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prevention pressure injury

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https://www.readbyqxmd.com/read/29773438/the-relationship-of-subepidermal-moisture-and-early-stage-pressure-injury-by-visual-skin-assessment
#1
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
https://www.readbyqxmd.com/read/29771733/haemodilution-and-head-down-tilting-induce-functional-injury-in-the-rat-optic-nerve-a-model-for-peri-operative-ischemic-optic-neuropathy
#2
Steven Roth, John Dreixler, Nancy J Newman
BACKGROUND: Mechanisms of peri-operative ischaemic optic neuropathy remain poorly understood. Both specific pre-operative and intra-operative factors have been examined by retrospective studies, but no animal model currently exists. OBJECTIVES: To develop a rodent model of peri-operative ischaemic optic neuropathy. In rats, we performed head-down tilt and/or haemodilution, theorising that the combination damages the optic nerve. DESIGN: Animal study...
May 15, 2018: European Journal of Anaesthesiology
https://www.readbyqxmd.com/read/29771469/health-literacy-in-pressure-injury-findings-from-a-mixed-methods-study-of-community-based-patients-and-carers
#3
Lisa A Durrant, James Taylor, Helen Thompson, Kim Usher, Debra Jackson
The present study, drawn from a larger mixed-methods case study, provides insights into the health literacy of community-based patients with pressure injuries, and their carers, and critically analyzes the patient information resources available; crucial because health literacy is associated with patient care and outcomes for patients. Two datasets were used to better understand patient literacy in relation to pressure injury: (i) narratives from patients and carers; and (ii) analysis of patient education resources...
May 17, 2018: Nursing & Health Sciences
https://www.readbyqxmd.com/read/29770889/autoregulation-in-the-neuro-icu
#4
REVIEW
Anson Wang, Santiago Ortega-Gutierrez, Nils H Petersen
PURPOSE OF REVIEW: The purpose of this review is to briefly describe the concept of cerebral autoregulation, to detail several bedside techniques for measuring and assessing autoregulation, and to outline the impact of impaired autoregulation on clinical and functional outcomes in acute brain injury. Furthermore, we will review several autoregulation studies in select forms of acute brain injuries, discuss the potential for its use in patient management in the ICU, and suggest further avenues for research...
May 17, 2018: Current Treatment Options in Neurology
https://www.readbyqxmd.com/read/29770118/neuroinflammation-as-a-target-for-intervention-in-subarachnoid-hemorrhage
#5
REVIEW
Airton Leonardo de Oliveira Manoel, R Loch Macdonald
Aneurysmal subarachnoid hemorrhage (SAH) is a sub-type of hemorrhagic stroke associated with the highest rates of mortality and long-term neurological disabilities. Despite the improvement in the management of SAH patients and the reduction in case fatality in the last decades, disability and mortality remain high in this population. Brain injury can occur immediately and in the first days after SAH. This early brain injury can be due to physical effects on the brain such as increased intracranial pressure, herniations, intracerebral, intraventricular hemorrhage, and hydrocephalus...
2018: Frontiers in Neurology
https://www.readbyqxmd.com/read/29765880/pressure-relieving-effect-of-adding-a-pelvic-well-pad-to-a-wheelchair-cushion-in-individuals-with-spinal-cord-injury
#6
Hyunsoo Shin, Junsik Kim, Jin-Ju Kim, Hye-Ri Kim, Hye-Jin Lee, Bum-Suk Lee, Zee-A Han
Objective: To identify the pressure relieving effect of adding a pelvic well pad, a firm pad that is cut in the ischial area, to a wheelchair cushion on the ischium. Methods: Medical records of 77 individuals with SCI, who underwent interface pressure mapping of the buttock-thigh area, were retrospectively reviewed. The pelvic well pad is a 2.5-cm thick firm pad and has a cut in the ischial area. Expecting additional pressure relief, it can be inserted under a wheelchair cushion...
