Download the Free Unbound MEDLINE PubMed App to your smartphone or tablet.
Available for iPhone, iPad, iPod touch, and Android.
Polimery w medycynie [journal]
- [The treatment of aorto-duodenal fistula with the use of the endovascular prosthesis]. [Case Reports, English Abstract, Journal Article]
- Polim Med 2012; 42(2):139-42.
One of the most common and serious complications after implantation of aortic or aorto-femoral prosthesis are aortoduodenal fistula. Secondary aorto-duodenal fistula is the most commonly observed form of a fistula between the abdominal aorta and gastrointestinal tract. 76 years old male with infected vascular prosthesis was admitted to Clinic with syndroms of active bleeding from aorto-duodenal fistula. Because of general condition, patient was qualified to endovascular procedure, and a new stentgraft was implanted. After the procedure patient was treated with antibiotic compatible with inoculation from blood and he did not gave agreement for further surgical operations. He lived next 28 months and died because of lung cancer.
- [Usage of hydrophilic catheters and guidewires in endovascular surgery]. [English Abstract, Evaluation Studies, Journal Article]
- Polim Med 2012; 42(2):133-7.
The aim of this study was to evaluate the effectiveness of hydrophilic catheters and guidewires during endovascular overcoming long stenoses or occlusions of the superficial femoral and popliteal artery.Based on 142 procedures rated the functionality of the equipment of the hydrophilic coating. The operations were performed in the years 2010-2012 in the Department of Vascular, General and Transplantation, Medical University in Wroclaw. Procedures related to recanalization or enlargement of the superficial femoral artery. Patients were divided into groups according to the Consensus TASC II depending on the length change. Each patient was assessed ankle-brachial ratio (ABI), claudication distance measured and constructed with double ultrasound imaging (USG-DD). In doubtful cases an additional study was performed with contrast computed tomography (angio-CT). The procedure was performed at the Laboratory of angiography using a angiograph Siemens Artis Zee Ceiling. Every time the contrlateral access was made, and as the first step the angiography was performed to verify type of changes in the arteries. A significant benefit of using hydrophilic guidewires and catheters in patients with long stenoses or occlusions. In case of long and calcified changes, hydrophilic catheters was the only option because it gave good support for hydrophilic guidewire.The changes in the type C and D according to the criteria for TASC II, an essential tool to achieve a positive treatment effect is the use of hydrophilic catheters and guidewires.
- [Technological and pharmacotherapeutic properties of selected drugs with modified release of diclofenac sodium]. [English Abstract, Journal Article]
- Polim Med 2012; 42(2):121-32.
Diclofenac and its sodium salt is one of the best-known and popular therapeutic agents from the group of NSAIDs used in medicine in many various pharmaceutical forms. Therapeutic products containing diclofenac sodium salt in doses of 100 mg and 75 mg with a qualitatively and quantitatively diversified share of excipients and a variable dosage form of the drug (solid capsules, tablets with modified release) were subjected to technological and pharmaceutical analysis. The effect of solid formulation components of polymer character making the core and the coating of the pharmaceutical form of therapeutic products on the disintegration time and pharmaceutical availability in pharmacopoeial receptor fluids was estimated.Market therapeutic products with diclofenac sodium in doses of 75 mg and 100 mg, technological analysis of the drug dosage form was conducted, disintegration time of solid oral dosage forms of the drug with diclofenac sodium salt was examined and research on pharmaceutical availability of diclofenac sodium salt from tested therapeutic products was conducted using the acid phase and the buffer phase according to the FP standards for delayed release enteral dosage forms. The experimental data was supplemented with the statistical analysis.There are three formulations in the form of solid capsules and one formulation in the form of a coated tablet. All therapeutic products bear features of a dosage form of modified release of diclofenac sodium salt, frequently of a delayed release formula in the duodenum or the small intestine with regard to the limitation of typical undesirable effects after taking NSAIDs. Considerable diversity between solid capsules and the tablet with modified release during disintegration or hydration and swelling has been observed. In the environment of a receptor fluid--purified water (pH = 7) the capsule Dicloberl retard disintegrates at the fastest rate in 5,49 minutes, and then in the order: DicloDuo 75 mg--8,13 minutes and Olfen 100 SR--11,27 minutes. The hydration degree of gelatin walls of capsules depends on the pH of the receptor fluid. The availability of diclofenac sodium salt in given receptor fluids confirms the fact of significant connection of clinical effectiveness of the tested pharmaceutical forms with the activity of hydrogen ions (pH) of the environment in which there are therapeutic products, and excipients used for making the pharmaceutical phase.Tested therapeutic products with diclofenac sodium salt are differentiated by the type of a dosage form. Dicloberl retard contains the minimally indispensable number of simple, commonly used excipients. The research on the disintegration time may only be related to the products Dicloberl retard, Olfen 100 SR and DicloDuo 75 mg treating it as the time of deformation and disintegration of a capsule. In all three types of receptor fluids, the capsule Dicloberl retard has the fastest disintegration rate. The "acid phase" demonstrated stability of the products with a slight dissolution of diclofenac sodium salt on the level 1,3-4,18% of the Q release coefficient. In the environment of artificial intestinal juice, Dicloberl retard is more effective releasing larger amounts of diclofenac sodium salt during 4 hours of exposition (differences from 10% to 14% of the Q release coefficient).
