19,854 results match your criteria Decubitus Ulcers


Does Ipsilateral-Dependent Positioning During Percutaneous Lung Biopsy Decrease the Risk of Pneumothorax?

AJR Am J Roentgenol 2018 Dec 12:1-6. Epub 2018 Dec 12.

1 Department of Radiology, Cochin Hospital, Descartes University, 27 rue du Faubourg Saint Jacques, 75 014 Paris, France.

Objective: The purpose of this study is to determine whether placing patients in an ipsilateral-dependent position during percutaneous CT-guided transthoracic biopsy reduces the pneumothorax rate.

Materials And Methods: Between July 2013 and August 2017, a total of 516 patients (317 men and 199 women; mean age, 66.4 years) underwent core needle biopsies performed using 17- and 18-gauge needles. Read More

View Article
December 2018

Nurses' knowledge on pressure injury prevention: a systematic review and meta-analysis based on the Pressure Ulcer Knowledge Assessment Tool.

Clin Cosmet Investig Dermatol 2018 23;11:613-620. Epub 2018 Nov 23.

Department of Nursing, School of Nursing and Midwifery, Kurdistan University of Medical Sciences, Sanandaj, Iran,

Introduction: Inadequate knowledge on pressure injury (PI) can have a detrimental effect on preventive care strategies. The aim of this study was to assess the overall knowledge of nurses on PI prevention based on their scores on the Pressure Ulcer Knowledge Assessment Tool (PUKAT) and its subscales in different settings.

Methods: In this systematic review and meta-analysis, databases including Web of Science, Science Direct, Google Scholar, PubMed, and Scopus were searched, using the following keywords: Pressure Ulcer, Pressure injury, Bedsore, Pressure Sore, Decubitus Ulcer, knowledge, and their possible combinations. Read More

View Article
November 2018

An overview of co-morbidities and the development of pressure ulcers among older adults.

BMC Geriatr 2018 Dec 11;18(1):305. Epub 2018 Dec 11.

Chairman of Geriatric Division Herzog Medical Center, Jerusalem, Israel.

Background: The prevalence of pressure ulcers particularly in the frail older adult population continues to be high and very costly especially in those suffering from chronic diseases and has brought a higher awareness to comprehensive, preventive and therapeutic measures for treatment of pressure ulcers. Internal risk factors highlighted by comorbidities play a crucial role in the pathogenesis of pressure ulcers.

Main Body: Focusing on the impact of common chronic diseases (comorbidities) in aging on pressure ulcers (e. Read More

View Article
December 2018

Quality improvement priorities for safer out-of-hours palliative care: Lessons from a mixed-methods analysis of a national incident-reporting database.

Palliat Med 2018 Dec 12:269216318817692. Epub 2018 Dec 12.

1 Division of Population Medicine, School of Medicine, Cardiff University, Cardiff, UK.

Background:: Patients receiving palliative care are often at increased risk of unsafe care with the out-of-hours setting presenting particular challenges. The identification of improved ways of delivering palliative care outside working hours is a priority area for policymakers.

Aim:: To explore the nature and causes of unsafe care delivered to patients receiving palliative care from primary-care services outside normal working hours. Read More

View Article
December 2018

Dressings and topical agents for preventing pressure ulcers.

Cochrane Database Syst Rev 2018 Dec 6;12:CD009362. Epub 2018 Dec 6.

School of Nursing & Midwifery, Royal College of Surgeons in Ireland, 123 St. Stephen's Green, Dublin, Ireland, D2.

Background: Pressure ulcers, localised injuries to the skin or underlying tissue, or both, occur when people cannot reposition themselves to relieve pressure on bony prominences. These wounds are difficult to heal, painful, expensive to manage and have a negative impact on quality of life. Prevention strategies include nutritional support and pressure redistribution. Read More

View Article
December 2018
3 Reads

Organisation of health services for preventing and treating pressure ulcers.

Cochrane Database Syst Rev 2018 Dec 9;12:CD012132. Epub 2018 Dec 9.

School of Medicine, Royal College of Surgeons in Ireland, 121 St. Stephens Green, Dublin, Ireland, 2.

