Biomedical subjects

Angel V Delgado

Publications and source records attributed to Angel V Delgado.

13 recordsLinked to original sources

PubMed2007

The potential utility of fibrin sealant dressing in repair of vascular injury in swine.

BACKGROUND: A previous study in which fibrin sealant dressing (FSD) secured hemostasis in major arterial hemorrhage for 96 hours suggested the applicability of this dressing in damage control operations after severe trauma. The objective of this study was to determine the effective duration of FSD hemostatic function in vivo and to examine its potential utility for definitive repair of a major arterial injury in swine. METHODS: High pressure bleeding in an infrarenal aortotomy was controlled by placing FSD on the wound with 4-minute compression (n = 15). If hemostasis was achieved, the abdominal cavity was closed. Surviving animals were killed at 2, 4, 6, and 8 weeks and aortotomy sites collected for histology. RESULTS: FSD stopped arterial hemorrhage after 4-minute compression in 14 of 15 (93%) pigs. Dressings failed in two pigs at 36 and 53 minutes after treatment. Twelve (80%) animals recovered and resumed normal activities. Of the remaining 12, two developed rebleeding at the aortotomy site on days 8 and 11 and were killed; another was killed because of idiopathic low hematocrit on day 10. Nine pigs survived until scheduled to be killed, maintaining hemostasis with stable hematological values. In the surviving animals, serial computed tomography scans showed formation of a pseudoaneurysm at the aortotomy site, which resolved after 2 to 3 weeks. The initial vascular defect and pseudoaneurysm were filled with fibroblast-myoblast collagen rich tissues covered by endothelium. CONCLUSION: FSD can seal an arterial injury, stop high pressure bleeding, and prevent rebleeding for at least 7 days. The dressing may be most beneficial in damage control operations. If combined with an elective interventional radiologic procedure (e.g. embolization or stenting), it may also offer an alternative to suture repair of vascular injuries in cases where profuse bleeding obstructs visualization.

Analysis of Variance↗

PubMed2006

Cell model of the direct current electrokinetics in salt-free concentrated suspensions: the role of boundary conditions.

In this paper, a general electrokinetic theory for concentrated suspensions in salt-free media is derived. Our model predicts the electrical conductivity and the electrophoretic mobility of spherical particles in salt-free suspensions for arbitrary conditions regarding particle charge, volume fraction, counterion properties, and overlapping of double layers of adjacent particles. For brevity, hydrolysis effects and parasitic effects from dissolved carbon dioxide, which are present to some extent in more "realistic" salt-free suspensions, will not be addressed in this paper. These issues will be analyzed in a forthcoming extension. However, previous models are revised, and different sets of boundary conditions, frequently found in the literature, are extensively analyzed. Our results confirm the so-called counterion condensation effect and clearly display its influence on electrokinetic properties such as electrical conductivity and electrophoretic mobility for different theoretical conditions. We show that the electrophoretic mobility increases as particle charge increases for a given particle volume fraction until the charge region where counterion condensation takes place is attained, for the above-mentioned sets of boundary conditions. However, it decreases as particle volume fraction increases for a given particle charge. Instead, the electrical conductivity always increases with either particle charge for fixed particle volume fraction or volume fraction for fixed particle charge, whatever the set of boundary conditions previously referred. In addition, the influence of the electric permittivity of the particles on their electrokinetic properties in salt-free media is examined for those frames of boundary conditions.

Journal Article↗

PubMed2006

Structural explanation of the rheology of a colloidal suspension under high dc electric fields.

In this work we describe the electrorheology of suspensions consisting of hematite (alpha-Fe2O3) particles dispersed in silicone oil in the presence of large dc electric fields. If an electric field pulse is applied to the systems, it is possible to estimate the time that the electrorheological (ER) fluid takes to reach its final microstructure in the presence of the field. Our results indicate that response times of several seconds are typical, and that this time decreases with the field strength. Conventional shear-rate sweeps indicate the existence of a well-defined dynamic yield stress and a shear-thinning behavior. Interestingly, both the yield stress and the shear-thinning slope alpha [relating the viscosity, eta, and the shear rate, .gamma, as eta=alphagamma(.-b) + eta (infinity)] show a linear dependence on the field strength, E, in disagreement with the E2 dependence often reported. This deviation is associated with changes in the conductivity of the dispersion medium with the field strength. A simple calculation of the interactions present in our ER fluid demonstrates that the ER behavior is entirely controlled by hydrodynamic (proportional to .gamma) and electrical forces (proportional to E). This is confirmed by the collapse of all experimental results in a single master curve when the relative viscosity is plotted against the ratio .gamma/E. Careful attention has been paid in this work to the microstructure of the suspensions in the presence of both shear and electric fields simultaneously: the particles gather themselves on the walls of the electrorheological measurement cell, forming aggregates with cylindrical symmetry, shaped as rings or lamellas of solids. The electric field induced increase in viscosity is the consequence of the balance between two actions: that of the electric field, tending to keep particles together, and that of the shear field, forcing the flow of the liquid phase in the regions between rings or between rings and walls.

