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2020 27th national and 5th International Iranian Conference on Biomedical Engineering (ICBME 2020),

Amirkabir University of Technology, Tehran, Iran, 26 and 27 November 2020

Antibacterial Polymeric Wound Dressing Based On


PVA/Graphene Oxide-Nigella Sativa-Arginine
2020 27th National and 5th International Iranian Conference on Biomedical Engineering (ICBME) | 978-1-6654-1955-0 /20/$31.00 ©2020 IEEE | DOI: 10.1109/ICBME51989.2020.9319459

Mohammad Ali Salmeh Mehrab Pourmadadi Fatemeh Yazdian*


Department of Biotechnology, School of Department of Biotechnology, School of Department of Life Science Engineering,
Chemical Engineering, College of Chemical Engineering, College of Faculty of New Science and
Engineering Engineering Technologies
University of Tehran University of Tehran University of Tehran
Tehran, Iran Tehran, Iran Tehran, Iran
m.ali.salmeh@gmail.com mehrabpourmadadi@gmail.com yazdian@ut.ac.ir

Hamid Rashedi*
Department of biotechnology, School of
Chemical Engineering, College of
Engineering
University of Tehran
Tehran, Iran
hrashedi@ut.ac.ir

Abstract— The number of patients with various types of skin kinds of accidents and skin injuries can have a huge impact on
wounds has increased due to the emergence of new skin diseases. the patient physically, physiologically and psychologically.
So that the traditional dressings have fallen out of the reach of There are two major problems in the recovery of skin damage,
researchers and replaced with new ones. Nowadays, biopolymeric including the presence of secretions and accumulation of
scaffolds, especially nanofibers, are widely considered for microorganisms in the affected site. For this reason, it is
engineering applications of skin tissue and wound coating. At first, essential to control the secretions as well as the fight against
Graphene oxide was synthesized from graphite and then added to bacteria and microbes to heal perfectly. A highly repairable
the extract of Nigella sativa and Arginine. FTIR, Zeta potential,
SEM and Mapping Elemental analyzes were used to confirm the
wound dressing requires various properties that are proper and
accuracy of the materials. The antibacterial properties of the nested pores. One of the best ways to achieve this is to fabricate
materials were also evaluated by MIC, OD and disk diffusion nanofibers using an electrospinning process because of the
assay. The results showed that these materials are capable of unique advantages of this method such as high surface area to
inhibiting the growth of Gram-positive and Gram-negative volume ratio, proper porosity and the ability to mimic collagen
bacteria. Next, the PVA solution was prepared and combined with fibrous structures in the matrix environment. Extracellular has
GO/NS/Arg to produce by the electro spinning process of been the focus of many scientists.
nanofibers. FTIR and elemental mapping confirmed the presence Due to the increasing side effects of chemical drugs and the lack
of nanomaterials in the nanofibers. Also, tensile strength test was of treatment for many diseases, the use of herbal compounds and
performed to investigate the properties of nanofibers. According
to the results, the tensile strength in the presence of GO/NS/Arg
drugs has attracted the attention of researchers because they have
showed good results and its maximum strain was 1.42. Fibroblast fewer side effects and are more effective than most chemical
cells were used to evaluate cell toxicity and viability by MTT and drugs. Among these plants is the Nigella sativa, which has a rich
Scratching methods. The results indicate the non-toxicity of the medical history [1].
nanocomposite at concentration 2 (µg)/mL. Nanofibers were used Polymers play an important role in modern industrial and
to investigate wound healing in animal models, and the results environmental fields. In the last century, with the advances in
indicated that these nanofibers can accelerate the wound healing chemistry and materials, different types of synthetic polymers
process, so that after 14 days the wound healing rate was 93.126%. have been introduced to the scientific community. Polymers are
organic molecules with long chains at the nanoscale. The
Keywords: Wound dressing; Nigella sativa; Graphene oxide;
Arginine; Polyvinyl alcohol
functional properties of synthetic polymers can be made by
modifying the polymer synthesis method and can be modified
I. INTRODUCTION according to the specific needs and biological applications to
Recently, there have been lots of efforts and studies making overcome the limitations of using natural polymers. The
different types of polymeric and biopolymeric dressings and advantages of polymers include easy and low costs fabrication
have received much attention due to the importance of wound with high flexibility (applicable to different types of coating
healing in deep injuries or wounds caused by certain diseases materials). Many biological and synthetic polymers with
such as diabetes.The skin is the outermost part of the body that different properties have attracted the attention of researchers in
is constantly exposed to physical injuries, burns, illness, and all the applications of medical devices, especially in wound

