No description available.

Master of Science (Dentistry) / Dimensional stability was defined by Nicholls (1977) as “the ability (of a material) to maintain accuracy over time”, and the result of loss of accuracy, “distortion”, as “the relative movement of a single point, or group of points, away from some originally specified reference position such that permanent deformation is apparent”. Maintaining dimensional stability of dental impression materials is vital if the impression cannot be cast (in stone) soon after removal from the mouth. Dental irreversible hydrocolloid (alginate) is a major dental impression material used worldwide in many clinical procedures. However, alginate is dimensionally unstable and changes its dimensions (suffers “distortion”) after removal from the mouth. With storage times of more than ten minutes, alginate begins to distort, and after one to three hours (depending on the product and storage conditions) cannot be used for many clinical purposes, especially fixed prosthodontics such as crowns and bridges (Hampson 1955, Skinner & Hoblit 1956, Wilson & Smith 1963, Rudd et al. 1969, Miller 1975, Inohara 1977, Schoen et al. 1978, Coleman et al. 1979, Linke et al. 1985, Habu et al. 1986, Peutfeldt & Asmussen 1989, Mathilde & Peters 1992, Khan & Aziz Sahu 1995, Eriksson et al. 1998, Schleier et al. 2001, and Donovan & Chee 2004). This loss of accuracy, due to dimensional instability, manifests as a time-dependent distortion of the poured stone cast, and thus any prosthesis fabricated will not fit in the mouth. With the introduction of the more stable elastomers in the 1950s (Stackhouse 1970, Glenner 1997, Brown 2003) that could be stored for days if necessary, without loss of accuracy, the alginates fell out of favour for fixed prosthodontics. Recently, there has been a resurgence of interest in alginate for use in dental procedures where dimensional stability is critical (Peutzfeldt and Asmussen 1989, Eriksson et al. 1998). This in part is due to the favourable properties of alginate not found in the elastomers. Of greatest significance is that alginate hydrocolloid is hydrophilic, whereas elastomers are hydrophobic (Phillips & Ito 1958, Glenner 2004). Thus, alginate materials are able to reproduce wet oral areas with greater precision and to produce a superior "fit" of, say, a gold casting produced by the Lost Wax technique (Skinner and Phillips 1982). A number of reports have been published which investigate newer alginate materials that are claimed to be more dimensionally stable than older formulations. Puetzfeldt and Asmussen (1989) found that a newer alginate , if stored at 100% relative humidity, retained accuracy over 24 hours that was equivalent to that of the elastomers. More recently, the manufacturer of another alginate has claimed equivalent dimensional stability to the elastomers for up to 100 hours, and, whilst this claim has not been reported on in the literature, the present thesis will show that, under favourable conditions of storage, the material maintained clinically useful accuracy for up to 100 hours. Another approach to improving the accuracy of alginate impressions has been to combine reversible hydrocolloid with alginate (the “Bilaminar” technique). Frederick and Caputo (1997) confirmed that the new agar reversible hydrocolloids are just as accurate (at the time of removal from the mouth) as the new elastomers. Mathilde et al. (1992) and Eriksson et al. (1998) have shown that several of the “bilaminar” impression techniques for fixed prosthodontics, where alginate is used as a tray material supporting a reversible hydrocolloid (agar) wash, are as accurate and dimensionally stable as elastomers for up to three hours. However, these studies are difficult to interpret due to lack of uniformity in the testing methods, and the fact that there is no regulatory standard available to measure dimensional stability for dental alginates. The International Standard (IS) for alginate impression materials (ISO 1563:1990E) contains no specification for dimensional stability, and thus places no requirement for manufacturers to state dimensional stability properties on their labels. In contrast, ISO 4823:1992(E) specifies the IS for elastomeric dental impression materials, and it does specify a requirement for dimensional stability (less than 1.5% distortion after 24 hours). Further, the IS sets a method for determination of dimensional stability. Briefly, this method (the Optical Method) uses a travelling optical microscope to measure the accuracy of the distance between score lines on an impression of a test grid, at various time periods. The American Dental Association Specification No. 19 for dental elastomeric impression materials is identical to the IS. There is currently no specific Australian Standard (AS) for the dimensional stability of any dental impression material. Overview of Experimental Methods A. The Optical Method The aim of Part A of this investigation was to: 1. Adapt the Optical Method