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https://www.readbyqxmd.com/read/29738294/clinical-application-of-a-3d-printed-scaffold-in-chronic-wound-treatment-a-case-series
#1
Haining Sun, Huayao Lv, Fanghui Qiu, Duolun Sun, Yue Gao, Ning Chen, YongKe Zheng, Kunxue Deng, Yaya Yang, Haitao Zhang, Tao Xu, Dongni Ren
OBJECTIVE: This case series evaluates the safety and effectiveness of 3D-printed scaffold in chronic wounds. The scaffold is a composite of natural and synthetic materials, and can be prepared in the form of powder or membrane. METHOD: We recruited patients with pressure ulcera (PU) and/or a diabetic foot ulcers (DFU). We used two methods: 3D-printed scaffolds alone, or 3D-printing powder mixed with platelet-rich fibrinogen (PRF). Clinicians and patients were asked to rate the scaffold's ease of application and comfort during use...
May 2, 2018: Journal of Wound Care
https://www.readbyqxmd.com/read/29733065/impacto-de-la-revascularizaci%C3%A3-n-y-factores-asociados-en-el-salvamento-de-la-extremidad-en-pacientes-con-pie-diab%C3%A3-tico
#2
Carlos A Hinojosa, Estefanía Boyer-Duck, Javier E Anaya-Ayala, Ana E Núñez-Salgado, Hugo Laparra-Escareno, René Lizola
Introducción: El pie diabético es causa frecuente de hospitalización. Objetivo: Examinar el impacto de la revascularización en la preservación de los miembros inferiores. Método: Estudio retrospectivo de pacientes diabéticos con úlceras en el pie. Se evaluó extensión del tejido perdido conforme las clasificaciones PEDIS y de Wagner, así como indicaciones y técnicas de revascularización. Los factores involucrados en la amputación mayor y el salvamento de la extremidad fueron evaluados por pruebas Fisher y chi cuadrado...
2018: Gaceta Médica de México
https://www.readbyqxmd.com/read/28991291/catastrophic-antiphospholipid-syndrome-case-report-and-literature-review
#3
REVIEW
Luis del Carpio-Orantes, Chantall Citlally Martínez-Anaya, Elías Bonilla-Casas
The present document is the report of a case of a very rare clinical entity, which presents with acute multiorganic failure after a thrombotic storm related to antiphospholipid antibodies, the so-called catastrophic antiphospholipid syndrome, which began as a recurrent picture of mesenteric thrombosis, with a previous history of venous insufficiency and distal ulcers probably associated with an unidentified antiphospholipid; deserving management in intensive care and the consultation by the world expert, Dr...
2017: Gaceta Médica de México
https://www.readbyqxmd.com/read/28834407/psychometric-testing-of-integrare-an-instrument-for-the-assesment-of-pressure-ulcer-risk-in-inpatients
#4
Ana María Porcel-Gálvez, Rocío Romero-Castillo, Elena Fernández-García, Sergio Barrientos-Trigo
PURPOSE: The aim of this study is to evaluate the psychometric properties of INTEGRARE, an instrument based on Nursing Outcome Classification. METHOD: A multicenter, cross-sectional, methodological design was used. FINDINGS: The study included 3,835 patients. Internal consistency α = 0.86. Confirmatory factor analysis demonstrated the unidimensionality of the scale, indicating a good model fit (CMIN/DF = 4; GFI, CFI, NFI, IFI = 0.999; RMSEA = 0...
August 21, 2017: International Journal of Nursing Knowledge
https://www.readbyqxmd.com/read/28658333/bacterial-genus-is-a-risk-factor-for-major-amputation-in-patients-with-diabetic-foot
#5
Natália Anício Cardoso, Lígia DE Loiola Cisneiros, Carla Jorge Machado, Juliana Merlin Cenedezi, Ricardo Jayme Procópio, Túlio Pinho Navarro
Objective: to evaluate whether bacterial genus is a risk factor for major amputation in patients with diabetic foot and infected ulcer. Methods: we conducted a case-control, observational study of 189 patients with infected ulcers in diabetic feet admitted to the Vascular Surgery Service of the Risoleta Tolentino Neves Hospital, from January 2007 to December 2012. The bacteriological evaluation was performed in deep tissue cultures from the lesions and amputation was considered major when performed above the foot'smiddle tarsus...