- [Therapeutically active dressings--biomaterials in a study of collagen glycation]. [English Abstract, Journal Article]
- Polim Med 2012; 42(2):115-20.
Active dressings (biomaterials, hydrogels) are cross-linked three-dimensional macromolecular networks. One of the most important properties of active dressings, is their ability for controlled uptake, release and retention of molecules. The formation of advanced glycation end products AGEs progressively increases with normal aging. However, AGE products are formed at accelerated rates in age and stress-related diseases (burns, in wound healing) and also in vitro.The aim will be also to develop a series of gels showing ability of controlled uptake, release and retention of molecules. The hydrogels can be used as biologically and therapeutically (antibacterial and anticancer) active biomaterials.The following materials and reagents were used in the examination: dried plants: Equisetum arvense L., Pulmonaria officinalis L., Agropyron repens. Non-defatted films were extracted from the dried plants. The suspension was stirred and extracted. Temperature was controlled using a water bath. The filtrate was vacuum condensed. The gelling precipitate was poured onto Petri plates and dried. The swelling ratio and the percent loading were calculated. The released amount of CaCl2 at different time intervals was determined by measuring the conductivity. The extent of glycation in collagen was measured.Novel types of swelling hydrogels have been prepared from dried plants and alginic acid. The active dressings showed swelling in aqueous medium, swelling characteristics were dependent on the chemical composition of hydrogel. The hydrogels were also loaded with CaCl2 and their potential for release was judged by measuring conductivity. The activity of hydrogels--active dressings on collagen incubated with glucose showed an decrease in glycation. So, hydrogels--active dressings, a known antiglycating agent which have therapeutic role in wound healing.
- [Skin substitutes--the present and the future]. [English Abstract, Journal Article, Review]
- Polim Med 2012; 42(2):109-14.
Full-thickness skin deficits are indications to autologic skin graft. In extensive skin injuries an employment of skin substitutes is sometimes necessary. In this study we presented the classification of skin substitutes (permanent, temporary, biological, synthetic). The different kinds of skin substitutes approved to commercial production were described (epidermal substitutes, dermal substitutes, composite dermo-epidermal substitutes). The possibilities of clinical applications of skin equivalents and results obtained by many authors after employment of artificial skin were also presented. Still existing limitations in possibilities of recovery of all skin functions were emphasized and the directions of future development of the studies were presented.
- Solid dispersion in pharmaceutical technology. Part II. The methods of analysis of solid dispersions and examples of their application. [Journal Article, Review]
- Polim Med 2012; 42(2):97-107.
In the first part of the article solid dispersions were classified the properties and methods of their preparation were described. This section presents methods of analysis of solid dispersions i.e.: thermoanalytical methods, XRPD, FTIR, microscopic methods, dissolution studies and examples of drug forms where solid dispersions were used.
- [The influence of macromolecular excipients on the process of mass transfer at the boundary phase from a model anti-dandruff preparation into the external compartment under in vitro conditions]. [English Abstract, Journal Article]
- Polim Med 2012; 42(1):79-88.
