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Journal of the American College of Clinical Wound Specialists

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https://www.readbyqxmd.com/read/28053871/director-of-accws-board-promoting-mission-of-college-by-advocating-for%C3%A2-public-health-of-diabetic-foot-care-awareness-and-amputation-prevention
#1
Cynthia Ann Fleck
No abstract text is available yet for this article.
December 2015: Journal of the American College of Clinical Wound Specialists
https://www.readbyqxmd.com/read/28053870/the-american-college-of-clinical-wound-specialists-accws-rebuttal-to-the-recent-npuap-pressure-ulcer-definition-july-2016
#2
Don Mrdjenovich, Richard Simman, Cynthia Fleck, Tammy Luttrell
No abstract text is available yet for this article.
December 2015: Journal of the American College of Clinical Wound Specialists
https://www.readbyqxmd.com/read/28053869/cancrum-oris-noma-the-role-of-nutrition-in-management
#3
Elroy Patrick Weledji, Sylvia Njong
Cancrum oris (noma) is caused by the spirochete Borrelia vincenti in association with anaerobic bacteria, commonly a member of the fusobacteria. The disease occurs in deprived and undernourished individuals with poor hygiene. We present a case of clinically diagnosed cancrum oris in a 2-year old child in sub-saharan Africa that was conservatively managed by wound care and hyperalimentation. As the underlying factor and cause of mortality from noma is the immune depression of malnutrition, the role of active nutrition or hyperalimentation in the management of noma is extremely important...
December 2015: Journal of the American College of Clinical Wound Specialists
https://www.readbyqxmd.com/read/28053868/a-simple-mathematical-model-for-wound-closure-evaluation
#4
Alejandra Vidal, Hugo Mendieta Zerón, Israel Giacaman, María Del Socorro Camarillo Romero, Sandra Parra López, Laura E Meza Trillo, David A Pérez Pérez, Miguel Concha, César Torres-Gallegos, Sandra L Orellana, Felipe Oyarzun-Ampuero, Ignacio Moreno-Villoslada
The incidence of ulcers associated to type 2 diabetes mellitus (T2DM) increases every year. We introduce and explore a new mathematical algorithm to evaluate wound-healing in foot ulcers associated to T2DM. Fifteen patients (nine women and six men), mean age of 70 ± 16 years were included. The evolution of their wounds followed-up for a period of 18-45 days. According to the Wagner grading system the ulcers were grade I (5 patients), grade II (9 patients), and grade III (1 patient). Clinically, the type of the ulcers was neuroischemic (12 patients) and neuropathic (3 patients)...
December 2015: Journal of the American College of Clinical Wound Specialists
https://www.readbyqxmd.com/read/28053867/old-war-scar-revisited
#5
Susan E Wozniak, Stephanie Zuo, Kamran Khan, JoAnn Coleman
In 1828, Jean Nicholas Marjolin, a French surgeon, first described the findings of a neoplastic development arising from a burn scar, now more commonly referred to as a Marjolin's ulcer. A Marjolin's ulcer describes malignant degeneration in any chronic wound. The majority of cases arises in burn scars and are often latent for decades. Marjolin ulcers have been widely identified in post-war time injuries. These ulcers may arise in almost any anatomical location. We report a case of an 82-year-old male that presented with a painful fluctuating mass on the right arm localized to the site of an old grenade blast injury he sustained many years earlier...
December 2015: Journal of the American College of Clinical Wound Specialists
https://www.readbyqxmd.com/read/28053866/the-use-of-a-no-sting-barrier-film-treatment-protocol-compared-to-routine-clinical-care-for-the-treatment-of-stage-1-and-2-pressure-injuries-in-long-term-care
#6
Adrian Chan, Henry Yu-Hin Siu
Pressure injuries increase morbidity and mortality in geriatric patients by 400%. Residents in long-term care (LTC) are at high risk of developing pressure injuries because of limited mobility, poor nutritional status, impaired cognition, and incontinence. This study aims to determine whether a no-sting barrier film (NSBF) treatment protocol is more effective than current physician practices for treating stage 1 and 2 pressure injuries in LTC. A retrospective cohort study of 129 residents from one LTC facility was performed after a six-month implementation trial of a NSBF treatment protocol...
December 2015: Journal of the American College of Clinical Wound Specialists
https://www.readbyqxmd.com/read/28053865/challenges-of-complex-open-abdominal-wound-management-in-trauma-a-novel-use-of-chitosan-and-hyaluronic-acid-as-a-3-dimensional-scaffold-to-overcome-resilient-open-abdomen-infections
#7
Tammy C Luttrell, Hasan Khashwj, Nicole Ingalls, Jay Coates
Case presentation of a novel method for the management of complex open abdomen technique. This Mmethod includes the combination of chitosan, hyaluronic acid and negative pressure wound therapy. Patient was initially managed with traditional operating room wash-outs and packing. Implementation of novel method achieved closure in 17 days with split-thickness-skin-graft.