March 2017: Revista do Colégio Brasileiro de Cirurgiões
https://www.readbyqxmd.com/read/28658329/impact-of-non-adherent-ibuprofen-foam-dressing-in-the-lives-of-patients-with-venous-ulcers
#6
Geraldo Magela Salomé, Lydia Masako Ferreira
Objective : to evaluate pain in patients with lower limb venous ulcer who used non-adherent Ibuprofen foam dressing (IFD). Methods : we conducted a prospective study of patients with lower limb venous ulcers treated from April 2013 to August 2014. We used the Numerical Scale and McGill Pain Questionnaire, performing the assessments at the moment of inclusion of the patient in the study and every eight days thereafter, totaling five consultations. We divided the patients into two groups: 40 in the Study Group (SG), who were treated with IFD, and 40 in the Control Group (CG), treated with primary dressing, according to tissue type and exudate...
March 2017: Revista do Colégio Brasileiro de Cirurgiões
https://www.readbyqxmd.com/read/28562811/use-of-the-diffusion-of-innovation-model-in-venous-ulcers-by-specialized-professionals
#7
Eline Lima Borges, Maria Helena Larcher Caliri, Vanderlei José Haas, Aidê Ferreira Ferraz, Josimare Otoni Spira, Ana Carolina Tyrone
Objective: To analyze the influence of the evidence and of the opinion of peers on the decisions of specialists regarding the agreement with recommendations for prevention and treatment of venous ulcer. Methods: This is a quasi-experimental study with two interventions: provision of studies with the evidence of the recommendations and provision of the opinion of peers, with sample of 73 specialized doctors and nurses. Delphi technique was used in the search for agreement, with three rounds...
May 2017: Revista Brasileira de Enfermagem
https://www.readbyqxmd.com/read/28562742/factors-associated-with-the-incidence-of-pressure-ulcer-during-hospital-stay
#8
Fernanda Penido Matozinhos, Gustavo Velasquez-Melendez, Sabrina Daros Tiensoli, Alexandra Dias Moreira, Flávia Sampaio Latini Gomes
OBJECTIVE: Estimating the incidence rate of pressure ulcers and verifying factors associated with this occurrence in a cohort of hospitalized patients. METHOD: This is a cohort study in which the considered outcome was the time until pressure ulcer occurrence. Estimated effect of the variables on the cumulative incidence ratio of the outcome was performed using the Cox proportional hazards model. Variable selection occurred via the Logrank hypothesis test. RESULTS: The sample consisted of 442 adults, with 25 incidents of pressure ulcers...
May 25, 2017: Revista da Escola de Enfermagem da U S P
https://www.readbyqxmd.com/read/28489215/negative-pressure-therapy-for-the-treatment-of-complex-wounds
#9
Renan Victor Kümpel Schmidt Lima, Pedro Soler Coltro, Jayme Adriano Farina
The objective of this study is to evaluate the effectiveness of negative pressure therapy (NPT) in the treatment of complex wounds, with emphasis on its mechanisms of action and main therapeutic indications. We searched the Pubmed / Medline database for articles published from 1997 to 2016, and selected the most relevant ones. The mechanisms of action of NPT involveboth physical effects, such as increased perfusion, control of edema and exudate, reduction of wound dimensions and bacterial clearance, and biological ones, such as the stimulation of granulation tissue formation, microdeformations and reduction of Inflammatory response...
January 2017: Revista do Colégio Brasileiro de Cirurgiões
https://www.readbyqxmd.com/read/28489214/efficacy-of-bacterial-cellulose-membrane-for-the-treatment-of-lower-limbs-chronic-varicose-ulcers-a-randomized-and-controlled-trial
#10
Luciana Marins Cavalcanti, Flávia Cristina Morone Pinto, Glícia Maria DE Oliveira, Salvador Vilar Correia Lima, José Lamartine DE Andrade Aguiar, Esdras Marques Lins
Objective: to evaluate the efficacy of Bacterial Cellulose (BC) membrane dressings in the treatment of lower limb venous ulcers. Methods: we carried out a prospective, randomized, controlled study of 25 patients with chronic venous ulcer disease in the lower limbs from the Angiology and Vascular Surgery Service of the Federal University of Pernambuco Hospital and from the Salgado Polyclinic of the County Health Department, Caruaru, Pernambuco. We randomly assigned patients to two groups: control group, receiving dressings with triglyceride oil (11 patients) and experimental group, treated with BC membrane (14 patients)...
