Journal of the American College of Certified Wound Specialists
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Editorial Board
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Source: Journal of the American College of Certified Wound Specialists - July 1, 2009 Category: Dermatology Source Type: journals
Table of Contents
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Source: Journal of the American College of Certified Wound Specialists - July 1, 2009 Category: Dermatology Source Type: journals
Letter From the Chair (ACCWS)
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Dear Fellows, The second issue of our journal has been published, and I hope that you enjoyed reading it. We are proud of our accomplishment and look forward to the next step toward our ultimate goal of having a highly ranked, indexed journal. Your comments and feedback are appreciated. We look forward to your participation in this process of making your journal the premier journal on wound care.
Source: Journal of the American College of Certified Wound Specialists - July 1, 2009 Category: Dermatology Authors: Richard Simman Tags: Editorial Source Type: journals
The Role of Podiatry in Wound Management
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As wound care providers, we are all too keenly aware of the necessity of the "team approach" to wound management. The wound is often a symptom of more complicated underlying conditions and comorbidities. Patients afflicted with chronic wounds typically have a much higher level of acuity than do patients who do not present with nonhealing wounds.
Source: Journal of the American College of Certified Wound Specialists - July 1, 2009 Category: Dermatology Authors: Desmond P. Bell Tags: Columns Source Type: journals
Roles of Physical Therapists in Wound Management, Part III: Select Biophysical Technologies and Management of Patients With Diabetic Foot Ulceration
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Physical therapists (PTs) have several decades of history of using high-frequency (1- and 3-MHz) ultrasound (US) to facilitate healing of musculoskeletal tissues (eg muscle, fascia, tendon, ligament, joint capsule) that become wounded or inflamed following many accidents or sports injuries, but not exposed, because the trauma leaves the skin intact. These US frequencies (often referred to as therapeutic US) transmit acoustic energy, which delivers the nonthermal physical properties of stable cavitation and microstreaming to the closed wound tissues via direct contact gel or water coupling to the skin. With megahertz US, t...
Source: Journal of the American College of Certified Wound Specialists - July 1, 2009 Category: Dermatology Authors: Luther C. Kloth Tags: Columns Source Type: journals
Discharge to Hospice: A Kennedy Terminal Ulcer Case Report
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My brilliant, charming, and vibrant father died on Christmas night 2007. For many days during his dying process, I was fortunate to be at his side to help keep him comfortable and meet his wishes. During this time, I also observed the death of his skin, the body's largest organ. My father was diagnosed with glioblastoma multiforme (GBM) in October of 2007. GBM is an insidious brain tumor, a serpentine harbinger of death. After his diagnosis, my father elected to return home to the love and support of his family, church, friends, and pets. He elected to forgo aggressive treatment and was immediately placed on hospice servic...
Source: Journal of the American College of Certified Wound Specialists - July 1, 2009 Category: Dermatology Authors: Kimberly J. Miner Tags: Columns: Pearls and Discourse Source Type: journals
Impaired Lower Extremity Wound Healing Secondary to Sirolimus After Kidney Transplantation
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Conclusion: Physicians specializing in wound care and limb salvage must be aware of the effects of sirolimus on wound healing and should consider modifications to these patients' immunosuppressive regimens.
Source: Journal of the American College of Certified Wound Specialists - July 1, 2009 Category: Dermatology Authors: J. George DeVries, Rachel C. Collier, Jeffrey A. Niezgoda, Shawn Sanicola, John P. Simanonok Tags: Case Report Source Type: journals
Stem Cells: It's Good To Have Choices
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Abstract: Three types of stem cells, embryonic, adult, and induced pluripotent stem cells, are currently studied by scientists. Barack Obama's presidency has opened the door for stem cell research by revoking statements and orders made during the former President Bush's administration. This provisional period will allow the National Institute of Health to rewrite policies governing how federal funds are distributed for stem cell research. These new regulations will grant more freedom to researchers wishing to use stem cells in their research and challenge them to determine the most appropriate stem cell treatment for a given disorder.
Source: Journal of the American College of Certified Wound Specialists - July 1, 2009 Category: Dermatology Authors: Ian H. Bellayr, Yong Li Tags: Review Article Source Type: journals
Primary Actinomycosis of the Foot: A Case Report and Literature Review
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Abstract: Actinomycosis is an indolent, slowly progressive, suppurative infection caused by gram-positive branching bacteria of the genus Actinomyces. The organism is a member of the oral and gastrointestinal microflora of humans. The disease actinomycosis most commonly occurs in 3 body regions: cervicofacial (55% of patients), abdominopelvic (20%), and pulmonothoracic (15%). Involvement of other parts of the body is uncommon and usually secondary to a lesion in one or the other of the above sites. Extremity disease can occur by secondary involvement through direct extension or hematogenous spread. However, primary actinom...