Background: Pressure ulcers, which are a localised injury to the skin, or underlying tissue, or both, occur when people are unable to reposition themselves to relieve pressure on bony prominences. Pressure ulcers are often difficult to heal, painful, expensive to manage and have a negative impact on quality of life. While individual patient safety and quality care stem largely from direct healthcare practitioner-patient interactions, each practitioner-patient wound-care contact may be constrained or enhanced by healthcare organisation of services. Read More

View Article
December 2018
1 Read

Histopathological changes in major amputations due to diabetic foot - a review.

Rom J Morphol Embryol 2018 ;59(3):699-702

Discipline of Pharmacology, Faculty of Medicine, University of Medicine and Pharmacy of Craiova, Romania;

Diabetes mellitus is the leading cause of non-traumatic amputations worldwide. Ulcer of the diabetic foot is one of the most prevalent lesions of diabetic patients and it occurs in the natural evolution of the disease as a tardive complication. Neuropathy is the main determinant of foot ulcer. Read More

View Article
January 2018

Outcomes of Internal Fixation with Compression Hip Screws in Lateral Decubitus Position for Treatment of Femoral Intertrochanteric Fractures.

Hip Pelvis 2018 Dec 6;30(4):254-259. Epub 2018 Dec 6.

Center for Joint Disease, Chonnam National University Hwasun Hospital, Hwasun, Korea.

Purpose: Internal fixation using compression hip screws (CHS) and traction tables placing patients in the supine position is a gold standard option for treating intertrochanteric fractures; however, at our institution, we approach this treatment with patients in a lateral decubitus position. Here, the results of 100 consecutive elderly (i.e. Read More

View Article
December 2018
1 Read

Successful Use of Negative-pressure Wound Therapy and Dermal Substitute in the Treatment of Gluteal Ecthyma Gangrenosum in a 2-year-old Girl.

Plast Reconstr Surg Glob Open 2018 Oct 3;6(10):e1953. Epub 2018 Oct 3.

Department of Pediatric Surgery, Meyer Children Hospital, Florence, Italy.

Ecthyma Gangrenosum is a manifestation of infection, usually occurring in immunocompromised patients, which can be associated with bacteremia with potentially lethal outcome. The clinical appearance is of an inflammatory cutaneous lesion with a central necrotic spot; the lesion then rapidly progresses to a gangrenous ulcer with a gray-black eschar extending in the deep soft tissues. Treatment of Ecthyma Gangrenosum includes both aggressive systemic antibiotic therapy and surgical procedures. Read More

View Article
October 2018
1 Read

Arthroscopic Anatomic Glenoid Reconstruction in Lateral Decubitus Position Using Allograft With Nonrigid Fixation.

Arthrosc Tech 2018 Nov 8;7(11):e1115-e1121. Epub 2018 Oct 8.

Dalhousie University, Nova Scotia, Canada.

Recurrent shoulder instability is highly associated with glenoid bone loss. Traditionally, bony procedures to address this bone loss have described nonanatomic, coracoid transfer procedures. More recently, anatomic glenoid reconstruction procedures have been described. Read More

View Article
November 2018
1 Read

Lateral position and utility of navigation for posterior fixation of unstable cervical fracture with ankylosing spondylitis.

Surg Neurol Int 2018 2;9:225. Epub 2018 Nov 2.

Grant Medical Center, Department of Neurosurgery, Ohio Health, Columbus, Ohio, USA.

Background: Ankylosing spondylitis (AS) is a seronegative spondyloarthropathy within the spectrum of rheumatologic diseases. The systemic inflammation that characterizes AS leads to bone resorption and reformation. Pathologic remodeling may include kyphosis, osteoporosis, and multi-segment auto-fusion. Read More

View Article
November 2018

What lies beneath: Why some pressure injuries may be unpreventable for individuals with spinal cord injury.

Arch Phys Med Rehabil 2018 Dec 6. Epub 2018 Dec 6.

Louis Stokes Cleveland Department of Veterans Affairs Medical Center(LSCVAMC), Cleveland, Ohio; Dept of Orthopaedics, Case Western Reserve University, Cleveland, Ohio. Electronic address:

Objective: To investigate intersections between pressure injury (PrI) history, muscle composition and tissue health responses under physiologically relevant loading conditions for individuals with spinal cord injury (SCI).