of the IS for elastomers to be reproducible for dental alginates. This was achieved by using a perforated test tray (to simulate clinical conditions), and measuring the grid pattern on a dental stone button after casting the test impression, rather than direct measurement of the impression, as for the IS. 2. To measure and rank the dimensional stability of a number of locally available dental alginates. Measurements of the test stone buttons proved reproducible, and the results were different for each sample, allowing them to be ranked according to dimensional stability after 50 and 100 hours of storage. The results show that the traditional optical method for measuring dimensional stability, as specified in the IS for dental elastomers, can be adapted to measure the dimensional stability of dental alginates However, the Optical Method of measuring dimensional stability of dental alginates is cumbersome and time-consuming. It was hypothesised that dimensional stability of dental alginates could be measured more conveniently by finding a thermal property that is directly proportional to dimensional stability. This method could be useful for the rapid determination of relative performance, and allow comparison with a determined benchmark. B. The Thermal Method Recently, modern methods of Thermal Analysis, Thermal Gravimetric Analysis (TGA) and Differential Scanning Calorimetry (DSC) have been used to rapidly age various polymers, including food alginates (Chinachoti 1996), in order to measure thermal stability. This thesis shows that thermal stability is an indicator of dimensional stability. The aim of Part B of this investigation was therefore to adapt thermal analysis techniques to dental alginates, and develop a method to measure their thermal stability. These results were then compared with those for dimensional stability measured by the Optical Method to determine the relationship between thermal and dimensional stability for dental alginates. The results show that current thermal analysis methods of TGA and DSC can be adapted to measure relative dental alginate dimensional stability, and are both rapid and convenient. This study also provides evidence that commercial products differ as regards the property of dimensional stability, and can be ranked accordingly. C. Practical Application of the Methods The aim of part C of this thesis was to validate the methods (both optical and thermal) developed in this study by using them to investigate the effect of varying the water/powder ratio on the dimensional stability of dental alginates. It was shown that dimensional stability is affected by changes to the recommended water/powder ratio, that both the methods detected and measured the changes, and that the results were proportional, in that any percentage change detected by the optical method, was mirrored by the thermal method, confirming that the more convenient thermal methods can be used to measure dimensional stability.

The effects of a simulated in vitro digestion model on the viscosity of solutions of locust bean gum, guar gum, fenugreek gum, xanthan gum, gum Arabic, psyllium, flaxseed gum and soy soluble polysaccharides (SSPS) were examined in this study. All hydrocolloid solutions were formulated for low viscosity (LV), medium viscosity (MV) and high viscosity (HV), which were subsequently subjected to 3 treatments of equal volumes each. The treatments consisted of 1) H2O-dilutions, 2) acid and alkali in the absence of enzymes/bile and 3) an in vitro digestion model simulating the gastric and duodenal phases with pH changes in the presence of hydrolytic enzymes and bile salts. All hydrocolloids showed substantial reductions in viscosity, with dilutions exerting the greatest effect. Depending on the concentration, xanthan gum retained 20-50% of its initial viscosity while the other solutions were in a lower range of 1-16%, thereby showing considerable resilience to the 3 simulated conditions. / NSERC

Master of Science (Dentistry) / Dimensional stability was defined by Nicholls (1977) as “the ability (of a material) to maintain accuracy over time”, and the result of loss of accuracy, “distortion”, as “the relative movement of a single point, or group of points, away from some originally specified reference position such that permanent deformation is apparent”. Maintaining dimensional stability of dental impression materials is vital if the impression cannot be cast (in stone) soon after removal from the mouth. Dental irreversible hydrocolloid (alginate) is a major dental impression material used worldwide in many clinical procedures. However, alginate is dimensionally unstable and changes its dimensions (suffers “distortion”) after removal from the mouth. With storage times of more than ten minutes, alginate begins to distort, and after one to three hours (depending on the product and storage conditions) cannot be used for many clinical purposes, especially fixed prosthodontics such as crowns and bridges (Hampson 1955, Skinner & Hoblit 