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Journal of Tissue Viability

Chitra Mehta, MdTariq Ali, Yatin Mehta, Joby V George, Manish Kumar Singh
BACKGROUND: Pressure ulcers (PU) usually occur over bony prominences in hospitalized patients. But they may occur due to medical devices referred also as Medical device related pressure ulcers (MDRPU). The United States National advisory panel (NPUAP) recognizes it as an important entity. MDRPU is one of the key quality indicators of hospital care, so far no data is available on MDRPU from the Indian Sub-continent. AIM: The primary objective of the study was to examine prevalence and Risk factors of MDRPU in critically sick patients...
December 31, 2018: Journal of Tissue Viability
Jonathan Duvall, Patricia Karg, David Brienza, Jon Pearlman
Pressure injuries are costly to the healthcare system and mostly preventable, yet incidence rates remain high. Recommendations for improved care and prevention of pressure injuries from the Joint Commission revolve around continuous monitoring of prevention protocols and prompts for the care team. The E-scale is a bed weight monitoring system with load cells placed under the legs of a bed. This study investigated the feasibility of the E-scale system for detecting and classifying movements in bed which are relevant for pressure injury risk assessment using a threshold-based detection algorithm and a K-nearest neighbor classification approach...
December 24, 2018: Journal of Tissue Viability
Chul-Hoon Kim, Myoung Soo Kim, Myung Ja Kang, Hyun Hee Kim, Nam Jung Park, Hyun Kyeong Jung
PURPOSE: This study examined the incidence of oral mucosa pressure ulcers (PUs) in intensive care unit (ICU) patients and the relationship between biomechanical and physiological variables in onset of PUs. METHODS: A prospective observational descriptive study design was used. We recruited patients over 18 years of age with endotracheal tube (ETT) insertion in three ICUs in a tertiary hospital in Korea. We analysed 113 patient-days of data. Patient assessments and medical record reviews were conducted to gather biomechanical and physiological data...
December 5, 2018: Journal of Tissue Viability
Marie Brown-Etris, Catherine T Milne, Jason P Hodde
AIM: The purpose of the study was to evaluate clinical safety and effectiveness of Oasis® Wound Matrix as a treatment for full-thickness pressure ulcers and compare it to Standard Care. METHODS: A total of 130 adults with Stage III or Stage IV pressure ulcers were randomly assigned, received either multiple topical treatments of SIS plus standard care (n = 67), or standard care alone (n = 63), and were subsequently evaluated. Ulcer size was determined at enrollment and weekly throughout treatment...
November 27, 2018: Journal of Tissue Viability
Ayumi Kumagai, Naoki Ohno, Tosiaki Miyati, Mayumi Okuwa, Toshio Nakatani, Hiromi Sanada, Junko Sugama
AIM: In operating rooms, the occurrence of pressure ulcers caused by being in the prone position is the highest among that of pressure ulcers caused by being in other surgical positions. Thus, we investigated effects of hardness and shape of urethane foam mattresses for preventing pressure ulcers during surgery performed with patients in the prone position. We aimed to elucidate how mattresses of variable hardness and shapes affect compression and displacement of the skin and soft tissues with external force in the prone position...
November 22, 2018: Journal of Tissue Viability
Charalambos Charalambous, Agoritsa Koulouri, Zoe Roupa, Aristidis Vasilopoulos, Mary Kyriakou, Marios Vasiliou
STUDY AIM: The main aim of the study was to identify the knowledge and attitudes of nurses towards pressure ulcer prevention in a major public hospital in Cyprus. MATERIAL AND METHODS: A descriptive and cross-sectional study design was used to collect the data between December 2014 and February 2015, the sample consisted of n = 102 nurses employed in a major public hospital in Cyprus. Customised and standardised Pressure Ulcer Knowledge Test and an attitudes Likert questionnaire was used to investigate both parameters...
November 10, 2018: Journal of Tissue Viability
Ana Belén Moya-Suárez, José Carlos Canca-Sánchez, Margarita Enríquez de Luna-Rodríguez, Marta Aranda-Gallardo, José Miguel Morales-Asencio
No abstract text is available yet for this article.
October 28, 2018: Journal of Tissue Viability
A Sogorski, J Kolbenschlag
No abstract text is available yet for this article.
October 26, 2018: Journal of Tissue Viability
Karen Van den Bussche, Sofie Verhaeghe, Ann Van Hecke, Dimitri Beeckman
STUDY AIM: The aim of this study was to develop a Minimum Data Set for Incontinence-Associated Dermatitis (MDS-IAD), to psychometrically evaluate and pilot test the instrument in nursing homes. Comparable to the MDS for pressure ulcers, the MDS-IAD aims to collect epidemiological data and evaluate the quality of care. MATERIALS AND METHODS: After designing and content/face validation by experts and clinicians, staff nurses assessed 108 residents (75.9% female, 77...
October 25, 2018: Journal of Tissue Viability
Pieter R Zwanenburg, Henricus J C M Sterenborg, Marja A Boermeester
No abstract text is available yet for this article.
October 24, 2018: Journal of Tissue Viability
A Lichterfeld-Kottner, N Lahmann, U Blume-Peytavi, U Mueller-Werdan, J Kottner
AIMS AND OBJECTIVES: To measure the prevalence and severity of dry skin in the home care nursing setting in Germany and to determine demographic and health characteristics associated with skin dryness. BACKGROUND: Advanced age and skin care dependency are risk factors for the development of skin dryness. Dry skin has a negative impact on the quality of life and increases the risk for secondary cutaneous infections and other adverse skin conditions. The prevalence of dry skin in home care is unknown...
