Press Release

Best in Class: Scottsdale Wound Management Guide

Comprehensive pocket handbook offers differential diagnosis and treatment options at your fingertips

Malvern, PA (June 8, 2009) – Proper wound care management has become one of the top concerns for many clinicians across various medical specialties. Treatment is specific to the wound type, the patient and the long-term care plan and requires ongoing assessment. Read More

Feature

A Clinical Trial to Investigate the Effect of Silver Nylon Dressings on Mediastinitis Rates in Postoperative Cardiac Sternotomy

VOLUME: 54
Issue Number: 
2008;54(10)

Abstract: Mediastinitis is a rare but serious postoperative complication of cardiac surgery that increases mortality rates, hospital length of stay, and medical costs. A clinical trial was conducted to investigate whether the type of postoperative surgical dressing (silver nylon or standard gauze) affects the rate of mediastinal infections. The sample consisted of 1,600 surgical cardiac patients.Infection rates in the standard gauze group (control, n = 1,235) were collected retrospectively from 24 months of infection control records. In the prospective treatment arm of the study, the wounds of

How Much Time Does it Take to Get a Pressure Ulcer? Integrated Evidence from Human, Animal, and In Vitro Studies

VOLUME: 54
Issue Number: 
2008;54(10)

Severe pressure ulcers and deep tissue injury are associated with higher mortality rates, longer hospital stays, and costly treatment. Time is a critical factor in commonly employed measures (eg, pressure redistribution for wheelchair users and patient turning schedules) to prevent pressure ulcers and deep tissue injury. Surprisingly, information regarding the timeframe for pressure ulcer onset, particularly for deep tissue injury onset, is scant. To create a timeframe for the development of pressure ulcers and deep tissue injury, available evidence from the following study types was obtain

Determining the Effect of an Oak Bark Formulation on Methicillin-resistant Staphylococcus aureus and Wound Healing...

VOLUME: 54
Issue Number: 
2008;54(10)

Determining the Effect of an Oak Bark Formulation on Methicillin-resistant Staphylococcus aureus and Wound Healing in Porcine Wound Models

Abstract: Control of wound infections, especially those associated with methicillin-resistant Staphylococcus aureus, is necessary for the wound healing process. Selection of topical agents should be based not only on their ability to eliminate pathogenic bacteria, but also on whether they may be detrimental to tissue repair. Two randomized, controlled in vivo studies using different porcine models were conducted to evaluate the

Management of Abdominal Wound Dehiscence with Porcine Dermal Collagen Implant: Report of a Case

VOLUME: 54
Issue Number: 
2008;54(9)

Abdominal wound dehiscence is a major postoperative complication with a high mortality rate. Although the mainstay of management is immediate operative reclosure, critically ill patients are better served by conservative temporary measures and delayed operative closure. The evidence in the literature regarding the use of biosynthetic implants in abdominal wound dehiscence is limited. To expand knowledge of management options, a case of abdominal wound dehiscence post hysterectomy in a critically ill 69-year-old woman managed with placement of a porcine dermal collagen implant is describe

The Nutritional Status of Older Adults with and without Venous Ulcers: A Comparative, Descriptive Study

VOLUME: 54
Issue Number: 
2008;54(9)

The nutritional requirements of healthy people differ from those who have chronic wounds and while it is generally suggested that the nutritional status of persons with chronic wounds must be addressed, actual data about the nutritional status of older adults with venous ulcers is limited. The nutritional status of hospitalized older adults (n = 40, average age 77 ± 7.4) with vascular disease was compared to randomly selected outpatients with venous insufficiency ulcers (n = 37, average age 70.4 ± 8.13) using the Mini Nutritional Assessment instrument. Among all patients as

The Standing Heel-Rise Test: Relation to Chronic Venous Disorders and Balance, Gait, and Walk Time in Injection Drug Users

VOLUME: 54
Issue Number: 
2008;54(9)

   

Mobility impairment is an unintentional and largely unrecognized consequence of injection drug use (IDU). This impaired mobility in combination with other potential pathologic changes to the veins, muscles, and joints of the lower legs from IDU may lead to the development of chronic venous disorders (CVD). Chronic venous disorders of the lower extremities may cause swelling, varicose veins, skin damage, refractory ulcers, and pain1 — progressive and debilitating sequelae. Injection drug users with CVD often complain of mobility problems such as difficu

Iliopsoas Muscle Abscess Secondary to Sacral Pressure Ulcer Treated with Computed Tomography-Guided Aspiration and Continuous Ir

VOLUME: 54
Issue Number: 
8

     Iliopsoas abscess is a life-threatening infection usually associated with urinary tract infections, Crohn’s disease, spinal tuberculosis, or a septic hip joint.1-3 Secondary iliopsoas abscess tends to develop in spinal cord injury patients because hip joint infection sometimes occurs as a result of a deep ischial pressure ulcer. Rubayi et al1,2 reviewed the records of 72 pa

Does Intestinal Resection Affect the Absorption of Essential Vitamins, Minerals, and Bile Salts? An Overview of the Literature

VOLUME: 54
Issue Number: 
6

A survey of the Fort Worth ostomy association found the majority of the members are >65 years of age. Many have had their ostomies for more than two decades.1 Thus, people who have had significant bowel resections such as ileostomies, ileoanal pull-throughs, continent diversions, and colectomies are living long enough to have to deal with some of the same degenerative diseases and conditions commonly encountered by all older adults. Of particular concern: Does living with an incomplete intestine increase risk for age-related disabilities such as osteoporosis?2

Total Contact Casting as Part of an Adaptive Care Approach: A Case Study

VOLUME: 54
Issue Number: 
6

Providing care for patients with challenging wounds and comorbidities requires an open mind. When Ms. T, an elderly woman with schizophrenia and a chronic diabetic foot ulcer that was not responding to treatment, presented at Victory Memorial Hospital Diabetic Foot Clinic (VMH DFC), Brooklyn, NY, care providers needed a plan that allowed consideration of all available care options to achieve the best outcomes.

The Effect of Monochromatic Infrared Energy on Transcutaneous Oxygen Measurements and Protective Sensation: Results of a Contr

VOLUME: 54
Issue Number: 
6

Diabetic peripheral neuropathy often causes a loss of protective sensation (LOPS) that can lead to an increased risk for falls, foot wounds, or amputation.1-7 Loss of protective sensation is defined as insensitivity at two or more sites on the foot as measured by the 5.07 log, or 10-g, Semmes Weinstein monofilament (SWM).3,4,8
A relatively new modality using monochromatic infrared energy (MIRE) — a form of light therapy — has shown promise in improving sensation in people with diabetic neuropathy. It is delivered at an infrared wavelength





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