Journal Article↗

PubMed2006

Numerical and analytical studies of the electrical conductivity of a concentrated colloidal suspension.

In the past few years, different models and analytical approximations have been developed facing the problem of the electrical conductivity of a concentrated colloidal suspension, according to the cell-model concept. Most of them make use of the Kuwabara cell model to account for hydrodynamic particle-particle interactions, but they differ in the choice of electrostatic boundary conditions at the outer surface of the cell. Most analytical and numerical studies have been developed using two different sets of boundary conditions of the Neumann or Dirichlet type for the electrical potential, ionic concentrations or electrochemical potentials at that outer surface. In this contribution, we study and compare numerical conductivity predictions with results obtained using different analytical formulas valid for arbitrary zeta potentials and thin double layers for each of the two common sets of boundary conditions referred to above. The conductivity will be analyzed as a function of particle volume fraction, phi, zeta potential, zeta, and electrokinetic radius, kappaa (kappa(-1) is the double layer thickness, and a is the radius of the particle). A comparison with some experimental conductivity results in the literature is also given. We demonstrate in this work that the two analytical conductivity formulas, which are mainly based on Neumann- and Dirichlet-type boundary conditions for the electrochemical potential, predict values of the conductivity very close to their corresponding numerical results for the same boundary conditions, whatever the suspension or solution parameters, under the assumption of thin double layers where these approximations are valid. Furthermore, both analytical conductivity equations fulfill the Maxwell limit for uncharged nonconductive spheres, which coincides with the limit kappaa --> infinity. However, some experimental data will show that the Neumann, either numerical or analytical, approach is unable to make predictions in agreement with experiments, unlike the Dirichlet approach which correctly predicts the experimental conductivity results. In consequence, a deeper study has been performed with numerical and analytical predictions based on Dirichlet-type boundary conditions.

Journal Article↗

PubMed2006

Colloidal stability of magnetite/poly(lactic acid) core/shell nanoparticles.

In this work, we describe an experimental investigation on the colloidal stability of suspensions of three kinds of particles, including magnetite, poly(lactic acid) (PLA), and composite core/shell colloids formed by a magnetite core surrounded by a PLA shell. The experiments were performed with dilute suspensions, so that recording the optical absorbance with time gives a suitable indication of the aggregation and sedimentation of the suspensions. The method allowed us to distinguish very accurately between the different surface and magnetic forces responsible for the structures acquired by particle aggregates. Thus, the pure PLA suspensions are very sensitive to ionic strength and almost unaffected by pH changes. On the contrary, the stability of magnetite systems is mainly controlled by pH. The effect of vertical magnetic fields on the stability of magnetite and magnetite/PLA suspensions is also investigated. The PLA shell reduces the magnetic responsiveness of magnetite, but it is demonstrated that the mixed particles can also form structures induced by the field, despite their lower magnetization, and they can be considered in magnetically targeted biomedical applications.

Journal Article↗

PubMed2005

Surface thermodynamic properties of polyelectrolyte multilayers.

Multilayer architectures of polyelectrolytes fabricated by the layer-by-layer technique (LbL) on pretreated polymeric and inorganic substrates were studied by contact angle measurements. Poly(diallyldimethylammonium chloride), PDADMAC, and poly(sodium 4-styrenesulfonate), PSS, were used as polyelectrolytes. Contact angle data were used to calculate the van der Waals and Lewis acid-base components of the surface tension of the investigated surfaces. Knowledge of these quantities provides valuable information on surface composition, coating density, and possible interactions of the surface with other substances. Unusual wetting behavior of PDADMAC layers upon prewetting of the multilayer surfaces was found and described in terms of surface tension changes. A model of polymer chain rearrangement upon wetting was proposed to explain this behavior.

Journal Article↗

PubMed2005

Independent contributions of hypothermia and acidosis to coagulopathy in swine.