1956, Wilson & Smith 1963, Rudd et al. 1969, Miller 1975, Inohara 1977, Schoen et al. 1978, Coleman et al. 1979, Linke et al. 1985, Habu et al. 1986, Peutfeldt & Asmussen 1989, Mathilde & Peters 1992, Khan & Aziz Sahu 1995, Eriksson et al. 1998, Schleier et al. 2001, and Donovan & Chee 2004). This loss of accuracy, due to dimensional instability, manifests as a time-dependent distortion of the poured stone cast, and thus any prosthesis fabricated will not fit in the mouth. With the introduction of the more stable elastomers in the 1950s (Stackhouse 1970, Glenner 1997, Brown 2003) that could be stored for days if necessary, without loss of accuracy, the alginates fell out of favour for fixed prosthodontics. Recently, there has been a resurgence of interest in alginate for use in dental procedures where dimensional stability is critical (Peutzfeldt and Asmussen 1989, Eriksson et al. 1998). This in part is due to the favourable properties of alginate not found in the elastomers. Of greatest significance is that alginate hydrocolloid is hydrophilic, whereas elastomers are hydrophobic (Phillips & Ito 1958, Glenner 2004). Thus, alginate materials are able to reproduce wet oral areas with greater precision and to produce a superior "fit" of, say, a gold casting produced by the Lost Wax technique (Skinner and Phillips 1982). A number of reports have been published which investigate newer alginate materials that are claimed to be more dimensionally stable than older formulations. Puetzfeldt and Asmussen (1989) found that a newer alginate , if stored at 100% relative humidity, retained accuracy over 24 hours that was equivalent to that of the elastomers. More recently, the manufacturer of another alginate has claimed equivalent dimensional stability to the elastomers for up to 100 hours, and, whilst this claim has not been reported on in the literature, the present thesis will show that, under favourable conditions of storage, the material maintained clinically useful accuracy for up to 100 hours. Another approach to improving the accuracy of alginate impressions has been to combine reversible hydrocolloid with alginate (the “Bilaminar” technique). Frederick and Caputo (1997) confirmed that the new agar reversible hydrocolloids are just as accurate (at the time of removal from the mouth) as the new elastomers. Mathilde et al. (1992) and Eriksson et al. (1998) have shown that several of the “bilaminar” impression techniques for fixed prosthodontics, where alginate is used as a tray material supporting a reversible hydrocolloid (agar) wash, are as accurate and dimensionally stable as elastomers for up to three hours. However, these studies are difficult to interpret due to lack of uniformity in the testing methods, and the fact that there is no regulatory standard available to measure dimensional stability for dental alginates. The International Standard (IS) for alginate impression materials (ISO 1563:1990E) contains no specification for dimensional stability, and thus places no requirement for manufacturers to state dimensional stability properties on their labels. In contrast, ISO 4823:1992(E) specifies the IS for elastomeric dental impression materials, and it does specify a requirement for dimensional stability (less than 1.5% distortion after 24 hours). Further, the IS sets a method for determination of dimensional stability. Briefly, this method (the Optical Method) uses a travelling optical microscope to measure the accuracy of the distance between score lines on an impression of a test grid, at various time periods. The American Dental Association Specification No. 19 for dental elastomeric impression materials is identical to the IS. There is currently no specific Australian Standard (AS) for the dimensional stability of any dental impression material. Overview of Experimental Methods A. The Optical Method The aim of Part A of this investigation was to: 1. Adapt the Optical Method of the IS for elastomers to be reproducible for dental alginates. This was achieved by using a perforated test tray (to simulate clinical conditions), and measuring the grid pattern on a dental stone button after casting the test impression, rather than direct measurement of the impression, as for the IS. 2. To measure and rank the dimensional stability of a number of locally available dental alginates. Measurements of the test stone buttons proved reproducible, and the results were different for each sample, allowing them to be ranked according to dimensional stability after 50 and 100 hours of storage. The results show that the traditional optical method for measuring dimensional stability, as specified in the IS for dental elastomers, can be adapted to measure the dimensional stability of dental alginates However, the Optical Method of measuring dimensional stability of dental alginates is cumbersome and time-consuming. It was hypothesised that dimensional stability of dental alginates could be measured more conveniently by finding a thermal property that is