Tratamento de feridas complexas com prótese de PVC e enxerto parcial de pele autólogo: Protocolo acelerado e de baixo custo de cicatrização por terceira intenção / Treatment of complex wounds with PVC prosthesis and autologous partial skin graft: Accelerated and low-cost third-intention healing protocol

Introdução: Feridas complexas são lesões tegumentares graves, de difícil resolução com curativos convencionais. O objetivo deste estudo foi descrever uma técnica de cicatrização de feridas por terceira intenção, reprodutível e de baixo custo, aplicável a feridas complexas, utilizando uma prótese de policloreto de vinila (PVC) colocada temporariamente na área da lesão para promover proteção e estimular sua "granulação", seguida de enxerto autólogo de pele de espessura parcial. Método: De forma consecutiva, foram selecionados 20 pacientes com feridas complexas, decorrentes de causas externas, divididos em 2 grupos: A - pacientes que foram submetidos à técnica de cobertura com prótese de PVC, seguida de enxerto; e B - pacientes submetidos aos cuidados da equipe de curativo, com trocas diárias até granulação da ferida, padrão da nossa instituição. Os pacientes foram avaliados quanto ao tempo de internação; custos; em relação à dor local; à presença de complicações; ao tempo até a alta médica; e à satisfação do paciente. Resultados: O tempo de internamento e seus custos, assim como o tempo até a alta médica, foram menores no grupo A (p<0,05). Todavia, não houve diferença estatisticamente significativa em relação à dor local entre as técnicas A e B. Conclusão: A técnica utilizando prótese de PVC e enxerto possui boa eficácia para o tratamento de feridas complexas, sendo reprodutível e de baixo custo.

Introduction: Complex wounds are serious tegumentary injuries that are difficult to resolve with conventional dressings. This study aimed to describe a third-intention wound healing technique, reproducible and low cost, applicable to complex wounds, using polyvinyl chloride (PVC) prosthesis temporarily placed in the injured area to promote the protection and stimulate its "granulation," followed by autologous partial-thickness skin grafting. Method: Consecutively, 20 patients with complex wounds resulting from external causes were selected and divided into 2 groups: A - patients who underwent the coverage technique with PVC prosthesis, followed by grafting, and B - patients submitted to the care of the dressing team, with daily changes until wound granulation, standard in our institution. Patients were evaluated regarding length of stay; costs; local pain; complications; the time until medical discharge; and patient satisfaction. Results: The length of hospital stay, its costs, and the time until medical discharge were shorter in group A (p<0.05). However, there was no statistically significant difference in local pain between techniques A and B. Conclusion: The technique using PVC prosthesis and graft has good efficacy for treating complex wounds, being reproducible and inexpensive.

Three cases of occupational acute trimethyltin chloride poisoning / 中华劳动卫生职业病杂志

Trimethyltin chloride is a highly toxic substance, which is absorbed through respiratory tract, skin and digestive tract, with central nervous system injury as the main clinical manifestations, and can be accompanied by damage to various organs. In this paper, the treatment process of 3 patients with acute trimethyltin chloride poisoning was reviewed, and their clinical manifestations, auxiliary examination, diagnosis and treatment were analyzed. Three patients were misdiagnosed as mental abnormality, encephalitis, and hepatic encephalopathy in different hospitals in the early stage of medical treatment, suggesting that clinicians should pay attention to the occupational contact history of poisoned patients and conduct toxicant detection in time to avoid misdiagnosis and mistreatment.

Advances in microbial degradation of plastics / 生物工程学报

Plastics are widely used in daily life. Due to poor management and disposal, about 80% of plastic wastes were buried in landfills and eventually became land and ocean waste, causing serious environmental pollution. Recycling plastics is a desirable approach, but not applicable for most of the plastic waste. Microbial degradation offers an environmentally friendly way to degrade the plastic wastes, and this review summarizes the potential microbes, enzymes, and the underpinning mechanisms for degrading six most commonly used plastics including polyethylene terephthalate, polyethylene, polyvinyl chloride, polypropylene, polystyrene and polyurethane. The challenges and future perspectives on microbial degradation of plastics were proposed.

