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Journal of Tissue Viability

Gillian O'Brien, Zena Moore, Declan Patton, Tom O'Connor
AIM: To explore the relationship between nurses' visual assessment of early pressure ulceration and assessment using sub epidermal moisture measurement (a measure of skin and tissue water). MATERIALS AND METHODS: A descriptive prospective observational study design was employed. Following ethical approval and written informed consent, data were collected daily, for four weeks, from at risk patients within an acute care facility in Ireland. Data included nurses documented assessment of the patient's skin condition and researcher led sub epidermal moisture measurement, over the sacrum and both heels...
June 25, 2018: Journal of Tissue Viability
Beate Beime, Nils A Lahmann
BACKGROUND: Reduced mobility is a strong risk factor for pressure ulcer development in a nursing home setting. Despite this, there is a surprising lack of data regarding suitable nursing care beds in general and the prevention of pressure ulcers provided by lying surface systems in particular. In this context we aimed to assess the mobility of patients using lying surface systems either with spring elements (SES) and to compare these to conventional systems (CS; wooden slats or steel bars)...
June 13, 2018: Journal of Tissue Viability
Manaka Saegusa, Hiroshi Noguchi, Gojiro Nakagami, Taketoshi Mori, Hiromi Sanada
AIM OF THE STUDY: A robotic mattress equipped with an interface pressure mapping system and an automatic inner air-cell pressure adjustment function had been developed to aid in the management of pressure ulcers, but its effects on comfort remained unclear. The present study aimed to investigate whether use of the mattress with continuous, automatic, interface pressure mapping-based regulation of inner air-cell pressure (i.e., robotic mattress) improves comfort over that provided by body weight-based pressure regulation (traditional approach) in healthy volunteers...
June 11, 2018: Journal of Tissue Viability
Mağfiret Kaşıkçı, Meyreme Aksoy, Emrah Ay
BACKGROUND: Pressure ulcers are a significant health care problem all across the world due to their associated high mortality and morbidity rates and high health care costs. The prevalence of pressure ulcers serves as one of the most important indicators of the quality of nursing care. STUDY AIM: This study aims to determine the prevalence of pressure ulcers and patient-related risk factors in inpatients receiving treatment in the province of Erzurum, located in the eastern part of Turkey...
May 15, 2018: Journal of Tissue Viability
Eva K B Pfannes, Ulrike Blume-Peytavi, Jan Kottner
AIM OF THE STUDY: The aim of this study was to explore possible interrelationships and cutaneous response patterns at the heel and sacral skin due to prolonged loading. MATERIALS AND METHODS: Skin stiffness, elasticity, roughness and transepidermal water loss, stratum corneum hydration, erythema, and temperature of n = 20 aged females (mean age 69.9 years) were measured before and after 90 and 150 min loading in supine position. Delta values were calculated and correlated using Spearman's rho...
May 10, 2018: Journal of Tissue Viability
Sharon E Sonenblum, Jason Ma, Stephen H Sprigle, Thomas R Hetzel, John McKay Cathcart
AIM: To establish a research approach for describing how different wheelchair cushion designs impact buttocks tissue deformation during sitting. MATERIALS AND METHODS: The buttocks of 4 individuals with spinal cord injury and significant atrophy were scanned sitting in a FONAR Upright MRI. Scans were collected with the individuals' buttocks fully suspended without pelvic support, and seated on 3 different commercially available wheelchair cushions. Multi-planar scans were analyzed to provide 3D renderings and measurements of tissue thickness and shape...
May 9, 2018: Journal of Tissue Viability
Chul-Gyu Kim, Seungmi Park, Ji Woon Ko, Sungho Jo
AIM: The purpose of this study was to examine the relationship of subepidermal moisture and early stage pressure injury by visual skin assessment in elderly Korean. METHODS: Twenty-nine elderly participated at a particular nursing home. Data were collected for 12 weeks by one wound care nurse. Visual skin assessment and subepidermal moisture value were measured at both buttocks, both ischia, both trochanters, sacrum, and coccyx of each subject once a week. RESULTS: Subepidermal moisture value of stage 1 pressure injury was significantly higher than that of no injury and blanching erythema...
May 8, 2018: Journal of Tissue Viability
Christine M Olney, Amanda Simone, Kristin Hanowski, Thomas S Rector, Gary D Goldish, Andrew H Hansen, John E Ferguson
STUDY PURPOSE: The purpose of this pilot study was to assess microclimate characteristics of two versions of a strap-based wheelchair seating system (perforated and solid straps) and to conduct preliminary microclimate comparisons of subjects' current wheelchair seating systems. MATERIALS AND METHODS: In this pilot study, the microclimate properties of two variations (solid and perforated) of a strap-based seating system were compared with two commonly used seating systems...
August 2018: Journal of Tissue Viability
Peter R Worsley, Dan L Bader
No abstract text is available yet for this article.
August 2018: Journal of Tissue Viability
Pierre Abraham, Samir Henni, Myriam Ammi
No abstract text is available yet for this article.
