusion: The developed nanoparticles of PCL and EDG can be considered as a promising platform to deliver α-MG for wound applications.
目的:设计并制备用于伤口创面的α-山竹苷纳米颗粒。材料与方法:纳米颗粒由聚己内酯(PCL)和Eudragit®s100 (EDG)组成,α-MG质量分数为10%;其中,采用混合型单纯形晶格设计研究了纳米颗粒的最佳组成。PCL (5 ~ 20 mg/mL)和EDG (5 ~ 20 mg/mL)的添加量不同,组分对粒径、粒径分布、zeta电位的影响也不同;测定药物含量和释放度。用热还原仪分析了纳米颗粒的物理化学性质。采用高压液相色谱法测定α-MG的含量。结果:不同PCL和EDG的混合对纳米颗粒的理化性质和药物含量均无影响。然而,α-MG的释放可以通过改变纳米颗粒的组成来调节。EDG越高的制剂在pH值为7.4时的释药效果越好,这是由于聚合物在特定pH下的溶解作用。优化后的制剂由16.5 mg/mL EDG和8.5 mg/mL PCL组成。优化后的纳米颗粒的缓释时间长达12 h,优于α-MG溶液。结论:制备的PCL和EDG纳米颗粒可作为α-MG在创面上的应用平台。
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引用次数: 0
In Vitro Bioactivities of Alcohol-Free Benzydamine Oromucosal Solutions 无醇苄胺口腔粘膜溶液的体外生物活性研究
Pub Date : 2023-10-31 DOI: 10.31584/jhsmr.20231002
Suwipa Ungphaiboon, Sutasinee Ardhanwanich, Sonsawan Kongpuckdee, Duangkhae Maneenuan, Teerapol Srichana
Objective: This research aimedto evaluate the effects of chitosan and poloxamer 407 on in vitro cytotoxicity, anti-inflammatory, wound healing, and antimicrobial activities of 0.3% w/v benzydamine hydrochloride (HCl) oromucosal solutions.Material and Methods: The effects of three alcohol-free benzydamine HCl oromucosal formulations; containing: 1) 0.5% w/v chitosan, 2) 15% w/v poloxamer 407, and 3) a combination of 0.5% w/v chitosan and 15% w/v poloxamer 407, on in vitro cytotoxicity and biological activities were evaluated and compared to a commercial benzydamine HCl mouth spray, containing alcohol and 0.12% chlorhexidine solution.Results: All alcohol-free benzydamine HCl formulations and their vehicles were less cytotoxic to the macrophage RAW 264.7 cell line than the commercial spray and to the human gingival fibroblast cell line than chlorhexidine, respectively. The formulation containing 0.5% w/v chitosan exhibited the highest wound healing activity on the fibroblast cells among all tested products, and showed anti-inflammatory activity on macrophage cells, which is comparable to benzydamine HCl. Furthermore, from the time-kill assay, this formulation completely inhibited Streptococcus mutans within 1 minute, similar to 0.12% chlorhexidine solution, and reduced the cell number of Candida albicans more rapidly than the commercial spray.Conclusion: The alcohol-free benzydamine HCl solution containing 0.5% w/v chitosan as a mucoadhesive polymer is a promising oral care candidate, which is safe to be used, and has wound healing, anti-inflammatory, and antimicrobial activities.