The inhibition of accessory gene regulator C specific binding peptides on biofilm formation of Staphylococcus epidermidis on the surface of polyvinyl chloride in vitro / 中国修复重建外科杂志

Objective: To investigate the effect of accessory gene regulator C (agr C) specific binding peptides (named N1) on the biofilm formation of Staphylococcus epidermidis on the surface of polyvinyl chloride (PVC) materials in vitro. Methods: Firstly, the two strains (ATCC35984, ATCC12228) were cultured with N1 at concentrations of 100, 200, 400, 800, and 1 600 μg/mL, respectively. The control group was cultured with agrC specific binding unrelated peptides (named N0) at the same concentrations and the absorbance ( A) value was measured after 24 hours to determine the optimal bacteriostatic concentration of N1. The two strains were cultured with N1 and N0 of the optimal concentration, respectively. The A values were measured at 6, 12, 18, 24, 30, and 48 hours to observe the effect of N1 on the biofilm formation ability of Staphylococcus epidermidis. On this basis, the surface structure of the biofilm on the surface of PVC material was observed by scanning electron microscopy after 6, 12, 18, 24, and 30 hours of incubation with PVC material sheet. The thickness of the biofilm was observed by laser confocal microscopy after 6, 12, 18, and 24 hours of incubation with ATCC35984 strain. Results: The optimal bacteriostatic concentration of N1 was 800 μg/mL. ATCC 12228 strain did not form obvious biofilm after being cultured with N1 and N0. When ATCC35984 strain was cultured with N1 and N0 for 12 hours, the difference in biofilm formation ability between groups N1 and N0 was statistically significant ( P0.05). Scanning electron microscopy examination showed that mature biofilm structure was observed in ATCC35984 strain and was not observed in ATCC12228 strain. Laser confocal microscopy observation showed that the number of bacteria in the group N1 was significantly lower than that in the group N0 at 12 hours, and the most of bacteria were dead bacteria. There was no significant difference in the number of bacteria at 6, 18, and 24 hours, and the most of them were live bacteria. The biofilm thickness of group N1 was significantly lower than that of group N0 at 12 and 18 hours ( P<0.05). Conclusion: The intensity of N1 inhibiting the formation of Staphylococcus epidermidis biofilm is dose-dependent. During the aggregation period, N1 can inhibit the biofilm formation by hindering the bacterial growth and aggregation. The inhibition effect on mature biofilm is not obvious.

Closed treatment of humeral shaft fractures by functional bracing using polyvinyl chloride versus plaster-of-paris cast: A randomized clinical trial

INTRODUCTION@#This study compared Polyvinyl Chloride (PVC) made vs Plaster of Paris (POP) made functional braces in the closed treatment of fractures of the humeral shaft. Outcomes examined were the rate of fracture union, radiographic alignment, DASH scores and the range of motion of the shoulder and elbow@*METHODS@#This was a parallel randomized clinical trial conducted at the Corazon Locsin-Montelibano Memorial Regional Hospital from July 2016 to July 2017. All eligible patients were included and randomly allocated into PVC and POP treatment groups. All patients were followed-up on the 3rd, 6th, 10th, and 14th week for clinical and radiographic evaluation.@*RESULTS@#There were 31 patients, 14 and 17 in the PVC and POP groups, respectively. The median rate of union in the PVC and POP groups were 10.50 and 10.00 weeks, respectively. The median varus and valgus angulation in the PVC and POP groups were 15.75° and 16.5°, respectively. The median anterior and posterior alignment in the PVC group was 1.7° and POP group was 9.6°. The median DASH score of the PVC and POP groups were 7.1 and 12.5, respectively. The median range of motion in the elbow was 135° for both groups. The median range of motion in the shoulder in the PVC group was 150° and POP group was 140°.@*CONCLUSION@#There was a high rate of union of humeral shaft fractures with acceptable functional outcome with the use of the PVC made functional brace compared to the traditional POP made functional brace.