Source: Journal of the American College of Certified Wound Specialists - July 1, 2009 Category: Dermatology Authors: Jacob Bettesworth, Kirandeep Gill, Jayesh Shah Tags: Review Article Source Type: journals
Letters to the Editor
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Why are medical professionals saying that with utilizing induced pluripotent stem cells, the moral questions about using stem cells will no longer be an issue? Howard Roth, PT
Source: Journal of the American College of Certified Wound Specialists - July 1, 2009 Category: Dermatology Tags: Letters to the Editor Source Type: journals
Information for Authors
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Source: Journal of the American College of Certified Wound Specialists - July 1, 2009 Category: Dermatology Tags: Letters to the Editor Source Type: journals
Editorial Board
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Steve E. Abraham, DPM, CWS, FACCWS email ejwounds@aol.com
Source: Journal of the American College of Certified Wound Specialists - April 1, 2009 Category: Dermatology Source Type: journals
Table of Contents
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Board Certification: It's Not the Test!43 Letter from the Chair of the ACCWS45
Source: Journal of the American College of Certified Wound Specialists - April 1, 2009 Category: Dermatology Source Type: journals
Board Certification: It's Not the Test!
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In this issue I would like to discuss why being Board Certified is more than just passing a test. First, what does the nonmedical public think about certification? A good place to begin is to look at an Internet site that defines things. One such site is called “about.com.” This site describes a medical “board” as “an organization that doctors become a part of by meeting the requirements for membership.” Please notice that there is no mention of an exam. The organization writes requirements that its applicants must fulfill in order to join. A test usually is part of the requirements, but it is not the sole criterion.
Source: Journal of the American College of Certified Wound Specialists - April 1, 2009 Category: Dermatology Authors: Steve E. Abraham Tags: Editorial Source Type: journals
Letter From the Chair of the ACCWS
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Dear Readers and Wound Care Providers, I hope you enjoyed reading the first issue of our journal and that your experience was informative and educational. This highly professional journal reflects our commitment to providing you with cutting-edge information and updates on wound care. I would like to thank our editorial board and Elsevier for this great achievement and their support. In order to maintain the same standard, your help is needed in providing us with quality papers.
Source: Journal of the American College of Certified Wound Specialists - April 1, 2009 Category: Dermatology Authors: Richard Simman Tags: Editorial Source Type: journals
Evidence-Based Medicine in Wound Care
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The Journal of the American Medical Association (JAMA) has an ongoing series entitled “Clinician's Corner.” In the spirit of the Cochrane reviews, it covers the evidence for treatment of common clinical conditions. In December, it reviewed the treatment of pressure ulcers. As I read this review, I became more and more disturbed. It searched the literature to find relevant randomized controlled trials (RCTs). Out of 872 abstracts, only 103 were deemed relevant by meeting quality criteria. Only 16 out of the 103 met 4 or more of the checklist to evaluate a report of a nonpharmacologic trial (CLEAR NPT). Of the 103, 45 tr...
Source: Journal of the American College of Certified Wound Specialists - April 1, 2009 Category: Dermatology Authors: Wayne C. Stuart Tags: Guest Editorial Source Type: journals
American Academy of Wound Management Update
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The American Academy of Wound Management (AAWM) continues as the preeminent certifying body for wound management professionals across multiple disciplines. Many exciting changes have occurred over the past 3 years.
Source: Journal of the American College of Certified Wound Specialists - April 1, 2009 Category: Dermatology Authors: Stanley K. McCallon Tags: Columns Source Type: journals
The Roles of Physical Therapists in Wound Management, Part II: Patient and Wound Evaluation
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A thorough evaluation of the patient and all wounds is imperative prior to administering treatment. Assessing patient musculoskeletal function, mobility, and strength is unique to physical therapist (PT) expertise, and findings frequently reveal compromises or losses in one or all areas. Afflictions that often interfere with patient function, mobility, and strength include but are not limited to comorbid conditions such as diabetes; renal failure; peripheral arterial disease; venous insufficiency; rheumatoid arthritis; spinal cord injury; and other neurologic or neurovascular conditions such as multiple sclerosis, Parkinso...
