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10.1089/wound.2013.0492

http://scihub22266oqcxt.onion/10.1089/wound.2013.0492
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C4827294!4827294!27134764
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suck abstract from ncbi


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pmid27134764      Adv+Wound+Care+(New+Rochelle) 2016 ; 5 (5): 198-207
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  • Refined Spruce Resin to Treat Chronic Wounds: Rebirth of an Old Folkloristic Therapy #MMPMID27134764
  • Jokinen JJ; Sipponen A
  • Adv Wound Care (New Rochelle) 2016[May]; 5 (5): 198-207 PMID27134764show ga
  • Significance: The treatment of chronic wounds results in an enormous drain on healthcare resources in terms of workload, costs, frustration, and impaired quality of life, and it presents a clinical challenge for physicians worldwide. Effective local treatment of a chronic wound has an important role, particularly in patients who are?because of their poor general condition, diminished life expectancy, or unacceptable operative risk?outside of surgical treatment.Recent Advances: Since 2002, our multidisciplinary research group has investigated the properties of Norway spruce (Picea abies) resin in wound healing and its therapeutic applications in wound care. Resin is a complex mixture of resin acids (e.g., abietic, neoabietic, dehydroabietic, pimaric, isopimaric, levopimaric, sandrakopimaric, and palustric acids) and lignans (e.g., pino-, larici-, matairesinol, and p-hydroxycinnamic acid) having substantial antimicrobial, wound-healing, and skin regeneration enhancing properties.Critical Issues: The cornerstone in successful wound care is an efficient causal treatment of the underlying co-morbidities, for example, diabetes, malnutrition, vascular- or certain systemic diseases. However, definitive diagnosis and specific therapy of a chronic wound is often difficult, because the etiology is practically always multi-factorial, and in the chronic phase, confounding factors such as infections invariably impede wound healing.Future Directions: To study the exact molecular mechanism of actions by which resin promotes cellular regeneration and epithelialization during the wound-healing process. To investigate potential antimicrobial properties of resin against the most ominous multidrug-resistant beta-lactamase (including carbapenemases and metallo-?-lactamases) producing bacteria, and to individualize those pharmacologically active compounds which are responsible for the antimicrobial activity of resin.
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