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Venous leg ulcer

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https://www.readbyqxmd.com/read/29199962/contact-sensitization-in-patients-with-lower-leg-dermatitis-chronic-venous-insufficiency-and-or-chronic-leg-ulcer-assessment-of-the-clinical-relevance-of-contact-allergens
#1
C Erfurt-Berge, V Mahler
No abstract text is available yet for this article.
2017: Journal of Investigational Allergology & Clinical Immunology
https://www.readbyqxmd.com/read/29197931/effects-of-supervised-exercise-training-on-lower-limb-cutaneous-microvascular-reactivity-in-adults-with-venous-ulcers
#2
Garry A Tew, Anil Gumber, Emma McIntosh, Sue Kesterton, Brenda King, Jonathan A Michaels, Markos Klonizakis
PURPOSE: To investigate the effects of a 12-week supervised exercise programme on lower-limb cutaneous microvascular reactivity in adults with venous leg ulceration. METHODS: Thirty-eight adults with unilateral venous ulceration who were being treated with lower-limb compression therapy (58% male; mean age 65 years; median ulcer size 5 cm2) were randomly allocated to exercise or control groups. Exercise participants (n = 18) were invited to attend thrice weekly sessions of lower-limb aerobic and resistance exercise for 12 weeks...
December 2, 2017: European Journal of Applied Physiology
https://www.readbyqxmd.com/read/29184985/-quality-of-self-applied-compression-bandages-in-patients-with-chronic-venous-ulcers-results-of-a%C3%A2-prospective-clinical-study
#3
M Stoffels-Weindorf, I Stoffels, F Jockenhöfer, J Dissemond
BACKGROUND: For effective compression therapy in patients with venous leg ulcers, sufficient pressure is essential. In everyday life, it is often the patients themselves who apply the compression bandages. Many of these patients have restriction in their movement and had been rarely trained adequately. Hence, there was the question of how efficient are the autonomously applied compression bandages of those patients. PATIENTS AND METHODS: In all, 100 consecutive patients with venous leg ulcer were asked to apply compression bandages on their own leg...
November 28, 2017: Der Hautarzt; Zeitschrift Für Dermatologie, Venerologie, und Verwandte Gebiete
https://www.readbyqxmd.com/read/29175902/low-dose-aspirin-as-adjuvant-treatment-for-venous-leg-ulceration-pragmatic-randomised-double-blind-placebo-controlled-trial-aspirin4vlu
#4
Andrew Jull, Angela Wadham, Chris Bullen, Varsha Parag, Ngaire Kerse, Jill Waters
Objective To determine the effect of low dose aspirin on ulcer healing in patients with venous leg ulcers.Design Pragmatic, community based, parallel group, double blind, randomised controlled trial.Setting Five community nursing centres in New Zealand.Participants 251 adults with venous leg ulcers who could safely be treated with aspirin or placebo: 125 were randomised to aspirin and 126 to placebo.Interventions 150 mg oral aspirin daily or matching placebo for up to 24 weeks treatment, with compression therapy as standard background treatment...
November 24, 2017: BMJ: British Medical Journal
https://www.readbyqxmd.com/read/29147566/diagnosis-of-stenosis-within-the-popliteal-femoral-venous-segment-upon-clinical-presentation-with-a-venous-ulcer-and-subsequent-successful-treatment-with-venoplasty
#5
Emma Dabbs, Alina Sheikh, David Beckett, Mark S Whiteley
This case study reports the diagnosis and treatment of a lower limb venous ulcer with abnormal underlying venous pathology. One male patient presented with bilateral varicose veins and a right lower limb ulcer. Upon investigation, full-leg duplex ultrasonography revealed total incompetence of the great saphenous vein in the left leg. In the right leg, duplex ultrasonography showed proximal incompetence of the small saphenous vein, and dilation of the anterior accessory saphenous vein, which remained competent...
2017: SAGE Open Medical Case Reports
https://www.readbyqxmd.com/read/29147163/self-care-based-treatment-using-ordinary-elastic-bandages-for-venous-leg-ulcers
#6
Kotaro Suehiro, Noriyasu Morikage, Takasuke Harada, Makoto Samura, Yuriko Takeuchi, Takahiro Mizoguchi, Kimikazu Hamano
Objective: We aimed to study venous leg ulcer (VLU) healing and recurrence rates of VLU using a self-care-based treatment strategy. Methods: The study included 36 patients (43 legs) who visited our clinic between April 2009 and June 2015 because of non-healing VLUs and who had been treated by us for more than a year (until June 2016). Patients or their caregivers were first provided instructions for performing the "no-intentional-stretch" bandaging technique using ordinary elastic bandages. Wounds were cleansed with tepid water daily, and bandages were re-applied by patients or their caregivers; this was continued until VLUs were healed...
