MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Journal of Tissue Viability' source. Sat, 20 Mar 2010 15:43:21 +0100 http://www.medworm.com/index.php?rid=3286627&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.journaloftissueviability.com%2Farticle%2FPIIS0965206X10000045%2Fabstract%3Frss%3Dyes Abstract: Despite practical advantages (such as exudate management and reduced dressing changes) the adoption of topical negative pressure therapy (TNP) in home care may be restricted through logistical issues and a perception that the intervention is more expensive than the more traditionally utilised wound management products. This pilot study followed the experiences of 20 subjects with a variety of acute and chronic wounds who received TNP either in hospital (n=10), at home (n=5) or in both care settings (n=5). All except one subject showed both reductions in wound surface area and improved appearance of the wound bed during the course of treatment ranging from 2 to 74 days. The single subject, where a deterioration in their wound was noted, had presented with an unclear wound diagnosi... Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=3286627 Mon, 01 Feb 2010 00:00:00 +0100 3286627 http://www.medworm.com/index.php?rid=3286624&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.journaloftissueviability.com%2Farticle%2FPIIS0965206X10000033%2Fabstract%3Frss%3Dyes As we start a new decade and thoughts turn to the next stage of development for the rapidly growing field of tissue viability, two perennial issues remain to be fully resolved. The value of tissue viability services (including the role of the specialist tissue viability nurse) has not been clearly demonstrated either in terms of improved patient outcomes or reduced expenditure on wound prevention and treatment. Without such evidence continued services in these times of health service expenditure reductions cannot be guaranteed. Obtaining such evidence will not be easy given the widespread diffusion of dedicated wound healing services within most health care organisations! Let us hope that it is not too late to formally investigate the impact tissue viability services can have! (Source: Jou... Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=3286624 Mon, 01 Feb 2010 00:00:00 +0100 3286624 http://www.medworm.com/index.php?rid=3286628&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.journaloftissueviability.com%2Farticle%2FPIIS0965206X10000021%2Fabstract%3Frss%3Dyes Conclusion: Although ideal, effectiveness studies (such as RCTs) are difficult to control in wound care and seldom reflect the natural challenges encountered in a busy hospital. By contrast the data arising from this pragmatic evaluation showed the mattress to be compatible with the care setting and also suitable for the vulnerability of the population and so provided the necessary information to inform subsequent clinical practice. (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=3286628 Thu, 28 Jan 2010 00:00:00 +0100 3286628 http://www.medworm.com/index.php?rid=3286625&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.journaloftissueviability.com%2Farticle%2FPIIS0965206X09000631%2Fabstract%3Frss%3Dyes This report describes a consensus development process to agree test methods appropriate to compare active therapy surfaces based upon their ability to redistribute pressure from the sacrum and the heels. (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=3286625 Mon, 25 Jan 2010 00:00:00 +0100 3286625 http://www.medworm.com/index.php?rid=3286629&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.journaloftissueviability.com%2Farticle%2FPIIS0965206X09000655%2Fabstract%3Frss%3Dyes Abstract: The burdensome process of collecting, analysing and reporting pressure ulcer outcome data has changed very little since its introduction some years ago; simply growing in complexity and frequency. Typically, prevalence audit has focused on the scale of negative outcomes i.e. number, severity, size, location and origin of the wound, while missing the opportunity to measure other critical metrics such as concordance with key measures within preventative care protocols. As a result, pressure ulcer assessment remains largely disconnected from patient safety or quality improvement programmes and thus may have little impact on overall outcomes.The data itself is also problematic, with healthcare providers increasingly expected to publish performance against healthcare targets. It is ne... Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=3286629 Thu, 21 Jan 2010 00:00:00 +0100 3286629 http://www.medworm.com/index.php?rid=3286626&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.journaloftissueviability.com%2Farticle%2FPIIS0965206X09000643%2Fabstract%3Frss%3Dyes Abstract: Background: Data on the prevention and treatment of pressure ulcers (PU's) among ICU patients is sparse.Objective: To compare PU outcomes in medial ICU patients nursed on either a reactive mattress overlay (ROHO®, ROHO Inc, Belleville, IL, USA) or an active alternating pressure mattress (NIMBUS®3, ArjoHuntleigh, Luton Bedfordshire, UK).Design: Pilot prospective single blind randomised controlled clinical trial.Intervention: Two types of pressure redistributing mattress.Patients: Two groups of eight patients.Methods: Patients included in the study were those at high risk (Norton scale (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=3286626 Fri, 15 Jan 2010 00:00:00 +0100 3286626 http://www.medworm.com/index.php?rid=2980019&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.journaloftissueviability.com%2Farticle%2FPIIS0965206X09000370%2Fabstract%3Frss%3Dyes This issue of the Journal of Tissue Viability reproduces the abstracts of the free paper and poster presentations at the recent annual meeting of the TVS held in Llandudno, Wales over April 27th and 28th 2009. These abstracts were reviewed by the TVS conference planning group, but have not been subject to this Journal's usual double-blind peer review process. (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=2980019 Mon, 02 Nov 2009 00:00:00 +0100 2980019 http://www.medworm.com/index.php?rid=2980020&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.journaloftissueviability.com%2Farticle%2FPIIS0965206X09000400%2Fabstract%3Frss%3Dyes Tissue Viability Society, registered charity number 1041915. 210 Capella House, Cardiff CF10 4RE (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=2980020 Sun, 01 Nov 2009 00:00:00 +0100 2980020 http://www.medworm.com/index.php?rid=2980016&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.journaloftissueviability.com%2Farticle%2FPIIS0965206X09000394%2Fabstract%3Frss%3Dyes This issue of the Journal of Tissue Viability includes the text from this year's Tissue Viability Society (TVS) clinical practice guideline on seating and pressure ulcers. The development of this guideline was a new step for the TVS and the success of this document has prompted the TVS to prepare a consensus statement on the evaluation of active pressure redistribution support surfaces (alternating pressure air mattresses) which will be published in the next issue of this journal. Small charities such as the TVS can, and do play an important role in sharing knowledge and expertise across the tissue viability and wound healing communities. How much greater would that role be if it was supported by regional and national government? (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=2980016 Sun, 01 Nov 2009 00:00:00 +0100 2980016 http://www.medworm.com/index.php?rid=2980017&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.journaloftissueviability.com%2Farticle%2FPIIS0965206X09000369%2Fabstract%3Frss%3Dyes Abstract: Pressure ulcers (bedsores) often develop following prolonged sitting especially where people are immobile or are unable to feel discomfort due to injury or disease. This guideline provides health professionals with specific recommendations intended to minimise any risk of developing pressure ulcers when their clients are seated. The guideline covers sitting when people are acutely ill in hospital and, more commonly, where people have a long-term need for prolonged sitting for example after spinal injury. Particular focus is placed upon the need to make sure the physical size and shape of the seat is appropriate for the seated individual. Guidance is provided upon areas where seated individuals require information to help them minimise pressure ulcer development. The advantages an... Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=2980017 Fri, 23 Oct 2009 00:00:00 +0100 2980017 http://www.medworm.com/index.php?rid=2980018&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.journaloftissueviability.com%2Farticle%2FPIIS0965206X09000345%2Fabstract%3Frss%3Dyes This study aimed to evaluate the feasibility of adopting telomerase activity as a selection criterion for in vitro expanded skin cells before autologous transplantation. Fibroblasts and keratinoctyes were derived from the same consenting patients aged 9–69 years, and cultured separately in serum-supplemented and serum-free media, respectively. Telomerase activity of fresh and cultured cells were measured and correlated with cell growth rate, donor age and passage number. The results showed that telomerase activity and cell growth were independent of donor age for both cell types. Telomerase was expressed in freshly digested epidermis and dermis and continued expressing in vitro. Keratinocytes consistently showed 3–12 folds greater telomerase activity than fibroblast both in vivo and in... Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=2980018 Mon, 27 Jul 2009 00:00:00 +0100 2980018 http://www.medworm.com/index.php?rid=2604973&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.journaloftissueviability.com%2Farticle%2FPIIS0965206X09000333%2Fabstract%3Frss%3Dyes As we approach the late summer of 2009 it is perhaps opportune to ask whether the tissue viability and wound healing field in the United Kingdom is growing stronger or perhaps growing stale. The number of events, associations, conferences, road-shows and publications continues to escalate presenting real challenges for healthcare professionals and the wound industry in terms of allocating time and budgets. The common focus upon tissue viability and wound healing at events and conferences suggests growth in the area but how often are new and innovative studies and clinical initiatives presented and discussed? Or are too many events repeating the same information again and again? While the Tissue Viability Society should not be complacent one of the strengths of its annual event is the stron... Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=2604973 Thu, 16 Jul 2009 11:50:15 +0100 2604973 http://www.medworm.com/index.php?rid=2604977&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.journaloftissueviability.com%2Farticle%2FPIIS0965206X09000254%2Fabstract%3Frss%3Dyes Abstract: The aim of this study was to compare the effectiveness of a hemicellulose dressing with that of rayon dressing in the healing of split-thickness skin graft donor sites. Twenty-eight patients were selected from five different hospitals and randomized into two groups: hemicellulose dressing group and rayon dressing group. All patients underwent split-thickness skin grafting for various reasons, and the skin graft donor site wounds were covered with hemicellulose dressing (n=14) or rayon dressing (n=14). The donor site was assessed on postoperative days 1, 7, 14, 21, and 28 for hyperemia, pruritus, pain, exudate level, and adherence of the wound dressing. At the 60-day follow-up visit, the donor site was assessed again for pruritus and pain. Touch-pressure, thermal, and pain sensibi... Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=2604977 Sun, 12 Jul 2009 23:00:00 +0100 2604977 http://www.medworm.com/index.php?rid=2604975&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.journaloftissueviability.com%2Farticle%2FPIIS0965206X09000242%2Fabstract%3Frss%3Dyes Abstract: Under-nutrition, inadequate protein or poor protein and energy intake and unintended weight loss have been identified as independent risk factors for the development of pressure ulcers. Providing oral nutritional supplements (ONS) in addition to regular food intake seems a logical way to replenish body shortages of macro- and micronutrients as well as to supply extra nutrients for the preservation of skin tissue, strengthening of tissue resistance, and promoting tissue repair. To examine the effect of nutritional intervention in pressure ulcer care, clinical studies performed with a specific ONS enriched with arginine, vitamin C and zinc were reviewed. Six clinical studies that were performed with the specific ONS, identified via electronic and conference databases, were included... Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=2604975 Mon, 11 May 2009 23:00:00 +0100 2604975 http://www.medworm.com/index.php?rid=2346301&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.journaloftissueviability.com%2Farticle%2FPIIS0965206X09000060%2Fabstract%3Frss%3Dyes High-voltage electrical burns with a full-thickness loss of abdominal wall is a devastating injury. It is preferable to use flap to repair the defect. When flaps prove difficult enough, split-thickness graftings can be used instead. (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=2346301 Mon, 20 Apr 2009 20:22:38 +0100 2346301 http://www.medworm.com/index.php?rid=2346300&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.journaloftissueviability.com%2Farticle%2FPIIS0965206X08000454%2Fabstract%3Frss%3Dyes Wound dressing or occlusion has long been used as a supportive measure for acceleration of the healing response. Several studies have investigated the advantages of this method. Research has shown that wounds treated by occlusion heal more rapidly , are less painful , and are less prone to infection and cross-contamination than wounds not treated or treated by other methods . The most widely accepted view is that occlusion of wound surface by dressing acts via trapping the moisture in adjacent wound milieu. The moisture retention prevents the superficial desiccation of wound and additional trauma. It has been suggested that desiccation and trauma impede the migration of new epidermal cells across the wound surface . Besides, an increased infiltration of the wound bed by my macrophages and ... Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=2346300 Mon, 20 Apr 2009 20:22:34 +0100 2346300 http://www.medworm.com/index.php?rid=2346299&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.journaloftissueviability.com%2Farticle%2FPIIS0965206X09000023%2Fabstract%3Frss%3Dyes I was interested in two important articles in the JTVS: ‘Seating and pressure ulcers: draft clinical practice guideline for comment’, and Hagisawa and Ferguson-Pell's ‘Evidence supporting the use of two hourly turning for pressure sore prevention’ . (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=2346299 Mon, 20 Apr 2009 20:22:34 +0100 2346299 http://www.medworm.com/index.php?rid=2346298&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.journaloftissueviability.com%2Farticle%2FPIIS0965206X08000363%2Fabstract%3Frss%3Dyes Abstract: The purpose of this study is to quantify hammock effects over artificial bony prominence using a newly developed buttocks model similar to human buttocks, and examine differences between various cushions and covers. A repeated measures design was used where immersions were measured with diverse weights on each type of cushion with or without covers. Polyurethane foam and air-cell cushions were used. Elastic original covers (cover 1) were evaluated for each cushion, and another less elastic cover (cover 2) was also used for the foam cushion. “Immersion” was defined as the difference in gauge readings between no load and each loading phase. Hammock effect was estimated by calculating the difference in load with and without a cover at any immersion from the approximate regressi... Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=2346298 Mon, 20 Apr 2009 20:22:32 +0100 2346298 http://www.medworm.com/index.php?rid=2346297&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.journaloftissueviability.com%2Farticle%2FPIIS0965206X09000072%2Fabstract%3Frss%3Dyes Abstract: Pressure ulcer prevalence rates provide useful information about the magnitude of this health problem. Only limited information on pressure ulcers in Germany was available before 2001. The purpose of this study was to compare results of seven pressure ulcer prevalence surveys which were conducted annually between 2001 and 2007 and to explore whether pressure ulcer prevalence rates decreased. The second aim was to evaluate if the measured prevalence rates of our sample could be generalised for all German hospitals.Results of seven point pressure ulcer prevalence studies conducted in 225 German hospitals were analysed. Chi-square tests, chi-square trend tests and one-way ANOVA to assess differences and trends across the years were applied. The sample was stratified according to pre... Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=2346297 Mon, 20 Apr 2009 20:22:31 +0100 2346297 http://www.medworm.com/index.php?rid=2346296&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.journaloftissueviability.com%2Farticle%2FPIIS0268000907000145%2Fabstract%3Frss%3Dyes Conclusion: There are potential implications for clinical practice with respect to how cushions are issued to wheelchair-reliant individuals. Findings support the undertaking of a larger study. (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=2346296 Mon, 20 Apr 2009 20:22:28 +0100 2346296 http://www.medworm.com/index.php?rid=2346295&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.journaloftissueviability.com%2Farticle%2FPIIS0965206X09000102%2Fabstract%3Frss%3Dyes The Tissue Viability Society will host its 2009 national conference in Llandudno, North Wales over the 27th and 28th of April 2009 shortly after the publication of this issue of the Journal of Tissue Viability. Since its creation back in 1981 the TVS has organised over 40 national events and these have come to be recognised as the first of the year's major UK based wound healing events. In 2009 we are proud to welcome speakers from the USA and Israel along with the EPUAP and US NPUAP who will be launching their pressure ulcer guidelines in Europe at the Llandudno conference. The growing international dimension of the TVS event marks the strong reputation of the conference both within the UK and in wider wound healing communities. The expanding reach of the TVS is also reflected in the page... Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=2346295 Mon, 20 Apr 2009 20:22:27 +0100 2346295 http://www.medworm.com/index.php?rid=2320230&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19329030%26dopt%3DAbstract Authors: Clark M PMID: 19329030 [PubMed - in process] (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=2320230 Fri, 10 Apr 2009 15:00:24 +0100 2320230 http://www.medworm.com/index.php?rid=2320227&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19329031%26dopt%3DAbstract CONCLUSION: There are potential implications for clinical practice with respect to how cushions are issued to wheelchair-reliant individuals. Findings support the undertaking of a larger study. PMID: 19329031 [PubMed - in process] (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=2320227 Fri, 10 Apr 2009 15:00:09 +0100 2320227 http://www.medworm.com/index.php?rid=2604976&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.journaloftissueviability.com%2Farticle%2FPIIS0965206X09000199%2Fabstract%3Frss%3Dyes Conclusion: There is no direct antibacterial effect of maggots and/or ES in vitro, however in clinical observations maggot therapy is successful. More research is needed to focus on possible indirect antibacterial activity, such as an immune-related effect. (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=2604976 Thu, 09 Apr 2009 23:00:00 +0100 2604976 http://www.medworm.com/index.php?rid=2604978&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.journaloftissueviability.com%2Farticle%2FPIIS0965206X09000084%2Fabstract%3Frss%3Dyes Abstract: A 72-year-old female known to have diabetes, multiple medical problems, and bedridden with indwelling Foley's catheter. She presented with an ulcer which progressed to a Grade 4 pressure ulcer. She was known to have recurrent urinary tract infection. Contrast study through the fistula revealed a communicating fistula between the left buttock ulcer and the bladder. Conservative way of management was followed due to the overall health status of the patient. She was sent to home with daily dressings, mattress, and an occupational therapy plan. Fortunately, her fistula healed spontaneously after six months.To our knowledge, in addition to the unique presentation and outcome, the case we reported is the first with such communication. (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=2604978 Tue, 31 Mar 2009 23:00:00 +0100 2604978 http://www.medworm.com/index.php?rid=2604974&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.journaloftissueviability.com%2Farticle%2FPIIS0965206X09000096%2Fabstract%3Frss%3Dyes Abstract: Deep tissue injury (DTI) is a severe pressure ulcer, characterized by necrotic tissue mass under intact skin. This communication integrates biomechanical analysis tools described in our previous publications, for reconstructing a “real-world” DTI case. A patient-specific finite element (FE) model was developed utilizing MRI of the thigh of a patient who was found unconscious after an estimated time of 3days. During that time he lay down on the left side while in his left pocket there was a cellular phone. He developed left proximal thigh pain and swelling. MRI of his left thigh revealed deep muscle necrosis. To reconstruct this injury, previously reported injury threshold and damage law for muscle tissue were coupled into the FE-model. This allowed a time-dependent descriptio... Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=2604974 Tue, 31 Mar 2009 23:00:00 +0100 2604974 http://www.medworm.com/index.php?rid=2320226&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19339183%26dopt%3DAbstract In conclusion, our biomechanical modeling tools could successfully reconstruct a "real-world" case of DTI, with reasonable similarity to the actual wound shape seen in the MRI. This case study also indicates that although both strain and stress measures can be considered adequate predictors of DTI, tissue stresses appear to perform better than strains. PMID: 19339183 [PubMed - as supplied by publisher] (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=2320226 Mon, 30 Mar 2009 04:00:00 +0100 2320226 http://www.medworm.com/index.php?rid=2320222&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19339184%26dopt%3DAbstract Authors: Nassir AM, Bell D A 72-year-old female known to have diabetes, multiple medical problems, and bedridden with indwelling Foley's catheter. She presented with an ulcer which progressed to a Grade 4 pressure ulcer. She was known to have recurrent urinary tract infection. Contrast study through the fistula revealed a communicating fistula between the left buttock ulcer and the bladder. Conservative way of management was followed due to the overall health status of the patient. She was sent to home with daily dressings, mattress, and an occupational therapy plan. Fortunately, her fistula healed spontaneously after six months. To our knowledge, in addition to the unique presentation and outcome, the case we reported is the first with such communication. PMID: 19339184 [PubMed - ... Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=2320222 Mon, 30 Mar 2009 04:00:00 +0100 2320222 http://www.medworm.com/index.php?rid=2281399&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19297160%26dopt%3DAbstract Authors: Kottner J, Wilborn D, Dassen T, Lahmann N Pressure ulcer prevalence rates provide useful information about the magnitude of this health problem. Only limited information on pressure ulcers in Germany was available before 2001. The purpose of this study was to compare results of seven pressure ulcer prevalence surveys which were conducted annually between 2001 and 2007 and to explore whether pressure ulcer prevalence rates decreased. The second aim was to evaluate if the measured prevalence rates of our sample could be generalised for all German hospitals. Results of seven point pressure ulcer prevalence studies conducted in 225 German hospitals were analysed. Chi-square tests, chi-square trend tests and one-way ANOVA to assess differences and trends across the years were appli... Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=2281399 Mon, 16 Mar 2009 04:00:00 +0100 2281399 http://www.medworm.com/index.php?rid=2272101&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19285406%26dopt%3DAbstract Authors: Wang YY, Wu ZL, He JY PMID: 19285406 [PubMed - as supplied by publisher] (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=2272101 Wed, 11 Mar 2009 04:00:00 +0100 2272101 http://www.medworm.com/index.php?rid=2188571&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19216078%26dopt%3DAbstract Authors: Bliss M PMID: 19216078 [PubMed - as supplied by publisher] (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=2188571 Tue, 10 Feb 2009 05:00:00 +0100 2188571 http://www.medworm.com/index.php?rid=2153402&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19185787%26dopt%3DAbstract Authors: Clark M PMID: 19185787 [PubMed - in process] (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=2153402 Sun, 01 Feb 2009 05:00:00 +0100 2153402 http://www.medworm.com/index.php?rid=2153401&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19185788%26dopt%3DAbstract Authors: Vowden KR, Vowden P This paper reports the characteristics and local management of 826 acute wounds identified during an audit across all health care providers serving the population of Bradford, UK. Of the wounds encountered 303 were traumatic wounds and 237 primary closures with smaller numbers of other acute wound types. Of the 303 traumatic wounds 174 occurred in women (57.4%). Men predominated in the under 45s (65M:26F), this being largely accounted for by hand and finger trauma (n=62) particularly in patients of working age (M32:F12). Women predominated in the over 65s (50M:130F), this being largely accounted for by lower limb traumatic wounds (M24:F91), the majority of these being in patients 65 and over (M14:F82). In this sub-group of 96 patients 25 had wounds of 6 wee... Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=2153401 Sun, 01 Feb 2009 05:00:00 +0100 2153401 http://www.medworm.com/index.php?rid=2142139&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19171485%26dopt%3DAbstract Authors: Zadeh Farahani RM, Shahidi A PMID: 19171485 [PubMed - as supplied by publisher] (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=2142139 Sat, 24 Jan 2009 05:00:00 +0100 2142139 http://www.medworm.com/index.php?rid=2062571&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19103490%26dopt%3DAbstract Authors: Vowden KR, Vowden P Wound healing remains a largely overlooked area despite the perceived large numbers of people with wounds and the high costs of treatment. The lack of visibility for wounds and wound healing may in part stem from the fragmented nature of the available data on wound occurrence often limited to descriptions of specific wound types within single care settings. A survey was undertaken across all care providers serving the population of Bradford, UK to identify the number of people with wounds, the characteristics of their wounds and the allocated interventions used to prevent and heal wounds. In March 2007, 1735 completed questionnaires were returned each marking the most severe wound experienced by a patient. The overall prevalence of wounds was 3.55 people wi... Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=2062571 Sat, 20 Dec 2008 05:00:00 +0100 2062571 http://www.medworm.com/index.php?rid=2062573&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19097793%26dopt%3DAbstract Authors: Vowden KR, Vowden P 482 people with leg ulcers were identified among those receiving health care in Bradford, UK. Of these wounds 195 (40.4%) were venous leg ulcers. Typically the people who experienced these wounds were elderly Caucasian females however a sub-group of younger males of Asian descent were seen to experience ulcers involving neuropathy. The leg ulcers were typically small in size although 33 people had wounds over 25cm(2) in surface area. The leg ulcers tended to persist with many present for at least 1 year with 4 wounds active for over 5 years. 205 people had experienced previous episodes of leg ulcer occurrence. Of the leg ulcers encountered 18.0% (n=87) were infected and where wounds were swabbed for their microbial burden MRSA was identified in 8.5% of case... Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=2062573 Fri, 19 Dec 2008 05:00:00 +0100 2062573 http://www.medworm.com/index.php?rid=2062572&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19097794%26dopt%3DAbstract Authors: Vowden KR, Vowden P The prevalence of pressure ulceration within the population receiving health care in Bradford, UK was 0.74 people with a pressure ulcer per 1000 population (95% CI 0.6-0.8). This prevalence includes a number of tertiary referrals and if these are removed the prevalence falls to 0.71 people with a pressure ulcer per 1000 population. Of the pressure ulcers encountered 195 (53.7%) were classed as grade 2 pressure ulcers with 80 grade 3 wounds and 40 grade 4 pressure ulcers. Forty-eight pressure ulcers were identified as grade 1 wounds but the accuracy of this classification may be in doubt given that 24 apparent grade 1 pressure ulcers were reported to have visible wound beds with common reports of slough and granulation tissue. Severe pressure ulcers differed... Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=2062572 Fri, 19 Dec 2008 05:00:00 +0100 2062572 http://www.medworm.com/index.php?rid=2022318&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19061825%26dopt%3DAbstract Authors: Reynolds TM Medicine has changed from being a reactive process that attempts to alleviate disease only when it is clinically evident to a proactive one in which it is hoped that early intervention may reduce the impact of disease or even it developing at all. In moving the focus of treatment, this inevitably means that a greater number of individuals with lesser disease burdens are treated. The logical end-point of this process is to provide preventative measures for the entire population but this can only be done if the economic costs and negative effects of treatment are out-weighed by the benefits. In the case of pressure ulcers, it is self-evident that prevention is extremely beneficial to patients. However, the cost of some of the equipment used for prevention can be high... Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=2022318 Sat, 01 Nov 2008 04:00:00 +0100 2022318 http://www.medworm.com/index.php?rid=1887120&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18926705%26dopt%3DAbstract Authors: Iizaka S, Nakagami G, Urasaki M, Sanada H The purpose of this study is to quantify hammock effects over artificial bony prominence using a newly developed buttocks model similar to human buttocks, and examine differences between various cushions and covers. A repeated measures design was used where immersions were measured with diverse weights on each type of cushion with or without covers. Polyurethane foam and air-cell cushions were used. Elastic original covers (cover 1) were evaluated for each cushion, and another less elastic cover (cover 2) was also used for the foam cushion. "Immersion" was defined as the difference in gauge readings between no load and each loading phase. Hammock effect was estimated by calculating the difference in load with and without a cover at any... Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=1887120 Tue, 14 Oct 2008 04:00:00 +0100 1887120 http://www.medworm.com/index.php?rid=1743527&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18722313%26dopt%3DAbstract Authors: Hagisawa S, Ferguson-Pell M PMID: 18722313 [PubMed - in process] (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=1743527 Fri, 01 Aug 2008 04:00:00 +0100 1743527 http://www.medworm.com/index.php?rid=1743526&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18722314%26dopt%3DAbstract Authors: Ghosh S, Mukhopadhyay A, Sikka M, Nagla KS A study has been conducted on the commercially available compression bandages as regards their performance with time. Pressure mapping of these bandages has been done using a fabricated pressure-measuring device on a mannequin leg to see the effect on pressure due to creep, fabric friction and angle of bandaging. The results show that the creep behavior, frictional behavior and the angle of bandaging have a significant effect on the pressure profile generated by the bandages during application. The regression analysis shows that the surface friction restricts the slippage in a multilayer system. Also the diameters of the limb and the amount of stretch given to the bandage during application have definite impact on the bandage pressure... Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=1743526 Fri, 01 Aug 2008 04:00:00 +0100 1743526 http://www.medworm.com/index.php?rid=1743525&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18722315%26dopt%3DAbstract Authors: Zadeh Farahani RM, Tubbs RS, Shoja MM PMID: 18722315 [PubMed - in process] (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=1743525 Fri, 01 Aug 2008 04:00:00 +0100 1743525 http://www.medworm.com/index.php?rid=1743524&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18722316%26dopt%3DAbstract Authors: Farahani RM PMID: 18722316 [PubMed - in process] (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=1743524 Fri, 01 Aug 2008 04:00:00 +0100 1743524 http://www.medworm.com/index.php?rid=1627069&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18620860%26dopt%3DAbstract Authors: Clark M PMID: 18620860 [PubMed - as supplied by publisher] (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=1627069 Thu, 10 Jul 2008 04:00:00 +0100 1627069 http://www.medworm.com/index.php?rid=1557612&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18558488%26dopt%3DAbstract Authors: Khanna N Clostridium perfringens is responsible for a number of clinical conditions ranging from relatively mild food poisoning to the potentially life-threatening gas gangrene. Fortunately, C. perfringens has remained relatively susceptible to first line antibiotics in the treatment of soft tissue infection, however, the prevalence of antibiotic resistance is increasing amongst other anaerobic organisms. A case of anaerobic cellulitis caused by a clindamycin-resistant C. perfringens is described here, emphasising the emerging problem of antimicrobial resistance. PMID: 18558488 [PubMed - as supplied by publisher] (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=1557612 Sat, 14 Jun 2008 04:00:00 +0100 1557612 http://www.medworm.com/index.php?rid=1557618&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18343313%26dopt%3DAbstract Authors: Clark M PMID: 18343313 [PubMed - in process] (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=1557618 Thu, 01 May 2008 04:00:00 +0100 1557618 http://www.medworm.com/index.php?rid=1557617&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18343314%26dopt%3DAbstract We present a rare manifestation of a chronic mandibular wound with a traumatic diathesis. A 38-year-old male patient sought medical consultation because of painless swelling in the mandibular symphysis and mild paresthesia of the lower lip. He mentioned a history of physical trauma to the mandibular symphysis 12 months ago. The radiographic evaluation and CT scan showed gross destruction of bone leading to a well-defined radiolucent lesion without any sclerosing margins. The histological examination revealed numerous spindle-shaped fibroblasts arranged in a fascicular pattern and scattered multinucleated and mononuclear cells with bizarre nuclei throughout the lesion. Moderate nuclear pleomorphism was evident with few mitotic cells. The lesion was diagnosed as a malignant fibrous histiocyt... Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=1557617 Thu, 01 May 2008 04:00:00 +0100 1557617 http://www.medworm.com/index.php?rid=1557616&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18343315%26dopt%3DAbstract Authors: Butler F PMID: 18343315 [PubMed - in process] (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=1557616 Thu, 01 May 2008 04:00:00 +0100 1557616 http://www.medworm.com/index.php?rid=1557615&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18343316%26dopt%3DAbstract Authors: Singh I, Fassiadis N, Jones K PMID: 18343316 [PubMed - in process] (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=1557615 Thu, 01 May 2008 04:00:00 +0100 1557615 http://www.medworm.com/index.php?rid=1557613&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18378140%26dopt%3DAbstract This study aims to determine (i) the point-prevalence of pressure ulcers in three teaching hospitals in Ireland and (ii) risk factors for their development. METHODS: Eight teams of one doctor and one nurse visited 672 adult patients over a 2-day period in three teaching hospitals. Each patient was examined and pressure ulcers graded with the European Pressure Ulcer Advisory Panel system. Mental test score, Barthel index, type of support surface, length of stay, documentation of risk assessment and serum albumin were recorded. RESULTS: Point-prevalence of pressure ulceration was 18.5%. Seventy-seven percent of pressure ulcers were hospital-acquired, 49% grade 1, 37% grade 2, 11% grade 3 and 3% grade 4. Reduced mobility, urinary incontinence, cognitive impairment, low serum albumin and lengt... Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=1557613 Fri, 28 Mar 2008 04:00:00 +0100 1557613 http://www.medworm.com/index.php?rid=1557614&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18374573%26dopt%3DAbstract CONCLUSION: Skin rubor could be identified based on the bioelectrical impedance. This method would be used for various skin diagnoses due to simplicity and reliability of BIA. PMID: 18374573 [PubMed - as supplied by publisher] (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=1557614 Wed, 26 Mar 2008 04:00:00 +0100 1557614 http://www.medworm.com/index.php?rid=1557624&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18293765%26dopt%3DAbstract Authors: Finnegan MJ, Gazzerro L, Finnegan JO, Lo P PMID: 18293765 [PubMed - indexed for MEDLINE] (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=1557624 Fri, 01 Feb 2008 05:00:00 +0100 1557624 http://www.medworm.com/index.php?rid=1557623&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18293766%26dopt%3DAbstract Authors: Goossens RH, Rithalia SV Heels have substantially higher tissue interface pressures and are prone to ulceration compared to other bony prominences. Although many different types of alternating pressure air mattresses (APAMs) are used for the prevention and treatment of pressure ulcers, a few high-quality randomised controlled trials (RCTs) are available on which to base purchasing decisions. Faced with this situation, physiological measurements are increasingly being used as a surrogate. A time-based technique, which calculates pressure relief index (PRI), has been previously reported for analysing the ability of such systems. This technique has demonstrated that different designs produce variable results in this regard. The aim of the present study is to investigate the perfo... Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=1557623 Fri, 01 Feb 2008 05:00:00 +0100 1557623 http://www.medworm.com/index.php?rid=1557622&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18293767%26dopt%3DAbstract Authors: Stockton L, Rithalia S PMID: 18293767 [PubMed - indexed for MEDLINE] (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=1557622 Fri, 01 Feb 2008 05:00:00 +0100 1557622 http://www.medworm.com/index.php?rid=1557621&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18293768%26dopt%3DAbstract Authors: Call E, Baker L PMID: 18293768 [PubMed - indexed for MEDLINE] (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=1557621 Fri, 01 Feb 2008 05:00:00 +0100 1557621 http://www.medworm.com/index.php?rid=1557620&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18293769%26dopt%3DAbstract Authors: Meaume S, Faucher N PMID: 18293769 [PubMed - indexed for MEDLINE] (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=1557620 Fri, 01 Feb 2008 05:00:00 +0100 1557620 http://www.medworm.com/index.php?rid=1557619&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18293770%26dopt%3DAbstract Authors: Clark M PMID: 18293770 [PubMed - indexed for MEDLINE] (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=1557619 Fri, 01 Feb 2008 05:00:00 +0100 1557619 http://www.medworm.com/index.php?rid=1557630&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17153116%26dopt%3DAbstract Authors: Clark M PMID: 17153116 [PubMed - indexed for MEDLINE] (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=1557630 Wed, 01 Nov 2006 05:00:00 +0100 1557630 http://www.medworm.com/index.php?rid=1557629&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17153117%26dopt%3DAbstract This article reviews the current literature on the use of antiseptics particularly povidine iodine in traumatic wound cleansing and discusses the beneficial and harmful effects of such practice. PMID: 17153117 [PubMed - indexed for MEDLINE] (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=1557629 Wed, 01 Nov 2006 05:00:00 +0100 1557629 http://www.medworm.com/index.php?rid=1557628&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17153118%26dopt%3DAbstract Authors: Barbanel JC, Gibson F, Turnbull F The alteration of blood flow in the skin and subcutaneous tissue due to mechanical loading is of great importance in the prevention of decubitus ulcers. A technique is described for assessing changes in blood content optically. The results indicate that such changes occur after loading even though the deformation is maintained constant. PMID: 17153118 [PubMed] (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=1557628 Wed, 01 Nov 2006 05:00:00 +0100 1557628 http://www.medworm.com/index.php?rid=1557627&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17153119%26dopt%3DAbstract Authors: Daly CH, Chimoskey JE, Holloway GA, Kennedy D The effect of pressure on the blood flow in skin is of considerable clinical interest. Methods are described for the estimation of skin blood flow from the disappearance rate of an injection of 133Xe in saline. The flow rate may be monitored for a period long enough to establish the normal flow and the reduced flow resulting from a constant pressure load. Initial results indicate that the flow is reduced greatly by pressures up to 10 mmHg. This result is interpreted as a demonstration of an auto regulatory mechanism of skin blood flow. Above 30 mmHg the flow continues to decrease essentially to zero as systolic pressure is approached. PMID: 17153119 [PubMed] (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=1557627 Wed, 01 Nov 2006 05:00:00 +0100 1557627 http://www.medworm.com/index.php?rid=1557626&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17153120%26dopt%3DAbstract CONCLUSION: Optimal results are achieved with a 20 minute digestion in 0.25% trypsin. Fibroblast contamination could not be avoided completely. Other factors may minimise fibroblast contamination such as minimal tissue manipulation and early collection during surgery. PMID: 17153120 [PubMed - indexed for MEDLINE] (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=1557626 Wed, 01 Nov 2006 05:00:00 +0100 1557626 http://www.medworm.com/index.php?rid=1557625&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17153121%26dopt%3DAbstract Authors: Overall the TVS had an exciting year--with the moving of its administrative centre and partnering with EPUAP being two of the key highlights. As we move forward into 2006 one major development will be the execution of a new education strategy agreed by Trustees during 2005, which will deliver a range of new initiatives and publications intended to further strengthen the reputation of the TVS among the public, professionals and patients affected by wound prevention and management. That education should be at the centre of TVS events in 2006 is highly appropriate as 2006 marks the 25th anniversary of the founding of the Tissue Viability Society. PMID: 17153121 [PubMed - indexed for MEDLINE] (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=1557625 Wed, 01 Nov 2006 05:00:00 +0100 1557625 http://www.medworm.com/index.php?rid=1557637&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16921988%26dopt%3DAbstract Authors: Clark M PMID: 16921988 [PubMed - indexed for MEDLINE] (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=1557637 Tue, 01 Aug 2006 04:00:00 +0100 1557637 http://www.medworm.com/index.php?rid=1557636&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16921989%26dopt%3DAbstract Authors: Alexander H, Cook T To quantitatively assess the viscoelastic properties of human skin, an in vivo testing method has been developed and previously reported. In this method, a strain-gauged pretension device is first used to determine the natural skin tension and then to apply a predetermined tension. A suction cup device with a rectangular cross-section and semi-circular ends is then applied to the pretensioned area and the skin deflection versus negative pressure characteristic is recorded. With the basic characteristics of the skin stress field determined by the geometry of the cup as a homogeneous stress state, the stress-strain response curve is computed from the recorded data. Using a constant pressurisation rate testing mode, the back and forearm of 116 healthy male and... Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=1557636 Tue, 01 Aug 2006 04:00:00 +0100 1557636 http://www.medworm.com/index.php?rid=1557635&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16921990%26dopt%3DAbstract Authors: Barton AA Wounds due to pressure arise in areas of anoxic necrosis. Blood is excluded from the skin by pressures in excess of the mean capillary pressure. In addition, trauma initiates haemostatic mechanisms which increase the extent of the vascular occlusion owing to the fact that endothelial cell retraction occurs and platelet thrombosis takes place. Endogenous factors potentiate this reaction in the base of the sore and the surrounding skin, Junctional complexes can be stabilised in animals by means of a single dose of ACTH in gelatine solvent administered four hours before operation and a marked diminution in the incidence of pressure sores occurs. Clinical trials are in progress in which the drug is administered to elderly patients prior to orthopaedic surgery. The extent... Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=1557635 Tue, 01 Aug 2006 04:00:00 +0100 1557635 http://www.medworm.com/index.php?rid=1557634&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16921991%26dopt%3DAbstract Authors: Brånemark PI Microvascular reactions to reduced flow in human skin as observed by vital microscopy are described. The behaviour of the cellular components of blood is analysed. Recirculation with only minor disturbances in the microcirculation was found even after complete occlusion for three hours. In one case occlusion of seven hours' duration was followed by recirculation. These findings indicate the integrity and restitution capability of the microvascular compartment in superficial human tissues at reduced flow. PMID: 16921991 [PubMed - indexed for MEDLINE] (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=1557634 Tue, 01 Aug 2006 04:00:00 +0100 1557634 http://www.medworm.com/index.php?rid=1557633&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16921992%26dopt%3DAbstract Authors: Romanus EM An ischaemic insult is produced on a hamster's cheek pouch under intravital-microscopic control. Recirculation and the condition of the nutritive flow is studied. Three hours ischaemia at 36 degrees C will produce only a slight immediate reaction. Microbleedings, thrombus formation and oedema are recorded later. The nutritive blood flow is unevenly distributed. Eight hours ischaemia at 22 degrees C will produce less disturbed microcirculation than a shorter period at body temperature. Tissue viability after an ischaemic insult is dependent on mainly two factors. First, the ability of parenchymal cells to withstand hypoxic injury and secondly the ability of the microvasculature to resume blood flow. Tissue temperature has been found to be a major determinant of the b... Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=1557633 Tue, 01 Aug 2006 04:00:00 +0100 1557633 http://www.medworm.com/index.php?rid=1557632&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16921993%26dopt%3DAbstract Authors: Suriadi , Sanada H, Sugama J, Thigpen B, Kitagawa A, Kinosita S, Murayama S The purpose of this study was to assess the utility of two instruments (the Braden scale and a multi-pad pressure evaluator) for predicting pressure ulcer development. A prospective cohort design was used and 105 intensive care unit patients participated in this study. The result was a 33% incidence of pressure ulcers. Both the Braden score and the multi-pad pressure evaluator instruments gave significant differences between patients who did and did not develop pressure ulcers. The predictive validity of these tools was calculated. The results indicated that the multi-pad pressure evaluator provided the best balance between sensitivity and specificity. We suggest that the multi-pad pressure evaluator m... Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=1557632 Tue, 01 Aug 2006 04:00:00 +0100 1557632 http://www.medworm.com/index.php?rid=1557631&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16921994%26dopt%3DAbstract Authors: McMath L PMID: 16921994 [PubMed - indexed for MEDLINE] (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=1557631 Tue, 01 Aug 2006 04:00:00 +0100 1557631 http://www.medworm.com/index.php?rid=1557643&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16752706%26dopt%3DAbstract Authors: Roaf R The best recognised and most widespread example of tissue necrosis is the 'bed sore'. This is said to be the commonest iatrogenic disease and the bed has been called the most dangerous splint yet devised by mankind. Factors which may play a significant part in tissue necrosis are discussed, followed by the logistics of a programme to prevent the development of bed sores. It is suggested that the problem is one of economic feasibility rather than lack of preventive knowledge. PMID: 16752706 [PubMed - indexed for MEDLINE] (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=1557643 Mon, 01 May 2006 04:00:00 +0100 1557643 http://www.medworm.com/index.php?rid=1557642&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16752707%26dopt%3DAbstract Authors: Brand PW The problem is that when the surface of the body is denervated, it is liable to break down from a number of widely different mechanical stresses. The obvious common factor of denervation or loss of sensation has allowed many workers to assume that loss of nerves is the most significant element in the aetiology of these pressure sores. Hence, the term 'trophic' ulcer, which suggests that some trophic, or nourishing, element is missing from tissues which are not supported by intact nerves. The nature of this trophic factor is not understood and therefore its influence is difficult to measure and still more difficult to control. We have found that a more fruitful approach to the problem is to concentrate upon the biology and the mechanics of the breakdown of normal surfa... Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=1557642 Mon, 01 May 2006 04:00:00 +0100 1557642 http://www.medworm.com/index.php?rid=1557641&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16752708%26dopt%3DAbstract Authors: Scales JT The primary cause of pressure sores is the interference with the blood supply of the tissues which, if prolonged, will result in their death. In most cases, the prolonged pressure which occludes vessels is caused by the inability of the patient to feel pain and/or move. Fortunately the surface area of the body available for the support of the patient is such that it is possible to design patient-support systems which will prevent the pressure per unit area exceeding the critical value. The criteria for an ideal patient-support system are given. PMID: 16752708 [PubMed - indexed for MEDLINE] (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=1557641 Mon, 01 May 2006 04:00:00 +0100 1557641 http://www.medworm.com/index.php?rid=1557640&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16752709%26dopt%3DAbstract Authors: Cruickshank CN A description has been given of those particular microanatomical features of the epidermis which are responsible for its mechanical stability--in particular half desmosomes, the desmosome tonofilament complex and interlocking squames. The functions of these structures have been illustrated by experiments which expose the skin to suction, friction and enzymatic digestion. PMID: 16752709 [PubMed - indexed for MEDLINE] (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=1557640 Mon, 01 May 2006 04:00:00 +0100 1557640 http://www.medworm.com/index.php?rid=1557639&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16752710%26dopt%3DAbstract Authors: Winter GD The domestic pig is the preferred animal for studying the effects of environmental factors on skin and wound because its integument is more like that of man than any other. The three factors that most drastically affect the pattern, speed and quality of healing are dehydration of exposed tissues, the status of the blood supply bringing oxygen and nutrients to the area and sepsis. Wounds exposed to the air lose water vapour, the upper dermis dries and healing takes place beneath a dry scab. Covering a wound with an occlusive dressing prevents scab formation and radically alters the pattern of epidermal wound healing. Blowing on wounds creates a scab within three hours instead of the normal 24 hours but more tissue is sacrificed in the process. This may only be justifi... Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=1557639 Mon, 01 May 2006 04:00:00 +0100 1557639 http://www.medworm.com/index.php?rid=1557638&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16752711%26dopt%3DAbstract Authors: Gibson T, Barbanel JC, Evans JH Superficial tissue ulceration can be caused by the effect of mechanical loads acting on localised areas of skin and subcutaneous tissues. Be they low sustained loads applied for long periods or higher loads intermittently applied, the importance of the time factor has been recognised clinically by doctors and nurses. The significance of the type of loading and its magnitude in the damage of tissue is, however, not well agreed. This is in part due to the fact that knowledge of the mechanical and physiological responses of tissues is limited and in part to an inability to measure the forces applied to the tissues. This presentation outlines current understanding of the mechanics of tissue response. PMID: 16752711 [PubMed - indexed for MEDLINE]... Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=1557638 Mon, 01 May 2006 04:00:00 +0100 1557638 http://www.medworm.com/index.php?rid=1557647&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16494275%26dopt%3DAbstract Authors: Collins C PMID: 16494275 [PubMed - indexed for MEDLINE] (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=1557647 Wed, 01 Feb 2006 05:00:00 +0100 1557647 http://www.medworm.com/index.php?rid=1557646&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16494276%26dopt%3DAbstract Authors: Alvarez O, Patel M, Rogers R, Booker J PMID: 16494276 [PubMed - indexed for MEDLINE] (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=1557646 Wed, 01 Feb 2006 05:00:00 +0100 1557646 http://www.medworm.com/index.php?rid=1557645&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16494277%26dopt%3DAbstract Authors: Healey F PMID: 16494277 [PubMed - indexed for MEDLINE] (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=1557645 Wed, 01 Feb 2006 05:00:00 +0100 1557645 http://www.medworm.com/index.php?rid=1557644&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16494278%26dopt%3DAbstract Authors: Banwell P, Téot L PMID: 16494278 [PubMed - indexed for MEDLINE] (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=1557644 Wed, 01 Feb 2006 05:00:00 +0100 1557644 http://www.medworm.com/index.php?rid=1557651&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16302499%26dopt%3DAbstract Authors: Clark M, Thompson D PMID: 16302499 [PubMed - indexed for MEDLINE] (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=1557651 Tue, 01 Nov 2005 05:00:00 +0100 1557651 http://www.medworm.com/index.php?rid=1557650&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16302500%26dopt%3DAbstract Authors: Téot L PMID: 16302500 [PubMed - indexed for MEDLINE] (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=1557650 Tue, 01 Nov 2005 05:00:00 +0100 1557650 http://www.medworm.com/index.php?rid=1557649&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16302501%26dopt%3DAbstract Authors: Petrie NC, Vranckx JJ, Hoeller D, Yao F, Eriksson E PMID: 16302501 [PubMed - indexed for MEDLINE] (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=1557649 Tue, 01 Nov 2005 05:00:00 +0100 1557649 http://www.medworm.com/index.php?rid=1557648&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16302502%26dopt%3DAbstract Authors: Butterly S, Wilson I PMID: 16302502 [PubMed - indexed for MEDLINE] (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=1557648 Tue, 01 Nov 2005 05:00:00 +0100 1557648 http://www.medworm.com/index.php?rid=1557654&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16104469%26dopt%3DAbstract Authors: Lloyd-Jones M, Young T PMID: 16104469 [PubMed - indexed for MEDLINE] (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=1557654 Mon, 01 Aug 2005 04:00:00 +0100 1557654 http://www.medworm.com/index.php?rid=1557653&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16104470%26dopt%3DAbstract Authors: Firth J PMID: 16104470 [PubMed - indexed for MEDLINE] (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=1557653 Mon, 