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https://www.readbyqxmd.com/read/29043868/determinants-of-optimal-bowel-function-in-ileal-pouch-anal-anastomosis-physiological-differences-contributing-to-pouch-function
#1
Marie Louise Sunde, Petr Ricanek, Tom Øresland, Jørgen Jahnsen, Nazir Naimy, Arne Engebreth Færden
BACKGROUND: Variability in functional outcome after ileal-pouch anal anastomosis (IPAA) is to a large extent unexplained. The aim of this study was to perform multiple physiological and biochemical tests including an endoscopic examination with histology on IPAA patients with well and poorly functioning pouches to determine factors, or combinations thereof, contributing to functional outcome. METHODS: All patients with ulcerative colitis undergoing restorative proctocolectomy between 2000 and 2013 (N = 108) were interviewed using a pouch functioning score...
October 18, 2017: Scandinavian Journal of Gastroenterology
https://www.readbyqxmd.com/read/29036406/effects-of-computerized-decision-support-system-implementations-on-patient-outcomes-in-inpatient-care-a-systematic-review
#2
Julian Varghese, Maren Kleine, Sophia Isabella Gessner, Sarah Sandmann, Martin Dugas
Objectives: To systematically classify the clinical impact of computerized clinical decision support systems (CDSSs) in inpatient care. Materials and Methods: Medline, Cochrane Trials, and Cochrane Reviews were searched for CDSS studies that assessed patient outcomes in inpatient settings. For each study, 2 physicians independently mapped patient outcome effects to a predefined medical effect score to assess the clinical impact of reported outcome effects. Disagreements were measured by using weighted kappa and solved by consensus...
September 23, 2017: Journal of the American Medical Informatics Association: JAMIA
https://www.readbyqxmd.com/read/29033143/measurement-and-reporting-of-pressure-ulcer-related-harm-in-nhs-hospitals-in-england
#3
EDITORIAL
Ray Samuriwo
No abstract text is available yet for this article.
October 9, 2017: Journal of Tissue Viability
https://www.readbyqxmd.com/read/29025198/foam-dressings-for-treating-pressure-ulcers
#4
REVIEW
Rachel M Walker, Brigid M Gillespie, Lukman Thalib, Niall S Higgins, Jennifer A Whitty
BACKGROUND: Pressure ulcers, also known as pressure injuries and bed sores, are localised areas of injury to the skin or underlying tissues, or both. Dressings made from a variety of materials, including foam, are used to treat pressure ulcers. An evidence-based overview of dressings for pressure ulcers is needed to enable informed decision-making on dressing use. This review is part of a suite of Cochrane Reviews investigating the use of dressings in the treatment of pressure ulcers...
October 12, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29024413/deep-tissue-loads-in-the-seated-buttocks-on-an-off-loading-wheelchair-cushion-versus-air-cell-based-and-foam-cushions-finite-element-studies
#5
Lea Peko Cohen, Amit Gefen
For wheelchair users, a common injury is a sitting-acquired pressure ulcer (PU) which typically onsets near the interface between the ischial tuberosity (IT) and the overlying soft tissues. The risk of developing PUs can be reduced considerably if an adequate cushion is placed on the wheelchair in order to protect tissues from PUs by minimising interface mechanical loads between the body and cushion and also, exposure to internal soft tissue loads. In this work, we studied the biomechanical performances of an off-loading (OL) cushion with limited adjustability, in comparison to a standard foam cushion and a fully adjustable air-cell-based (ACB) cushion...
September 6, 2017: International Wound Journal
https://www.readbyqxmd.com/read/29019580/effects-of-local-pressure-on-cutaneous-blood-flow-in-pigs
#6
Michel Luciano Holger Toledano Vaena, João Paulo Sinnecker, Bruno Benedetti Pinto, Mario Fritsch Toros Neves, Fernando Serra-Guimarães, Ruy Garcia Marques
OBJECTIVE: to evaluate the effects of increasing pressures on the cutaneous blood flow in the skin of pigs. METHODS: we conducted an experimental study in pigs submitted to subcutaneous magnetic implants (n=30). After healing, were applied external magnets with varying magnetic forces to the skin, generating compression. We evaluated the cutaneous circulation of the skin under compression by the Laser Speckle Contrast Imaging (LSCI) technique. We measured the depth of the implants by ultrasonography, and applied computational simulations to the calculation of the different pressure values, considering the different distances between implants and external magnets...