April 2018: Annals of Rehabilitation Medicine
https://www.readbyqxmd.com/read/29758591/mineralocorticoid-receptor-antagonism-prevents-obesity-induced-cerebral-artery-remodeling-and-reduces-white-matter-injury-in-rats
#7
Paulo Wagner Pires, Jonathon Lee McClain, Sebastian F Hayoz, Anne McLaren Dorrance
Midlife obesity is a risk factor for dementia development. Obesity has also been linked to hyperaldosteronism, and this can be modeled in rats by high fat (HF) feeding from weaning. Aldosterone, or activation of the mineralocorticoid receptor (MR) causes cerebrovascular injury in lean hypertensive rats. We hypothesized that rats fed a HF diet would show inward middle cerebral artery (MCA) remodeling that could be prevented by MR antagonism. We further proposed that the cerebral artery remodeling would be associated with white mater injury...
May 14, 2018: Microcirculation: the Official Journal of the Microcirculatory Society, Inc
https://www.readbyqxmd.com/read/29753517/liberal-versus-restrictive-intravenous-fluid-therapy-for-early-septic-shock-rationale-for-a-randomized-trial
#8
Wesley H Self, Matthew W Semler, Rinaldo Bellomo, Samuel M Brown, Bennett P deBoisblanc, Matthew C Exline, Adit A Ginde, Colin K Grissom, David R Janz, Alan E Jones, Kathleen D Liu, Stephen P J Macdonald, Chadwick D Miller, Pauline K Park, Lora A Reineck, Todd W Rice, Jay S Steingrub, Daniel Talmor, Donald M Yealy, Ivor S Douglas, Nathan I Shapiro
Prompt intravenous fluid therapy is a fundamental treatment for patients with septic shock. However, the optimal approach for administering intravenous fluid in septic shock resuscitation is unknown. Two competing strategies are emerging: a liberal fluids approach, consisting of a larger volume of initial fluid (50 to 75 mL/kg [4 to 6 L in an 80-kg adult] during the first 6 hours) and later use of vasopressors, versus a restrictive fluids approach, consisting of a smaller volume of initial fluid (≤30 mL/kg [≤2 to 3 L]), with earlier reliance on vasopressor infusions to maintain blood pressure and perfusion...
May 9, 2018: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/29752170/treating-obstructive-sleep-apnea-and-chronic-intermittent-hypoxia-improves-the-severity-of-nonalcoholic-fatty-liver-disease-in-children
#9
Shikha S Sundaram, Ann C Halbower, Jelena Klawitter, Zhaoxing Pan, Kristen Robbins, Kelley E Capocelli, Ronald J Sokol
OBJECTIVE: To determine the effects of treating obstructive sleep apnea/nocturnal hypoxia on pediatric nonalcoholic fatty liver disease (NAFLD) severity and oxidative stress. STUDY DESIGN: Biopsy proven participants (n = 9) with NAFLD and obstructive sleep apnea/hypoxia were studied before and after treatment with continuous positive airway pressure (CPAP) for sleep disordered breathing, including laboratory testing and markers of oxidative stress, urine F(2)-isoprostanes...
May 8, 2018: Journal of Pediatrics
https://www.readbyqxmd.com/read/29746270/evidence-regarding-the-use-of-bubble-continuous-positive-airway-pressure-in-the-extremely-low-birth-weight-infant-benefits-challenges-and-implications-for-nursing-practice
#10
Samantha Alessi
BACKGROUND: Gentle ventilation with optimal oxygenation is integral to prevention of chronic lung disease in the extremely low birth-weight (ELBW) infant. Various types of noninvasive ventilation are used in neonatal intensive care units worldwide. Bubble continuous positive airway pressure (BCPAP) has been in use in newborn intensive care since 1975. PURPOSE: To synthesize the current evidence on the use of BCPAP in the ELBW infant and its relationship to outcomes, particularly morbidity and mortality...