Source: Journal of the American College of Certified Wound Specialists - April 1, 2009 Category: Dermatology Authors: Luther Kloth Tags: Columns Source Type: journals
Bidirectional Barbed Sutures for Wound Closure: Evolution and Applications
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Abstract: Traditionally, wound closure sutures have in common the need to tie knots with the inherent risk of extrusion, palpability, microinfarcts, breakage, and slippage. Bidirectional barbed sutures have barbs arrayed in a helical fashion in opposing directions on either side of an unbarbed midsegment. This suture is inserted at the midpoint of a wound and pulled through till resistance is encountered from the opposing barbs; each half of the suture is then advanced to the lateral ends of the wound. This design provides a method of evenly distributing tension along the incision line, a faster suture placement and closur...
Source: Journal of the American College of Certified Wound Specialists - April 1, 2009 Category: Dermatology Authors: Malcolm D. Paul Tags: Review Articles Source Type: journals
Implications of the New Centers for Medicare & Medicaid Services Pressure Ulcer Policy in Acute Care
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Abstract: One of the leading questions on clinicians' minds is, What are the implications of the new ruling of the Centers for Medicare & Medicaid Services (CMS) in acute care, and how will it affect the wound care clinician? The CMS recently unveiled its plans for reimbursement and nonpayment for facility-acquired pressure ulcers, among other issues, in acute care. Change is coming, and this time prevention and intervention underlie the CMS payment reform ruling, which includes payment incentive for prevention and quality patient care. Intensive and comprehensive patient screenings at the outset of admission, as well as d...
Source: Journal of the American College of Certified Wound Specialists - April 1, 2009 Category: Dermatology Authors: Cynthia A. Fleck Tags: Review Articles Source Type: journals
Pain Management and Wound Care
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This article will discuss the etiology of pain as well as provide the reader with strategies for managing the painful wound once it has been identified.
Source: Journal of the American College of Certified Wound Specialists - April 1, 2009 Category: Dermatology Authors: Kari Bechert, Steve E. Abraham Tags: Review Articles Source Type: journals
Letters to the Editor
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Is there any place for whirlpool in wound care nowadays? Milton Fechter
Source: Journal of the American College of Certified Wound Specialists - April 1, 2009 Category: Dermatology Authors: Robert J. Snyder Tags: Letters to the Editor Source Type: journals
Instructions for Authors
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Authors are invited to submit manuscripts for review, in English, relating to any aspect of Wound Care. The JACCWS is interested in the publication of manuscripts spanning the entire spectrum of wound care: clinical, basic, and translational science, from any relevant perspective. A clear indication of clinical relevance is essential for publication.
Source: Journal of the American College of Certified Wound Specialists - April 1, 2009 Category: Dermatology Tags: Letters to the Editor Source Type: journals
Editorial Board
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Steve E. Abraham, DPM, CWS, FACCWS email ejwounds@aol.com
Source: Journal of the American College of Certified Wound Specialists - January 1, 2009 Category: Dermatology Source Type: journals
Table of Contents
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Editor's Introduction to the Journal1 Letter from the Chair of the ACCWS3
Source: Journal of the American College of Certified Wound Specialists - January 1, 2009 Category: Dermatology Source Type: journals
Editor's Introduction to the Journal
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I listened to a lecture by the 14th Dalai Lama in which he said, “From my own limited experience I have found that the greatest degree of inner tranquility comes from the development of love and compassion.” I began to think about how much medicine has changed and why the Journal of the American College of Certified Wound Specialists is necessary. For a professional, treating a patient with kindness and compassion has a distinct and clear meaning that may not seem apparent. In my perspective, showing kindness and compassion to a patient means following accepted evidence-based protocols so that the patient has the best ...
Source: Journal of the American College of Certified Wound Specialists - January 1, 2009 Category: Dermatology Authors: Steve E. Abraham Tags: Editorials Source Type: journals
Letter from the Chair of the ACCWS
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Dear Colleagues, This is an exciting time for us at the American College of Certified Wound Specialists. As we continue to make our way toward increasing membership through our regional directors meetings, we are proud to announce the birth of our journal. As you enjoy reading our historic first issue of the Journal of the American College of Certified Wound Specialists in January 2009, I would like to acknowledge the efforts put in by our editor-in-chief, Dr. Steve Abraham, and our assistant editor-in-chief, Kari Madison Bechert, MPT. Without their dedication, this project wouldn't have been possible. Also, I would like ...
