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https://www.readbyqxmd.com/read/29924776/-results-of-endovascular-treatment-of-obstructive-lesions-of-veins-of-the-iliofemoral-segment
#1
A V Pokrovskiĭ, I M Ignat'ev, E G Gradusov
OBJECTIVE: The purpose of the study was to assess the immediate and remote results of endovascular treatment of obstructive lesions of the veins of the iliofemoral segment. PATIENTS AND METHODS: We performed balloon angioplasty and stenting for iliofemoral venous thrombosis in a total of 75 patients. Of these, 60 patients were subjected to stenting of post-thrombotic obstructions and 15 patients underwent stenting of non-thrombotic obstructive lesions of the iliac veins (for May-Thurner syndrome - in 11, for extravasal tumour-induced compression and cicatricial stenosis - in 4)...
2018: Angiologii︠a︡ i Sosudistai︠a︡ Khirurgii︠a︡, Angiology and Vascular Surgery
https://www.readbyqxmd.com/read/29923903/pressure-injury-risk-factors-in-critical-care-patients-a-descriptive-analysis
#2
Jill Cox, Sharon Roche, Virginia Murphy
BACKGROUND: Pressure injury (PI) development in the critical care population is multifactorial. Despite the application of evidence-based prevention strategies, PIs do occur and may be unavoidable in some patients. OBJECTIVES: To describe the risk factors associated with PI development in a sample of medical-surgical intensive care unit patients and determine whether these risk factors were congruent with the risk factors proposed in the work of the National Pressure Ulcer Advisory Panel on unavoidable PIs...
July 2018: Advances in Skin & Wound Care
https://www.readbyqxmd.com/read/29923798/the-lifetime-cost-of-spinal-cord-injury-in-ontario-canada-a-population-based-study-from-the-perspective-of-the-public-health-care-payer
#3
Brian Chun-Fai Chan, Suzanne M Cadarette, Walter P Wodchis, Murray D Krahn, Nicole Mittmann
OBJECTIVE: To determine the publicly funded health care system lifetime cost-of-illness of spinal cord injury (SCI) from the perspective of the Ontario Ministry of Health and Long-term Care. METHODS: Individuals hospitalized for their first SCI between the years 2005 and 2011 were identified and their health care costs were calculated using Ontario administrative health care data. From this information, lifetime costs were estimated using phase-based costing methods...
June 20, 2018: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/29921037/hydrogen-gas-inhalation-protects-against-cutaneous-ischaemia-reperfusion-injury-in-a-mouse-model-of-pressure-ulcer
#4
Wei Fang, Guizhen Wang, Luyan Tang, Huilin Su, Huyan Chen, Wanqing Liao, Jinhua Xu
Pressure ulcer formation depends on various factors among which repetitive ischaemia/reperfusion(I/R) injury plays a vital role. Molecular hydrogen (H2 ) was reported to have protective effects on I/R injuries of various internal organs. In this study, we investigated the effects of H2 inhalation on pressure ulcer and the underlying mechanisms. H2 inhalation significantly reduced wound area, 8-oxo-dG level (oxidative DNA damage) and cell apoptosis rates in skin lesions. H2 remarkably decreased ROS accumulation and enhanced antioxidant enzymes activities by up-regulating expression of Nrf2 and its downstream components in wound tissue and/or H2 O2 -treated endothelia...
June 19, 2018: Journal of Cellular and Molecular Medicine
https://www.readbyqxmd.com/read/29910093/evaluation-of-comfort-associated-with-the-use-of-a-robotic-mattress-with-an-interface-pressure-mapping-system-and-automatic-inner-air-cell-pressure-adjustment-function-in-healthy-volunteers
#5
Manaka Saegusa, Hiroshi Noguchi, Gojiro Nakagami, Taketoshi Mori, Hiromi Sanada
AIM OF THE STUDY: A robotic mattress equipped with an interface pressure mapping system and an automatic inner air-cell pressure adjustment function had been developed to aid in the management of pressure ulcers, but its effects on comfort remained unclear. The present study aimed to investigate whether use of the mattress with continuous, automatic, interface pressure mapping-based regulation of inner air-cell pressure (i.e., robotic mattress) improves comfort over that provided by body weight-based pressure regulation (traditional approach) in healthy volunteers...