May 9, 2018: Advances in Neonatal Care: Official Journal of the National Association of Neonatal Nurses
https://www.readbyqxmd.com/read/29740333/flavonoids-in-kidney-health-and-disease
#11
REVIEW
Félix Vargas, Paola Romecín, Ana I García-Guillén, Rosemary Wangesteen, Pablo Vargas-Tendero, M Dolores Paredes, Noemí M Atucha, Joaquín García-Estañ
This review summarizes the latest advances in knowledge on the effects of flavonoids on renal function in health and disease. Flavonoids have antihypertensive, antidiabetic, and antiinflammatory effects, among other therapeutic activities. Many of them also exert renoprotective actions that may be of interest in diseases such as glomerulonephritis, diabetic nephropathy, and chemically-induced kidney insufficiency. They affect several renal factors that promote diuresis and natriuresis, which may contribute to their well-known antihypertensive effect...
2018: Frontiers in Physiology
https://www.readbyqxmd.com/read/29738486/shoe-insole-technology-for-injury-prevention-in-walking
#12
REVIEW
Hanatsu Nagano, Rezaul K Begg
Impaired walking increases injury risk during locomotion, including falls-related acute injuries and overuse damage to lower limb joints. Gait impairments seriously restrict voluntary, habitual engagement in injury prevention activities, such as recreational walking and exercise. There is, therefore, an urgent need for technology-based interventions for gait disorders that are cost effective, willingly taken-up, and provide immediate positive effects on walking. Gait control using shoe-insoles has potential as an effective population-based intervention, and new sensor technologies will enhance the effectiveness of these devices...
May 8, 2018: Sensors
https://www.readbyqxmd.com/read/29738293/the-use-of-sub-epidermal-moisture-measurement-in-predicting-blanching-erythema-in-jaundice-patients
#13
Seungmi Park, Chul-Gyu Kim, Ji Woon Ko
OBJECTIVE: To investigate the relationship between sub-epidermal moisture (SEM) and visual skin assessment (VSA) in pressure ulcers (PU) patients with jaundice in Korea. METHOD: This is a longitudinal observational study. Data was collected by a wound care nurse, at a tertiary hospital, for six weeks beginning in June 2013. Once a week for the six weeks, the nurse assessed VSA and measured SEM, for each subject, on seven anatomical sites (both buttocks, both ischial tuberosities, both trochanters, and the sacral coccyx), using a NOVA Petite dermal phase meter for SEM...
May 2, 2018: Journal of Wound Care
https://www.readbyqxmd.com/read/29736011/s-nitrosylation-of-nos-pathway-mediators-in-the-penis-contributes-to-cavernous-nerve-injury-induced-erectile-dysfunction
#14
Biljana Musicki, Anil K Bhunia, Serkan Karakus, Arthur L Burnett
cGMP-independent nitric oxide (NO) signaling occurs via S-nitrosylation. We evaluated whether aberrant S-nitrosylation operates in the penis under conditions of cavernous nerve injury and targets proteins involved in regulating erectile function. Adult male Sprague-Dawley rats underwent bilateral cavernous nerve crush injury (BCNI) or sham surgery. Rats were given a denitrosylation agent N-acetylcysteine (NAC, 300 mg/kg/day) or vehicle in drinking water starting 2 days before BCNI and continuing for 2 weeks following surgery...
May 8, 2018: International Journal of Impotence Research
https://www.readbyqxmd.com/read/29733461/topical-application-of-quercetin-improves-wound-healing-in-pressure-ulcer-lesions
#15
Guimei Yin, Zhijing Wang, Zhaoxia Wang, Xirui Wang
The ischemia-reperfusion (I/R) induced skin lesion has been identified as primary cause of pressure ulcers. To date, attempts to prevent pressure ulcers have not produced a significant improvement. Quercetin, one of the most widely distributed flavonoids in fruits and vegetables, exhibits its antioxidant and anti-inflammatory properties against many diseases, including ischemic heart disease, atherosclerosis, and renal injury. In vitro wound scratch assay was first used to assess the function of quercetin in wounding cell model...