September 2017: Revista do Colégio Brasileiro de Cirurgiões
https://www.readbyqxmd.com/read/29019529/quality-of-life-in-patients-with-chronic-wounds-magnitude-of-changes-and-predictive-factors
#7
Vera Lúcia Conceição de Gouveia Santos, Alcicléa Dos Santos Oliveira, Ana Flávia Dos Santos Amaral, Erika Tihemi Nishi, Jaqueline Betteloni Junqueira
OBJECTIVE: To assess health-related quality of life, its predictors and magnitude of changes in health-related quality of life in patients with chronic wounds receiving specialized outpatient treatment. METHOD: Secondary, retrospective, descriptive, quantitative study with patients with chronic wounds from two specialized outpatient services in Brazil assessed through Ferrans & Powers Quality of Life Index-Wound Version, Visual Analog Pain Scale, Global Assessment Scale, Pressure Ulcer Scale for Healing, sociodemographic and clinical questionnaires at baseline and after 60 days of treatment...
October 9, 2017: Revista da Escola de Enfermagem da U S P
https://www.readbyqxmd.com/read/28991769/let-s-go-bananas-gren-bananas-and-their-health-benefits
#8
Vasso Apostolopoulos, Juliana Antonipillai, Kathy Tangalakis, John F Ashton, Lily Stojanovska
Bananas have enormous health benefits as a food for both animals and humans. They have been used as a complimentary medicine to treat pathological conditions since ancient times. Recently, there has been increased interest in the scientific validity of the beneficial effects of bananas in alleviating and treating disease conditions including, ulcers, infections, diabetes, diarrhea, colitis and blood pressure. Herein, we write on the potential therapeutic and functional benefits of certain species of bananas when consumed green as well as considering the properties of extracts from the non-fruit parts of the plant...
September 1, 2017: Prilozi (Makedonska Akademija Na Naukite i Umetnostite. Oddelenie za Medicinski Nauki)
https://www.readbyqxmd.com/read/28988757/pressure-ulcers-in-critically-ill-patients-preventable-by-non-sedation-a-substudy-of-the-nonseda-trial
#9
Helene K Nedergaard, Trine Haberlandt, Palle Toft, Hanne Irene Jensen
OBJECTIVE: Pressure ulcers still pose a significant clinical challenge to critically ill patients. This study is a substudy of the multicenter NONSEDA-trial, where critically ill patients were randomised to sedation or non-sedation during mechanical ventilation. The objective of this substudy was to assess if non-sedation affected the occurrence of pressure ulcers. DESIGN: Retrospective assessment of data from a single NONSEDA-trial site. SETTING: Mixed intensive care unit...
October 5, 2017: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://www.readbyqxmd.com/read/28987989/automated-framework-for-accurate-segmentation-of-pressure-ulcer-images
#10
Begonya Garcia-Zapirain, Ahmed Shalaby, Ayman El-Baz, Adel Elmaghraby
Ulcer tissue segmentation is of immense importance in helping medical personnel to assess wounds. This paper introduces a new computational framework employing state-of-the-art image processing techniques to segment pressure ulcer tissue structures from color images. The framework integrates a visual appearance model of an observed input image with prior color information from an available database of previously stored color RGB images. The following four processing steps are performed. First, to minimize the execution time and enhance the segmentation accuracy, a region-of-interest (ROI) of the whole ulcer area is automatically identified based on contrast changes...