978-1-6654-1955-0 /20/$31.00 ©2020 IEEE

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dressings. In this study, PVA was selected due to its special D. Preparation of Nigella Sativa solution
properties including biocompatibility and biodegradability, non- The seed extract, solidly prepared from the Institute of
toxicity and non-sensitivity and good mechanical properties [2]. Medicinal Plants Research, first was weighed, poured into erlen,
Controlled release of medicinal compounds applied to the then 70% ethanol added to erlen. erlen was placed on a stirrer,
dressing will greatly help the wound healing process as the drug inserted in the magnet, and closed with erlen's cork to dissolve
must be released over time to maintain its long-lasting the nigella sativa completely in alcohol [9].
antibacterial and accelerating effects. In this study, graphene
oxide was selected to meet this demand. Graphene oxide can be E. Cultivation and preparation of microbial banks
soluble in polar solvents such as water and its biodegradability For the culture of microbial strains, Muller Hinton broth culture
has been proven in previous studies [3]. The results of a study in medium was used for E.coli and S.aureus. After preparation of
2014 showed a positive effect of GO on the tensile strength and the culture medium, it was sterilized at autoclave at 121 ° C and
antibacterial properties of a composite based on GO and PVA pressure 112 bar for 45 minutes. After the culture medium had
[4,5]. reached room temperature, 2 mL of culture medium containing
Other concerns of researchers and the medical community are E.coli was added to 50 mL fresh Müller Hinton broth and
the speed of wound healing in many cases. Scientists are looking incubated at 30 ° C. After 1 day, 750 µl of cold sterilized glycerol
for a drug to stimulate skin repair and speed up the operation. was added and homogenized in 750 µl of bacteria cultured in 1.5
Arginine was selected as a stimulating agent for wound healing mL sterile microtube. The same method was used for S.aureus.
and was combined with an antibacterial drug that was the same Microtubes containing microbial suspension were stored at -70
as Nigella sativa. Also previous studies have shown the ° C.
antibacterial effects of Arg on Gram positive and Gram negative
F. Determination of minimum inhibitory concentration of
bacteria [6].
Moreover, the controlled release of drugs on the wound and the bacterial growth1
presence of substances that accelerate the repair of damaged skin To determine the minimum inhibitory concentration, the
are the features of this wound dressing. bacterial overnight culture was carried out in Müller Hinton
broth at 37 ° C. After this time, the optical density (OD600) of
II. MATERIALS AND METHODS 0.5 McFarland solution produced using physiological serum and
A. Materials cultured bacteria (v/v ratio = 0.01) was set to 0.11. Then 100 µl
of sterile culture medium was added to each well, and to all wells
Polyvinyl alcohol (PVA), Nigella sativa L., Graphite, phosphate except the last well of all rows, 5 µl of 0.5 McFarland solution
buffer saline (PBS), Arginine (Arg, C6H14N4O2), Ethanol was added. Then, 100 µL of the first rows wells were removed
(C2H6O), Glyoxal (C2H2O2), Sulfuric acid (H2SO4), and added to all the second rows wells. This process was
Hydrogen peroxide (H2O2), Potassium permanganate repeated until the tenth wells of all rows, and finally, 100 µl was
(KMnO4), Glycerol were supplied by Merck (Germany). discarded from the tenth well. As a result, the concentration of
The bacteria used in this study was obtained from samples from the first to tenth wells was 1⁄2,1⁄4, 1⁄8, 1⁄16, 1⁄32,
Microbiological Resources Centre, Iranian Research 1⁄64, 1⁄128,1⁄256, 1⁄512, and 1⁄1024, respectively. Eleventh
Organization for Science and Technology (IROST), which well-containing bacteria and culture medium was considered as
include Staphylococcus aureus and Escherichia coli. positive control and 12th well-containing culture medium as the
B. Synthesis of Graphene Oxide negative control. For greater accuracy, the experiment was
The method used to synthesize graphene oxide from graphite repeated 3 times for each sample and tests were performed on a
was the Hummer’s method. In brief, to synthesize monolayer separate plate for each bacterium. Plates were then incubated for
24 hours at 37° C. Finally, using ELISA, wells with minimum
graphene oxide, first, pour 1 g of graphite into 20 mL of 98%
purity sulfuric acid (which is contained in an ice bath on a stirrer) inhibitory concentration were obtained for each row and
until the graphite is completely dissolved by a magnet inside the averaged from 3 replicates for each sample. This process was
performed for both bacteria mentioned.
sulfuric acid in low temperature. After about 30 minutes, add 3
g of potassium permanganate slowly and in the meantime, the G. Fabrication of PVA-GO/Arg/NS nanocomposite
solution turns to green. After about 30 minutes, 50 ml of distilled Based on the MIC test and according to the available literature,
water is added dropwise to the solution. After 10 minutes, 100 the information required for the electrospinning was extracted
mL of distilled water was added to the solution, after 30 minutes and the PVA-GO/Arg/NS nanocomposite was prepared as
35 mL of hydrogen peroxide was added dropwise, and after 24 follows.
hours the graphene oxide solution was removed from the heater First, 0.4 g of PVA was dissolved in 4 mL of distilled water
stirrer. To powder the sample, the first centrifuge it, then place under stirring for 1 hour using a stirrer, and a homogeneous gel-
it in the refrigerator at - 20 ° C until completely frozen, then put free solution (w/v ratio of 0.1) was obtained. Then added 50 µl
in the freeze dryer to make it powder [7]. GO/Arg and 50 µl NS solution to PVA solution. The
C. Preparation of GO/Arg nanoparticles homogenate solution was poured into the syringe. The syringe
was inserted into the apparatus and two positive and negative
At this stage, 75 mg of graphene oxide, which is prepared in the
previous step, was added to 15 mL of distilled water and electrodes were attached to the collector to create an electric
ultrasonic to obtain a solution of graphene oxide at a current in the polymer solution.
The voltage, solution injection rate, temperature, and needle to
concentration of 5 mg/mL. In the next step, add 30 mg of
arginine to the previous solution and finally, the GO/Arg collector distance is 20 kV, 1mL/h, 28° C and 10 cm
nanocomposite is obtained at a concentration of 7 mg/mL [8].