May 7, 2018: Experimental Dermatology
https://www.readbyqxmd.com/read/29733311/cavernous-nerve-stimulation-and-recording-of-intracavernous-pressure-in-a-rat
#16
Morten Hox, Travis Mann-Gow, Lars Lund, Peter Zvara
The stimulation of the cavernous nerve (CN) and measurement of intracavernous pressure (ICP) have been used extensively to test and evaluate therapies for erectile dysfunction. However, the methods used vary between laboratories, and pitfalls still exist. The goal of this study was to describe a surgical technique that would provide a reliable and reproducible model. By exposing the ischiocavernosus muscle at its point of insertion on the ischial tuberosity, the penile crus could be cannulated with minimal dissection and injury to the structures involved in erectile function...
April 23, 2018: Journal of Visualized Experiments: JoVE
https://www.readbyqxmd.com/read/29729353/influence-of-foot-position-and-vision-on-dynamic-postural-strategies-during-the-grand-pli%C3%A3-ballet-movement-squatting-in-young-and-adult-ballet-dancers
#17
Anne-Violette Bruyneel, Marc Bertrand, Serge Mesure
PURPOSE: To analyse dynamic postural strategies during the "grand plié" in two different foot positions (parallel or turned out), with and without vision, and as a function of age in ballet dancers. METHOD: Twenty young dancers (YD) aged from 8 to 16 years, and 20 adult dancers (AD) aged from 17 to 30 years were recruited. Center of pressure (CoP) and ground reaction forces (GRF) were recorded (500 Hz) during the grand plié (lowering, squatting and rising)...
May 2, 2018: Neuroscience Letters
https://www.readbyqxmd.com/read/29722753/knowledge-and-attitudes-of-nurses-toward-pressure-injury-prevention-a-cross-sectional-multisite-study
#18
Michelle Barakat-Johnson, Catherine Barnett, Timothy Wand, Kathryn White
PURPOSE: The purpose of the study was to examine the knowledge and attitudes of nurses on pressure injury prevention and determine if there was a relationship between knowledge, attitude, and years of experience following an unexplained increase in reported hospital-acquired pressure injuries across 1 health district in Sydney, Australia. DESIGN: Multisite cross-sectional study. SUBJECTS AND SETTING: Registered and enrolled nurses working in acute, medical, and rehabilitation units in 4 hospitals and 5 community health centers across a local health district...
May 2018: Journal of Wound, Ostomy, and Continence Nursing
https://www.readbyqxmd.com/read/29722752/pressure-injuries-among-hospitalized-patients-with-cancer-prevalence-and-use-of-preventive-interventions
#19
Maʼen Aljezawi, Ahmad Tubaishat
PURPOSE: The purpose of this study was to measure the prevalence of pressure injuries (PIs) in hospitalized patients with cancer. DESIGN: Multicenter, cross-sectional prevalence survey. SUBJECTS AND SETTING: The sample comprised 110 adults with cancer; their mean age was 50.65 years (SD: 17.32); and more than half were females (n = 60, 54.5%). The study setting was 5 hospitals in Jordan. METHODS: A prevalence survey was conducted using methods recommended by the European Pressure Ulcer Advisory Panel...
May 2018: Journal of Wound, Ostomy, and Continence Nursing
https://www.readbyqxmd.com/read/29722750/a-survey-of-canadian-occupational-therapy-practices-to-prevent-pressure-injuries-among-wheelchair-users-via-weight-shifting
#20
W Ben Mortenson, Sarah C Thompson, Alison L Wright, Jeanette Boily, Kevin Waldorf, Sandy Leznoff
PURPOSE: The purpose of this study was to describe occupational therapy weight-shifting practices and explore recommended strategies for patients, healthcare staff, and family/caregivers across healthcare settings. DESIGN: Cross-sectional survey. SUBJECTS AND SETTING: Respondents included 97 currently practicing occupational therapists working in 5 main practice settings (ie, acute care, inpatient rehabilitation, outpatient rehabilitation, home and community care, and residential) from 9 out of 10 Canadian provinces...
May 2018: Journal of Wound, Ostomy, and Continence Nursing
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