Design: Repeated measures study design with annual follow-up for up to 3 years.

Setting: Tertiary Care Center. Read More

View Article
December 2018

A patient-reported pressure ulcer health-related quality of life instrument for use in prevention trials (PU-QOL-P): psychometric evaluation.

Health Qual Life Outcomes 2018 Dec 10;16(1):227. Epub 2018 Dec 10.

Leeds Institute of Clinical Trials Research, Clinical Trials Research Unit, University of Leeds, Leeds, LS2 9JT, UK.

Introduction: Pressure ulcer-specific patient-reported outcome (PRO) instruments should be used to inform patient care and provide a strong evidence base for interventions aimed at preventing pressure ulcers. The aim was to carry out a comprehensive evaluation of the psychometric properties of a PRO instrument designed to assess symptoms and functional outcomes in patients at high-risk of developing pressure ulcers, the PU-QOL-P instrument.

Methods: We modified the original PU-QOL instrument to be suitable for patients at high risk of pressure ulcer development based on feedback from patients, specialist nurses and PRO methodologists. Read More

View Article
December 2018
1 Read

Pressure ulcer definitions and core curricula-how does this affect wound care and the older patient?

Br J Community Nurs 2018 Dec;23(Sup12):S6-S12

Professor and Director for the Institute of Skin Integrity and Infection prevention, Department of Nursing and Midwifery, University of Huddersfield, Queensgate, Huddersfield, West Yorkshire.

Chronic wounds are associated with a significant patient, healthcare and financial burden and can have extensive implications for healthcare. Age is a significant risk factor for developing chronic wounds, due to physical changes in skin integrity and several age-related complex comorbidities, including poor nutrition and mobility. Pressure ulcers (PU) are a common type of chronic wound that can have a substantial impact on health-related quality of life and patient outcomes. Read More

View Article
December 2018
3 Reads

Effect of Intensive Care Unit Nurses' Empowerment Program on Ability in Visual Differential Diagnosis of Pressure Ulcer Classification.

Crit Care Nurs Q 2019 Jan/Mar;42(1):89-95

School of Nursing & Midwifery, Tehran University of Medical Sciences, Tehran, Iran (Ms Okhovati and Dr Shariat); and School of Nursing & Midwifery, Nursing and Midwifery Care Research Center, Tehran University of Medical Sciences, Tehran, Iran (Dr Esmaeili).

Nurses play a vital role in preventing and detecting pressure ulcers within an intensive care unit. This study was conducted to investigate the effect of an empowerment program on nurses' ability to visually determine the stage of a pressure ulcer. This study was a nonrandomized clinical trial involving an intervention group and a control group. Read More

View Article
December 2018

Pressure ulcers in paediatric patients on extracorporeal membrane oxygenation.

Int Wound J 2018 Dec 2. Epub 2018 Dec 2.

Department of Surgery, Morgan Stanley Children's Hospital of New York, New York, New York.

It has been shown that pressure ulcer formation in critically ill paediatric patients increases morbidity and mortality. We sought to identify factors associated with pressure ulcer formation in paediatric patients on extracorporeal membrane oxygenation (ECMO). From December 2014 to 2015, we identified patients at our institution who developed a pressure ulcer to create two cohorts: ulcer and no ulcer. Read More

View Article
December 2018
1 Read

The safety and efficacy of percutaneous vertebroplasty for patients over 90 years old.

Jpn J Radiol 2018 Dec 1. Epub 2018 Dec 1.

Department of Radiology, National Center for Global Health and Medicine, 1-21-1 Toyama, Shinjuku-ku, Tokyo, 162-8655, Japan.

Objective: To retrospectively analyze the safety and efficacy of percutaneous vertebroplasty (PVP) for patients aged 90 or over.

Materials And Methods: We analyzed 130 consecutive patients with osteoporotic vertebral fractures who underwent a first-time PVP between May 2015 and September 2017 at our institution. We divided them into the elder patient group aged 90 years or over (n = 21) and the younger patient group under 90 years (n = 109). Read More

View Article
December 2018

Investigation of effects of urethane foam mattress hardness on skin and soft tissue deformation in the prone position using magnetic resonance imaging.

