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. Thu, 09 Feb 2012 09:15:12 +0100 http://www.medworm.com/index.php?rid=5642307&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.journaloftissueviability.com%2Farticle%2FPIIS0965206X11000714%2Fabstract%3Frss%3Dyes (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=5642307 Mon, 30 Jan 2012 17:35:50 +0100 5642307 http://www.medworm.com/index.php?rid=5642308&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.journaloftissueviability.com%2Farticle%2FPIIS0965206X1100074X%2Fabstract%3Frss%3Dyes This year has included a number of dramatic events including the Middle East Spring, natural disasters in both New Zealand and Japan and the apparent fragility of world economies. By contrast my own experiences have been far less traumatic, although, over the last 11 months, the Editorial role has proved more difficult than I naively expected. There is no doubt that I would have sunk without trace by now, had it not been for the fantastic support I have received from the publishing team at Elsevier and the active Editorial Board of the Journal. To them I am continually grateful. Despite the trials and tribulations, I have enjoyed the challenge and continue to see the journal with affection and believe it to have a strong future. Over the last year I have managed to increase the pool of rev... Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=5642308 Mon, 16 Jan 2012 05:00:00 +0100 5642308 http://www.medworm.com/index.php?rid=5642312&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.journaloftissueviability.com%2Farticle%2FPIIS0965206X11000659%2Fabstract%3Frss%3Dyes Abstract: Using animal and tissue-engineered experimental models, we previously found that a decreasing sigmoidal function is adequate for describing the diminishing tolerance of skeletal muscle tissue/cells for static mechanical strains delivered over time. Compressive loads at the tissue scale, which are associated with weight-bearing, appear to stretch the plasma membrane (PM) of cells at the mesoscopic–microscopic scales. The permeability of such stretched PMs may then increase, which could alter the control mechanisms and consequently the homeostasis of the deformed cells. The present paper is aimed at demonstrating this suggested deformation–diffusion damage pathway – which is particularly relevant to the aetiology of deep tissue injury – at the level of a single cell, using ... Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=5642312 Thu, 15 Dec 2011 05:00:00 +0100 5642312 http://www.medworm.com/index.php?rid=5642309&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.journaloftissueviability.com%2Farticle%2FPIIS0965206X11000520%2Fabstract%3Frss%3Dyes This study identified contributory factors affecting pressure ulcer-related HRQL and explored interrelationships between factors based on views of adults with pressure ulcers. We obtained patient-reported qualitative data through semi-structured interviews with 30 patients with pressure ulcers recruited from hospital and community settings around England and Northern Ireland. Patients described how pressure ulcers affected their lives by recounting specific relevant events. Events (patient-reported issues) were sorted into categories and data framework analysed to produce a taxonomy of contributory factors. Inter-rater reliability established the extent of agreement between two independent raters. We identified 16 contributory factors, into two theme taxonomy: experience-of-care and indivi... Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=5642309 Fri, 02 Dec 2011 05:00:00 +0100 5642309 http://www.medworm.com/index.php?rid=5642310&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.journaloftissueviability.com%2Farticle%2FPIIS0965206X11000519%2Fabstract%3Frss%3Dyes Conclusion: Frozen section biopsy could be useful in diagnosing necrotizing fasciitis. (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=5642310 Mon, 21 Nov 2011 05:00:00 +0100 5642310 http://www.medworm.com/index.php?rid=5642313&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.journaloftissueviability.com%2Farticle%2FPIIS0965206X11000465%2Fabstract%3Frss%3Dyes Inflammation, triggered by hazardous stimuli and agents like infection and tissue injury, is defined as a wide variety of adaptive physiological and pathological processes to avoid infection and repair damage, returning the organism to the normal state of homeostasis. It is well established that edema and inflammation can lead to a painful and delayed healing course. In addition, although inflammatory cells are intimately involved in the regulation and progression of normal adult wound healing, multiple lines of evidence suggest that reduction of one or more of the inflammatory cell types can actually have a positive outcome on the closure of wounds . (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=5642313 Thu, 03 Nov 2011 04:00:00 +0100 5642313 http://www.medworm.com/index.php?rid=5353607&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.journaloftissueviability.com%2Farticle%2FPIIS0965206X11000337%2Fabstract%3Frss%3Dyes November 2011 Nurse Clinics 4th Annual Conference (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=5353607 Thu, 27 Oct 2011 14:48:34 +0100 5353607 http://www.medworm.com/index.php?rid=5353613&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.journaloftissueviability.com%2Farticle%2FPIIS0965206X11000374%2Fabstract%3Frss%3Dyes Recent healthcare reforms in the UK have pushed for a more patient centred NHS, where the public play a pivotal role in their own care and have more influence over the services they use. This cultural change is being reflected in healthcare research. Patient and Public Involvement (PPI) in health research is a rapidly growing field and active PPI is now a requirement of many key funders. Involving service users in the research process aims to ensure research is relevant to people it is trying to help. It has also been argued that people have a basic right to be involved in processes and decisions which may ultimately impact upon them; this is even more relevant when you consider that much of healthcare research is publicly funded . There is growing literature on this subject but many chall... Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=5353613 Wed, 05 Oct 2011 04:00:00 +0100 5353613 http://www.medworm.com/index.php?rid=5353608&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.journaloftissueviability.com%2Farticle%2FPIIS0965206X11000386%2Fabstract%3Frss%3Dyes 2011 has been an eventful year so far for the Tissue Viability Society! We celebrated our 30 year Anniversary with a very successful conference in Kettering in April; we had an increased number of delegates and the largest exhibition we have ever had, demonstrating the continued support of both the membership and industry. Jane Nixon finished a very successful 2 year term as Chair and has been succeeded by Alison Hopkins. We have increased the number of Trustees on the Council so that we can have greater representation and ideas. We also have Dan Bader as the new editor of the Journal of Tissue Viability. Please look at the web-site for details. (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=5353608 Wed, 05 Oct 2011 04:00:00 +0100 5353608 http://www.medworm.com/index.php?rid=5642311&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.journaloftissueviability.com%2Farticle%2FPIIS0965206X11000362%2Fabstract%3Frss%3Dyes Abstract: A variety of wound measurement techniques are available to clinicians. Options range from relatively simple and inexpensive to complex, expensive devices.An iterative design approach was used to evaluate and improve performance and clinical utility of a new wound measurement device (WMD). The design was based upon a commercially available Smartphone. Accuracy was assessed using bench testing and reliability of area measurements was determined using multiple evaluators. Clinical utility was investigated by deploying the WMD during wound rounds in a rehabilitation hospital.Accuracy testing revealed an average error (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=5642311 Mon, 26 Sep 2011 04:00:00 +0100 5642311 http://www.medworm.com/index.php?rid=5353612&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.journaloftissueviability.com%2Farticle%2FPIIS0965206X11000271%2Fabstract%3Frss%3Dyes I was interested in Gefen’s finding in his paper: “How do microclimate factors affect the risk for superficial pressure ulcers: a mathematical modelling study’’ (Gefen A. Journal of Tissue Viability (2011) 20, 81–88), that decreases in the permeability of materials contacting the skin, or ‘being close to it’, are important. (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=5353612 Mon, 12 Sep 2011 04:00:00 +0100 5353612 http://www.medworm.com/index.php?rid=5353611&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.journaloftissueviability.com%2Farticle%2FPIIS0965206X11000258%2Fabstract%3Frss%3Dyes This is a very comprehensive review of the subject area and takes the reader through a historical tour of wound dressings. As stated in the preface it is the culmination of the authors working lifetime spent testing and evaluating surgical dressings and allied materials. For new comers to the field it will provide very informative background that allows the reader to understand the natural evolution of surgical dressings and wound management in general. Although comprehensive in nature, the text clearly specifies that it does not attempt to provide the type of information commonly found in systematic reviews of the subject area. (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=5353611 Tue, 16 Aug 2011 