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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

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CLINICAL EVENTS CALENDAR

Feature

Special Report: Highlights from the Symposium on Advanced Wound Care and Medical Research Forum on Wound Repair

VOLUME: 14 PUBLICATION DATE: Aug 15 2002
Issue: 
6

The 15th Annual Symposium on Advanced Wound Care and the 12th Annual Medical Research Forum on Wound Repair (SAWC) were held concurrently at the Baltimore Convention Center in Baltimore, Maryland, April 27-30, 2002. Although the two meetings have been held concurrently for nine years, they have only been one seamless meeting, simply known as the SAWC, for seven years. As always, the meeting was jointly sponsored by HMP Communications (founders of the Symposium on Advanced Wound Care) and the University of Miami (founders of the Medical Research Forum on Wound Repair). For the past seven years,

The Japanese Pressure Ulcer Surveillance Study: A Retrospective Cohort Study To Determine Prevalence of Pressure Ulcers in Japan

VOLUME: 20 PUBLICATION DATE: Jun 01 2008
Issue: 
6

The increasing population of elderly people with high medical treatment costs throughout Japan is leading to an escalating financial burden.1 Pressure ulcers (PUs) are one of the most striking conditions affecting medical costs and quality of life among patients, specifically bed-ridden patients.2 In October 2002 a new governmental regulation system related to management of pressure ulcers was introduced in Japan. The Japan Ministry of Health, Labour, and Welfare implemented this regulation in all hospitals covered by the National Medical Insurance system.

Correlation of Semi-Quantitative Swab Cultures to Quantitative Swab Cultures from Chronic Wounds

VOLUME: 14 PUBLICATION DATE: Dec 10 2002
Issue: 
9

Introduction

The relationship between tissue bioburden and wound healing has been established by several studies and confirms that high bioburden delays wound healing.1,2 The reports also indicate that tissue bioburden has a greater effect on wound healing than the presence of systemic diseases, such as diabetes and cardiovascular disease. When high levels of bacteria in the wound are suspected to be the cause of nonhealing, a culture needs to be obtained. The gold standard for determining wound bacterial level is quantitative tissue biopsy, but this modality is not generally used be

COMMENTARY: Animal Models and Their Contribution to the FDA Approval Process for Topical Agents and Devices

VOLUME: 14 PUBLICATION DATE: Jun 10 2002
Issue: 
5

I am pleased to address the readership of Wounds on this occasion of the second issue dedicated to animal models and their roles in wound repair and infection. I would like to take the Reader through a recent set of published experiments that examined a new experimental bandage using both the preclinical and clinical wound healing and infection models of our laboratory.

This device was approved by the Food and Drug Administration (FDA) for the over-the-counter consumer and was launched in January of this year. The name of the device is Band-Aid® Liquid Bandage, LAB. It is being marketed b

Skin Substitutes in Burn Care

VOLUME: 20 PUBLICATION DATE: Jul 01 2008
Issue: 
7

Large surface area burns continue to be one of the most difficult and deadly problems the medical community faces today. Although major strides have been made in burn care throughout the years, many difficulties remain. Historically, some rather bizarre and egregious concoctions, at least by modern standards, have been applied to burns to promote healing. Barbara Ravage, author of Burn Unit, records and describes fascinating unguents and emollients that include using calf dung and black mud as topical burn treatments, as recorded in the Ebers Papyrus from the 1500s BC.1

Is Noncontact Normothermic Wound Therapy Cost Effective for the Treatment of Stages 3 and 4 Pressure Ulcers?

Figure 2. Results of computer modeling for stage 3 pressure ulcer. Pictured here is a scatter plot of the joint distribution of the mean incremental costs and mean effectiveness gained for bootstrap samples for patients treated for stage 3 pressure ulcersFigure 3. Results of computer modeling for stage 4 pressure ulcer. Pictured here is a scatter plot of mean incremental costs and mean effectiveness gained for bootstrap samples for patients treated for stage 4 pressure ulcers.
VOLUME: 14 PUBLICATION DATE: Apr 10 2002
Issue: 
3

Introduction

     Chronic pressure ulcers are significant health problems, especially for patients in long-term care facilities. Pressure ulcers reduce quality of life and may lead to infection, pain, and death. Estimates of the prevalence of pressure ulcers in nursing home patients range from 3 to 28 percent,1–3 with an annual incidence of 2 to 13 percent.4–6 Reducing the proportion of nursing home residents with pressure ulcers is receiving increasing public health attention and is one of the Healthy People 2010 Objectives.7

Definitive Repair of a Stab Wound to the Right Ventricle With Skin Staples in Emergency

VOLUME: 20 PUBLICATION DATE: Aug 01 2008
Issue: 
8

     

Case Report.