June 11, 2018: Journal of Tissue Viability
https://www.readbyqxmd.com/read/29906322/dressings-and-topical-agents-for-treating-venous-leg-ulcers
#6
REVIEW
Gill Norman, Maggie J Westby, Amber D Rithalia, Nikki Stubbs, Marta O Soares, Jo C Dumville
BACKGROUND: Venous leg ulcers are open skin wounds on the lower leg which can be slow to heal, and are both painful and costly. The point prevalence of open venous leg ulcers in the UK is about 3 cases per 10,000 people, and many people experience recurrent episodes of prolonged ulceration. First-line treatment for venous leg ulcers is compression therapy, but a wide range of dressings and topical treatments are also used. This diversity of treatments makes evidence-based decision-making challenging, and a clear and current overview of all the evidence is required...
June 15, 2018: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29905053/-effect-of-human-adipose-derived-stem-cells-on-pressure-ulcer-healing-in-mouse
#7
Chengliang Deng, Zhiyuan Liu, Yuanzhen Yao, Ruichi Liu, Zairong Wei, Dali Wang
Objective: To investigate the effect of human adipose-derived stem cells (hADSCs) on pressure ulcers in mouse. Methods: The subcutaneous adipose tissue from voluntary donation was harvested. Then the hADSCs were isolated and cultured by mechanical isolation combined with typeⅠcollagenase digestion. The 3rd generation cells were identified by osteogenic, adipogenic, chondrogenic differentiations and flow cytometry. The platelet rich plasma (PRP) from peripheral blood donated by healthy volunteers was prepared by centrifugation...
June 1, 2018: Chinese Journal of Reparative and Reconstructive Surgery
https://www.readbyqxmd.com/read/29898350/use-of-hydrocolloid-dressings-in-preventing-pressure-ulcers-in-high-risk-patients-a-retrospective-cohort
#8
Olga Lucía Cortés, Luz Dary Salazar-Beltrán, Yudi Andrea Rojas-Castañeda, Andrea Alvarado-Muriel, Aracelly Serna-Restrepo, Doris Grinspun
OBJECTIVES: This work sought to evaluate the association between using preventive hydrocolloid dressings and the onset of pressure ulcers in hospitalized patients. METHODS: Retrospective cohort study that included adult patients with high risk of pressure ulcers (PU) evaluated according to the Braden scale and who had been admitted with preventive purposes to a skin care program. The preventive care prescribed by the nursing staff included using hydrocolloid dressing plus conventional care (HD+CC) or only conventional care (CC), in a tier IV hospital in Bogotá, Colombia...
February 2018: Investigación y Educación en Enfermería
https://www.readbyqxmd.com/read/29897409/multiple-class-i-and-class-ii-haemophilus-ducreyi-strains-cause-cutaneous-ulcers-in-children-on-an-endemic-island
#9
Jacob C Grant, Camila González-Beiras, Kristen M Amick, Kate R Fortney, Dharanesh Gangaiah, Tricia L Humphreys, Oriol Mitjà, Ana Abecasis, Stanley M Spinola
Background: Together with Treponema pallidum ssp. pertenue, Haemophilus ducreyi is a major cause of exudative cutaneous ulcers (CU) in children. For H. ducreyi, both class I and class II strains, asymptomatic colonization, and environmental reservoirs have been found in endemic regions, but the epidemiology of this infection is unknown. Methods: Based on published whole genome sequences of H. ducreyi CU strains, a single locus typing system was developed and applied to H...
April 20, 2018: Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America
https://www.readbyqxmd.com/read/29897161/pressure-ulcers-incidence-preventive-measures-and-risk-factors-in-neonatal-intensive-care-and-intermediate-care-units
#10
Pablo García-Molina, Evelin Balaguer-López, Francisco Pedro García-Fernández, María de Los Ángeles Ferrera-Fernández, José María Blasco, José Verdú
Epidemiological studies on pressure ulcers (PUs) in hospitalised infants are scarce. Spain lacks comprehensive research studies providing data on the prevalence or incidence in this population. This work was developed to determine the incidence of PUs in hospitalised infants admitted to intensive and intermediate care units, along with relevant risk factors and preventive measures. A prospective study appraising the incidence of PUs in infants was performed. The risk factors and preventive measures were evaluated using a multivariate logistic regression model...