1
MIC

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respectively. The sample Stored at room temperature for 24 h to were prepared by a 4x magnification microscope before and
ensure evaporation of any solvent. after incubation. Image J software was used to measure the
scratched surface. Results were expressed as a percentage of
III. CHARACTERIZATION OF NANOCOMPOSITE wound area for each well using the following formula [13].
To study the surface morphology of the composite, scanning 𝑃𝑃𝑃𝑃𝑃𝑃𝑃𝑃𝑃𝑃𝑃𝑃𝑃𝑃 𝑤𝑤𝑤𝑤𝑤𝑤𝑤𝑤𝑤𝑤 𝑎𝑎𝑎𝑎𝑎𝑎𝑎𝑎
𝑊𝑊𝑊𝑊𝑊𝑊𝑊𝑊𝑊𝑊 𝐴𝐴𝐴𝐴𝐴𝐴𝐴𝐴 (%) = × 100 (2)
electronic microscopy (SEM, TeScan – Mira III) and 𝑤𝑤𝑤𝑤𝑤𝑤𝑤𝑤𝑤𝑤 𝑎𝑎𝑎𝑎𝑎𝑎𝑎𝑎 𝑎𝑎𝑎𝑎𝑎𝑎𝑎𝑎𝑎𝑎 24ℎ
transmission electron microscopy (TEM, Zeiss, EM10C, 80KV) Sigma plot software was used for statistical analysis using
were used, and to study the functional groups of each bonds, ANOVA analysis.
Fourier transform infrared spectroscopy (FTIR, Spectrum RX I, VII. RESULT AND DISCUSSION
PerkinElmer) was used in the range of 450-4000 cm-1. A. Fourier transform infrared spectroscopy (FTIR)
Nanoparticles distribution was observed by scanning SEM of GO and GO/Arg and Wound dressing
Mapping and zeta potential analysis was used to evaluate the FTIR is one of the common methods used to investigate
stability of the nanocomposites. the functional groups present in a material to prove the
synthesis method. Fig.1(a) shows the FTIR of graphene
IV. ANTIBACTERIAL PROPERTIES oxide. The presence of different types of reactive
CHARACTERIZATION oxygen species in graphene oxide confirms the wide
To test the antibacterial properties of GO/Arg and GO/Arg/NS spectrum at 3436cm-1 wavelengths and can indicate O-
using disk diffusion method (DDM), both strains of the bacteria, H, C-OH and water groups in this compound.
S.aureus, were used as Gram-positive and E. coli as Gram- Graphene oxide has distinct peaks in the range of 1054
negative. Then the inhibition zone of GO/Arg and GO/Arg/Ns cm-1 (C-O), 1384cm-1(C-O-C), 1634cm-1 (C=O). The
disk was compared with the gentamicin disk (Control disk). This presence of oxygenated functional groups indicates
test was repeated 3 times to increase accuracy. that graphite is well oxidized by oxidizing agents. By
comparing this graph and the FTIR spectrum of
V. CELL TOXICITY (MTT ASSAY) graphene oxide obtained by other researchers, it is
To detect the toxicity or non-toxicity of these nanofibers, MTT ensured that the material synthesized is graphene oxide
assay was used. Thus, NIH 3T3 fibroblast cells were first [14,15,16].
embedded in 24-well cell culture plate. Then it was placed into A comparison of the GO and GO/Arg diagrams shows
the incubator for 24 hours to better adhere the cells to the bottom that in addition to all GO functional groups being
of the plate. The GO/Arg/NS solution was added to the culture retained, the arginine functional groups have also been