January 2017: Revista do Colégio Brasileiro de Cirurgiões
https://www.readbyqxmd.com/read/28032876/assessment-of-evidence-and-quality-of-clinical-practice-guidelines-on-deterioration-of-skin-integrity-ulcers-and-chronic-wounds
#11
REVIEW
J M Rumbo-Prieto, M Romero-Martín, D Bellido-Guerrero, L Arantón-Areosa, C D Raña-Lama, F Palomar-Llatas
Background. The epidemiological, social, and economic situation that surrounds the deterioration of skin integrity is a big problem for the health system. Its prevention and treatment create uncertainty and professional variability and it remains a priority to have good clinical practice guidelines (CPG). The objective was to determine the quality of the CPG on prevention and treatment of pressure ulcers (PU), venous ulcers of the leg (VUL) and diabetic foot ulcers (DFU). Methodology. Systematic review of the quality of Spanish and international CPG on PU, VUL and DFU...
December 30, 2016: Anales del Sistema Sanitario de Navarra
https://www.readbyqxmd.com/read/27992028/measurement-of-the-area-of-venous-ulcers-using-two-software-programs
#12
COMPARATIVE STUDY
Thaís Dresch Eberhardt, Suzinara Beatriz Soares de Lima, Luis Felipe Dias Lopes, Eline de Lima Borges, Teresinha Heck Weiller, Graziele Gorete Portella da Fonseca
Objective: to compare the measurement area of venous ulcers using AutoCAD(r) and Image Tool software. Method: this was an assessment of reproducibility tests conducted in a angiology clinic of a university hospital. Data were collected from 21 patients with venous ulcers, in the period from March to July of 2015, using a collection form and photograph of wounds. Five nurses (evaluators) of the hospital skin wound study group participated. The wounds were measured using both software programs...
December 19, 2016: Revista Latino-americana de Enfermagem
https://www.readbyqxmd.com/read/27878223/experimental-study-with-nursing-staff-related-to-the-knowledge-about-pressure-ulcers
#13
MULTICENTER STUDY
Miriam Viviane Baron, Cézane Priscila Reuter, Miria Suzana Burgos, Veniria Cavalli, Cristine Brandenburg, Suzane Beatriz Frantz Krug
Objective: to compare the scores of knowledge in teams participating or not participating in educational interventions about pressure ulcers. Method: a quantitative study with experimental design. Data were collected through a validated questionnaire. The study included 71 individuals, including nurses and nursing technicians from three intensive care units, divided into intervention group and control group. Data analysis considered the scores of the groups in the moment before and after intervention...
November 21, 2016: Revista Latino-americana de Enfermagem
https://www.readbyqxmd.com/read/27878218/nursing-care-missed-in-patients-at-risk-of-or-having-pressure-ulcers
#14
Jonathan Hermayn Hernández Valles, María Guadalupe Moreno Monsiváis, Ma Guadalupe Interial Guzmán, Leticia Vázquez Arreola
Objective: to determine the nursing care missed as perceived by the nursing staff and its relation with the nursing care missed identified in the assessment of patients at risk of or having pressur ulcers. Method: descriptive correlation study. The participants were 161 nurses and 483 patients from a public hospital. The MISSCARE survey was used in combination with a Nursing Care Assessment Form for Patients at Risk of or having pressure ulcers. For the analysis, descriptive and inferential statistics were used...
November 21, 2016: Revista Latino-americana de Enfermagem
https://www.readbyqxmd.com/read/27759774/relationship-between-the-presence-of-helicobacter-pylori-with-inflammatory-endoscopic-changes-in-gastroduodenal-mucosa
#15
COMPARATIVE STUDY
Irma Cláudia Saboya Ribeiro, Luiz Fernandao Kubrusly, Paulo Afonso Nunes Nassif, Patrícia Fernanda Saboya Ribeiro, Rodrigo de Oliveira Veras, Aline Neppel
Background: The influence of Helicobacter pylori (HP) in inflammatory disorders of the digestive mucosa has been the subject of several studies since socioeconomic, personal and environmental factors were implicated in the bacteria transmission. Aim: To correlate the inflammatory endoscopic findings with HP infection and the onset of mucosal diseases mucous of the upper digestive tract. Method: Comparative observational study, in which were collected data from 2247 patients who underwent upper endoscopy and biopsies for HP with urease test...