04:00:00 +0100 5353611 http://www.medworm.com/index.php?rid=5004660&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.journaloftissueviability.com%2Farticle%2FPIIS0965206X11000209%2Fabstract%3Frss%3Dyes (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=5004660 Thu, 07 Jul 2011 19:12:39 +0100 5004660 http://www.medworm.com/index.php?rid=5353610&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.journaloftissueviability.com%2Farticle%2FPIIS0965206X11000143%2Fabstract%3Frss%3Dyes This study examined the subjective rating of wheelchair comfort and discomfort (numerical rating scale questionnaire) and the duration of objective in-chair movement reduction “settling down time” following initial contact with the seating surface. Healthy young subjects (n = 22) sat for 5 min on contoured foam or wood cushion surfaces fitted to otherwise identical wheelchairs. Force sensing resistors attached to each quadrant of the sitting interface measured the relative movements of the subjects over time.A significant correlation was found between settling down time (SDT) and reported leg/feet discomfort (p = 0.003; correlation co-efficient = 0.44); and a significant negative correlation was found between SDT and overall comfort (p = 0.015; correlation co-efficient = −... Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=5353610 Mon, 20 Jun 2011 04:00:00 +0100 5353610 http://www.medworm.com/index.php?rid=5004663&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.journaloftissueviability.com%2Farticle%2FPIIS0965206X1100012X%2Fabstract%3Frss%3Dyes Conclusion: Risk assessing patients based on their age is as good as the more complex Waterlow score. Additional risk information can be gained from knowing the serum albumin value.Highlights: ► We showed serum albumin may be used to measure risk of pressure ulcers. ► Serum values and age alone outperformed the Waterlow score. ► Hypoalbuminaemia may be used to identify patients at risk of pressure ulcers. (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=5004663 Sun, 12 Jun 2011 23:00:00 +0100 5004663 http://www.medworm.com/index.php?rid=5004661&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.journaloftissueviability.com%2Farticle%2FPIIS0965206X11000131%2Fabstract%3Frss%3Dyes Conclusion: Use of 3 positions of measurement (3 sensors) appears necessary when performing detailed studies of temperature change at the seat-subject interface. The high level of comparability of results between subjects supports potential of this method to resolve quantitative components of qualitative measurements, e.g., thermal comfort. (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=5004661 Sun, 05 Jun 2011 23:00:00 +0100 5004661 http://www.medworm.com/index.php?rid=4651009&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.journaloftissueviability.com%2Farticle%2FPIIS0965206X1100009X%2Fabstract%3Frss%3Dyes April 2011 Tissue Viability Society (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=4651009 Wed, 30 Mar 2011 00:57:26 +0100 4651009 http://www.medworm.com/index.php?rid=4651012&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.journaloftissueviability.com%2Farticle%2FPIIS0965206X1000077X%2Fabstract%3Frss%3Dyes Abstract: Pressure ulcers are a common problem, especially in older patients. In Japan, most institutionalized older people are malnourished and show extreme bony prominence (EBP). EBP is a significant factor in the development of pressure ulcers due to increased interface pressure concentrated at the skin surface over the EBP.The use of support surfaces is recommended for the prophylaxis of pressure ulcers. However, the present equivocal criteria for evaluating the pressure redistribution of support surfaces are inadequate. Since pressure redistribution is influenced by physique and posture, evaluations using human subjects are limited. For this reason, models that can substitute for humans are necessary. We developed a new EBP model based on the anthropometric measurements, including pel... Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=4651012 Fri, 04 Feb 2011 00:00:00 +0100 4651012 http://www.medworm.com/index.php?rid=5004664&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.journaloftissueviability.com%2Farticle%2FPIIS0965206X10000793%2Fabstract%3Frss%3Dyes Conclusion: Foot ulcers appear to have a negative impact on the self-esteem of patients with DM. (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=5004664 Thu, 20 Jan 2011 00:00:00 +0100 5004664 http://www.medworm.com/index.php?rid=4369325&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.journaloftissueviability.com%2Farticle%2FPIIS0965206X10000768%2Fabstract%3Frss%3Dyes It is with great honour and a considerable degree of trepidation that I embark on my term of office as Editor of this Journal. I have taken the unenviable role of following on from my predecessor, Dr Mike Clark, who has been a well respected member of our community for many years. In particular he has overseen many changes, all of which I consider to be for the betterment of the Journal and, most particularly, the readership. It is clear that as a community we all owe Mike enormous gratitude for the time and attention he has provided to successfully implement these changes. Although I have worked with Mike on the Editorial Board for several years, these experiences are only part of those I now need to acquire. Indeed even working directly with our publishers is proving to represent a massi... Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=4369325 Wed, 19 Jan 2011 21:30:53 +0100 4369325 http://www.medworm.com/index.php?rid=4651013&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.journaloftissueviability.com%2Farticle%2FPIIS0965206X10000781%2Fabstract%3Frss%3Dyes Abstract: Background: De Marco Formula (DMF) is a new procaine chemical combination of Procaine HCl and polyvinylpyrrolidone. A prospective randomized controlled clinical trial demonstrated that infected ischemic diabetic foot treatment with DMF for 52 days as an adjuvant with conventional therapy reduced major amputations.Objective: To evaluate the possible association of clinical effectiveness and plasma fibrinogen reduction with DMF therapy.Methods: Adult patients, 24 male/23 female, suffering from infected ischemic diabetic foot ulcers were randomly assigned to receive conventional therapy alone (group A, N = 24) or combined with DMF (receiving 0, 15 ml/kg day i.m.) for ten days and then twice a week until lesion healing or completion of 52 days (group B, N = 23). Fibrinogen conce... Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=4651013 Thu, 06 Jan 2011 00:00:00 +0100 4651013 http://www.medworm.com/index.php?rid=4369326&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.journaloftissueviability.com%2Farticle%2FPIIS0965206X10000677%2Fabstract%3Frss%3Dyes Conclusions: Based on the results of this study, tilting for pressure reliefs as far as the seating system permits is suggested to maximize the potential for significant blood flow increases and pressure relief. The use of interim small tilts is also supported, as they also provide some benefit. (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=4369326 Thu, 09 Dec 2010 00:00:00 +0100 4369326 http://www.medworm.com/index.php?rid=5004662&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.journaloftissueviability.com%2Farticle%2FPIIS0965206X10000689%2Fabstract%3Frss%3Dyes In this study, a mathematical model is developed for analyzing the effects of the microclimate on skin tolerance to superficial pressure ulcers (SPUs). The modeling identified the following factors as such that decrease the tolerance of skin to SPUs: (i) increase in the skin temperature, (ii) increase in the ambient temperature, (iii) increase in the relative humidity, (iv) increase in the skin–support (or skin–clothing–support) contact pressures, and (v) decrease in permeabilities of the materials contacting the skin or being close to it, e.g. the covering sheet of the support and clothing. The modeling is consistent with relevant empirical findings and clinical observations documented in the literature, explains them from a basic science aspect, and can be further developed for des... Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=5004662 Tue, 09 Nov 2010 00:00:00 +0100 5004662 http://www.medworm.com/index.php?rid=4054971&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.journaloftissueviability.com%2Farticle%2FPIIS0965206X10000598%2Fabstract%3Frss%3Dyes Next year, 2011, will mark the 30th year that the Tissue Viability Society has produced the Journal of Tissue Viability (formerly known as Care – Science and Practice between 1981 and 1990). The longevity of the Journal, and of its parent membership organisation, owes much to the dedication of Society Chairmen and Chairwomen, Council members (and later Trustees) and the Editors of the Journal of Tissue Viability. (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=4054971 Mon, 11 Oct 2010 16:47:38 +0100 4054971 http://www.medworm.com/index.php?rid=4369327&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.journaloftissueviability.com%2Farticle%2FPIIS0965206X10000586%2Fabstract%3Frss%3Dyes Conclusion: The pressure ulcer prevalence rate in Jordan is lower than that published in most studies utilising the same methodology. Despite this relatively low prevalence very few patients at risk received adequate prevention, and there is therefore a need to raise the awareness for pressure ulcer prevention in Jordan. Furthermore, differences in age and frailty in the Jordanian sample could explain the low prevalence. (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=4369327 Thu, 30 Sep 2010 00:00:00 +0100 4369327 