November 2018: Journal of Tissue Viability
Yoshiko Takahashi, Yayoi Nagai, Hiroyuki Kanoh, Fumihiro Mizokami, Yusuke Murasawa, Masahiko Yoneda, Zenzo Isogai
Granulation tissue formation is required for the healing of deep pressure ulcers. The wound healing process is often delayed at the stage of granulation tissue formation. The pathogenesis of pressure ulcers showing granulation tissue may vary; however, no terminology has been defined to describe existing ulcers. Thus, we previously defined terminology for granulation tissue to describe individual ulcers. Based on these terms, we retrospectively evaluated the findings of deep pressure ulcers. In particular, we focused on polypoid granular tissue, a unique morphological feature...
November 2018: Journal of Tissue Viability
Patricia Brassolatti, Paulo Sérgio Bossini, Hueliton Wilian Kido, Maria Carolina Derencio Oliveira, Luciana Almeida-Lopes, Lisinéia Maria Zanardi, Marcos Aurélio Napolitano, Lucimar Retto da Silva de Avó, Fernando M Araújo-Moreira, Nivaldo Antonio Parizotto
Burns are injuries caused mainly by thermal trauma, which can progress to unsatisfactory results healing. This study aimed to evaluate the biomaterial (bacterial cellulose membrane) and photobiomodulation, exclusively and associated, in the treatment of third degree burns in rats. Forty male Wistar rats (±280 g) were randomly divided into four groups, with 10 animals each: control group (CG); bacterial cellulose membrane group (MG); laser group (LG) and bacterial cellulose membrane and laser group (MG + L)...
October 4, 2018: Journal of Tissue Viability
Asra Parveen, Neha Kulkarni, Manjunath Yalagatti, Venkataraman Abbaraju, Raghunandan Deshpande
Wound healing is a complicated process that begins at the onset of injury and a continued process till complete healing. The emergence of nanotechnology has provided a new therapeutic modality to silver nanoparticles in treatment of wounds. However, the safety of these silver nanoparticles in the process of wound healing is yet to be elucidated; nevertheless, biocompatibility is the primary concern. Biosynthesis of silver nanoparticles was synthesized using aqueous clove extract and silver nitrate solution under microwave and the obtained particles size were 30-60 nm and roughly spherical in shape...
August 30, 2018: Journal of Tissue Viability
Heidi A Green, Janice Wiseman, Christine Jackson
No abstract text is available yet for this article.
August 22, 2018: Journal of Tissue Viability
E Muller-Sloof, H E W de Laat, S L M Hummelink, J W B Peters, D J O Ulrich
AIM: Wound dehiscence is a serious postoperative complication associated both with high morbidity and mortality. It has a significant rate of occurrence in breast reconstruction surgeries with a deep internal epigastric perforator (DIEP) and with a profunda artery perforator (PAP) flap. Risk factors for wound dehiscence include smoking, diabetes mellitus, chronic obstructive pulmonary disease, and obesity. The aim of this pilot study was to assess whether postoperative treatment with closed incision negative pressure therapy (ciNPT) decreases the incidence of donor site wound dehiscence in breast reconstruction patients...
August 14, 2018: Journal of Tissue Viability
A Sogorski, M Lehnhardt, O Goertz, K Harati, N Kapalschinski, T Hirsch, A Daigeler, J Kolbenschlag
BACKGROUND: Negative Pressure Wound Therapy (NPWT) is widely used across different kinds of surgical disciplines. A controversial debate was raised by diverging results from studies that were conducted to examine the impact of NPWT on local perfusion. Thus, there is a lack of evidence for one important underlying factors that influences the physiology of wound healing under an applied NPWT-dressing. OBJECTIVE: To investigate the immediate local perfusion changes due to an applied intermittent NPWT protocol...
August 13, 2018: Journal of Tissue Viability
J Doridam, A Macron, C Vergari, A Verney, P-Y Rohan, H Pillet
Pressure Ulcer (PU) prevention remains a main public health issue. The physio-pathology of this injury is not fully understood, and a satisfactory therapy is currently not available. Recently, several works suggested that mechanical strains are responsible of deformation-induced damage involved in the initiation of Deep Tissue Injury (DTI). A better assessment of the internal behavior could allow to enhance the modeling of the transmission of loads into the different structures composing the buttock. A few studies focused on the experimental in vivo buttock deformation quantification using Magnetic Resonance Imaging (MRI), but its use has important drawbacks...
August 11, 2018: Journal of Tissue Viability
Beshoy Girgis, José Alberto Duarte
This review was conducted to determine and quantify the efficacy of high-voltage monophasic pulsed current (HVMPC) in the treatment of stage II-IV pressure ulcers (PrUs), identify the details of HVMPC intervention parameters and the superior protocol, and ascertain other potential benefits and the safety of HVMPC intervention. Eleven studies, nine randomized controlled trials (RCTs) and two case series studies, matched the criteria and were included in the systematic review, whereas, only level 1 evidence RCTs were included in the meta-analysis...
August 11, 2018: Journal of Tissue Viability
Guido Ciprandi, Sharon Ramsay, Ludmilla Budkevich, Andreas Strack, Petra van Capellen, Nicos Marathovouniotis
BACKGROUND: It is current practice for physicians to use the Prontosan® range of products in children based on their personal clinical experience, despite the lack of safety data in this population. This retrospective data review was designed to obtain information on the safety profile of the Prontosan® range of products in children in routine clinical practice. METHODS: Data from newborns, infants and children with burns treated with the Prontosan® range were collected retrospectively from patient medical records...
August 9, 2018: Journal of Tissue Viability
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