September 25, 2017: Annals of Vascular Diseases
https://www.readbyqxmd.com/read/29145757/nutrition-and-lower-extremity-ulcers-causality-and-or-treatment
#7
Lauren Haughey, Adrian Barbul
The association between malnutrition, impaired wound healing, and the presence of chronic wounds has been recognized for a long time. It is widely believed that the lack of adequate nutrition increases the risk of developing wounds which have a great likelihood of progressing to chronicity due to lack of appropriate healing responses. This risk is particularly high in the aging population. For the individual patient, as well as patient populations, the diagnosis of malnutrition has been in dispute; further, there is lack of agreement of when and how to intervene nutritionally in those with wounds or healing deficits...
November 1, 2017: International Journal of Lower Extremity Wounds
https://www.readbyqxmd.com/read/29144786/venous-leg-ulceration-in-an-intravenous-drug-user
#8
Helen Fearnley, Jorge Fernandes
No abstract text is available yet for this article.
November 8, 2017: British Journal of Nursing: BJN
https://www.readbyqxmd.com/read/29144781/non-healing-venous-leg-ulcer
#9
Helen Dawkins
No abstract text is available yet for this article.
November 8, 2017: British Journal of Nursing: BJN
https://www.readbyqxmd.com/read/29144779/heavily-exuding-venous-leg-ulcer-with-suspected-biofilm
#10
Sarah Pankhurst
No abstract text is available yet for this article.
November 8, 2017: British Journal of Nursing: BJN
https://www.readbyqxmd.com/read/29144778/exuding-venous-leg-ulcer-with-signs-of-biofilm
#11
Robert Oldfield
No abstract text is available yet for this article.
November 8, 2017: British Journal of Nursing: BJN
https://www.readbyqxmd.com/read/29144776/extremely-painful-venous-leg-ulcer
#12
Helen Fearnley, Jorge Fernandes
No abstract text is available yet for this article.
November 8, 2017: British Journal of Nursing: BJN
https://www.readbyqxmd.com/read/29143961/upregulation-of-epidermal-gap-junctional-proteins-in-patients-with-venous-disease
#13
M Kanapathy, R Simpson, L Madden, C Thrasivoulou, A Mosahebi, D L Becker, T Richards
BACKGROUND: Leg ulceration is a feared complication of venous insufficiency. It is not known whether varicose veins predispose skin to poor wound healing. The expression pattern of gap junctional protein connexin, a known marker of poor wound healing, was investigated across various stages of venous disease. METHODS: Patients undergoing intervention for varicose veins were assessed according to the Clinical Etiologic Anatomic Pathophysiologic (CEAP) classification of varicose veins...
November 16, 2017: British Journal of Surgery
https://www.readbyqxmd.com/read/29131753/effectiveness-of-compression-bandaging-education-for-wound-care-nurses
#14
D Tidhar, E Keren, G Brandin, M Yogev, J M Armer
OBJECTIVE: Compression bandaging is an essential component in the treatment of venous leg ulcers (VLUs). An adequate pressure and stiffness is needed in order for the treatment to be successful. The aim of this study was to evaluate the effectiveness of a training workshop on compression bandaging among wound care nurses who had no previous experience in application of compression bandages, immediately post-training and six months after training. METHOD: A quasi-experimental design, conducted at Maccabi Healthcare Services, in which nurses underwent a four-hour educational session, including practising with a device that measures sub-bandage pressure...
November 2, 2017: Journal of Wound Care
https://www.readbyqxmd.com/read/29120684/managing-exudate-and-maceration-in-venous-leg-ulceration-within-the-acute-health-setting
#15
Annemarie Brown
Exudate has beneficial effects in normal wound healing but detrimental consequences for chronic wounds. Practitioners need to identify and treat its cause, and manage the exudate and prevent if from damaging periwound skin. Management involves dressings of the most appropriate absorbency and other products, and avoiding maceration of periwound skin; compression therapy is the gold standard treatment for treating oedema and venous leg ulceration. Nurses in acute settings may not have the skills to implement or maintain compression therapy; this article is intended for nurses who may have to manage these patients temporarily while they are admitted to secondary care and may not have the skills...