September 22, 2017: Computers in Biology and Medicine
https://www.readbyqxmd.com/read/28985487/lower-extremity-dynamics-of-walking-in-neuropathic-diabetic-patients-who-wear-a-forefoot-offloading-shoe
#11
Sicco A Bus, Josina C Maas, Nicoline M Otterman
BACKGROUND: A forefoot-offloading shoes has a negative-heel rocker outsole and is used to treat diabetic plantar forefoot ulcers, but its mechanisms of action and their association with offloading and gait stability are not sufficiently clear. METHODS: Ten neuropathic diabetic patients were tested in a forefoot-offloading shoe and subsequently in a control shoe with no specific offloading construction, both worn on the right foot (control shoe on left), while walking at 1...
October 2, 2017: Clinical Biomechanics
https://www.readbyqxmd.com/read/28984658/long-term-outcomes-after-flap-reconstruction-in-pediatric-pressure-ulcers
#12
Joseph M Firriolo, Ingrid M Ganske, Carolyn M Pike, Catherine Caillouette, Heather R Faulkner, Joseph Upton, Brian I Labow
BACKGROUND: Pressure ulcers refractory to nonoperative management may undergo flap reconstruction. This study aims to evaluate the long-term outcomes and recurrence rates of flap reconstruction for pediatric pressure ulcers. METHODS: We reviewed the records of patients who underwent flap reconstruction for pressure ulcer(s) from 1995 to 2013. RESULTS: Twenty-four patients with 30 pressure ulcers, requiring 52 flaps were included. Ulcers were stages III and IV and mostly involved either the ischia (15/30) or sacrum (8/30)...
October 3, 2017: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/28983285/microbiota-of-chronic-diabetic-wounds-ecology-impact-and-potential-for-innovative-treatment-strategies
#13
REVIEW
Sónia G Pereira, João Moura, Eugénia Carvalho, Nuno Empadinhas
World Health Organization considered diabetes as one of the 20th century epidemics, estimating that over 10% of the world population is diabetic or at high risk. Self-assessment studies indicate that diabetic patients consider chronic wounds to affect their quality of life more dramatically than vision loss or renal failure. In addition to being the main reason for diabetic patients' hospitalization, the economic burden of diabetic chronic wounds is close to 1% of United Kingdom and United States health systems budgets, which exceeds the funds allocated to the treatment of some types of cancer in both countries...
2017: Frontiers in Microbiology
https://www.readbyqxmd.com/read/28982895/cuff-less-j-pouch-anal-stapling-anastomosis-for-ulcerative-colitis
#14
Hidejiro Kawahara, Tadashi Akiba, Katsuhiko Yanaga
BACKGROUND/AIM: For ulcerative colitis, J pouch anal anastomosis with preserved rectal cuff had been popularized with its acceptable defecation function. However, some complications associated with rectal cuff after surgery have been reported. We are performing a novel procedure, laparoscopic cuff-less J pouch anal stapling anastomosis. PATIENTS AND METHODS: From January 2014 to December 2016, ten patients with ulcerative colitis, including three with concomitant cancer underwent this procedure...
October 2017: Anticancer Research
https://www.readbyqxmd.com/read/28980911/acute-oral-tetrahydrobiopterin-administration-ameliorates-endothelial-dysfunction-in-systemic-sclerosis
#15
Daniel R Machin, Heather L Clifton, Russell S Richardson, D Walter Wray, Anthony J Donato, Tracy M Frech
OBJECTIVES: Systemic sclerosis (SSc) is a rare, autoimmune disease characterised by endothelial dysfunction, which is associated with peripheral vasculopathy, such as digital ulcers (DU). We sought to determine if acute oral administration of tetrahydrobiopterin (BH4), an essential cofactor for endothelial nitric oxide synthase, would augment endothelial function in patients with SSc. METHODS: Twelve SSc patients, of whom a majority had a history of DU, were studied 5 hours after oral BH4 administration (10 mg/kg body mass) or placebo on separate days using controlled, counterbalanced, double-blind, crossover experimental design...