BACKGROUND: Clinical coagulopathy occurs frequently in the presence of acidosis and hypothermia. The purpose of this study was to determine the relative contributions of acidosis and hypothermia to coagulopathy, as measured by current standard bedside and clinical laboratory analyses (i.e., bleeding time and prothrombin time). In addition, we investigated possible mechanisms of these effects using a modified prothrombin time test, thromboelastography, and thrombin kinetics analyses. An improved understanding of coagulopathy should facilitate hemorrhage control. METHODS: Twenty-four pigs were randomly allocated into normal (pH, 7.4; 39 degrees C), acidotic (pH, 7.1; 39 degrees C), hypothermic (pH, 7.4; 32 degrees C), and acidotic and hypothermic (pH, 7.1; 32 degrees C) combined groups. Acidosis was induced by the infusion of 0.2N hydrochloric acid in lactated Ringer's solution. Hypothermia was induced by using a blanket with circulating water at 4 degrees C. Development of a clinical coagulopathy was defined as a significant increase in splenic bleeding time. Measurements were compared before (pre) and 10 minutes after (post) the target condition was achieved. RESULTS: Acidosis, hypothermia, or both caused the development of coagulopathy, as indicated by 47%, 57%, and 72% increases in splenic bleeding time (p < 0.05, pre vs. post). Plasma fibrinogen concentration was decreased by 18% and 17% in the acidotic and combined groups, respectively, but not in the hypothermic group. Hypothermia caused a delay in the onset of thrombin generation, whereas acidosis primarily caused a decrease in thrombin generation rates. At 4 minutes' quench time, thrombin generation in the acidotic, hypothermic, and combined groups were 47.0%, 12.5%, and 5.7%, respectively, of the value in the control group. There were no changes in serum tumor necrosis factor-alpha and interleukin-6 in any group during the study. CONCLUSION: Acidosis and hypothermia cause a clinical coagulopathy with different thrombin generation kinetics. These results confirm the need to prevent or correct hypothermia and acidosis and indicate the need for improved techniques to monitor coagulopathy in the trauma population.

Acidosis↗

PubMed2005

Effects of increasing doses of activated recombinant factor VII on haemostatic parameters in swine.

This study examined dose-response relationships between activated recombinant factor VII (rFVIIa) and (1) in vivo haemostasis and (2) in vitro measures of coagulation and platelet function. Anesthetized swine were used. Ear bleeding time (BT) was measured and blood was sampled following increasing doses of rFVIIa (0, 90, 180, 360 and 720 microg/kg; n=6) or saline (n=6). BT was not altered by rFVIIa. Prothrombin time (PT) using standard or pig-specific methods was decreased by rFVIIa. Activated clotting time (ACT) was decreased by rFVIIa. Thromboelastography using collagen (COLL) or pig thromboplastin (p-ThP) as agonist demonstrated shorter reaction times, shortened time to reach maximum velocity of clot formation, and increased alpha-angle in the presence of rFVIIa. rFVIIa dosing increased maximum velocity of clot formation when p-ThP was used to initiate the reaction but not when COLL was used. rFVIIa at the highest concentration increased maximum amplitude when COLL was used to initiate the reaction. Platelet aggregation was not altered by rFVIIa. Following completion of the dose escalation phase, a severe liver injury was produced. rFVIIa altered neither blood loss nor survival time following injury but improved mean arterial pressure. A small increase in systemic thrombin-antithrombin III complex occurred after administration of rFVIIa at doses of 180 microg/kg and above. However, there was no histological evidence of intravascular coagulation after rFVIIa administration. In summary, rFVIIa activity was detectable in vitro but did not change haemostasis in normal swine.

Animals↗

PubMed2005

Exogenous administration of Substance P enhances wound healing in a novel skin-injury model.

Soft tissue injury accounts for approximately 44% of all wounds in both the military and civilian populations. Following injury to soft tissue, Substance P (SP) and other neuropeptides are released by cutaneous neurons and modulate the function of immunocompetent and inflammatory cells, as well as epithelial and endothelial cells. The interaction between these components of the nervous system and multiple target cells affecting cutaneous repair is of increasing interest. In this report, we describe the effects of SP on wound repair in a novel, laser-induced, skin-wound model. Gross and histologic examination of laser-induced injury revealed that exogenously administered SP affects wound healing via neurite outgrowth, in addition to adhesion molecule and neurokinin-1 receptor involvement in vivo. All SP effects were decreased by pretreatment with Spantide II, an SP antagonist. The elucidation of SP-mediating mechanisms is crucial to firmly establishing the involvement and interaction of the peripheral nervous system and the immune system in cutaneous repair. Findings presented here suggest that SP participates in the complex network of mediators involved in cutaneous inflammation and wound healing.

Animals↗

PubMed2004

Structural design of the dry fibrin sealant dressing and its impact on the hemostatic efficacy of the product.