Assessment of biodegradability of PVC containing cellulose by white rot fungus

Aims: Polyvinyl chloride (PVC) is the most widely used and environmentally damaging plastic. Processing, production and disposal of PVC cause release of toxic chlorine based compounds into environment. The objective of the present study was to assess the biodegradability of cellulose blended PVC by white rot fungi i.e. Phanerochaete chrysosporium. Methodology and results: Biodegradability of the strain for the polymer was tested on plate assay, sturm test, soil burial and shake flask experiments. The biodegradability of the polymer was determined by visual changes, plate assay and carbon dioxide production. Morphological changes in the polymer such as pits, extensive spotting, clear surface erosion, fungal attachment, roughening and deterioration of some parts were observed using scanning electron microscopy. Chemical changes like appearance and shortening of peaks using fourier transform infrared spectroscopy also confirmed the biodegradability of the polymer. Conclusion, significance and impact of study: The present study confirmed that mixing of small amount of cellulose increases the hydrophilicity of the polymer and lead to its microbial degradation and Phanerochaete chrysosporium has great potential for the treatment of solid waste containing plastics.

Oxidized sodium alginate used in an extracorporeal circulation pipe / 中国组织工程研究

BACKGROUND:At present, a heparin-coated extracorporeal circulation pipe is used widely, but the price is expensive and limits its wide application. OBJECTIVE:To screen the optimal coating condition of oxidated sodium alginate as a coating material to coat the medical polyvinyl chloride pipe and to evaluate the anticoagulant properties and the stability of the coated pipe. METHODS:Oxidized sodium alginate was prepared with sodium periodate, and the mole ratio of sodium periodate and sodium alginate was 1:8, 1:10 and 1:12, respectively. Oxidized sodium alginate with different degree of oxidation was coated on the surface of medical polyvinyl chloride pipes by chemical methods, then to select the best degree of oxidation. The optimal coating condition was screened through an orthogonal experiment based on concentrations of sulfuric acid, polyethyleneimine and oxidized sodium alginate, and pH value and temperature of oxidized sodium alginate. Additional y, the anticoagulant properties and expulsion rates of the prepared pipes were evaluated in comparison with the blank control group and heparin-coated group. RESULTS AND CONCLUSION:The optimal oxidation degree for oxidized sodium alginate was 1:10 for the mole ratio of sodium periodate and sodium alginate. The best coating conditions were 50%concentrated sulfuric acid, 0.05%polyethyleneimine, 40 ℃ of reaction temperature, 2 g/L oxidized sodium alginate, and pH value=3.5. The oxidized sodium alginate coating group had a similar trend compared with heparin-coated group in the expulsion rate. The anticoagulant properties of oxidized sodium alginate coating group were little weaker than those of heparin-coated group (P<0.05), but significantly better than those of the blank control group. The oxidized sodium alginate-coated extracorporeal circulation pipe has a good anticoagulant property and stability.

Case Report of Occupational Asthma Induced by Polyvinyl Chloride and Nickel

Polyvinyl chloride (PVC) is a widely used chemical for production of plastics. However occupational asthma (OA) caused by PVC has been reported only rarely. We report a 34-yr-old male wallpaper factory worker with OA due to PVC and nickel (Ni) whose job was mixing PVC with plasticizers. He visited the emergency room due to an asthma attack with moderate airflow obstruction and markedly increased sputum eosinophil numbers. A methacholine challenge test was positive (PC20 2.5 mg/mL). Bronchoprovocation tests with both PVC and Ni showed early and late asthmatic responses, respectively. Moreover, the fractional concentration of exhaled nitric oxide (FeNO) was increased after challenge with PVC. To our knowledge, this is the first case of OA in Korea induced by exposure to both PVC and Ni. We suggest that eosinophilic inflammation may be involved in the pathogenesis of PVC-induced OA and that FeNO monitoring can be used for its diagnosis.