directly proportional to dimensional stability. This method could be useful for the rapid determination of relative performance, and allow comparison with a determined benchmark. B. The Thermal Method Recently, modern methods of Thermal Analysis, Thermal Gravimetric Analysis (TGA) and Differential Scanning Calorimetry (DSC) have been used to rapidly age various polymers, including food alginates (Chinachoti 1996), in order to measure thermal stability. This thesis shows that thermal stability is an indicator of dimensional stability. The aim of Part B of this investigation was therefore to adapt thermal analysis techniques to dental alginates, and develop a method to measure their thermal stability. These results were then compared with those for dimensional stability measured by the Optical Method to determine the relationship between thermal and dimensional stability for dental alginates. The results show that current thermal analysis methods of TGA and DSC can be adapted to measure relative dental alginate dimensional stability, and are both rapid and convenient. This study also provides evidence that commercial products differ as regards the property of dimensional stability, and can be ranked accordingly. C. Practical Application of the Methods The aim of part C of this thesis was to validate the methods (both optical and thermal) developed in this study by using them to investigate the effect of varying the water/powder ratio on the dimensional stability of dental alginates. It was shown that dimensional stability is affected by changes to the recommended water/powder ratio, that both the methods detected and measured the changes, and that the results were proportional, in that any percentage change detected by the optical method, was mirrored by the thermal method, confirming that the more convenient thermal methods can be used to measure dimensional stability.

Master of Science / Department of Grain Science and Industry / Rebecca A. Regan / Sorghum is unique in terms of its resistance to drought and heat and is grown and consumed around the globe. Moreover, sorghum does not contain gluten and has potential in the gluten-free market. A blend of non-wheat flour, starch and hydrocolloid typically provide the structure of gluten-free products. Most research on sorghum bread uses a yeast leavened process, HPMC gum, rice flour and corn, potato, or tapioca starch. Little is known about the functionality or interactions of different starches and hydrocolloids in sorghum batter. The objectives of this study were to examine starch-hydrocolloid interaction in chemically leavened gluten free sorghum bread; to evaluate the effects of different ingredients on gluten free bread quality made with sorghum flour: starch (tapioca starch, rice flour and potato starch): hydrocolloid (HPMC, locust bean gum and xanthan) and to develop a chemically leavened gluten free sorghum bread method. Bread was baked as pup loaves. Volume index was measured using the AACCI Method 10-91.01 template, crumb grain was evaluated using the C-Cell Imaging System and texture was determined with the TA.XT Plus Texture Analyzer. The base formula was commercial sorghum flour, water, starch, hydrocolloid, sugar, salt, shortening and double acting baking powder. Sorghum flour: starch (tapioca starch, rice flour and potato starch) ratios of 70:30, 80:20 and 90:10 were tested. Loaves containing all levels of rice flour had the same volume index (~165) as 100% sorghum flour (168) while all levels of tapioca starch and potato starch produced significantly smaller loaves (~150). The ratio of 90% sorghum flour and 10% starch (tapioca starch, rice flour and potato starch) was selected. The type and level of hydrocolloid significantly impacted loaf volume, grain and texture. Starch-hydrocolloid combinations which produced the best loaves were tapioca starch + 3% HPMC, rice flour + 3% xanthan and potato starch + 4% xanthan. Following initial optimization experiment, egg ingredients, fat, baking powder and water were added and evaluated individually to develop an optimized formulation. In general, addition of egg ingredients, shortening and oil did not improve the overall quality of sorghum based bread and were not added to the formula. However, emulsified shortening was effective. The best level of emulsified shortening was determined to be 3% for the breads with sorghum flour: tapioca starch or sorghum flour: potato starch and 5% for bread made with sorghum flour: rice flour. The best baking powder (SALP and MCP) levels were 5, 8 and 5% for sorghum flour: tapioca starch bread, sorghum flour: rice flour bread and sorghum flour: potato starch bread, respectively. Optimum levels of water for sorghum flour: tapioca starch bread, sorghum flour: rice flour bread, and sorghum flour: potato starch bread were 120, 110 and 120%, respectively. This research showed that different starch sources have different interactions with other ingredients in chemically leavened sorghum based gluten free bread.