A 19-year-old man was brought by Emergency Medical Services to a Level I trauma center 20 minutes after sustaining 3 stab wounds to the left chest. The patient was awake and oriented, but complaining of difficulty in breathing and left sided chest pain. The patient’s vital signs were as follows: heart rate = 110 bpm, blood pressure (BP) = 110/75 mmHg, oxygen saturation = 92% on 10 L/min O2 by facemask.

Case Report: Implications for a Patient Diagnosed with Fournier’s Gangrene

Shown here is the wound including lower abdomen, penis, and right testicle following first surgical debridement.Shown here is the wound following the second surgical debridement.Shown here is the wound inferior to the right testicle following inpatient physical therapy wound care and prior to surgical placement of split-thickness skin graft.Shown here is the wound including lower abdomen, penis, and right testicle prior to surgical placement of split-thickness skin graft.
VOLUME: 14 PUBLICATION DATE: Dec 10 2002
Issue: 
9

Introduction

Fournier’s gangrene (FG) is a type of necrotizing fasciitis (NF). FG specifically involves the perineum and is a rare mixed aerobic and anaerobic soft-tissue infection. FG generally causes the perineal tissue to slough; in male patients, this includes the skin, subcutaneous tissue, and fascia of the scrotum and penis.1

Use of Mouse Footpad Model to Test Effectiveness of Wound Dressings

The scoring system for mouse tarsal wounds. This ranges from 0 (completely healed) to 5 (completely unhealed).
Figure 2. Results of mouse tarsal wounds treated with 0, 5, 20, or 100µg/mL of acemannan at the time of injury. Wounds treated with 20µg/mL acemannan solution had statistically significant lower healing scores than controls.
A: Saline control mouse tarsal wound at day 8, Masson’s, 200X. The epidermis is complete with all cell layers present (see black arrow). The dermis now has a purple appearance indicating the pink granulation tissue is being replaced with blue collagen fibFigure 4. Results of mouse tarsal wounds treated with excipient gel or acemannan gel. 
Results of mouse tarsal wounds treated with 0 and 20µg/mL mannose solution. 
Results of mouse tarsal wounds treated with 0 and 20µg/mL-hydrolyzed (deactivated) acemannan solution.
Mouse peritoneal macrophage cytokine release after exposure to increasing doses of acemannan measured by ELISA.
VOLUME: 14 PUBLICATION DATE: Jun 10 2002
Issue: 
5

Introduction

Acemannan is a complex carbohydrate isolated from the clear gel in the center of the aloe vera leaf, which consists of polymerized beta-(1,4)-linked acetylmannose. Molecular weight after purification varies from 10-1000kDa with an average of 200kDa. The precise size depends on the degree of degradation during the manufacturing process. Acemannan does not appear to be mitogenic for monocytes, macrophages, or fibroblasts and is noncytotoxic even at high concentrations.[1–3]

Many wound dressings, such as alginates and hydrocolloids, contain various forms of carbohydrates.[4]

A Brief Historical Review of Flaps and Burn Reconstruction

VOLUME: 20 PUBLICATION DATE: Jul 01 2008
Issue: 
7

We are like dwarfs sitting on the shoulders of giants. We see more, and things that are more distant, than they did, not because our sight is superior or because we are taller than they, but because they raise us up, and by their great stature add to ours.”

                         —John of Salisbury, 1159 AD





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Ostomy Wound Management

CME Showcase

"Current Concepts In Healing Chronic Diabetic Foot Ulcerations"

A Complimentary On-Demand CE/CME Webcast

This activity is supported by an educational grant from Advanced Biohealing.
This activity is sponsored by the North American Center For Continuing Medical Education (NACCME).

To access this Webcast, visit www.naccme.com/program/n-550/


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