Diseño y elaboración de una férula tipo tenodesis fabricada en termoplástico de alta resistencia policloruro de vinilo PVC para la promoción de agarre de pinza trípode en personas con secuelas de trauma raquimedular / Design and development of a kind tenodesis splint made in high resistance thermoplastic polyvinyl chloride PVC to promote tripod clamp grip in people with spinal cord trauma aftermath

El presente documento es una propuesta teórica, que tiene como finalidad presentar un protocolo de elaboración de una férula dinámica tipo tenodesis a partir de un material termoplástico de alta temperatura, de fácil consecución en el mercado llamado policloruro de vinilo; Este tipo de férula se clasifica dentro de las denominadas férulas dinámicas y su objetivo final es la promoción de agarre de pinza trípode en personas que por lesiones a nivel de C5-C6, presentan ausencia de movilidad en los dedos de la mano pero conservan movimientos de muñeca. Cuando el usuario extiende la muñeca, la férula activa una serie de mecanismos que producen flexión pasiva de articulaciones metacarpofalangicas de los dedos II y III y simultáneamente hay una abducción y una relativa oposición del pulgar; estos movimientos formarán una pinza que proveerá al usuario la posibilidad de realizar actividades básicas con sus manos.

This document is a methodological contribution, which is to present a protocol for developing a tenodesis type dynamic splint from a high temperature thermoplastic material, easy to achieve on the market called polyvinyl chloride, this type of splint is classified within the so-called dynamic splints and its purpose is to promote tripod pincer grip in people with injuries at C5-C6, present lack of mobility in the fingers but retain wrist movements. When the user extends the wrist, splint activates a series of mechanisms that produce passive flexion of metacarpophalangeal joints of fingers II and III and simultaneously there is a relative abduction and thumb opposition, these movements form a clamp that will provide the user the ability to perform basic activities with their hands.

A Case of Reactive Airways Dysfunction Syndrome in a Synthetic Resin Manufacture Factory / 대한산업의학회지

BACKGROUND: Reactive airways dysfunction syndrome (RADS), which represents between 5% and 18% of new-onset, work-related asthma, remains underreported in spite of increasing reports of occupational asthma cases through occupational asthma surveillance in Korea. We report a 61-year-old male who developed RADS after exposure to a high level of toxic gases from a workplace accident. CASE: The patient who had worked for 21 years at a PVC manufacture factory and had retained good health until Aug 22, 2007, when he was exposed to PVC (polyvinyl chloride), DEHP (Di (2-Ethylhexyl) Phthalate), dibutyl tin maleate and epoxidized soybean oil gases from a heated mixer. Within several minutes of exposure, he developed coughing, rhinorrhea, dyspnea and wheezing. Pulmonary function tests (PFTs) showed an FVC of 3.81 L(82% of predicted), FEV1 of 1.63 L/s (50% of predicted), FEV1/FVC% of 43 %, and FEV1 of 1.80 L/s that increased by 170 ml and 10.4% in response to bronchodilator. After 7 months of treatment with inhaled steroids and bronchodilators, repeat PFTs showed an FVC of 6.56 L(143.5% of predicted), FEV1 of 3.21 L(99.3% of predicted), and FEV1/FVC% of 48.9%. A methacholine challenge test was negative at a concentration of 25 mg/ml. CONCLUSION: RADS occurred due to exposure to raw material vapors or their thermal decomposition products.

Study on Absorption of Troxerutin onto Infusion Systems of Polyvinyl Chloride / 中国药房

0.05).CONCLUSION:In the study,PVC infusion systems have no adsorption effect on troxerutin.

Stability of Blood Preservation SolutionⅠin PVC Plastic Bag / 中国药房

OBJECTIVE:To investigate the stability of blood preservation solutionⅠin polyvinyl chloride(PVC)plastic bag in the valid period.METHODS:3batches of samples were divided into2groups,in group one,each sample was covered with outer packaging bag of polypropylene laminated film,and samples in group two were covered with no outer packaging bag,both groups were stored at room temperature,and stability test was conducted by observing samples.RESULTS:(2.95?0.05)%was the samples,content without outer packaging bag after they had been stored for2years,while less than0.5%water was lost in the samples covered during the same period.CONCLUSION:It is proper to add outer packaging bag of polypropylene laminated film to blood preservation solutionⅠin PVC plastic bag.