No description available.

Wound healing, as a normal biological process in the human body, is achieved through four precise and highly programmed phases: hemostasis, inflammation, proliferation, and remodeling. For a wound to heal successfully, all four phases must occur in the proper sequence and time frame. However, many factors can interfere with one or more of these phases, thus causing improper or impaired wound healing. Maintaining a moist wound environment is crucial in facilitating the wound-healing process. The beneficial effects of a moist versus a dry wound environment include re-epithelization, tissue granulation, and repair. The use of hydrocolloid occlusive dressings in maintaining a moist wound environment has proven to be a useful adjunct in facilitating wound healing. Although hydrocolloid dressings have been widely used clinically in wound management, bacterial resistance, poor solubility and sustained drug release remain to be a problem for many of the drugs used in wound therapy. In chronic wound management, where patients normally undergo long treatments and frequent dressing changes, a system that delivers drugs into a wound site in a controlled fashion can improve patient compliance and therapeutic outcomes. Liposomes are small phospholipid vesicles that have been widely investigated as drug carriers for the delivery of therapeutic agents. They are spherical lipid vesicles consisting of phospholipid bilayers that improve the efficacy of the drugs by fusing with biological membranes, and eventually releasing their entrapped content into the cells or bacteria. The aim of this study therefore, is to develop a new bacitracin-based controlled release hydrocolloid dressing, with good absorptive properties for improving the efficacy of antibiotics in wound healing. HPLC (high-pressure liquid chromatography) assay of bacitracin was performed for quantification of the drug. Liposomes were prepared using thin film hydration and extrusion methods. Liposomes were also characterized based on their ideal particle size and encapsulation efficiency, and then incorporated into the different ratios of chitosan/gelatin hydrocolloid films. The films were prepared with increase in gelatin concentration and were evaluated for folding endurance, tensile strength, water absorption capacity, morphology, drug release kinetics, antimicrobial activity and stability. The morphology of these films was found to be very smooth and homogeneous proving a good compatibility between the two polymers. With increase in gelatin concentration, folding endurance, water absorption capacity, tensile strength, drug release kinetics and antimicrobial activity were increased. The antibacterial activity against various bacterial species was improved in the bacitracin loaded hydrocolloid films as compared to the blank films. Based on the findings above, it can be concluded that chitosan/gelatin films at 1:3 proportion is a successful wound dressing for wound management with improved wound healing properties than other formulations. This formulation is a potential candidate for the development of alternative pharmaceutical dosage forms, for the treatment of bacterial infected wounds, based on the activity of the eco-friendly chitosan matrix added to the bacitracin activity. In this work, chitosan also demonstrated a great potential as a dressing for advanced wound therapy and confirmed its good biocompatibility and potential to provide, in combination with liposomes, sustained drug release which is highly beneficial for wound treatment. The addition of gelatin improved the water affinity of the films and facilitated water mediated cross-linking process.