June 13, 2018: International Wound Journal
https://www.readbyqxmd.com/read/29895881/validity-and-internal-consistency-of-the-french-version-of-the-revised-skin-management-needs-assessment-checklist-in-people-with-spinal-cord-injury
#11
Anthony Gélis, Arnaud Dupeyron, Jean Pierre Daures, David Goossens, Dominique Gault, Jean Paul Pedelucq, Michel Enjalbert, Eric Maupas, Paul Kennedy, Charles Fattal, Sarah Mathieu, Toufik Bouchema
STUDY DESIGN: Cross-sectional psychometrics study. OBJECTIVES: To determine the construct validity and internal consistency of the revised Skin Management Needs Assessment Checklist (revised SMnac). SETTING: Six spinal cord rehabilitation centers. METHODS: One-hundred and thirty-two community-dwelling individuals with spinal cord injury (SCI) were included. Construct validity was assessed by a Spearman's rank correlation coefficient between the revised SMnac and several questionnaires: Rosenberg Self-Esteem Scale, Ways of Coping Questionnaire, Hospital Anxiety and Depression Scale (HADS), Braden scale; or clinical variables: educational level, presence of a pressure ulcer (PU), history of multiple PUs, time since injury, and pain...
June 12, 2018: Spinal Cord
https://www.readbyqxmd.com/read/29893620/femoral-osteomyelitis-caused-by-cladophialophora-in-a-patient-without-known-immunocompromise
#12
Nirbhay S Jain, Christopher B Horn, Adrian A Coleoglou Centeno, Obeid N Ilahi, John E Mazuski, Grant V Bocchichio, Laurie J Punch
BACKGROUND: Chronic osteomyelitis associated with a stage IV decubitus ulcer is a challenging condition to manage, characterized by frequent relapses and need for long-term anti-microbial therapy. Although gram-positive cocci are the most common causes, fungal infections have been reported, usually in immunocompromised hosts. We present a case of Cladophialophora osteomyelitis in a patient without known immunocompromised that was managed with a Girdlestone pseudoarthroplasty. CASE REPORT: A 70-year-old male presented to our emergency room with fever, right hip pain, and purulent drainage from a right greater trochanter stage IV decubitus ulcer...
June 12, 2018: Surgical Infections
https://www.readbyqxmd.com/read/29890399/effect-of-different-casting-design-characteristics-on-offloading-the-diabetic-foot
#13
Manon Westra, Jaap J van Netten, Hendrik A Manning, Jeff G van Baal, Sicco A Bus
BACKGROUND: Non-removable knee-high devices, such as a total contact cast (TCC), are recommended for offloading diabetic plantar forefoot ulcers. However, it is insufficiently known how each of the different design characteristics of these devices contribute to offloading the diabetic foot. RESEARCH QUESTION: What is the offloading effect of the different design characteristics that make up a non-removable knee-high cast for people with diabetes and active or previous plantar forefoot ulcers? METHODS: Sixteen persons with diabetes, peripheral neuropathy and a healed or active plantar forefoot ulcer had their plantar pressures measured during walking in a non-removable knee-high device (TCC), in that device made removable (BTCC), in that device made below-ankle (cast shoe), in that cast shoe worn with a different walking sole and in a newly made cast shoe without a custom-moulded foot-device interface...
May 22, 2018: Gait & Posture
https://www.readbyqxmd.com/read/29882738/effects-of-low-power-light-therapy-on-the-tissue-repair-process-of-chronic-wounds-in-diabetic-feet
#14
Joelita de Alencar Fonseca Santos, Mariana Barbosa Dias Campelo, Rauirys Alencar de Oliveira, Renata Amadei Nicolau, Verônica Elis Araújo Rezende, Emilia Ângela Loschiavo Arisawa
OBJECTIVE: To analyze the efficacy of the therapeutic use of Low-Level Laser Therapy (LLLT) on the tissue repair process of chronic wounds in patients with diabetic feet through the analysis of Pressure Ulcer Scale for Healing (PUSH) scales, pain and the measurement done using the ImageJ© software. METHODS: This clinical trial was carried out with 18 patients 30-59 years of age, who had chronic wounds on their foot due to complications of diabetes mellitus. The patients were randomly allocated in two different groups of equal numbers: Control and Laser Groups...