01 Aug 2005 04:00:00 +0100 1557653 http://www.medworm.com/index.php?rid=1557652&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16104471%26dopt%3DAbstract Authors: Defloor T, Clark M, Witherow A, Colin D, Lindholm C, Schoonhoven L, Moore Z, PMID: 16104471 [PubMed - indexed for MEDLINE] (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=1557652 Mon, 01 Aug 2005 04:00:00 +0100 1557652 http://www.medworm.com/index.php?rid=1557661&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15997990%26dopt%3DAbstract Authors: Clark M PMID: 15997990 [PubMed - indexed for MEDLINE] (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=1557661 Sun, 01 May 2005 04:00:00 +0100 1557661 http://www.medworm.com/index.php?rid=1557660&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15997991%26dopt%3DAbstract Authors: Barton A PMID: 15997991 [PubMed - indexed for MEDLINE] (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=1557660 Sun, 01 May 2005 04:00:00 +0100 1557660 http://www.medworm.com/index.php?rid=1557659&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15997992%26dopt%3DAbstract Authors: Barton A, Barton M PMID: 15997992 [PubMed - indexed for MEDLINE] (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=1557659 Sun, 01 May 2005 04:00:00 +0100 1557659 http://www.medworm.com/index.php?rid=1557658&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15997993%26dopt%3DAbstract Authors: David J PMID: 15997993 [PubMed - indexed for MEDLINE] (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=1557658 Sun, 01 May 2005 04:00:00 +0100 1557658 http://www.medworm.com/index.php?rid=1557657&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15997994%26dopt%3DAbstract Authors: Lowthian P PMID: 15997994 [PubMed - indexed for MEDLINE] (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=1557657 Sun, 01 May 2005 04:00:00 +0100 1557657 http://www.medworm.com/index.php?rid=1557656&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16078380%26dopt%3DAbstract Authors: PMID: 16078380 [PubMed - indexed for MEDLINE] (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=1557656 Sun, 01 May 2005 04:00:00 +0100 1557656 http://www.medworm.com/index.php?rid=1557655&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16078381%26dopt%3DAbstract Authors: PMID: 16078381 [PubMed - indexed for MEDLINE] (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=1557655 Sun, 01 May 2005 04:00:00 +0100 1557655 http://www.medworm.com/index.php?rid=1557668&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15693582%26dopt%3DAbstract This study included five bedbound elderly patients with pressure ulcers located at the sacrum and coccyx. The local pressure was measured at the thickened edges and normal edges of the subjects' wounds by a newly developed sensor while the subjects were positioned according to the rule of 30. The results showed the maximum pressure as well as the average pressure of the thickened edges to be significantly greater than that of the normal edges. Thus, it is suggested that higher pressure on different areas of the wound margin may be responsible for the thickened edges phenomenon, which may consequently delay the healing process. Clinical use of the rule of 30 for patients with pressure ulcers in the sacrum and coccyx regions should be reconsidered. PMID: 15693582 [PubMed - indexed for ME... Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=1557668 Sat, 01 Jan 2005 05:00:00 +0100 1557668 http://www.medworm.com/index.php?rid=1557667&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15693583%26dopt%3DAbstract Authors: Wall J, Colley T A preliminary analysis of a 2-year prospective study of the health, degree of physical disability and skin integrity of 160 permanently seated persons is presented in this paper. The study was undertaken to inform the development of a self-managed risk assessment tool for the prevention of pressure ulcers in permanently seated individuals. The results of this study offer further insight into the challenges of pressure ulcer prevention and the role of education and self management in achieving this. PMID: 15693583 [PubMed - indexed for MEDLINE] (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=1557667 Sat, 01 Jan 2005 05:00:00 +0100 1557667 http://www.medworm.com/index.php?rid=1557666&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15693584%26dopt%3DAbstract Authors: Gebhardt KS PMID: 15693584 [PubMed - indexed for MEDLINE] (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=1557666 Sat, 01 Jan 2005 05:00:00 +0100 1557666 http://www.medworm.com/index.php?rid=1557673&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15516099%26dopt%3DAbstract Authors: Springett K, Dealey C PMID: 15516099 [PubMed - indexed for MEDLINE] (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=1557673 Fri, 01 Oct 2004 04:00:00 +0100 1557673 http://www.medworm.com/index.php?rid=1557672&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15516100%26dopt%3DAbstract Authors: Barry A, Wilkinson I, Halford V, Springett K, McInnes A Clinical assessment and management for anyone who has diabetes may be influenced by the development of the National Service Framework (NSF) for Diabetes. Through a case study, this article explains how the NSF for Diabetes and other recent NHS documentation has influenced our approach to managing a type 2 diabetic patient whose feet are categorised as 'high risk'. Some of the potential shortfalls of the NSF for Diabetes are also discussed in this context. PMID: 15516100 [PubMed - indexed for MEDLINE] (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=1557672 Fri, 01 Oct 2004 04:00:00 +0100 1557672 http://www.medworm.com/index.php?rid=1557671&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15516101%26dopt%3DAbstract This article uses evidence from qualitative case studies in three general practices to illustrate the difficulties associated with the implementation of such top-down guidelines and models of service. In these studies it was found that, while there had been little explicit activity directed at implementation overall, the National Service Framework for coronary heart disease had in general fared better than that for older people. Gunn's notion of 'perfect implementation' is used to make sense of the findings. PMID: 15516101 [PubMed - indexed for MEDLINE] (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=1557671 Fri, 01 Oct 2004 04:00:00 +0100 1557671 http://www.medworm.com/index.php?rid=1557670&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15516102%26dopt%3DAbstract Authors: Otter S, Springett K, Lucas K, Moore A, Horne R, Davies K, Young A In common with other outcome measures, those for the at-risk rheumatoid foot need to be sensitive, specific and patient focussed, although currently these combined features are not available within one measure. There is also the issue of cross-validation with other commonly used measures to be considered. Both government policy and clinical need predicate development of suitable measures for the rheumatoid foot. In the first part of this paper, general issues relating to outcome measures and some government policy are considered and in the second, outcome measures relating to the at-risk rheumatoid foot are introduced alongside a discussion on the implications for practitioners. PMID: 15516102 [PubMed - ind... Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=1557670 Fri, 01 Oct 2004 04:00:00 +0100 1557670 http://www.medworm.com/index.php?rid=1557669&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15516103%26dopt%3DAbstract This article offers a discussion of the key features of qualitative methodology, such as subjectivity, bracketing, rigour and the analytic process. Furthermore it will be shown that understanding the underpinning philosophical approach is essential for clinicians undertaking qualitative research. The rich data obtained through this approach will be presented, revealing how a person living with leg ulceration can be heard. PMID: 15516103 [PubMed - indexed for MEDLINE] (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=1557669 Fri, 01 Oct 2004 04:00:00 +0100 1557669 http://www.medworm.com/index.php?rid=1557665&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15709355%26dopt%3DAbstract This study also investigated the feasibility of using the 30 degree tilt position with medical inpatients; it found that 78% of subjects experienced difficulty in adopting and maintaining the position. This finding seriously questions the practicality of using the 30 degree tilt method with a predominantly ill population. PMID: 15709355 [PubMed - indexed for MEDLINE] (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=1557665 Thu, 01 Jul 2004 04:00:00 +0100 1557665 http://www.medworm.com/index.php?rid=1557664&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15709356%26dopt%3DAbstract Authors: Steenvoorde P, Jukema GN In the literature maggot therapy is discussed as a promising and potent form of debridement therapy. The number of maggots needed to debride a wound is estimated at 10 per cm2, and more in case of a higher percentage of necrosis or slough. In the authors' hospital, from March 1999 to May 2002, 16 patients were successfully treated with maggot therapy. The average maggot treatment time was 27 days, with an average of seven maggot changes. Most patients were treated for osteomyelitis, with trauma being the leading aetiological factor. In accordance with in-vitro findings, maggot therapy was found to be more effective in gram-positive infected wounds. Gram-negative bacteria are cultured more often after maggot treatment than before it (p=0.001). The oppos... Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=1557664 Thu, 01 Jul 2004 04:00:00 +0100 1557664 http://www.medworm.com/index.php?rid=1557663&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15709357%26dopt%3DAbstract Authors: Turczanska E A case is presented of a severe variant of subcutaneous calcification complicating chronic venous ulceration of the lower leg. PMID: 15709357 [PubMed - indexed for MEDLINE] (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=1557663 Thu, 01 Jul 2004 04:00:00 +0100 1557663 http://www.medworm.com/index.php?rid=1557662&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15709358%26dopt%3DAbstract This article has not been subject to peer review. PMID: 15709358 [PubMed - indexed for MEDLINE] (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=1557662 Thu, 01 Jul 2004 04:00:00 +0100 1557662 http://www.medworm.com/index.php?rid=1557679&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15114926%26dopt%3DAbstract This study explored the extent to which a new skin care protocol comprising a skin cleanser, barrier cream and barrier film could be implemented in nursing homes, and its effects on patients' skin condition, staff time and associated costs. A pre- and post-intervention study design was used. Data were collected on current skin condition and skin care procedures, before and after the introduction of a new skin care protocol. Nurses and carers were observed as they undertook skin care following episodes of incontinence. The time taken, products and amounts used were recorded. The presence and severity of incontinence dermatitis was recorded, together with the presence and severity of pressure ulceration. A supportive education programme was delivered to staff. All patients with incontinence ... Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=1557679 Thu, 01 Apr 2004 05:00:00 +0100 1557679 http://www.medworm.com/index.php?rid=1557678&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15114927%26dopt%3DAbstract Authors: Rithalia SV Although many different type of alternating pressure air mattresses (APAMs) are used for the prevention and treatment of pressure ulcers, few high quality randomised controlled trials are available on which to base purchasing decisions. Faced with this situation, physiological measurements are increasingly being used as a surrogate. Laboratory evaluation techniques have centred largely on interface pressure (IP) measurement, typically analysing discrete maximum and minimum levels, or average pressure. However, since pressure relief is time varying, a time-based analysis technique may be more suitable for performance assessment. Measurements of IP, mattress air cell pressure (AP), skin tissue perfusion using laser Doppler fluxmetry (LDF), transcutaneous oxygen (tcPO... Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=1557678 Thu, 01 Apr 2004 05:00:00 +0100 1557678 http://www.medworm.com/index.php?rid=1557677&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15114928%26dopt%3DAbstract This article presents such a case and the authors' initial experience of managing laparostomy wounds with vacuum-assisted closure. PMID: 15114928 [PubMed - indexed for MEDLINE] (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=1557677 Thu, 01 Apr 2004 05:00:00 +0100 1557677 http://www.medworm.com/index.php?rid=1557676&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15114929%26dopt%3DAbstract Authors: Chockalingam N, Ashford RL A laboratory investigation was conducted to ascertain the shock-absorbing properties of four wound dressings applied to the heel area of a convenience sample of volunteers. Four subjects walked across a force plate. Data were recorded for each subject barefoot, and then while the subject had a wound care dressing stuck to the plantar aspect of their heel. Eight trials were undertaken in the five different conditions resulting in 40 trials per subject. The results suggest that one dressing, Allevyn (Smith and Nephew Healthcare Ltd, Hull, UK), when compared to other dressing materials, exhibits similar reaction forces to the normal barefoot walking data for all subjects. However, results from the anterior posterior force show no major differences acros... Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=1557676 Thu, 01 Apr 2004 05:00:00 +0100 1557676 http://www.medworm.com/index.php?rid=1557675&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15114930%26dopt%3DAbstract Authors: Bliss M PMID: 15114930 [PubMed - indexed for MEDLINE] (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=1557675 Thu, 01 Apr 2004 05:00:00 +0100 1557675 http://www.medworm.com/index.php?rid=1557674&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D15114931%26dopt%3DAbstract Authors: Lowthian P PMID: 15114931 [PubMed - indexed for MEDLINE] (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=1557674 Thu, 01 Apr 2004 05:00:00 +0100 1557674 http://www.medworm.com/index.php?rid=1557684&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D14768129%26dopt%3DAbstract Authors: Clark M, Orchard H PMID: 14768129 [PubMed - indexed for MEDLINE] (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=1557684 Thu, 01 Jan 2004 05:00:00 +0100 1557684 http://www.medworm.com/index.php?rid=1557683&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D14768130%26dopt%3DAbstract This article presents this guideline, its evidence base and the development process. Given that the guideline has been subject to NICE stakeholder review it has not been subjected to the normal peer-review process used by the Journal of Tissue Viability. PMID: 14768130 [PubMed - indexed for MEDLINE] (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=1557683 Thu, 01 Jan 2004 05:00:00 +0100 1557683 http://www.medworm.com/index.php?rid=1557682&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D14768131%26dopt%3DAbstract Authors: Chorbadjian M, Bown M, Graham C, Sayers R Abdominal compartment syndrome resulting from intra-abdominal hypertension can be prevented or treated with the formation of a laparostomy. In the majority of cases this is followed by delayed abdominal wall reconstruction involving the use of prosthetic materials and split-skin grafts. The authors present a case study involving a patient who underwent repair of a ruptured abdominal aortic aneurysm and required a laparostomy to prevent abdominal compartment syndrome. He also had significant perioperative morbidity and poor nutritional status. Despite this, satisfactory wound healing was achieved without the need for split-skin grafting, thus avoiding further surgery and its associated complications. PMID: 14768131 [PubMed - indexed... Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=1557682 Thu, 01 Jan 2004 05:00:00 +0100 1557682 http://www.medworm.com/index.php?rid=1557681&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D14768132%26dopt%3DAbstract Authors: Bliss M PMID: 14768132 [PubMed - indexed for MEDLINE] (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=1557681 Thu, 01 Jan 2004 05:00:00 +0100 1557681 http://www.medworm.com/index.php?rid=1557680&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D14768133%26dopt%3DAbstract Authors: Bliss M PMID: 14768133 [PubMed - indexed for MEDLINE] (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=1557680 Thu, 01 Jan 2004 05:00:00 +0100 1557680 http://www.medworm.com/index.php?rid=1557691&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D14606115%26dopt%3DAbstract Authors: Nelson EA PMID: 14606115 [PubMed - indexed for MEDLINE] (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=1557691 Wed, 01 Oct 2003 04:00:00 +0100 1557691 http://www.medworm.com/index.php?rid=1557690&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D14606116%26dopt%3DAbstract Authors: Sims A, McDonald R The aim of this paper is to provide an overview of the literature regarding prevention of pressure ulcers in paediatrics to guide evidence-based practice. The paper will focus on two areas: identifying children at risk and preventative strategies. Little has been written in the area of paediatric pressure care and most of the research is narrative or relates to a specific area of practice. Risk factors and management techniques tend to be extrapolated from adult research. This paper concludes by identifying research questions and exploring the most appropriate basis for practice. PMID: 14606116 [PubMed - indexed for MEDLINE] (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=1557690 Wed, 01 Oct 2003 04:00:00 +0100 1557690 http://www.medworm.com/index.php?rid=1557689&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D14606117%26dopt%3DAbstract Authors: Bennett G PMID: 14606117 [PubMed - indexed for MEDLINE] (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=1557689 Wed, 01 Oct 2003 04:00:00 +0100 1557689 http://www.medworm.com/index.php?rid=1557688&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D14606118%26dopt%3DAbstract Authors: Bliss MR PMID: 14606118 [PubMed - indexed for MEDLINE] (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=1557688 Wed, 01 Oct 2003 04:00:00 +0100 1557688 http://www.medworm.com/index.php?rid=1557687&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D14606119%26dopt%3DAbstract Authors: Nelson EA PMID: 14606119 [PubMed - indexed for MEDLINE] (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=1557687 Wed, 01 Oct 2003 04:00:00 +0100 1557687 http://www.medworm.com/index.php?rid=1557686&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D14606120%26dopt%3DAbstract Authors: Bliss M PMID: 14606120 [PubMed - indexed for MEDLINE] (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=1557686 Wed, 01 Oct 2003 04:00:00 +0100 1557686 http://www.medworm.com/index.php?rid=1557685&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D14606121%26dopt%3DAbstract Authors: Dealey C PMID: 14606121 [PubMed - indexed for MEDLINE] (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=1557685 Wed, 01 Oct 2003 04:00:00 +0100 1557685 http://www.medworm.com/index.php?rid=1557695&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D12889397%26dopt%3DAbstract This study investigated the reduction in lower limb oedema achieved when different combinations of intermittent pneumatic compression (IPC) pump settings were used. Twenty-seven individuals aged between 22 and 96 years, with ankle oedema of venous origin, were randomised to either a treatment or control group. Treatment was delivered via a Flowpac pump (Huntleigh Healthcare Ltd, Luton, UK) possessing variable controls. The control group were 'treated' by elevating both lower limbs. The average difference in limb volumes was compared, for each combination of pump setting, to changes in limb volume in the control group. These comparisons revealed that the highest mean reduction in limb volumes was recorded for a pressure of 40 mmHg (p = 0.02), 10 second deflation time (p = 0.0002) and 15 sec... Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=1557695 Tue, 01 Jul 2003 04:00:00 +0100 1557695 http://www.medworm.com/index.php?rid=1557694&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D12889398%26dopt%3DAbstract Authors: Sanada H, Sugama J, Matsui Y, Konya C, Kitagawa A, Okuwa M, Omote S A clinical investigation was conducted concerning the effects of a newly designed double-layer air-cell overlay in preventing the onset of pressure ulcers for patients with a Braden scale score of < or = 16, and who require a head-elevated position of 45 degrees or higher. A randomised controlled trial was undertaken involving 82 patients from a general hospital ward using one of the following three support surfaces: a double-layer air-cell overlay, a single-layer air-cell overlay or a standard hospital mattress. A significantly lower percentage of patients using the double-layer air-cell overlay developed pressure ulcers (3.4%) compared to 19.2% and 37.0% for those patients using the single-layer air-cell ... Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=1557694 Tue, 01 Jul 2003 04:00:00 +0100 1557694 http://www.medworm.com/index.php?rid=1557693&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D12889399%26dopt%3DAbstract CONCLUSION: Skin management achievement scores were significantly higher for patients who had attended a SSA clinic before their first NAC (group 1) at both time points, supporting the use of SSA as a proactive intervention to improve patient independence, knowledge and awareness, and potentially reduce pressure ulcer incidence. PMID: 12889399 [PubMed - indexed for MEDLINE] (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=1557693 Tue, 01 Jul 2003 04:00:00 +0100 1557693 http://www.medworm.com/index.php?rid=1557692&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D12889400%26dopt%3DAbstract Authors: Newton M The introduction of this pathway for the prevention and management of pressure ulcers was influenced by the development of the pathway for the management of a patient with a fractured neck of femur. Systematic documentation of preventative measures for patients with a fractured neck of femur helped reduce the incidence of pressure ulcers in this high-risk group. The original draft was informed by evidence-based clinical practice guidelines. This draft of the pathway was piloted, reviewed and changed in line with current evidence and comments from users. It was invaluable to pilot the pathway and review as necessary in order to make this a true workable document that would enable continuity of care, help prevent hospital-acquired pressure ulcers and be an effective tea... Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=1557692 Tue, 01 Jul 2003 04:00:00 +0100 1557692 http://www.medworm.com/index.php?rid=1557699&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D12715490%26dopt%3DAbstract Authors: Wall J, Colley T The prevalence of pressure ulcers among permanent wheelchair users remains high. While many risk factors for pressure ulcer development in this group have been identified only a minority of these have been evaluated scientifically and it is generally acknowledged that existing risk assessment tools are inadequate for predicting risk in seated persons who use a wheelchair for mobility. A 2-year prospective study is underway to design a new self-administered pressure ulcer risk indicator to be used by non-ambulant wheelchair users and their carers in conjunction with professionals. This instrument will be designed as a result of triangulation of methods. A systematic review of available evidence Latest professional opinion A qualitative study exploring the issue... Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=1557699 Tue, 01 Apr 2003 05:00:00 +0100 1557699 http://www.medworm.com/index.php?rid=1557698&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D12715491%26dopt%3DAbstract Authors: Clark M Clinical guidelines in wound care have recently been formulated at the national and international level, reflecting a shift from locally derived guidelines common during the 1990s. There remains considerable uncertainty regarding the extent of implementation and monitoring of these new guidelines. This paper presents the results of a survey of members of the Tissue Viability Society that sought their views upon the guidelines in place within their workplace--how were these guidelines developed, was the impact of guidelines monitored and how and finally what barriers limited their full implementation. Of the 1500 members, 476 returned completed questionnaires (34.0% response rate). Most (n = 422, 88.4%) worked within environments that implemented clinical guidelines in ... Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=1557698 Tue, 01 Apr 2003 05:00:00 +0100 1557698 http://www.medworm.com/index.php?rid=1557697&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D12715492%26dopt%3DAbstract Authors: Gebhardt KS A pressure area care equipment service was initiated in a large teaching trust (approximately 1000 beds). A stock of over 200 mattress overlays and replacements was purchased and a mattress coordinator was appointed. The coordinator supplies and retrieves pressure-relieving equipment to and from wards, monitors the equipment daily when in use and records all occurrences of malfunction and mismanagement. Out of hours, mattress provision is the responsibility of the night nursing service. Equipment purchase is guided by interpretation of published controlled trials and the Trust's internal data on equipment reliability. Maintenance support is provided on-site by a half full-time equivalent medical technical officer. This approach was associated with a reduction in co... Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=1557697 Tue, 01 Apr 2003 05:00:00 +0100 1557697 http://www.medworm.com/index.php?rid=1557696&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D12715493%26dopt%3DAbstract Authors: Ashford RL PMID: 12715493 [PubMed - indexed for MEDLINE] (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=1557696 Tue, 01 Apr 2003 05:00:00 +0100 1557696 http://www.medworm.com/index.php?rid=1557704&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D12599984%26dopt%3DAbstract Authors: Kinmond K, McGee P, Gough S, Ashford R At present, recognition of the importance of psychosocial factors in the care of individuals with diabetes is still in its infancy. Understanding of the specific psychosocial factors relating to diabetic foot ulceration is embryonic. The study reported in this paper begins to raise awareness of psychosocial quality of life issues for patients living with diabetic foot ulceration, as narrated by the patients themselves. Findings revealed a range of restrictions on daily life that profoundly affected the individual's sense of self. These findings have implications for patients' adherence to treatment. Implications of these findings for health promotion are also reported. PMID: 12599984 [PubMed - indexed for MEDLINE] (Source: Journal of ... Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=1557704 Wed, 01 Jan 2003 05:00:00 +0100 1557704 http://www.medworm.com/index.php?rid=1557703&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D12599985%26dopt%3DAbstract This study was undertaken to see if the multiple pathology previously found in elderly patients with leg ulcers (other than the ulcer) differed in older and younger patients. A retrospective survey of the case notes of 42 consecutive patients (19 males, 23 females) admitted to a medically staffed leg ulcer clinic based in a geriatric day hospital was carried out. Twenty one patients were aged < or = 74 years (including seven aged < or = 59 years) and 21 aged > or = 75 years. Medical conditions known on referral and illnesses diagnosed during attendance were identified. The high incidence of disease in both age groups was identical, with 57% of patients with four or more diagnoses. No patient had no medical illness in addition to their ulcer. The commonest was cardiovascular diseas... Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=1557703 Wed, 01 Jan 2003 05:00:00 +0100 1557703 http://www.medworm.com/index.php?rid=1557702&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D12599986%26dopt%3DAbstract Authors: Thompson D Patients with diabetes are known to be at higher risk of foot ulceration that can often lead to limb amputation. Anecdotal evidence suggested that the provision of a multidisciplinary foot clinic for patients with diabetes could improve outcomes. Although this approach appears common sense the author required evidence to support a bid for a change in practice. This paper begins by describing some of the origins and principles of evidence based practice and how they can be applied in practice. The search for evidence and critical appraisal of two papers is explained. The tools used to assist implementation of the change in practice are included. The paper concludes with recommendation for changes in practice based upon the evidence found. PMID: 12599986 [PubMed -... Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=1557702 Wed, 01 Jan 2003 05:00:00 +0100 1557702 http://www.medworm.com/index.php?rid=1557701&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D12599987%26dopt%3DAbstract Authors: Lowthian P PMID: 12599987 [PubMed - indexed for MEDLINE] (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=1557701 Wed, 01 Jan 2003 05:00:00 +0100 1557701 http://www.medworm.com/index.php?rid=1557700&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D12599988%26dopt%3DAbstract Authors: Robertson JC PMID: 12599988 [PubMed - indexed for MEDLINE] (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=1557700 Wed, 01 Jan 2003 05:00:00 +0100 1557700 http://www.medworm.com/index.php?rid=1557708&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D12476501%26dopt%3DAbstract Authors: Bader D PMID: 12476501 [PubMed - indexed for MEDLINE] (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=1557708 Tue, 01 Oct 2002 04:00:00 +0100 1557708 http://www.medworm.com/index.php?rid=1557707&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D12476502%26dopt%3DAbstract Authors: Swain ID, Bader DL This paper describes the effect of applied pressure on soft tissue and its possible role in the development of pressure ulcers. It concentrates on the quantification of the applied pressure at the patient-support interface and the limitations and variability of current techniques, measurement systems and data presentation. It then describes the effects of interface pressures at the tissue and cellular level, and attempts that have been made to describe and model the tissue mechanics. Finally it sets a challenge to medical engineers to improve the present measurement systems and tissue models, thus increasing understanding, both clinically and at the cellular level, so that the incidence of pressure ulcers can be reduced. PMID: 12476502 [PubMed - indexed ... Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=1557707 Tue, 01 Oct 2002 04:00:00 +0100 1557707 http://www.medworm.com/index.php?rid=1557706&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D12476503%26dopt%3DAbstract Authors: Sugama J, Sanada H, Takahashi M It is often helpful to assess the pressures exerted upon the bony prominences when monitoring the likely outcome of pressure ulcer prevention or treatment. However, in the clinical setting, hard pressure sensors may damage the skin and operational difficulties may influence their reliability and validity. The authors have developed a multi-pad pressure sensor and tested its clinical reliability and validity. The inter-rater and intra-rater reliability were calculated using the coefficient of variation data from 10 patients. After a comparison analysis, the multi-pad was more reliable than a single-pad type pressure sensor. A validation test was conducted in 79 elderly patients. The mean interface pressures recorded among patients who had erythem... Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=1557706 Tue, 01 Oct 2002 04:00:00 +0100 1557706 http://www.medworm.com/index.php?rid=1557705&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D12476504%26dopt%3DAbstract This study investigated the prevalence, severity and characteristics of pain associated with venous leg ulceration. Sixty-five patients suffering with venous leg ulceration were randomised to one of three treatment groups over a 12-week treatment period. All patients received short-stretch compression bandaging. Data were collected by use of a visual analogue scale and the McGill Pain Questionnaire. Seventy per cent of patients reported pain on entry to the study and within 2 weeks of effective treatment initial pain was dramatically reduced. Patients typically described their pain as throbbing, sharp, itchy, sore and tender. The affective nature of pain was often described as tiring and patients evaluated their pain as being annoying and nagging. This study highlights the importance of pa... Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=1557705 Tue, 01 Oct 2002 04:00:00 +0100 1557705 http://www.medworm.com/index.php?rid=1557711&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D12168489%26dopt%3DAbstract Authors: Jayes AM PMID: 12168489 [PubMed - indexed for MEDLINE] (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=1557711 Mon, 01 Jul 2002 04:00:00 +0100 1557711 http://www.medworm.com/index.php?rid=1557710&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D12168490%26dopt%3DAbstract Authors: Bliss M PMID: 12168490 [PubMed - indexed for MEDLINE] (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=1557710 Mon, 01 Jul 2002 04:00:00 +0100 1557710 http://www.medworm.com/index.php?rid=1557709&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D12168491%26dopt%3DAbstract This study aims to provide an insight into wheelchair users' preventative health behaviours with respect to pressure-relief behaviour, perceived risk and attribution of responsibility for preventative health measures. Wheelchair users who are dependent upon a wheelchair for their indoor and outdoor mobility have a long-term risk of developing a pressure ulcer. In an attempt to lessen the risk they need to perform pressure-relieving movements frequently. The Department of Health currently advises wheelchair users to perform a pressure-relieving movement every 15 minutes. Many wheelchair users responding to this large scale survey reported that although they were physically capable of performing pressure-relieving movements without help, they either did not do them or did not adhere to curre... Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=1557709 Mon, 01 Jul 2002 04:00:00 +0100 1557709