August 2018: Journal of Tissue Viability
Sharon Gabison, Sunita Mathur, Mary C Verrier, Ethne Nussbaum, Milos R Popovic, Dany H Gagnon
BACKGROUND: Characterization of ischial tissue health using a standardized diagnostic ultrasound protocol capturing thickness and gray scale analysis has not been established. OBJECTIVES: This study evaluates inter-participant and inter-trial reliability of thickness and gray scale analysis of ultrasound images of tissues overlying the ischial tuberosity. It provides recommendations for the number of images required to minimize the standard error of measurement (SEM) and determines the number of images required for thickness, gray scale and contrast values that exceed an a-priori minimal detectable change (MDC) for repeated tissue assessment...
August 2018: Journal of Tissue Viability
Shinji Iizaka
AIM OF THE STUDY: This study aimed to investigate the association of frailty and body mass index (BMI) with biophysical properties of the skin in community-dwelling older people. MATERIALS AND METHODS: A cross-sectional study was conducted in a suburban Japanese city. Older adults aged ≥65 years and participating in a health checkup program were recruited (n = 128). Stratum corneum hydration, clinical manifestations of dry skin, skin elasticity and condition of the dermis (as measured by ultrasonography) were evaluated on the volar forearm...
August 2018: Journal of Tissue Viability
Zhuofu Liu, Ye Yuan, Meimei Liu, Vincenzo Cascioli, Peter W McCarthy
No abstract text is available yet for this article.
May 2018: Journal of Tissue Viability
Young-Yoon Kim, Hailan Li, Yu Seok Song, Hyo-Soon Jeong, Hye-Young Yun, Kwang Jin Baek, Nyoun Soo Kwon, Yong Kyoo Shin, Kyoung-Chan Park, Dong-Seok Kim
Since the use of animal experimentation is restricted with regard to cosmetic materials, alternative in vitro models such as skin equivalents (SEs) are needed. Laminin is one of the major non-collagenous glycoproteins. The pentapeptide YIGSR (Tyr-Ile-Gly-Ser-Arg) is a functional motif of laminin that binds to the laminin receptor. In the present study, we examined whether YIGSR could improve the reconstruction of SEs. YIGSR has no effects on monolayer cell proliferation of CCD25-Sk fibroblasts or HaCaT keratinocytes...
May 2018: Journal of Tissue Viability
Pedro Miguel Garcez Sardo, Jenifer Adriana Domingues Guedes, José Joaquim Marques Alvarelhão, Paulo Alexandre Puga Machado, Elsa Maria Oliveira Pinheiro Melo
AIM: To study the influence of Braden subscales scores (at the first pressure ulcer risk assessment) on pressure ulcer incidence using a univariate and a multivariate time to event analysis. MATERIALS AND METHODS: Retrospective cohort analysis of electronic health record database from adult patients admitted without pressure ulcer(s) to medical and surgical wards of a Portuguese hospital during 2012. The hazard ratio of developing a pressure ulcer during the length of inpatient stay was calculated by univariate Cox regression for each variable of interest and by multivariate Cox regression for the Braden subscales that were statistically significant...
May 2018: Journal of Tissue Viability
Tak-Wah Wong, Michael Hughes, Szu-Han Wang
Wound healing is a natural process to restore the structure and function of injured or diseased tissues. Repair of a skin wound usually leads to a scar while regeneration implies fully recovery of function and structure of the damaged tissue. Adult skin wound usually heals with scar while fetal skin heals scarless. Hair regeneration in elderly scalp wound has never been observed. We reported an 80-year-old patient with a large wound on the scalp after excision of a basal cell carcinoma healed by secondary intention wound healing...
May 2018: Journal of Tissue Viability
J Webb, M Twiste, L A Walton, P Hogg
AIM OF THE STUDY: To evaluate the effect of three sling fabrics on gluteal interface pressure whilst sitting in a population of wheelchair users and to compare these to data previously collected in a pilot study with a healthy population. MATERIALS AND METHODS: A repeated measures experimental design was used with 32 adult wheelchair users (15 women, 17 men). Healthy population pilot study consisted of 61 participants (51 women, 10 men) recruited from staff and students at The University of Salford...
May 2018: Journal of Tissue Viability
Rona Katzengold, Moris Topaz, Amit Gefen
Regulated negative pressure-assisted wound therapy (RNPT) is one of the most important wound treatment technologies developed and applied over the last two decades. To-date RNPT has been proven to be clinically effective in treating chronic wounds, however, the effects of different specific pressure delivery protocols on the progress and quality of tissue repair are not adequately understood yet. Here, we suggest a viscoelastic, three-dimensional finite element modeling framework of RNPT, with several realistic features such as a non-symmetrically configured multi-layered tissue structure...
May 2018: Journal of Tissue Viability
Amit Gefen, Dan Bader
No abstract text is available yet for this article.
February 2018: Journal of Tissue Viability
May Stinson, Rachel Ferguson, Alison Porter-Armstrong
BACKGROUND: Despite high quality guidelines underpinning pressure ulcer care (NPUAP/EPUAP/PPPIA, 2014), pressure ulceration still poses a significant financial impact on health care services in treatment and staff costs as well as having a profound effect on the health and quality of life of individuals experiencing them. Repositioning is a key preventative technique recommended by occupational therapists and other health care professionals. The frequency and quality of repositioning movements performed by individuals, however, can be difficult to determine...
February 2018: Journal of Tissue Viability
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