well and in another well, DMEM medium containing 10% PBS added to the GO diagram that Indicated the formation
and 1% penicillin streptomycin was added as a control. The cells of GO-Arg bonds. According to Fig.1(b), the peak at
were incubated for 24 h. Then the culture medium and cell 1127 cm-1 represents the C-N bond, the peak at 1647
samples were removed and 50 µl of MTT solution at 5 mg/mL cm-1 represents the C=C bond, the peak at 3449 cm-1
concentration was added into each well. After 4 hours, the represents the N-H bond, and the peak at 3799 cm-1
solution was removed from cells and 100 µl of dimethyl represents the O-H bond. By comparing this graph with
sulfoxide (DMSO) was added to them to dissolve the created the graphene oxide spectrum obtained by other
purple crystals. Then the plate was placed on Stirrer for 20 researchers, it is concluded that the synthesized
minutes. Then 100 µL was removed and its wavelength at 570 material is GO/Arg [19].
and 690 nm was obtained by ELISA reader. Wells containing FTIR was used to confirm the binding of the
more cells had higher optical density (OD) than wells containing synthesized nanocomposite to PVA. As shown in
fewer cells. Therefore, it is possible to identify wells with a Fig.1(c), the peak at 1239 cm-1 represents the C-N
higher cell number and compare them with the control sample. bond, the peak at 1716 cm-1 represents the C=C bond,
The percentage of toxicity as well as cell viability were the peak at 2909 cm-1 represents the N-H bond and the
calculated based on the bellow equation [12]. peak at 3304 cm-1 indicates the O-H bond. Comparing
𝑎𝑎𝑎𝑎𝑎𝑎𝑎𝑎𝑎𝑎𝑎𝑎𝑎𝑎 𝑜𝑜𝑜𝑜 𝑠𝑠𝑠𝑠𝑠𝑠𝑠𝑠𝑠𝑠𝑠𝑠𝑠𝑠 𝑂𝑂𝑂𝑂 this figure with other researchers' figures, indicated that
Cell toxicity (%) = 1 − � � × 100 (1)
𝑎𝑎𝑎𝑎𝑎𝑎𝑎𝑎𝑎𝑎𝑎𝑎𝑎𝑎 𝑜𝑜𝑜𝑜 𝑐𝑐𝑐𝑐𝑐𝑐𝑐𝑐𝑐𝑐𝑐𝑐𝑐𝑐 𝑂𝑂𝑂𝑂 the wound is well-synthesized with the mentioned
compound [19,21].
VI. CELL MIGRATION
Screening test is one of the most common methods of cell
migration studying due to its ease, good accurate and
economical results. After scratching on the cells, they move
along the margin of the slit, moving to the open site to close the
scratch until cell-to-cell communication is restored.
In the present work, the effect of nanoparticles on cell migration
was evaluated by the scratching method. In summary, cells were
cultured in wells for 24 h to adhere to wells during this time. The
next day, the cells were immersed in PBS-containing medium
for 2 h, and a vertical continuous wound was generated by a 10-
μm sampler tip in the cell. The nanocomposite was then added
to the medium and incubated for 24 h at 37 ° C with NIH 3T3
fibroblast cells. The final concentration of nanoparticles per well
was 100 μM. Cells that were incubated with the culture medium
were considered as controls and the images of the injured cells Fig.1- FTIR diagram of (a) GO (b) GO/Arg (c) Wound dressing