Source: Journal of the American College of Certified Wound Specialists - January 1, 2009 Category: Dermatology Authors: Richard Simman Tags: Editorials Source Type: journals
The Role of Physical Therapy in Wound Management - Part One
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Over the past 15 to 20 years, clinical wound management has evolved into a practice specialty that has been adopted by practitioners who represent several health care professions. In some clinical settings, wound care professionals from different disciplines have realized that their collective knowledge gained over many years of experience is of greater benefit to patients if they work as a transdisciplinary team that provides up-to-date, evidence-based care of individuals with acute and chronic wounds. Included among the professionals on the comprehensive wound care team are physicians, nurses, physical therapists (PTs), ...
Source: Journal of the American College of Certified Wound Specialists - January 1, 2009 Category: Dermatology Authors: Luther C. Kloth Tags: Columns Source Type: journals
Wound Closure and the Reconstructive Ladder in Plastic Surgery
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This article summarizes the components of the reconstructive ladder for wound closure that are available to the reconstructive surgeon.
Source: Journal of the American College of Certified Wound Specialists - January 1, 2009 Category: Dermatology Authors: Richard Simman Tags: Columns Source Type: journals
Venous Ulcers: New Options in Treatment: Minimally Invasive Vein Surgery
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This article summarizes the concept of MIVS, describes each method of MIVS and its complementary role in the management of venous leg ulcers patients.
Source: Journal of the American College of Certified Wound Specialists - January 1, 2009 Category: Dermatology Authors: Honesto Poblete, Steven Elias Tags: Columns Source Type: journals
The Science of Compression Therapy for Chronic Venous Insufficiency Edema
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Abstract: One of the goals of compression therapy is to enhance healing of a venous leg ulcer. This goal is accomplished by improving venous return and reducing lower extremity edema.
Source: Journal of the American College of Certified Wound Specialists - January 1, 2009 Category: Dermatology Authors: Heather Hettrick Tags: Columns Source Type: journals
Interview With Pamela Scarborough
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I was first asked by Steve Abraham to interview some of the prominent figures in our “wound care world” for the online journal of the College of Certified Wound Specialists almost a year ago. I have to admit, I was a bit intimidated. I have been fortunate enough to work with and learn from some of the foremost people in this ever-growing arena of health care, both as a practicing clinician and now as a clinician in industry. Yet the thought of sitting down and actually interviewing one of them seemed daunting. I think everyone would agree that we would not be where we are today without the clinical contributions of the...
Source: Journal of the American College of Certified Wound Specialists - January 1, 2009 Category: Dermatology Authors: Kari Bechert Tags: Interview Source Type: journals
A Retrospective Analysis of Acoustic Pressure Wound Therapy: Effects on the Healing Progression of Chronic Wounds
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Conclusion: As an adjunct to conventional wound management, APWT appears to improve parameters associated with wound healing, including increased tissue granulation, decreased necrotic tissue, and decreased wound area.
Source: Journal of the American College of Certified Wound Specialists - January 1, 2009 Category: Dermatology Authors: Jaimee Haan, Sharon Lucich Tags: Research Paper Source Type: journals
A Primer on Wound Bed Preparation
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Abstract: Successful wound closure and healing are a major concern for today's clinician. Determining if the wound will progress or not relies on a comprehensive assessment, recognition of wound characteristics that will promote or impede the healing process and preparing the wound bed such that pathological features are removed allowing the healing cascade to occur. When complications are no longer a roadblock the wound will achieve a stable microenvironment and progress through the normal repairative process.
Source: Journal of the American College of Certified Wound Specialists - January 1, 2009 Category: Dermatology Authors: Chuck Gokoo Tags: Review Article Source Type: journals
Letters to the Editor
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Do you have any information about the Silverhawk procedure? Melinda Kaplan, WOCN, CWS
Source: Journal of the American College of Certified Wound Specialists - January 1, 2009 Category: Dermatology Authors: Scott Neal LaRaus Tags: Letters to the Editor Source Type: journals
Instructions for Authors
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Authors are invited to submit manuscripts for review, in English, relating to any aspect of Wound Care. The JACCWS is interested in the publication of manuscripts spanning the entire spectrum of wound care: clinical, basic, and translational science, from any relevant perspective. A clear indication of clinical relevance is essential for publication.
Source: Journal of the American College of Certified Wound Specialists - January 1, 2009 Category: Dermatology Source Type: journals