December 2015: Journal of the American College of Clinical Wound Specialists
https://www.readbyqxmd.com/read/28053864/the-npuap-meeting-this-was-no-consensus-conference
#8
Joy E Schank
The National Pressure Ulcer Advisory Panel (NPUAP) held a Consensus Conference on Pressure Ulcer Staging April 8-9, 2016 in Chicago, Illinois. This was conducted by a moderator and six NPUAP members who were designated as the staging task force. This consisted of 4 nurses, 2 of which were nurse practitioners, one dietician and an individual with a Ph.D. in mechanical and aerospace engineering. Their purpose was "to revise the staging definitions to further clarify and refine the system and develop new nomenclature relevant to pressure related soft tissue injury" (Consensus Conference on Pressure Ulcer Staging, 2016)...
December 2015: Journal of the American College of Clinical Wound Specialists
https://www.readbyqxmd.com/read/28053863/effects-of-topic-simvastatin-for-the-treatment-of-chronic-vascular-cutaneous-ulcers-a-pilot-study
#9
Edoardo Raposio, Guido Libondi, Nicolò Bertozzi, Eugenio Grignaffini, Michele P Grieco
Recent research suggests that statins might be useful in the process of wound healing, playing a positive immune-modulatory role, improving microvascular function and reducing oxidative stress. The aim of this pilot study was to evaluate the efficacy of topic application of Simvastatin-based cream in the treatment of chronic vascular cutaneous ulcers, comparing this type of treatment to a collagen-based dressing, proven to be effective for ulcer treatment. A total of 20 ulcers were studied in 2 Groups of randomly-chosen patients for a period of one month...
December 2015: Journal of the American College of Clinical Wound Specialists
https://www.readbyqxmd.com/read/28053862/patient-outcomes-and-factors-associated-with-healing-in-calciphylaxis-patients-undergoing-adjunctive-hyperbaric-oxygen-therapy
#10
Norman McCulloch, Susan M Wojcik, Marvin Heyboer
Calcific uremic arteriolopathy, also known as calciphylaxis, is a rare syndrome of small vessel calcification of unknown etiology causing painful, violaceous skin lesions that progress to form chronic non-healing ulcers and gangrene. Hyperbaric oxygen therapy (HBOT) can be used as adjunctive therapy in the treatment of these ulcers. However, due to paucity of cases, there is limited data on the clinical benefit of HBOT and identifying factors associated with healing. The purpose of this study was to determine patient outcomes and factors associated with healing in patients with calciphylaxis undergoing HBOT...
December 2015: Journal of the American College of Clinical Wound Specialists
https://www.readbyqxmd.com/read/28053861/novel-insights-on-understanding-of-keloid-scar-article-review
#11
REVIEW
Walid Mari, Sami G Alsabri, Najib Tabal, Sara Younes, Abdulamagid Sherif, Richard Simman
Keloid scar, dermal benign fibro-proliferative growth that extends outside the original wound and invades adjacent dermal tissue due to extensive production of extracellular matrix, especially collagen, which caused by over expression of cytokines and growth factors. Although many attempts were made to understand the exact pathophysiology and the molecular abnormalities, the pathogenesis of keloid scar is yet to be determined. Even though there are several treatment options for keloid scars include combination of medical and surgical therapies like combination of surgical removal followed by cryotherapy or intralesional steroid therapy, the reoccurrence rate is still high despite the present treatment...
December 2015: Journal of the American College of Clinical Wound Specialists
https://www.readbyqxmd.com/read/27104146/calcaneal-osteomyelitis-associated-with-a%C3%A2-severe-abscess
#12
Ali Memis, Mesut Mutluoglu, Sinan Öztürk, Kemal Kara, Hakan Ay
Diabetic foot osteomyelitis (DFO) is a common complication of the diabetic foot and the majority of minor and major amputations are preceded by DFO. The diagnosis and treatment of DFO are both challenging. Early recognition and comprehensive management of diabetic foot infections may obviate DFO, hence the dreadful consequence-resection of the infected bone. Herein, we present the successful management of a patient presenting with DFO and severe abscess formation of the heel.
December 2014: Journal of the American College of Clinical Wound Specialists
https://www.readbyqxmd.com/read/27104145/ethical-consideration-in-wound-treatment-of-the-elderly-patient
#13
REVIEW
Prachi Shah, Thet Han Aung, Richard Ferguson, Gerardo Ortega, Jayesh Shah
Today, an advance in clinical medicine and public health has given patients the opportunity to live longer and more productive lives despite progressive illnesses. For some patients, however, this progress has resulted in prolonged dying which is associated with huge emotional and financial expenses. A review article is written based on proceedings of panel discussion on Ethical Consideration in wound treatment of the elderly patient on July 25, 2015, Baptist Wound Symposium at Marriot Northwest, San Antonio, Texas...