http://www.medworm.com/index.php?rid=3847872&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.journaloftissueviability.com%2Farticle%2FPIIS0965206X10000392%2Fabstract%3Frss%3Dyes Abstract: The problem of wound infection presents a special challenge in the treatment of acute as well as chronic wounds. Typical complications not only jeopardise the successful outcome of treatment modalities as a whole; they may result in amputation or even become life-threatening.Polihexanide is an antimicrobial substance which is highly appropriate for use in critically colonised or infected acute and chronic wounds. This finding is based primarily on the broad antimicrobial spectrum and good cell and tissue compatibility of polihexanide, its capability of binding to organic matrix, the low risk of contact sensitisation, and the fact that it promotes wound healing. Furthermore, there has been no conclusive evidence to date of any pathogens developing resistances under the use of poli... Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=3847872 Sat, 31 Jul 2010 23:00:00 +0100 3847872 http://www.medworm.com/index.php?rid=3847869&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.journaloftissueviability.com%2Farticle%2FPIIS0965206X10000410%2Fabstract%3Frss%3Dyes When the Tissue Viability Society began its activities in 1981 the wound healing world was a very different place to what we see almost 30 years later. Back in the early 1980s there was little discussion of the quality of the evidence available to clinicians and patients regarding the value of the interventions available to prevent or treat wounds. There was no Cochrane library and no systematic reviews with individual clinician expertise and experience often paramount when deciding upon the limited range of dressings and other interventions then available. The effect of these early days can still be seen within clinical guidelines where many common interventions are recommended solely on expert opinion. For example the new NPUAP – EPUAP pressure ulcer treatment guidelines contain a sing... Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=3847869 Sat, 31 Jul 2010 23:00:00 +0100 3847869 http://www.medworm.com/index.php?rid=4651011&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.journaloftissueviability.com%2Farticle%2FPIIS0965206X10000380%2Fabstract%3Frss%3Dyes Conclusion: IR studies and microbial permeability test indicate no qualitative changes in the material property of dried gamma-irradiated amniotic membranes after 2 and 5 years of storage. Air-dried amniotic membrane with the advantage of storage at room temperature as well as functional efficiency is an ideal dressing for burn wound care. (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=4651011 Thu, 08 Jul 2010 23:00:00 +0100 4651011 http://www.medworm.com/index.php?rid=4054972&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.journaloftissueviability.com%2Farticle%2FPIIS0965206X10000409%2Fabstract%3Frss%3Dyes Abstract: Heel ulcers are common, dangerous and costly, but their etiology is poorly understood and no biomechanical studies were conducted to explore it. This paper describes a biomechanical investigation of heel ulcers using a theoretical model that characterizes the internal mechanical loading at the soft tissues of a supported heel. The study is aimed first at identifying some heel-ulcer-specific risk factors pointed out by the biomechanical theory, and second, at demonstrating the kind of support that biomechanical theory and computer modeling can offer in the conduct of clinical studies in the pressure ulcer field. The modeling demonstrated that atypical foot anatomies characterized by heavy-weight foot, sharp posterior calcaneus and thin soft tissue padding are theoretically more pr... Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=4054972 Sun, 27 Jun 2010 23:00:00 +0100 4054972 http://www.medworm.com/index.php?rid=3847873&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.journaloftissueviability.com%2Farticle%2FPIIS0965206X10000355%2Fabstract%3Frss%3Dyes Conclusion: The treatment with De Marco Formula for 52 days as an adjuvant for the conventional therapy for infected ischemic diabetic foot was well tolerated and safe. These findings are consistent with those of a randomized prospective controlled study performed later. (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=3847873 Sun, 06 Jun 2010 23:00:00 +0100 3847873 http://www.medworm.com/index.php?rid=4369329&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.journaloftissueviability.com%2Farticle%2FPIIS0965206X10000379%2Fabstract%3Frss%3Dyes Conclusions: In this study, static air overlay mattresses provided a better prevention than cold foam mattresses alone (4.8% versus 17.1%). The Norton scores of the patients in both groups did not change during the 6 month trial period. Our