Propagation of cutaneous thermal injury: A mathematical model.

Cutaneous burn wounds represent a significant public health problem with 500,000 patients per year in the USA seeking medical attention. Immediately after skin burn injury, the volume of the wound burn expands due to a cascade of chemical reactions, including lipid peroxidation chain reactions. Such...

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Publicado en:Wound Repair & Regeneration Vol. 20; no. 1; pp. 114 - 123
Autores principales: Xue, Chuan, Chou, Ching-Shan, Kao, Chiu-Yen, Sen, Chandan K., Friedman, Avner
Formato: pictorial research tables/charts Journal Article
Publicado: Wiley-Blackwell Jan/Feb2012
Acceso en línea:Ver este registro en EBSCOhost
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        10.1111/j.1524-475X.2011.00759.x
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        atl: Propagation of cutaneous thermal injury: A mathematical model.
      aug:
        au:
          Xue, Chuan
          Chou, Ching-Shan
          Kao, Chiu-Yen
          Sen, Chandan K.
          Friedman, Avner
        affil: wrr759-aff-0001; wrr759-aff-0002
      sug:
        subj:
          Models, Theoretical
          Burns Physiopathology
          Skin
          In Vitro Studies
          Funding Source
          Vitamin E Pharmacokinetics
          Computer Simulation
      ab: Cutaneous burn wounds represent a significant public health problem with 500,000 patients per year in the USA seeking medical attention. Immediately after skin burn injury, the volume of the wound burn expands due to a cascade of chemical reactions, including lipid peroxidation chain reactions. Such expansion threatens life and is therefore highly clinically significant. Based on these chemical reactions, the present paper develops for the first time a three-dimensional mathematical model to quantify the propagation of tissue damage within 12 hours post initial burn. We use the model to investigate the effect of supplemental antioxidant vitamin E for intercepting propagation. We show, for example, that if tissue levels of vitamin E tocotrienol are increased, postburn, by five times then this would slow down the lipid peroxide propagation by at least 50%. We chose the alpha-tocotrienol form of vitamin E as it is a potent inhibitor of 12-lipoxygenase, which is known to propagate oxidative lipid damage. Our model is formulated in terms of differential equations, and sensitivity analysis is performed on the parameters to ensure the robustness of the results.
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        research
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    language: English
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