The aim of the research was the application assessment of a model preparation--anti-dandruff emulsion. The experiments was conducted under in vitro conditions using of a model system of human skin, which are cellulose dialysis membranes with a standardized pore size. The behaviour of the preparation on the dialysis membrane was analyzed, and the degree of film formation performing the function of a protective barrier was evaluated after gentle rinsing with tepid water without cleaning agents. It was checked whether the product layer remaining on the membrane product layer does not block diffusion and penetration processes. Additionally, an attempt to assess the character of the layer with the use of a hydrophilic marker was made.Model anti-dandruff emulsion, Servapor Dialysis Tubing 100 dialysis membranes with a wall thickness d = 0.1 mm and a declared pore diameter phi = 25 A degrees, sodium chloride, purified water--assessment of the residue level of the analyzed preparation on the dialysis membrane. Examination on the marker diffusion through the dialysis membrane covered with the model anti-dandruff preparation, Approximation of the obtained results.The first phase of the experiment was the preparation of dialysis membranes for the adsorption process of a model anti-dandruff preparation, then its adsorption, rinsing with tepid water and the measurement of residue level of the product on the membrane control. It has been observed that the mass of the membrane on which the preparation was applied increased in relation to the membrane from a control sample. The mass increase of the membrane in a research sample is accompanied with the increase of its thickness caused by the adsorbed amount of the product and water on the membrane. The diffusion through the membrane in a control sample turned out to be slightly slower what may indicate the character of the membrane residue of the model anti-dandruff preparation. CONCLUSIONS; The technology of model anti-dandruff emulsion enables the formation of a layer forming a specific protective barrier on the surface of the dialysis membrane. The presence of the layer of model anti-dandruff emulsion on the membrane is confirmed by mean values of mass and thickness increase of the dialysis membrane. The hydrophobic diffusion layer is of a variable character. The properly applied emulsion under "in vivo" conditions might fill voids of the corneal layer of epidermis creating a structure of a film character performing the function of a protective barrier. On the basis of the in vitro assessment, the therapeutic effectiveness under in vivo conditions may be concluded.
- [Cellulose acetate membrane electrophoresis CAE and Raman spectroscopy as a method identification of beta-glucans, used as biologically and therapeutically active biomaterials]. [English Abstract, Journal Article]
- Polim Med 2012; 42(1):69-77.
The formation of AGEs progressively increases with normal aging, even in the absence of disease (the pathogenesis of diabetes associated vascular disorders and neurodegenerative diseases, including Alzheimer's disease, Parkinson's disease). However, they are formed at accelerated rates in age-related diseases. The polysaccharides might play a role in wound healing, both internally and externally, and also that they could play a role against inflammation and may lead to the production of better medicines to be used as supplements in cancer treatment.The acid hydrolysis was studied with H2SO4 at 80% concentration to determine the most effective procedure for total hydrolysis of beta-glucan. The standard of beta-glucans acid hydrolysate were compared for commercial oat and oatmeal, mushrooms: Pleurotus ostreatus, Fungus and yeast Saccharomyces cerevisiae.The following materials and reagents were used in the examination: reference beta-(1 --> 3)-(1 --> 6)-glucan, oat and oatmeal, mushrooms: Pleurotus ostreatus, Fungus and yeast Saccharomyces cerevisiae. The Raman spectra of the sample solutions (beta-glucan acid hydrolysates) were recorded on a MAGNA-IR 860 with FT-Raman accessory. Sample was irradiated with a 1064 nm line of the T10-8S Nd spectra-physics model: YAG laser and scattered radiation were collected at 180 degrees, using 4 cm(-1) resolution. The polysaccharide was hydrolyzed into component monosaccharides with 80% H2SO4 at 0 degrees C for 30 minutes and monosaccharide derivatives were subjected to electrophoresis, as in a ealier authors study, on a strip of cellulose acetate membrane (CA-SYS-MINI Cellulose Acetate Systems) in 0.2 M Ca(OAc)2 (pH 7.5) at 10 mA, max. 240 V for 1.5 h. The strips were stained with 0.5% toluidine blue in 3% HOAc solution and then rinsed in distilled water and air-dried.A part of the hexoses (for example glucose) are converted, to products such as 5-hydroxymethylfurfural. Various coloured substances, through the Maillard reaction have been reported for saccharides. The resulting mono- and oligosaccharides were analysed by cellulose acetate membrane electrophoresis CAE and Raman spectroscopy. Individual bands or CAE spots were selected to monitor the sugar content in medical plant cell walls and to confirm the identity of the analysed sample: oat and oatmeal, mushrooms: Pleurotus ostreatus, Fungus and yeast Saccharomyces cerevisiae. The possibility of a taxonomic classification of products rich in cell-wall materials based on cellulose acetate membrane electrophoresis CAE and Raman spectroscopy for authentication and detection of adulteration of products are discussed.