Orientador: Flávio Luís Schmidt / Tese (doutorado) - Universidade Estadual de Campinas, Faculdade de Engenharia de Alimentos / Made available in DSpace on 2018-08-24T10:12:33Z (GMT). No. of bitstreams: 1 Perfeito_DanielleGodinhodeAraujo_D.pdf: 1622327 bytes, checksum: 3fb2b449646859b932fb4bf85d9b296e (MD5) Previous issue date: 2014 / Resumo: O mercado de sucos prontos para beber é recente no Brasil, está em constante ascensão e nossos consumidores ainda encontram limitação nos sabores disponíveis nos supermercados. A mangaba é um fruto do Cerrado com características sensoriais promissoras, porém, ainda com consumo pouco difundido. Este trabalho teve por objetivos estudar características físicas e químicas dos frutos in natura; avaliar o processamento do fruto na forma de polpa, néctar e de uma bebida fantasia adicionada de esferas com polpa de mangaba; e estudar a viabilidade econômica de uma unidade processadora de frutos do Cerrado. Os frutos foram obtidos das regiões sudeste e norte do Estado de Goiás. Quatro formulações de néctares, com variação do conteúdo de açúcar (12 e 14oBrix) e uso de hidrocolóide (0 e 0,01% p/p de goma gelana) foram elaboradas e submetidas a teste de aceitação em dois diferentes potenciais mercados consumidores: Campinas ¿ SP e Urutaí ¿ GO. Como uma metodologia diferenciada da apresentação de bebidas, a polpa de mangaba foi gelificada na forma de esferas e incorporada em uma bebida fantasia elaborada com água, açúcar, goma gelana, citrato de sódio, lactato de cálcio e benzoato de sódio, a qual também foi submetida a teste de aceitação. Os extratos brutos dos frutos, polpa e néctar de mangaba foram avaliados quanto à capacidade antioxidante in vitro através dos métodos 2,2 diphenil-1-picrylhydrazil (DPPH); trolox equivalent antioxidant capacity (TEAC) e oxygen radical absorbance capacity (ORAC). As mangabas apresentaram grandes oscilações de formato, tamanho e massa, sendo a textura e o teor de sólidos solúveis os principais parâmetros indicativos de maturação. O rendimento em polpa de 77% é interessante para a agroindústria, porém, o despolpamento reduziu o conteúdo de ácido ascórbico em 64%. O tratamento térmico da bebida aumentou o volume de sedimento, porém, obteve-se uma excelente estabilização com 0,01% de goma gelana. As quatro formulações de néctares não diferiram significativamente (p>0,05) para os atributos avaliados em ambos os mercados consumidores testados. A bebida com esferas de polpa de mangaba teve boas médias de aceitação assim como intenção de compra positiva. O estudo da viabilidade econômica da unidade produtora de néctares mostra taxas internas de retorno, de 39,54% e 83,02% sem e com financiamento respectivamente, superiores às taxas de juros vigentes para implantação de projetos agroindustriais, sendo o payback do projeto com financiamento mais atrativo (2,4 ano) / Abstract: The ready to drink juice market is new in Brazil and it is still growing, even juice flavors in the supermarket being limited. Mangaba is a fruit from Cerrado with promising sensory characteristics, but still not widespread among consumers. This work aimed to study some characteristics of fresh fruits, methodologies for the processing of pulp, nectar and pulp based ready to drink beverage, and to evaluate the economic feasibility of a fruit processing unit. Fruits were purchased from the north and southeastern State of Goiás. Four formulations, varying sugar content (12 e 14oBrix) and hydrocolloid (0 e 0,01% p/p de gellan gum) were prepared and subjected to acceptance test in two potential consumer markets, Campinas - SP and Urutaí ¿ GO. As a different approach to the production of beverages, mangaba pulp was gelled in the form of spheres and incorporated into a pulp based ready to drink beverage prepared with water, sugar, gellan gum, sodium citrate, calcium lactate and sodium benzoate, which was also subjected to an acceptance test. Crude extracts of fruits, pulp and nectar were evaluated for antioxidant capacity in vitro by the methods 2,2 diphenil-1-picrylhydrazil (DPPH), trolox equivalent antioxidant capacity (TEAC) and oxygen radical absorbance capacity (ORAC). Mangaba showed large fluctuations in shape, size and mass, and the main parameters indicative of maturation were texture and soluble solids. The high pulp yield (77 %) is interesting for agribusiness, however, the pulping process reduced 64% of the ascorbic acid content. Mangaba nectar had good physical stability and when it was exposed to heat treatment the volume of sediment increased, however, an excellent stabilization was obtained adding 0.01% gellan gum. Formulations of nectars did not differ significantly for the attributes evaluated in both consumer markets. The pulp based ready to drink beverage had good acceptance as well as positive purchase intention. The study of the economic feasibility of a fruit processing plant showed internal rate of return of 39.54 % and 83.02 %, respectively for projects with and without funding, and an attractive pay back of 2,4 years with funding / Doutorado / Tecnologia de Alimentos / Doutora em Tecnologia de Alimentos