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B. SEM and TEM analysis of GO D. Disk Diffusion


SEM and TEM images indicate the porosity in the As shown in Fig.4, the antibacterial properties of the
graphene oxide plates. In this study, the morphology of disks that impregnated with GO/Arg solution (No.1),
synthesized graphene oxide was identified using SEM GO/Arg/NS (No.2) and an antibiotic tablet
and TEM images. The SEM and TEM images of the (gentamicin) were used as a control. This test was
synthesized graphene oxide are shown in Fig.2(a) and performed once on Gram-positive bacteria and once on
fig.2(b), respectively. In these figures, the various Gram-negative bacteria.
layers of synthesized graphene oxide are well visible, In Fig.4(a), which relates to Gram-negative bacteria,
which is a reason for the good conversion of graphite the diameter of the inhibition zone for antibiotic disk is
to graphene oxide layers. The quality of the synthesized 2cm and for no2 disk is 1.7cm but for no1 disk
graphene oxide shown in Fig.2(b), which is a single antibacterial properties are negligible. In Fig.4(b),
layer of GO, is also displayed [17]. which relates to Gram-positive bacteria, the diameter
of the inhibition zone for the antibiotic disk is 2.5cm
and for no2 disk is 2cm but for no1 disk antibacterial
properties are negligible. Therefore, it can be
concluded that the synthesized nanocomposite has a
(a) good antibacterial activity due to the presence of NS
[24].

(a) (b)

(b)
Fig.4- Disk diffusion of (a) E.coli and (b) S.aureus

E. Minimum inhibitory concentration (MIC)


The antibacterial activity of the synthesized materials
was evaluated by MIC method against two E.coli and
S.aureus bacteria. The results of the evaluation of MIC
Fig.2- (a) TEM image of GO (b) SEM image of GO test of GO/Arg and Go/Arg/NS nanocomposites on the
two mentioned bacteria are shown in Table 1. This test
C. Mechanical Strength of Wound dressing was repeated three times for each nanocomposite. The
The mechanical strength of these scaffolds will vary following formulas can be used to calculate the
depending on the type of tissue to be applied. For percentage of MIC inhibition and inhibitory
example, scaffolds used as a wound dressing, require concentration [13]:
𝑆𝑆𝑆𝑆𝑆𝑆𝑆𝑆𝑆𝑆𝑆𝑆 𝑎𝑎𝑎𝑎𝑎𝑎𝑎𝑎𝑎𝑎𝑎𝑎𝑎𝑎𝑎𝑎𝑎𝑎𝑎𝑎
less mechanical strength. The tensile strength of the 𝐼𝐼𝐼𝐼ℎ𝑖𝑖𝑖𝑖𝑖𝑖𝑖𝑖𝑖𝑖𝑖𝑖𝑖𝑖 (%) =
𝑛𝑛𝑛𝑛𝑛𝑛𝑛𝑛𝑛𝑛𝑛𝑛𝑛𝑛𝑛𝑛 𝑐𝑐𝑐𝑐𝑛𝑛𝑡𝑡𝑡𝑡𝑡𝑡𝑡𝑡 𝑎𝑎𝑎𝑎𝑎𝑎𝑎𝑎𝑎𝑎𝑎𝑎𝑎𝑎𝑎𝑎𝑎𝑎𝑎𝑎
× 100 (4)
skin is about 5 to 30 MPa. Therefore, if the wound
dressing has a tensile strength close to the skin, it would 𝐶𝐶𝐶𝐶𝐶𝐶𝐶𝐶𝐶𝐶𝐶𝐶𝐶𝐶𝐶𝐶𝐶𝐶𝐶𝐶𝐶𝐶𝐶𝐶𝐶𝐶 𝑜𝑜𝑜𝑜 𝑖𝑖𝑖𝑖ℎ𝑖𝑖𝑖𝑖𝑖𝑖𝑖𝑖𝑖𝑖𝑖𝑖𝑖𝑖
be ideal for wound healing. Fig.4 shows the wound =
(𝑉𝑉𝑉𝑉𝑉𝑉𝑉𝑉𝑉𝑉𝑉𝑉 × 𝐶𝐶𝐶𝐶𝐶𝐶𝐶𝐶𝐶𝐶𝐶𝐶𝐶𝐶𝐶𝐶𝐶𝐶𝐶𝐶𝐶𝐶𝐶𝐶𝐶𝐶) (𝑜𝑜𝑜𝑜 𝑠𝑠𝑠𝑠𝑠𝑠𝑠𝑠𝑠𝑠𝑠𝑠)
(5)
dressing stress diagram in terms of the strain. 𝑇𝑇𝑇𝑇𝑇𝑇𝑇𝑇𝑇𝑇 𝑉𝑉𝑉𝑉𝑉𝑉𝑉𝑉𝑉𝑉𝑉𝑉
According to Fig.3, the maximum stress applied to this
wound dressing is 3.6 MPa and the maximum strain is According to Table 1, inhibition of GO/Arg/NS
about 1.42. It also had an increase of 31.74 mm in nanocomposite can be observed on both E.coli and
length, also in yield strength, Young's modulus is about S.aureus. According to Table 2, the MIC of arginine
5 MPa. Therefore, the synthesized nanofibers have GO/Arg/NS nanocomposite against both the above-
good tensile strength [23]. mentioned bacteria is 0.91 mg/mL.