December 2014: Journal of the American College of Clinical Wound Specialists
https://www.readbyqxmd.com/read/27104144/dehydrated-amniotic-membrane-allograft-for-treatment-of-chronic-leg-ulcers-in-patients-with-multiple-comorbidities-a-case-series
#14
Stephen M Barr
Cellular and/or tissue-based products (CTPs) are emerging treatment options for chronic non-healing wounds. Dehydrated amniotic membrane allograft (DAMA) was used in 7 patients whose wounds had not responded adequately to standard and adjuvant therapies; four VLUs, 2 surgical wounds, and 1 DFU. Patients had multiple comorbidities, including 2 with autoimmune disorders (CREST syndrome and systemic lupus erythematosus). Patients received 3-8 applications of DAMA at weekly to biweekly intervals (average, 5.4 applications)...
December 2014: Journal of the American College of Clinical Wound Specialists
https://www.readbyqxmd.com/read/27104143/effects-of-hypochlorous-acid-solutions-on-venous-leg-ulcers-vlu-experience-with-1249-vlus-in-897-patients
#15
Cheryl M Bongiovanni
In order to assess the impact of comorbidities and identify factors that accelerate the healing rate of venous leg ulcers we performed an extensive, retrospective analysis of our experience in a diverse population. From June, 2006 to June, 2014, 897 patients with 1249 venous leg ulcers were treated at Lake Wound Clinics. Treatment protocols utilized the standard regimen of wound cleaning, debridement and compression bandaging. Wound cleaning, autolytic debridement, packing and dressing of venous leg ulcers utilized aqueous solutions of hypochlorous acid (HCA) rather than the standard normal saline...
December 2014: Journal of the American College of Clinical Wound Specialists
https://www.readbyqxmd.com/read/27104142/letter-from-the-editor
#16
Richard Simman
No abstract text is available yet for this article.
December 2014: Journal of the American College of Clinical Wound Specialists
https://www.readbyqxmd.com/read/26442208/calciphylaxis-in-patients-with-preserved-kidney-function
#17
Natallia Maroz, Samer Mohandes, Halle Field, Zlata Kabakov, Richard Simman
Calcific uremic arteriolopathy (CUA), also known as calciphylaxis, is a devastating disease typically seen in patients with end stage renal disease. It manifests as extremely painful symmetrical wounds resistant to surgical and medical interventions. The prevalence of CUA among hemodialysis dependent patients was found to be as high as 4.1%. The management of patients with CUA requires a multidisciplinary approach by the medical team, yet often results in a low rate of successful outcomes. Recently, non-uremic calciphylaxis (NUC) has been described in the absence of kidney disease...
April 2014: Journal of the American College of Clinical Wound Specialists
https://www.readbyqxmd.com/read/26442207/optimizing-wound-bed-preparation-with%C3%A2-collagenase-enzymatic-debridement
#18
REVIEW
Stanley K McCallon, Dorothy Weir, John C Lantis
Difficult-to-heal and chronic wounds affect tens of millions of people worldwide. In the U.S. alone, the direct cost for their treatment exceeds $25 billion. Yet despite advances in wound research and treatment that have markedly improved patient care, wound healing is often delayed for weeks or months. For venous and diabetic ulcers, complete wound closure is achieved in as few as 25%-50% of chronic or hard-to-heal wounds. Wound bed preparation and the consistent application of appropriate and effective debridement techniques are recommended for the optimized treatment of chronic wounds...
April 2014: Journal of the American College of Clinical Wound Specialists
https://www.readbyqxmd.com/read/26442206/clinical-effectiveness-of-hyperbaric-oxygen-therapy-in-complex-wounds
#19
REVIEW
Supaporn Opasanon, Warut Pongsapich, Sitthichoke Taweepraditpol, Bhoom Suktitipat, Apirag Chuangsuwanich
Hyperbaric Oxygen (HBO, HBO2) Therapy is a non-invasive therapy. It has been applied as adjuvant treatment in many medical conditions over the past 50 years. Different treatment protocols have been proven effective for specifically indicated conditions. To evaluate the clinical effectiveness of Hyperbaric Oxygen (HBO) Therapy as an adjunctive treatment for patients with complex wounds. In this prospective cohort study, 40 patients with complex wounds were included. All patients received HBO. HBO was delivered with 100% oxygen for 90 min at 2...
April 2014: Journal of the American College of Clinical Wound Specialists
https://www.readbyqxmd.com/read/26442205/the-use-of-a-pure-native-collagen-dressing-for-wound-bed-preparation-prior-to-use-of-a-living-bi-layered-skin-substitute
#20
Naz Wahab, Martha Roman, Debashish Chakravarthy, Tammy Luttrell
Management of chronic wounds in the outpatient setting is quite challenging. The extensive co-morbid medical problems of the chronically ill patient along with the complexities of the wound bed and its biochemical environment has led to a plethora of patients with poor wound healing. This ever increasing population is a challenge for the wound care practitioner and cost to the health care system and patient. Increased wound chronicity has promulgated the use of advanced wound care products, including Living Skin Substitutes (LSS), in an attempt to obtain wound closure, and ultimately both physiological and functional healing...
April 2014: Journal of the American College of Clinical Wound Specialists
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