Exposición infantil a plastificantes potencialmente tóxicos en productos de uso oral / Infant exposure to potentially toxic plasticizers in products for oral use

OBJETIVO: Determinar la prevalencia en el uso de productos infantiles orales entre menores de tres años de edad y medir su concentración de ftalatos, sustancias potencialmente tóxicas. MATERIAL Y MÉTODOS: Se realizó, en 1999, una entrevista domiciliaria a 199 madres de niños del área metropolitana de la ciudad de Toluca. Por cromatografía de gases se identificaron y cuantificaron diversos ftalatos de productos de uso oral empleados por los niños participantes y se estimó la contribución de estas fuentes a la ingesta diaria de ftalatos. RESULTADOS: La prevalencia de uso de estos productos fue de 13 por ciento, siendo mayor entre los niños, menores de 18 meses de edad, pertenecientes al estrato socioeconómico bajo. Las concentraciones variaron desde trazas hasta 67.0 por ciento del peso. La exposición media calculada proveniente de los productos manufacturados con policloruro de vinilo y ftalatos fue de 13.94 µg/ kg de peso/día, IC 95 por ciento (9.08, 18.89). CONCLUSIONES: La exposición a ftalatos proveniente de productos para chupar o morder se encuentra dentro de los límites reportados en otros países; sin embargo, otras fuentes pueden incrementarla. Dado que algunos ftalatos han mostrado ser tóxicos en el sistema reproductivo, y este potencial efecto es plausible en el hombre, es necesaria la investigación de otras fuentes y determinar la exposición total a través de biomarcadores.

OBJECTIVE: To estimate the prevalence of oral product use in children less than three years of age, and to measure the concentration of phthalates as potentially toxic products. MATERIAL AND METHODS: In 1999, 199 mothers of children living in the city of Toluca agreed to household interviews. Samples of oral products used by the children were taken and analyzed by gas chromatography to identify and quantify phthalate concentrations, to estimate the daily intake of phthalates from this source. RESULTS: The prevalence of oral product use was 13 percent. Male infants less than 18 months of age of low socioeconomic level used them more frequently. The concentrations ranged from traces to 67 percent weight. The mean exposure to products manufactured with polyvinyl chloride and phthalates was 13.94 µg/kg/day (95 percent CI 9.08, 18.89). CONCLUSIONS: The daily dose of phthalate intake from products for infants to suck or bite did not exceed the recommended limit established in other countries. Nevertheless, other sources can contribute to increase the total dose. Since some phthalates are harmful to the reproductive system in animals and this potential effect may also be expected in humans, it is necessary to assess other sources and determine exposure using biomarkers.

Observation on the absorption of EVA and PVC infusion sets to insulin / 肠外与肠内营养

Objective: To investigate the absorption of EVA and PVC infusion sets to insulin.Methods: Two infusion sets of EVA and PVC were used to contain insulin which was mixed with TNA and preserved at 4℃ and 25℃ for o,8,24 and 48 h,respectively.The content of insulin was observeed for changes.Results: The content of insulin mixed with TNA in EVA bags was obviously higher than in PVC bags preserved at 25℃ for 48h(P

Investigation on Tap Water Quality Effected by PVC-U Pipes / 环境与健康杂志

Objective To study the effects of PVC_U pipes on tap water quality.Methods The safty assessment on a certain brand of PVC_U pipes was carried out. A residential quarter with this kind of PVC_U pipes for water supply was selected. Drinking water samples were collected from 2 pipeline inlets outside the quarter and 4 outlets inside the apartment. The indexes such as organoleptic indexes, general chemical indexes, heavy metals, organic compounds, radioactivity of the water samples were determined. The toxicological tests were carried out also. Results The sanitary indexes of the water samples for immersing PVC_U pipes except the content of ferrite accorded with the related national standards. No significant differences were observed in sanitary indexes of the water samples collected from inlets and outlets of pipeline for the apartment. The organic extracts of the water samples from the outlets of water supply system in the apartment showed negative results in acute oral toxicity test, 30_day feeding test, micronucleus test and Ames test. Conclusion PVC_U pipes were safe and hygenic for drinking water supply.