November 8, 2017: British Journal of Nursing: BJN
https://www.readbyqxmd.com/read/29119061/emla-anaesthetic-cream-for-debridement-of-burns-a-study-of-plasma-concentrations-of-lidocaine-and-prilocaine-and-a-review-of-the-literature
#16
Stefan Lillieborg, Leif Aanderud
The lidocaine-prilocaine cream (EMLA(TM)) effectively reduces the pain from debridement of chronic leg ulcers. Studies have demonstrated that when applied to leg ulcers, plasma concentrations of the local anaesthetics are well below the threshold for CNS toxicity. However, there are minimal pharmacokinetic data available from EMLA application to burn wounds. This study evaluated EMLA cream for debridement of burns with regard to plasma concentrations of lidocaine and prilocaine, and reviewed the published literature on safety and efficacy of lidocaine-prilocaine applied epicutaneously to burns...
2017: International Journal of Burns and Trauma
https://www.readbyqxmd.com/read/29115044/a-leg-ulcer-with-pulsating-varicose-veins%C3%A2-%C3%A2-from-the-legs-to-the-heart
#17
Sabrina Johanna Swoboda, Hauke Schumann, Dimitra Kiritsi
We present the case of a 58-year-old man who presented to our wound care centre with a 7 -month history of a progressive unilateral leg ulcer. He reported intermittent, heavy bleeding at the ulcer. The duplex sonography showed a bilateral incompetence of the saphenofemoral junctions and the entire course of the great saphenous veins and, surprisingly, also a bilateral reversed arterial-like pulsating flow in the great and small saphenous veins as well as in the deep veins of the lower extremities. During cardiac examination by auscultation and echocardiography, we detected a previously undescribed severe tricuspid insufficiency with strongly reduced systolic ejection of both the left and the right ventricle and repercussions on the peripheral venous system as a cause for the pulsating veins...
November 7, 2017: International Wound Journal
https://www.readbyqxmd.com/read/29096125/biaxial-mechanical-behavior-of-bovine-saphenous-venous-valve-leaflets
#18
Jiaqi Lu, Hsiao-Ying Shadow Huang
Chronic venous disease is caused by chronic venous insufficiency (CVI), which results in significant symptoms such as venous ulcers, ankle eczema, leg swelling, etc. Venous valve incompetence is a major cause of CVI. When the valves of veins in the leg become incompetent (i.e., do not close properly), blood is able to flow backwards (i.e., reflux), which results in blood pooling in the lower extremities, distal venous hypertension, and CVI. Current clinical therapies, such as surgical venous valve reconstruction and bioprosthetic venous valve replacement, are highly invasive and only moderately successful...
October 24, 2017: Journal of the Mechanical Behavior of Biomedical Materials
https://www.readbyqxmd.com/read/29091035/predicting-the-likelihood-of-delayed-venous-leg-ulcer-healing-and-recurrence-development-and-reliability-testing-of-risk-assessment-tools
#19
Christina N Parker, Kathleen J Finlayson, Helen E Edwards
Venous leg ulcers are characterized by a long healing process and repeated cycles of ulceration. A secondary analysis of data from multisite longitudinal studies was conducted to identify risk factors for delayed healing and recurrence of venous leg ulcers for development of risk assessment tools, and a single-site prospective study was performed to as- sess the new tools' interrater reliability (IRR). The development of the risk assessment tools was based on results from previous multivariate analyses combined with further risk factors documented in the literature from systematic reviews, randomized controlled trials, and cohort studies with regard to delayed healing and recurrence...
October 2017: Ostomy/wound Management
https://www.readbyqxmd.com/read/29083334/use-of-ultraportable-vacuum-therapy-systems-in-the-treatment-of-venous-leg-ulcer
#20
Roberto Cuomo, Giuseppe Nisi, Luca Grimaldi, Cesare Brandi, Carlo D'Aniello
BACKGROUND: The high incidence of venous leg ulcers and the difficult to give a complete healing involves in an increase of costs for National Health System. Main therapies to obtain a fast healing are compressive bandages, treatment of abnormal venous flow and in-situ-strategies of wound care. Negative pressure therapy does not conventionally used, because these systems not allow the use of compression bandages. Recently the development of ultraportable devices has improved the compliance and the results...
October 23, 2017: Acta Bio-medica: Atenei Parmensis
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