We compared the hemostatic efficacy of a production version of a dry fibrin sealant dressing (DFSD) to a prototype that was previously successful in large animal studies. The results were used to improve manufacturing processes. Grade-V liver injuries were induced in swine and treated with gauze sponges (GAU), the prototype dressings (DFSD-1), or the scaled-up production version dressings (DFSD-2 in experiment 1 and DFSD-3 in experiment 2). Blood loss, hemostasis, resuscitation volume, and 60-min survival were quantified. In experiment 1, the DFSD-1 treatment reduced blood loss (p < 0.01), increased hemostasis at 4 min (p < 0.05), and improved survival (p < 0.05) compared with GAU. The DFSHD-2 decreased blood loss (p < 0.05) but did not increase hemostasis or survival significantly. Based on these results, manufacturing processes were altered, producing DFSD-3. In experiment 2, the DFSD-1 and DFSD-3 were equally effective in reducing blood loss (p < 0.01) and resuscitation volume (p < 0.05) compared with GAU. Hemostasis occurred more frequently in both the DFSD-1 and DFSD-3 groups (p < 0.01) compared with GAU. The structural design of DFSD-2 did not meet the efficacy requirement for release of the product. The subsequent change incorporated in DFSD-3 improved all hemostatic parameters of the dressings equal to those of the prototype product.

Animals↗

PubMed2004

Application of a granular mineral-based hemostatic agent (QuikClot) to reduce blood loss after grade V liver injury in swine.

BACKGROUND: Uncontrolled hemorrhage is a leading cause of death in cases of trauma. Many products currently are under development to control traumatic bleeding. One such Food and Drug Administration (FDA)-approved product is QuikClot. This study determined the efficacy of QuikClot, a hemostatic agent, in reducing blood loss and mortality in a standardized model of severe liver injury as well as the consequences of its use. METHODS: Swine received either QuikClot or gauze treatment after induction of grade V liver injuries. Hemostasis, blood loss, resuscitation volume, 60-minute survival, and peak tissue temperatures were measured. RESULTS: Hemostasis was improved with QuikClot (p < 0.05), and resuscitation volume was consequently reduced (p < 0.05). Posttreatment blood loss was reduced (p < 0.01) with QuikClot (1,397 mL), as compared with gauze (5,338 mL). The survival rate was seven of eight in the QuikClot group and one of eight in the gauze group (p < 0.01). Peak temperature at the tissue interface was increased (p < 0.01) with QuikClot (93.3 +/- 10.5 degrees C), as compared with gauze (37.5 +/- 6.5 degrees C). QuikClot use was associated with both macro- and microscopic tissue damage caused by the exothermic reaction. CONCLUSION: QuikClot provides hemostasis and decreased mortality in this model of severe liver injury. The beneficial aspects of QuikClot treatment must, however, be balanced against the tissue-damaging effects of the exothermic reaction.

Animals↗

PubMed2003

Antibodies against human cell receptors, CD36, CD41a, and CD62P crossreact with porcine platelets.

BACKGROUND: A limitation in platelet study has been the availability of platelet function-specific membrane receptor antibodies for use in the various animal species that are currently used in the study of hemostasis and other phenomena. METHODS: Platelets were isolated from human and porcine blood. Resting and activated platelets were incubated with antibodies against the human cell surface receptors CD36 (clone CB38), CD41a (clone HIP8), CD62P (clone AK4), and CD63 (clone H5C6). Antibody titration and ligand blocking studies also were performed. RESULTS: Binding of anti-CD41a and anti-CD62P were similar for human and porcine platelets in percentage of platelets labeled and in number of receptors per cell. Binding of anti-CD36 was similar between species, with fewer receptors present in porcine cells. Anti-CD63 and anti-CD107a did not bind specifically to porcine platelets. CONCLUSION: The anti-CD36, anti-CD41a, and anti-CD62P antibodies studied crossreact with porcine platelets and will be useful in the investigation of platelet function in porcine models.

Animals↗

PubMed2003

Production of tumor necrosis factor-alpha, interleukin 1-beta, interleukin 2, and interleukin 6 by rat leukocyte subpopulations after exposure to substance P.

The interaction between components of the nervous system and multiple target cells in the cutaneous immune system has been receiving increasing attention. Recently, the involvement of neuropeptides has been demonstrated to play an important role in the inflammatory cascade. Neuropeptides such as Substance P are released by cutaneous neurons and modulate the function of immunocompetent and inflammatory cells as well as epithelial and endothelial cells. Substance P has been shown to function as a mediator for cell proliferation, cytokine production, and as an upregulator of various cell surface receptors. In this study, we show the effect of Substance P on the production of Tumor Necrosis Factor-alpha, Interleukin 1-beta, Interleukin 2, and Interleukin 6 by T-lymphocytes, macrophages and neutrophils. These data demonstrate that pathophysiological levels of Substance P induce production of cytokines in all three cell populations tested. Interestingly, T-cells demonstrated the highest percentage of cells expressing all four cytokines. In contrast, macrophages and neutrophils produced the highest absolute levels of cytokines. The elucidation of mediating mechanisms of Substance P activation of leukocytes is crucial to the understanding of the cutaneous inflammatory cascade and involvement of the peripheral nervous system on the immune system. These findings suggest that Substance P participates in the complex network of mediators that regulate cutaneous inflammation and potentially the rate of wound healing.

Animals↗