Table 1 sample inhibition (%)


Bacteria GO/Arg GO/Arg/NS
S.aureus 81.33 97.78
E.coli 82.14 96.47

Fig.3- Tensile strength of wound dressing

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Table 2 minimum inhibitory concentration

MIC
MIC MIC MIC
Bacteria Gentamicin
GO GO/Arg GO/Arg/NS
antibiotic
S.aureus 1.75 1.25 0.91 0.01
E.coli 1.75 1.25 0.91 0.01

F. Cell Toxicity
The effect of GO/Arg/NS composite on the survival
and proliferation of NHT3T3 fibroblast cells was
performed by MTT test. Fig. 5 shows the results of this
test for this composite in different concentrations
compared to the control, after 24 hours. It can be
observed that in the treatment group with a
concentration of 2 µg/mL, the survival rate is higher
than the control state and other concentrations. It can
be concluded that the GO/Arg/NS composite at a
concentration of 2 µg/mL not only had no cell toxicity
but also increased the growth and proliferation of
fibroblast cells after 24 hours. At 20, 200, and 2000
µg/mL concentrations of this composite showed
toxicity and, after 24h, destroyed fibroblast cells.

Ⅹ. CONCLUSION
In the present work, graphene oxide was synthesized
by a modified hummer method then Arginine and
Nigella sativa extract were added. At each stage, the
structure of the synthesized composite with different
tests such as FTIR, SEM and TEM, Zetta potential and
SEM mapping was examined, the results indicated that
the composite was synthesized well. The Mechanical
test of this wound dressing was also examined and its
Fig.5- Result of MTT assay
tensile strength is suitable for wound healing. The
G. Cell Migration results of tests such as the Disk diffusion and MTT
Fig.6 shows the results of the wound/scratching healing
and assessment of NTH3T3 fibroblast cell migration. Fig.6- Wound area at different concentration
After 24 hours, cell migration was performed using
image analysis taken from the cell surface. The mean assay proved the antibacterial properties of the
wound area was expressed as a percentage of the composite. Also, the scratching test on fibroblast cells
wound area, repeated three times at different and in vivo evaluation on mice showed excellent
concentrations. The results were reported as mean ± wound healing in this composite. Comparing the
SEM in Table 3 that it is shown in supplemetary synthesized wound dressing in this study with similar
material. After 24h, 81.96% of the average wound was research in recent years, we conclude that the
observed in the control group, while in the treatment synthesized wound dressing has ideal properties for
group with a concentration of 2 µg/mL, 46.47% of the wound healing.
mean wound area was obtained. The use of Ⅺ. REFERENCE
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