July 2016: Arquivos Brasileiros de Cirurgia Digestiva: ABCD, Brazilian Archives of Digestive Surgery
https://www.readbyqxmd.com/read/27680056/nursing-workload-and-occurrence-of-adverse-events-in-intensive-care-a-systematic-review
#16
REVIEW
Andrea Carvalho de Oliveira, Paulo Carlos Garcia, Lilia de Souza Nogueira
OBJECTIVE: To identifyevidences of the influence of nursing workload on the occurrence of adverse events (AE) in adult patients admitted to the intensive care unit (ICU). METHOD: A systematic literature review was conducted in the databases MEDLINE, CINAHL, LILACS, SciELO, BDENF, and Cochrane from studies in English, Portuguese, or Spanish, published by 2015. The analyzed AE were infection, pressure ulcer (PU), patient falls, and medication errors. RESULTS: Of 594 potential studies, eight comprised the final sample of the review...
July 2016: Revista da Escola de Enfermagem da U S P
https://www.readbyqxmd.com/read/27680049/low-level-laser-therapy-and-calendula-officinalis-in-repairing-diabetic-foot-ulcers
#17
RANDOMIZED CONTROLLED TRIAL
Ana Flávia Machado de Carvalho, Maura Cristina Porto Feitosa, Nayana Pinheiro Machado de Freitas Coelho, Veruska Cronemberger Nogueira Rebêlo, Juçara Gonçalves de Castro, Patrícia Regina Gomes de Sousa, Valrian Campos Feitosa, Emilia Angela Lo Schiavo Arisawa
OBJECTIVE: To evaluate the effects of low-level laser therapy isolated and associated with Calendula officinalis oil in treating diabetic foot ulcers. METHOD: An experimental, randomized, controlled, prospective, interventional clinical case study using a quantitative approach. The sample consisted of 32 diabetic patients of both genders. Participants were randomly divided into four groups. Doppler Ultrasound evaluation of the Ankle-Brachial Index, brief pain inventory and analog pain scale were performed at baseline and after 30 days...
July 2016: Revista da Escola de Enfermagem da U S P
https://www.readbyqxmd.com/read/27617525/criptococosis-cut%C3%A3-nea-primaria-en-paciente-inmunocompetente
#18
Igor Vázquez-Osorio, Sara García-Rodiño, Marta Rodríguez-Rodríguez, Javier Labandeira, José Manuel Suárez-Peñaranda, MDolores Sánchez-Aguilar, Hugo Vázquez-Veiga
La criptococosis cutánea es una micosis propia de pacientes inmunodeprimidos, sobre todo aquellos con infección por el virusde la inmunodeficiencia humana (VIH). Sin embargo, existen casos infrecuentes de criptococosis cutánea en pacientes inmunocompetentes, que suelen simular otras dermatosis, lo que retrasa su diagnóstico y tratamiento. Presentamos el caso de un varón pluripatológico de 79 años, con úlceras dolorosas en dorso de mano derecha que no respondían a tratamientos tópicos. A través del estudio histopatológico y micológico se alcanzó el diagnóstico de criptococosis cutánea primaria, lográndose la remisión de las lesiones tras 6 meses de tratamiento con fluconazol...
May 15, 2016: Dermatology Online Journal
https://www.readbyqxmd.com/read/27579925/assessment-scale-of-risk-for-surgical-positioning-injuries
#19
Camila Mendonça de Moraes Lopes, Vanderlei José Haas, Rosana Aparecida Spadoti Dantas, Cheila Gonçalves de Oliveira, Cristina Maria Galvão
OBJECTIVE: to build and validate a scale to assess the risk of surgical positioning injuries in adult patients. METHOD: methodological research, conducted in two phases: construction and face and content validation of the scale and field research, involving 115 patients. RESULTS: the Risk Assessment Scale for the Development of Injuries due to Surgical Positioning contains seven items, each of which presents five subitems. The scale score ranges between seven and 35 points in which, the higher the score, the higher the patient's risk...
August 29, 2016: Revista Latino-americana de Enfermagem
https://www.readbyqxmd.com/read/27475029/-differentiation-between-moisture-lesions-and-pressure-ulcers-using-photographs-in-a-critical-area
#20
Josefa Valls-Matarín, Mercedes Del Cotillo-Fuente, María Pujol-Vila, Rosa Ribal-Prior, Inmaculada Sandalinas-Mulero
OBJECTIVES: To identify difficulties for nurses in differentiating between moisture lesions and pressure ulcers, proper classification of pressure ulcers to assess the adequate classification of the Grupo Nacional para el Estudio y Asesoramiento de Úlceras por Presión y Heridas Crónicas (GNEAUPP) and the degree of agreement in the correct assessment by type and category of injury. METHOD: Cross-sectional study in a critical area during 2014. All nurses who agreed to participate were included...
September 2016: Enfermería Clínica
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