June 2018: Photomedicine and Laser Surgery
https://www.readbyqxmd.com/read/29882621/specific-item-patterns-in-comparison-to-generalized-sum-score-the-care-dependency-scale-cds-as-a-screening-tool-for-specific-care-problems
#15
Simone Kuntz, Theo Dassen, Nils A Lahmann
AIMS: The aim of this study is to identify items of the Care Dependency Scale (CDS) with overriding importance for the specific nursing care problems of pressure ulcers, falls, and malnutrition. METHOD: Secondary data analysis of 5 multicentre consecutive annual cross-sectional surveys from 2008 to 2012. For the study, data were analysed from 19 787 individuals in 262 long-term care facilities throughout Germany. Based on a standardized study protocol and international definitions, data regarding care dependency and care problems were gathered by direct examination...
June 8, 2018: Journal of Evaluation in Clinical Practice
https://www.readbyqxmd.com/read/29878557/supplemental-parenteral-nutrition-review-of-the-literature-and-current-nutrition-guidelines
#16
Mary K Russell, Paul E Wischmeyer
Parenteral nutrition has significantly and positively affected the clinical care of patients for >50 years. The 2016 Society of Critical Care Medicine/American Society for Parenteral and Enteral Nutrition guidelines for the provision of nutrition support to adult patients emphasize the role of this therapy in attenuating the stress response and impacting the immune response, among other benefits. Malnutrition in hospitalized patients remains a major problem; it is underdiagnosed and often undertreated. Malnourished patients are more likely to suffer from infections, pneumonia, and pressure ulcers, among other serious concerns...
June 2018: Nutrition in Clinical Practice
https://www.readbyqxmd.com/read/29873752/risk-of-pressure-ulcers-in-tetraplegic-people-a-french-survey-crossing-regional-experience-with-a-long-term-follow-up
#17
Marc Le Fort, Maude Espagnacq, Thierry Albert, Chloë Lefèvre, Brigitte Perrouin-Verbe, Jean-François Ravaud
Background: Pressure ulcer risk assessment provides an indicator of quality of care in French health establishments. The reliability and validity of assessment tools have been shown to be lower for people with spinal cord injury (SCI). We hypothesized that skin complications would be less frequent in people with traumatic SCI and tetraplegia (TSCIt), who were initially managed in French regions with a high level of specialized SCI rehabilitation experience. Methods: First, we used the most recent French territorial survey about SCI to determine a 'Level of Regional Experience (LRE) in Specialized Physical Medicine and Rehabilitation'...
June 4, 2018: European Journal of Public Health
https://www.readbyqxmd.com/read/29870444/inability-of-older-adult-patients-with-hip-fracture-to-maintain-postoperative-weight-bearing-restrictions
#18
Christian Kammerlander, Daniel Pfeufer, Leonard Adolf Lisitano, Stefan Mehaffey, Wolfgang Böcker, Carl Neuerburg
BACKGROUND: For elderly trauma patients, a basic goal is early mobilization, as immobilization can trigger various complications, such as venous thromboembolism, pneumonia, urinary tract infections, and pressure ulcers. Although partial weight-bearing has been shown to significantly increase mortality compared with unrestricted weight-bearing, it remains a frequent recommendation of aftercare following lower-extremity fracture fixation. METHODS: An insole force sensor was used to measure true postoperative weight-bearing by patients ≥75 years of age treated for hip fracture compared with patients 18 to 40 years of age treated for ankle fracture...
June 6, 2018: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/29869947/the-problem-of-preventing-pressure-ulcers-in-people-with-spinal-cord-injury
#19
Marylou Guihan, Michael S A Richardson
No abstract text is available yet for this article.
June 5, 2018: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/29864436/caffeic-acid-phenethyl-ester-promotes-wound-healing-of-mice-pressure-ulcers-affecting-nf-%C3%AE%C2%BAb-and-nos2-and-nrf2-expression
#20
Bruna Romana-Souza, Jeanine Salles Dos Santos, Andréa Monte-Alto-Costa
AIMS: In pressure ulcers, the synthesis of reactive oxygen species induced by ischemia and reperfusion leads to chronic inflammation and tissue damage, which impair the closure of these lesions. Caffeic acid phenethyl ester (CAPE), found in propolis, promotes cutaneous wound healing of acute lesions and severe burns. However, the effects of CAPE on wound healing of pressure ulcers have not been investigated. This study investigated the effects of CAPE administration in a murine model of pressure ulcers...
June 1, 2018: Life Sciences
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