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https://www.readbyqxmd.com/read/29243398/venous-leg-ulcer-management-in-clinical-practice-in-the-uk-costs-and-outcomes
#1
Julian F Guest, Graham W Fuller, Peter Vowden
The aim of this study was to estimate the patterns of care and annual levels of health care resource use attributable to managing venous leg ulcers (VLUs) in clinical practice by the UK's National Health Service (NHS) and the associated costs of patient management. This was a retrospective cohort analysis of the records of 505 patients in The Health Improvement Network (THIN) Database. Patients' characteristics, wound-related health outcomes and health care resource use were quantified, and the total NHS cost of patient management was estimated at 2015/2016 prices...
December 15, 2017: International Wound Journal
https://www.readbyqxmd.com/read/29238833/a-potential-tool-for-the-study-of-venous-ulcers-blood-flow-responses-to-load
#2
Wu Pan, Josh Drost, Sara Roccabianca, Seungik Baek, Tamara Reid Bush
Venous ulcers are deep wounds that are located predominantly on the lower leg. They are prone to infection and once healed have a high probability of recurrence. Currently, there are no effective measures to predict and prevent venous ulcers from formation. Hence, the goal of this work was to develop a Windkessel-based model that can be used to identify hemodynamic parameters that change between healthy individuals and those with wounds. Once identified, these parameters have the potential to be used as indicators of when internal conditions change, putting the patient at higher risk for wound formation...
December 13, 2017: Journal of Biomechanical Engineering
https://www.readbyqxmd.com/read/29214642/allergic-contact-dermatitis-caused-by-topical-herbal-remedies-importance-of-patch-testing-with-the-patients-own-products
#3
Liesbeth Gilissen, Sara Huygens, An Goossens
BACKGROUND: Natural ingredients have variable compositions, so their allergenic potencies may differ. OBJECTIVES: To retrospectively analyse subjects reacting to herbal remedies over the past 27 years, with the aim of (i) evaluating demographic characteristics and lesion locations, (ii) describing the frequencies of positive patch test reactions, (iii) identifing sensitization sources, and (iv) studying concomitant sensitivity. PATIENTS AND METHODS: In total, 15980 patients were patch tested between 1990 and 2016 with the European baseline series and/or other series, product(s) used, and, whenever possible, the respective ingredients...
December 7, 2017: Contact Dermatitis
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
#4
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
#5
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/29189067/assessing-the-value-of-practice-based-leg-ulcer-education-to-inform-recommendations-for-change-in-practice
#6
Aby Mitchell
The purpose of this paper is to assess the value of accredited leg ulcer education in influencing changes in practice. This is a before and after educational evaluation that adopted a qualitative survey approach of 12 primary care nurses attending the Nurse-Led Assessment and Management of Leg Ulcers accredited CPD module at a London university. The findings revealed that 6 out of the 8 nurses who completed the final interviews were satisfied that all learning outcomes for the module had been met. All of the nurses commented they had changed at least one aspect of practice following the module with the majority stating a number of improvements had been made relating to improved knowledge, practical skills, treatment and patient concordance...
December 1, 2017: British Journal of Community Nursing
https://www.readbyqxmd.com/read/29187956/-leg-ulcer-revealing-cutaneous-leishmaniasis
#7
Elalouani Elmehdi, Bachar Zerkly
Leishmaniases are parasitic diseases occurring in endemic tropical and subtropical areas and caused by protozoa of the genus leishmania, transmitted by a diptera (sand fly). We here report a case of topical cutaneous leishmaniasis discovered in a 15-year old boy with painless ulcer on his left leg, who had been staying in South Africa. Clinical examination showed painless non-itchy ulcer, occurred 1 month before, on the antero-internal part of his left leg with crusts and scars caused by insect bites, all evolving in a context of patient's general health status, without mucosal or visceral lesions...
2017: Pan African Medical Journal
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
#8
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/29182584/adjuvant-biological-therapies-in-chronic-leg-ulcers
#9
REVIEW
Natalia Burgos-Alonso, Igone Lobato, Igone Hernández, Kepa San Sebastian, Begoña Rodríguez, Gontzal Grandes, Isabel Andia
Current biological treatments for non-healing wounds aim to address the common deviations in healing mechanisms, mainly inflammation, inadequate angiogenesis and reduced synthesis of extracellular matrix. In this context, regenerative medicine strategies, i.e., platelet rich plasmas and mesenchymal stromal cell products, may form part of adjuvant interventions in an integral patient management. We synthesized the clinical experience on ulcer management using these two categories of biological adjuvants. The results of ten controlled trials that are included in this systematic review favor the use of mesenchymal stromal cell based-adjuvants for impaired wound healing, but the number and quality of studies is moderate-low and are complicated by the diversity of biological products...
November 28, 2017: International Journal of Molecular Sciences
https://www.readbyqxmd.com/read/29180925/marjolin-s-ulcer-in-chronic-wounds-review-of-available-literature
#10
REVIEW
Dariusz Bazaliński, Joanna Przybek-Mita, Beata Barańska, Paweł Więch
Marjolin's ulcer is a rare, aggressive skin cancer developing in scar tissue, chronic ulcers and areas affected by inflammations. Its incidence is estimated to range from 1% to 2% of all burn scars. It most frequently takes the form of squamous cell carcinoma which sometimes is diagnosed during examination of lesions developing in scars and hard-to-heal chronic wounds (pressure sores, leg ulcers). Therapeutic management of Marjolin's ulcer requires well-designed treatment plan to ensure optimal medical care and good quality of life for the patient...
2017: Contemporary Oncology Współczesna Onkologia
https://www.readbyqxmd.com/read/29180314/leg-ulcers-an-atypical-presentation-of-mycobacterium-leprae-infection
#11
Laurence De Montjoye, Ifigenia Spanoudi-Kitrimi, Liliane Marot, Ingrid Ferreira De Castro Moutinho, Julien De Greef, Jean-Cyr Yombi, Emmanuel Andre
No abstract text is available yet for this article.
November 27, 2017: European Journal of Dermatology: EJD
https://www.readbyqxmd.com/read/29175902/low-dose-aspirin-as-adjuvant-treatment-for-venous-leg-ulceration-pragmatic-randomised-double-blind-placebo-controlled-trial-aspirin4vlu
#12
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
#13
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
#14
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
#15
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
#16
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
#17
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
#18
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
#19
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
#20
Helen Fearnley, Jorge Fernandes
No abstract text is available yet for this article.
November 8, 2017: British Journal of Nursing: BJN
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