目的:研究壳聚糖和波洛沙姆407对0.3% w/v盐酸苄胺(HCl)口腔黏膜溶液的体外细胞毒性、抗炎、伤口愈合和抗菌活性的影响。材料与方法:三种无醇盐酸苄胺颗粒剂对口腔黏膜的影响研究了1)0.5% w/v壳聚糖、2)15% w/v波洛沙姆407和3)0.5% w/v壳聚糖和15% w/v波洛沙姆407的组合对体外细胞毒性和生物活性的影响,并与含酒精和0.12%氯己定溶液的盐酸苄胺口腔喷雾剂进行了比较。结果:所有无醇盐酸苄胺制剂及其载体对巨噬细胞RAW 264.7细胞系的细胞毒性均低于市售喷剂,对人牙龈成纤维细胞系的细胞毒性均低于氯己定。含0.5% w/v壳聚糖的制剂对成纤维细胞的创面愈合活性最高,对巨噬细胞的抗炎活性与盐酸苄胺相当。此外,从时间杀伤试验来看,该配方在1分钟内完全抑制变形链球菌,与0.12%氯己定溶液相似,并且比市售喷雾更快地减少白色念珠菌的细胞数量。结论:含0.5% w/v壳聚糖的无醇盐酸苄胺溶液作为黏附聚合物是一种有前景的口腔护理药物,使用安全,具有伤口愈合、抗炎和抗菌活性。
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引用次数: 0
Contrast-enhanced Computed Tomography Versus Contrast and Non-contrast Enhanced Computed Tomography for Detecting Blunt Abdominal Injury 对比增强计算机断层扫描与对比增强和非对比增强计算机断层扫描检测钝性腹部损伤
Pub Date : 2023-10-31 DOI: 10.31584/jhsmr.20231003
Kornkanok Naraweerawut, Kamonwon Cattapan, Panjai Choochuen, Khanin Khanungwanitkul
Objective: This study aimed to compare the diagnostic ability of contrast-enhanced computed tomography (CECT) and CECT combined with non-contrast computed tomography (NCT) for intraabdominal organ injury in patients with blunt abdominal injury.Material and Methods: Overall, 195 adult patients having had blunt abdominal trauma underwent CT at this institution; from 2016 and 2021. All CT images were retrospectively reviewed by two radiologists. The efficacy of detection of organ injuries and the degree of intra-abdominal injury were recorded. The radiologists scored their diagnostic confidence for each CT image dataset on a five-point scale: inter-observer agreement was also calculated.Results: All included patients underwent CT for blunt abdominal trauma. The most common cause of injury was  motorcycle accident (59.5%), with patients being  predominantly male: the mean patient age was 44 years. Hemoperitoneum was the most common CT finding, with a significantly higher detection rate on CECT combined with NCT than on CECT alone. There was no statistically significant difference in the diagnostic efficacy of the detected organ injury nor other types of organ injuries between CECT alone and CECT combined with NCT. Nevertheless, the accuracy of CECT in detecting hemoperitoneum may diminish in patients with severe fatty liver disease; especially in the perihepatic region.Conclusion: CECT alone is a potential tool for detecting abdominal injuries in patients with blunt trauma. NCT provides no additional benefits in detecting organ injury; except in cases of severe fatty liver disease. NCT is recommended as an optional protocol; particularly for patients with obesity.
目的:比较对比增强计算机断层扫描(CECT)与CECT联合非对比计算机断层扫描(NCT)对钝性腹部损伤患者腹内脏器损伤的诊断能力。材料和方法:总体而言,195名患有钝性腹部创伤的成年患者在该机构接受了CT检查;从2016年到2021年。所有CT图像由两名放射科医生回顾性检查。记录脏器损伤的检测效果及腹内损伤程度。放射科医生以五分制对每个CT图像数据集的诊断信心进行评分:还计算了观察者之间的一致性。结果:所有患者均行腹部钝性创伤CT检查。最常见的伤害原因是摩托车事故(59.5%),患者以男性为主,平均年龄44岁。腹膜出血是最常见的CT表现,CECT联合NCT的检出率明显高于单独CECT。CECT单独与CECT联合NCT对检测到的器官损伤及其他类型器官损伤的诊断效果差异无统计学意义。然而,在严重脂肪肝患者中,CECT检测腹膜出血的准确性可能会降低;尤其是在肝周区域。结论:单纯CECT是一种检测钝性创伤患者腹部损伤的潜在工具。NCT在检测器官损伤方面没有额外的好处;除非是严重的脂肪肝。建议将NCT作为一项任择议定书;特别是对于肥胖患者。
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