decision to use repositioning only when there were signs of a pressure ulcer seems to be acceptable when a static air overlay is in position. However, the score of 17.1% development (incidence) of pressure ulcers in the foam group may stress the need of repositioning when using only this type of mattress. (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=4369329 Tue, 01 Jun 2010 00:00:00 +0100 4369329 http://www.medworm.com/index.php?rid=3847871&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.journaloftissueviability.com%2Farticle%2FPIIS0965206X10000343%2Fabstract%3Frss%3Dyes Conclusions: The Glamorgan scale is the most valid of the three paediatric risk assessment scales studied in this population. Mobility alone may be as effective as employing the more complex risk assessment scale.Relevance to clinical practice: If a paediatric risk assessment scale is employed to predict risk, then unless it is valid, it may identify children who are not at risk and waste resources, or fail to identify children at risk possibly resulting in adverse health outcomes. (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=3847871 Sun, 25 Apr 2010 23:00:00 +0100 3847871 http://www.medworm.com/index.php?rid=4054975&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.journaloftissueviability.com%2Farticle%2FPIIS0965206X10000367%2Fabstract%3Frss%3Dyes Conclusion: The topical application of heparin spray in patients with perineal dermatitis or superficial second-degree burns demonstrated good tolerability, resulted in good aesthetic outcomes, and reduced pain. (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=4054975 Tue, 20 Apr 2010 23:00:00 +0100 4054975 http://www.medworm.com/index.php?rid=3459509&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.journaloftissueviability.com%2Farticle%2FPIIS0965206X09000503%2Fabstract%3Frss%3Dyes This article reviews the recent progress in studies on the hypoxia-related mechanisms of DTI, and introduces our attempts to establish novel biomarkers for detecting deep muscle damage. Hypoxia-inducible factor 1 α subunit (HIF1-α) is a widely used marker for hypoxic conditions. We detected increased expression and localization of HIF1-α in the deep muscle tissue of PU model rats, indicating that HIF1α is a key molecule in DTI and a valuable biomarker for hypoxia in DTI in the research field. From the biochemical aspect, we focused on creatine phosphokinase (CPK). CPK is an intracellular enzyme related to energy metabolism, and its level in serum has been extensively used as a diagnostic marker for muscle injury. We attempted to estimate muscle injury from the CPK levels in exudates, w... Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=3459509 Thu, 11 Mar 2010 00:00:00 +0100 3459509 http://www.medworm.com/index.php?rid=3847870&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.journaloftissueviability.com%2Farticle%2FPIIS0965206X09000667%2Fabstract%3Frss%3Dyes The objectives of this pilot study were to develop test protocols and instrumentation and to investigate the effect of local cooling on skin perfusion response to pressure on young healthy human subjects. Reactive hyperemia was quantified in this study to compare the effects of pressure with and without cooling. Reactive hyperemia is a normal physiological response occurring after vessel occlusion. Laser Doppler flowmetry was used to measure skin blood flow. Time-dependent spectral analysis was used to analyze and decompose the blood flow data into frequency ranges associated with specific blood flow control mechanisms. The study used a repeated measures design with two test conditions: 8kPa of pressure with and without cooling to 25°C. We hypothesized that local cooling would reduce the ... Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=3847870 Fri, 12 Feb 2010 00:00:00 +0100 3847870 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=4369330&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.journaloftissueviability.com%2Farticle%2FPIIS0965206X0900062X%2Fabstract%3Frss%3Dyes Abstract: Introduce a reliable stowage by means of syringe to preserve split-thickness-skin grafts. (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=4369330 Wed, 20 Jan 2010 00:00:00 +0100 4369330 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=4054973&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.journaloftissueviability.com%2Farticle%2FPIIS0965206X09000588%2Fabstract%3Frss%3Dyes Abstract: Risk assessment scales are widely used to measure the risk of pressure ulcers in the clinical area. They have been subject to many validation studies; however these have focused on the predictive ability of the scales.We have conducted several studies that consider the validity of pressure ulcer risk assessment scales. We have reviewed these and revisited the data in some cases to conduct additional tests of validity presented for the first time in this paper.Based on these results, and a review of the literature, we have come to the conclusion that while the scales are probably reliable, and do assess risk:The complexity of risk assessment scales does not appear to be warranted. There is evidence that clinical judgment is as effective in assessing risk as risk assessment scales.... Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=4054973 Fri, 25 Dec 2009 00:00:00 +0100 4054973 http://www.medworm.com/index.php?rid=4369328&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.journaloftissueviability.com%2Farticle%2FPIIS0965206X09000606%2Fabstract%3Frss%3Dyes Abstract: This short review summarizes the localization and effects of the plant lectin soybean agglutinin (SBA) on the injured and non-injured organ-cultured rat corneal endothelium. Although the tissue exists as a non-cycling monolayer on the posterior corneal surface a circular freeze injury promotes wound repair as cells initiate DNA synthesis, mitosis and migration. As a result, by 24 h post-injury, endothelial cells express a surface protein that binds SBA in a diffuse punctate pattern, which by 48 h after injury, becomes confined to the cell periphery. As healing proceeds, SBA binding dramatically declines, such that, only scattered binding is observed by 72 h after wounding. In non-injured organ-cultured endothelia, weak SBA binding appears 24 h after explanation but becomes pr... Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=4369328 Mon, 21 Dec 2009 00:00:00 +0100 4369328 http://www.medworm.com/index.php?rid=3459506&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.journaloftissueviability.com%2Farticle%2FPIIS0965206X09000552%2Fabstract%3Frss%3Dyes Abstract: Some implications from a simplified finite-element model are given in this study. The model takes into account the sequential steps of wound contraction, angiogenesis and wound closure. An innovation in the present study is the combination of these partially overlapping processes, yielding novel insights into the process of wound healing, such as geometry related influences, and could be used to investigate the influence of local injection of hormones that stimulate partial processes occurring during wound healing. These insights can be used to improve wound-healing treatments. The model consists of nonlinearly coupled diffusion–reaction and visco-elastic equations, in which transport, production and decay of oxygen, growth factors and various cell types. The present paper prov... Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=3459506 Mon, 21 Dec 2009 00:00:00 +0100 3459506 http://www.medworm.com/index.php?rid=4651010&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.journaloftissueviability.com%2Farticle%2FPIIS0965206X09000576%2Fabstract%3Frss%3Dyes Abstract: Loss of adipose tissue can occur due to congenital and acquired lipoatrophies, trauma, tumor resection, and chronic disease. Clinically, it is difficult to regenerate or reconstruct adipose tissue. The extensive microvsacular network present in adipose, and the sensitivity of adipocytes to hypoxia, hinder the success of typical tissue transfer procedures. Materials that promote the formation of vascularized adipose tissue may offer alternatives to current clinical treatment options. A number of synthetic and natural biomaterials common in tissue engineering have been investigated as scaffolds for adipose regeneration. While these materials have shown some promise they do not account for the unique extracellular microenvironment of adipose. Adipose derived hydrogels more closely a... Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=4651010 Mon, 14 Dec 2009 00:00:00 +0100 4651010 http://www.medworm.com/index.php?rid=3459508&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.journaloftissueviability.com%2Farticle%2FPIIS0965206X09000618%2Fabstract%3Frss%3Dyes In this study, we propose a rat PU and DTI model which is more clinically relevant by including chronic SCI condition into the rat PU model and to simulate the role of bony prominence in DTI formation by using an implant on the bone–tissue interface. Histological data and imaging findings confirmed that the condition of chronic SCI had significant effect on pressure induced tissue injury in a rat PU model and the including a simulated bony prominence in rat DTI model resulted in significantly greater injury in deep muscle tissue. Further integration of the SCI condition and the simulated bony prominence would result a rat PU/DTI model which can simulate even more accurately the clinical phenomenon and yield more clinically relevant findings. (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=3459508 Mon, 14 Dec 2009 00:00:00 +0100 3459508 