Syftet med denna systematiska litteraturstudie var att ta reda på vilka mätinstrument som används för att identifiera patienter med risk att utveckla trycksår samt beskriva vilka omvårdnadsåtgärder som har betydelse för trycksårsprevention och sårläkning. De vetenskapliga artiklarna (n=16) som ingick i denna studie söktes i databasen Elin@dalarna. Sökorden som användes var pressure ulcer i olika kombinationer med nutrition, activity, skin, Norton, treatment och hydrocolloid. Inklusionskriterierna var att artiklarna skulle vara publicerade mellan åren 1999-2006 och vara i fulltext samt svensk och/eller engelskspråkig. Resultatet visade att patienter borde riskbedömas för trycksår så snart som möjligt efter att de anlänt till vårdinrättningen. Bedömningen kunde göras med ett flertal olika evidensbaserade mätinstrument såsom Norton, modifierad Norton, Braden, modifierad Braden, och RAPS skalorna samt bedömning av BMI, serum albuminvärde och hudtemperatur. Sjuksköterskans omvårdnadsåtgärder gällande prevention och sårläkning var att snabbt mobilisera patienter. Hos immobiliserade patienter var det viktigt att dessa vändes varannan timme samt att sjuksköterskan använde kuddar, fårskinn eller anti- decubitus madrasser för att tryckavlasta huden i denna patientgrupp. Resultatet visade även att kosttillägg hade stor betydelse för trycksårsprevention och sårläkning. Det var viktigt att sjuksköterskan rengjorde såret med tvål/vatten eller natriumklorid och använde hydrocolloida förband för att få en optimal sårläkning.

Les pansements dits " hydrocolloïdes " sont très couramment utilisés dans le traitement des plaies à forte exsudation. Ils permettent de réguler l'hygrométrie au sein d'une plaie tout en évitant une accumulation d'eau susceptible d'entrainer la prolifération de bactéries entre le pansement et la peau. Deux propriétés antagonistes apparaissent alors nécessaires : une fonction d'adhésion pour assurer le maintien du pansement sur la peau, et de fortes propriétés d'absorption et de perméabilité à l'eau pour réguler l'humidité et favoriser la cicatrisation de la plaie. Pour satisfaire ces deux fonctions, des systèmes hétérogènes sont utilisés : l’adhésion est apportée par une matrice adhésive hydrophobe, composée d’un élastomère modifié par un plastifiant et des résines tackifiantes, la régulation de l’humidité est assurée par de fines particules hydrophiles sèches de carboxymethylcellulose (CMC), dispersées dans la matrice adhésive. Un enjeu majeur de ces pansements est le maintien de l’adhésion cutanée dans le temps. Or une perte de l’adhésion est souvent observée après un long contact avec l’eau. Ces travaux de thèse visent à mieux comprendre l’origine de cette perte d’adhésion, à travers l’étude des propriétés mécaniques de la matrice hydrophobe, de ses interactions avec les particules hydrophiles et des mécanismes de transport d’eau. La substitution de la CMC par des particules d’hydrogels synthétisés au laboratoire a permis l’étude plus systématique de l’effet des propriétés physico-chimiques de la phase hydrophile sur l’absorption, la perméabilité et l’adhésion des pansements hydrocolloïdes ainsi mis en œuvre. / Hydrocolloid wound dressings are commonly used for the care of highly exuding wounds. They allow to control the wound moisture, while avoiding the water accumulation which could lead to bacterial proliferation between the dressing and the skin. Two antagonist properties appear to be required: an adhesive function to maintain the dressing on the skin, and high water absorption and permeability to control the humidity level and promote healing. To achieve both properties, heterogeneous systems are used : the adhesion is ensured by an hydrophobic adhesive matrix, made of an elastomer modified by plasticizers and tackifying resins, the regulation of the humidity relies on fine dry hydrophilic particles, made of carboxymethylcellulose (CMC), dispersed within the matrix. A major issue of these wound dressings is to maintain a long term skin adhesion. However a loss of adhesion is often observed after a long contact with water. This PhD work aims at a better understanding the origin of this loss of adhesion through the study of the hydrophobic matrix mechanical properties, its interactions with the hydrophilic particles and water transport. Replacing the CMC by tailor-made hydrogel particles allowed to a systematic study of the impact of the physico-chemical properties of the hydrophilic phase on the absorption, the permeability and the adhesion of the hydrocolloid-based adhesives.