- Investigation of the free volume changes in one day hydrogel and one day silicone-hydrogel contact lenses by means of positron annihilation lifetime spectroscopy. [Journal Article]
- Polim Med 2012; 42(1):61-8.
PURPOSE OF JOB: The evolution of materials used to manufacture contact lenses, there is a need to increase comfort and visual acuity man while improving biocompatibility and minimizing the impact of the material on the physiology of the cornea. There is still a problem with limiting the level of oxygen available to the cornea, resulting in various diseases. Therefore, the aim of this work is to investigate the physical and structural properties of hydrogel and silicone-hydrogel contact lenses.To achieve the main objective, the project involves the complete, systematic and comprehensive research methodology, techniques of positron lifetime spectroscopy PAL associated with polymerization, nanovoid natural structure of modern polymeric materials used in ophthalmology. This method is particularly sensitive to detect the structure of disordered materials with structural defects. Therefore it is reasonable to use PAL spectroscopy in studies of polymer nanostructures change contact lenses used in ophthalmology.As a result of the measurements obtained curve describing the dependence of the number of counts of acts of annihilation as a function of time. Distribution of positron lifetime spectra into three components, allows to extract the longest third component which gives information about the geometrical parameters of free volume. Clear changes were observed long-living component lifetimes of ortho-positronium and their intensities between the lenses tested.The measurements allowed us to isolate and calculate the value of long-living tau3 and its intensity I3, which values are component of positron lifetime associated with the formation of ortho-positronium (o-Ps) and is a measure of the density distribution of free volume creation. The results of these measurements indicate that the formation of free volume holes takes place both in the hydrogel lens and silicone-hydrogel. However, the size of free volume and the amount of free volume occurring for silicone-hydrogel lenses are greater than for hydrogel lenses. The study nanovoid structure of polymeric materials, their size and number suggest a relationship with the oxygen permeability of contact lenses, which implies a continuation and extension of the initial research.
- Ocimum Sanctum seeds, a natural superdisintegrant: formulation and evaluation of fast melt tablets of nimesulide. [Journal Article]
- Polim Med 2012; 42(1):49-59.
Fast melt tablets, also known as fast dissolving tablets, disintegrate instantaneously within the mouth and thus can be consumed without water. The present study was aimed to formulate fast melt tablets of nimesulide by using Ocimum Sanctum seeds as a natural tablet superdisintegrant.Powdered Ocimum seeds were characterized for powder flow properties (bulk density, tapped density, Carr's consolidation index, Hausner ratio, angle of repose), swelling index, viscosity, pH, loss on drying and microbial load. The prepared tablets were evaluated for different tablet parametric tests, wetting time, water absorption ratio, effective pore radius, porosity, packing fraction, in vitro and in vivo disintegration time, in-vitro dissolution and stability studies.The swelling index was evaluated to be 1600. An appreciable effect of the natural material was seen on tablet hardness and friability. The water absorption ratio increased from 56.15 +/- 0.85 to 80.76 +/- 0.70 (A1-A4). Water uptake coupled natural polymer swelling could be the most probable mechanism for concentration dependent reduction in disintegration time by the Ocimum Sanctum seeds. Porosity of the formulated tablets was found to increase from batch A1-A4. The in vitro disintegration results were in line with in vivo disintegration results. The f2 values (in comparison with Nimulid MD) of 95.90 and 93.65 were obtained with A3 and A4 batches respectively.It could be concluded that Ocimum Sanctum seeds could be used as a natural superdisintegrant in the formulation of fast melt tablets.