http://www.medworm.com/index.php?rid=3459505&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.journaloftissueviability.com%2Farticle%2FPIIS0965206X09000540%2Fabstract%3Frss%3Dyes The objective of this paper is to clarify to an audience with no conventional background in mechanics, why interface pressure is not the appropriate parameter to define a damage threshold, whereas internal local deformations (strains) may prove more suitable. The paper reveals that it may be possible to identify a damage threshold for healthy skeletal muscle tissue based on local internal deformations. (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=3459505 Mon, 14 Dec 2009 00:00:00 +0100 3459505 http://www.medworm.com/index.php?rid=3459504&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.journaloftissueviability.com%2Farticle%2FPIIS0965206X0900059X%2Fabstract%3Frss%3Dyes We are pleased to present this Special Issue on Bioengineering in Tissue Viability to the readership of the journal. Challenges in preventing and treating chronic wounds create one of the most important areas of unsolved medical problems, impacting the life of many, decreasing the quality of life of many others, and costing billions in each country. Chronic wounds affect diverse but at the same time large patient populations, such as those with neuromuscular injuries and diseases, diabetes or geriatric patients. Considering that the size of the elderly population is continuously increasing, and that the number of newly diagnosed diabetes cases is climbing up throughout the Western world, the scale of tissue viability related problems is projected to grow even greater in the near future. Un... Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=3459504 Fri, 11 Dec 2009 00:00:00 +0100 3459504 http://www.medworm.com/index.php?rid=5353609&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.journaloftissueviability.com%2Farticle%2FPIIS0965206X09000564%2Fabstract%3Frss%3Dyes Abstract: Fibroblasts are one of the most abundant cell types in connective tissues. These cells are responsible for tissue homeostasis under normal physiological conditions. When tissues are injured, fibroblasts become activated and differentiate into myofibroblasts, which generate large contractions and actively produce extracellular matrix (ECM) proteins to facilitate wound closure. Both fibroblasts and myofibroblasts play a critical role in wound healing by generating traction and contractile forces, respectively, to enhance wound contraction. This review focuses on the mechanisms of force generation in fibroblasts and myofibroblasts and techniques for measuring such cellular forces. Such a topic was chosen specifically because of the dual effects that fibroblasts/myofibroblasts have i... Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=5353609 Tue, 08 Dec 2009 05:00:00 +0100 5353609 http://www.medworm.com/index.php?rid=3459507&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.journaloftissueviability.com%2Farticle%2FPIIS0965206X09000539%2Fabstract%3Frss%3Dyes Abstract: Wound dressings aim to restore the milieu required for skin regeneration by protecting the wound from environmental threats, including penetration of bacteria, and by maintaining a moist healing environment. A wide variety of wound dressing products targeting various types of wounds and different aspects of the wound healing process are currently available on the market. Ideally, a dressing should be easy to apply and remove, and its design should meet both physical and mechanical requirements; namely water absorbance and transmission rate, handleability and strength. In this article, our novel biodegradable antibiotic-eluting wound dressings are described and the engineering aspects in the design are emphasized. These unique new wound dressings are based on a polyglyconate mesh,... Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=3459507 Mon, 07 Dec 2009 00:00:00 +0100 3459507 http://www.medworm.com/index.php?rid=4054974&cid=s_37219_49_f&fid=37219&url=http%3A%2F%2Fwww.journaloftissueviability.com%2Farticle%2FPIIS0965206X09000382%2Fabstract%3Frss%3Dyes Conclusion: These models have potential as valuable clinical tools to determine the optimum excision shape that will minimise adverse stress fields and reduce scarring. Models that are patient-specific would be useful to design strategies to ensure favourable healing and improve the quality of life of the person. (Source: Journal of Tissue Viability) Journal of Tissue Viability journals http://www.medworm.com/rss/comments.php?id=4054974 Mon, 30 Nov 2009 00:00:00 +0100 4054974 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 Influence of the "hammock effect" in wheelchair cushion cover on mechanical loading over the ischial tuberosity in an artificial buttocks model. J Tissue Viability. 2008 Oct 14; 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" ... 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