September 2017: Clinical and Experimental Rheumatology
https://www.readbyqxmd.com/read/28976835/use-of-cryopreserved-umbilical-cord-with-negative-pressure-wound-therapy-for-complex-diabetic-ulcers-with-osteomyelitis
#16
A Raphael, J Gonzales
OBJECTIVE: The objective of this study was to evaluate the combined use of cryopreserved human umbilical cord (cUC) allograft and negative pressure wound therapy (NPWT) in treating complex diabetic foot ulcers (DFUs) with bone exposure and osteomyelitis. These types of wound are known to carry a high morbidity and mortality. METHODS: A single-center, retrospective chart review was performed to assess the efficacy of the combined use of cUC with NPWT, by the same surgeon, to help promote the closure of complex DFUs presenting with biopsy-proven osteomyelitis...
October 1, 2017: Journal of Wound Care
https://www.readbyqxmd.com/read/28976826/hydrosurgery-as-a-safe-and-efficient-debridement-method-in-a-clinical-wound-unit
#17
M Ferrer-Sola, H Sureda-Vidal, J Altimiras-Roset, E Fontsere-Candell, V Gonzalez-Martinez, J Espaulella-Panicot, V Falanga, M Otero-Viñas
OBJECTIVE: Hydrosurgical debridement allows removal of non-viable tissue, preserving healthy tissues. This study was designed to analyse whether hydrosurgery, used in a clinical wounds unit, is an effective and safe method that may reduce debridement time. METHODS: Patients' wounds had the following characteristics: wounds with devitalised tissue needing rapid debridement, wounds with cavities, or non-healing wounds. Hydrosurgical debridement uses a pressurised stream of saline (0...
October 2, 2017: Journal of Wound Care
https://www.readbyqxmd.com/read/28968346/adjunctive-hyperbaric-oxygen-therapy-for-healing-of-chronic-diabetic-foot-ulcers-a-randomized-controlled-trial
#18
Chen-Yu Chen, Re-Wen Wu, Mei-Chi Hsu, Ching-Jung Hsieh, Man-Chun Chou
PURPOSE: The purpose of this study was to compare the effect of standard wound care with adjunctive hyperbaric oxygen therapy (HBOT) to standard wound care alone on wound healing, markers of inflammation, glycemic control, amputation rate, survival rate of tissue, and health-related quality of life in patients with diabetic foot ulcers (DFUs). DESIGN: Prospective, randomized, open-label, controlled study. SUBJECTS AND SETTING: The sample comprised 38 patients with nonhealing DFUs who were deemed poor candidates for vascular surgery...
September 29, 2017: Journal of Wound, Ostomy, and Continence Nursing
https://www.readbyqxmd.com/read/28967528/attitudes-of-surgical-nurses-towards-pressure-ulcer-prevention
#19
Seher Ünver, Ümmü Yıldız Fındık, Zeynep Kızılcık Özkan, Çağla Sürücü
STUDY AIM: Nurses play the key role in prevention of pressure ulcers, and negative attitudes of them may affect preventive care strategies. This research aimed to identify surgical nurses' attitudes towards pressure ulcer prevention. MATERIALS AND METHODS: A descriptive and cross-sectional study design was used to collect data between March 31-May 16, 2016 on 101 voluntary nurses (66.01% of all nurses) working in surgical units of a university hospital in Turkey...
September 13, 2017: Journal of Tissue Viability
https://www.readbyqxmd.com/read/28965863/a-methodological-framework-for-detecting-ulcers-risk-in-diabetic-foot-subjects-by-combining-gait-analysis-a-new-musculoskeletal-foot-model-and-a-foot-finite-element-model
#20
Alessandra Scarton, Annamaria Guiotto, Tiago Malaquias, Fabiola Spolaor, Giacomo Sinigaglia, Claudio Cobelli, Ilse Jonkers, Zimi Sawacha
Diabetic foot is one of the most debilitating complications of diabetes and may lead to plantar ulcers. In the last decade, gait analysis, musculoskeletal modelling (MSM) and finite element modelling (FEM) have shown their ability to contribute to diabetic foot prevention and suggested that the origin of the plantar ulcers is in deeper tissue layers rather than on the plantar surface. Hence the aim of the current work is to develop a methodology that improves FEM-derived foot internal stresses prediction, for diabetic foot prevention applications...
September 1, 2017: Gait & Posture
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