J Tissue Viability 2018 Nov 22. Epub 2018 Nov 22.

Institute for Frontier Science Initiative, Kanazawa University, Kanazawa, Ishikawa, Japan. Electronic address:

Aim: In operating rooms, the occurrence of pressure ulcers caused by being in the prone position is the highest among that of pressure ulcers caused by being in other surgical positions. Thus, we investigated effects of hardness and shape of urethane foam mattresses for preventing pressure ulcers during surgery performed with patients in the prone position. We aimed to elucidate how mattresses of variable hardness and shapes affect compression and displacement of the skin and soft tissues with external force in the prone position. Read More

View Article
November 2018
1 Read

Pressure Ulcer in Intensive Care Units: a case-control study.

Rev Bras Enferm 2018 Nov-Dec;71(6):3027-3034

Faculdade de Medicina de São José do Rio Preto. São José do Rio Preto, São Paulo, Brasil.

Objective: To evaluate the relationship between presence/absence of Pressure Ulcer, socio-demographic factors and hospitalization.

Method: Case-control study, performed through multiple logistic regression based on information from the adverse event reporting system and the hospital information system, between September/2014 and August/2015.

Results: Among the risk factors, after adjustment, age greater than or equal to 60 years, hospitalization due to infectious, parasitic and neoplastic diseases, periods of hospitalization longer than seven days and being hospitalized in ICU other than ICU covenant were highlighted. Read More

View Article
February 2018
2 Reads

[THE LOCAL REGISTRY DATA ON MYOCARDIAL INFARCTION IN WOMEN: THE RISK FACTOR ANALYSIS, CLINICAL CHARACTERISTICS AND SURVIVAL].

Georgian Med News 2018 Oct(283):69-72

I. Horbachevsky Ternopil State Medical University, Ukraine.

The clinical experience implies poor prognosis in women with myocardial infarction (MI). We performed a retrospective cohort study of 1395 patients - 987 (70,75%) men and 408 (29,25%) women) aged of 64,63±11,43 years with myocardial infarction and comorbidity hospitalized between 2010-2016. This study shows an increase of mortality in women with myocardial infarction during the last 4 years from 23,1% to 34,2%. Read More

View Article
October 2018
1 Read

IMPROVEMENT OF THE DERMATENSION METHOD IN THE RECONSTRUCTIVE-RECOVERY SURGERY OF DEFECTS OF SOFT TISSUES OF VARIOUS ETIOLOGY.

Georgian Med News 2018 Oct(283):7-10

Kharkov Medical Academy of Postgraduate Education, Ukraine.

The problem of treating patients with loss of the skin and with a complicated course of the wound process remains topical. The problem is that, despite the relative technical simplicity of the dermatension method, the most significant complication is the decubitus of the stretchable flap, which is associated with a relatively high incidence of acute blood circulatory disturbances in the stretch tissues due to vascular compression with an excessive amount of injected fluid. The aim of the work is to improve the method of dermatension in reconstructive and recovery surgery of soft tissue defects of various genesis by planning and implementing dermatension at all its steps with instrumental control of the process using ultrasound and ICT in a complex. Read More

View Article
October 2018
3 Reads

Esophageal cancer with severe funnel chest treated by simultaneous funnel chest surgery and thoracoscopic esophagectomy: a case report.

BMC Cancer 2018 Dec 4;18(1):1212. Epub 2018 Dec 4.

Department of Surgery, Tohoku University Graduate School of Medicine, 1-1, Seiryo-machi, Aoba-ku, Sendai, Japan.

Background: Funnel chest is the most common chest deformity, occurring in 0.06-0.3% of the general population. Read More

View Article
December 2018

[Finger necrosis following arterial cannulation - a case report].

Laeknabladid 2018 Dec;104(12):551-553

Department of Surgery, Faculty of Medicine, Faculty of Nursing, University of Iceland.

Arterial cannulation is a common procedure in critically ill patients, as it facilitates continuous monitoring of blood pressure, titration of inotropes, vasopressors and fluids and is also used for blood sampling. Serious complications from arterial lines are very rare, permanent ischemic damage occurs in less than 0,1% of patients. We report the case of a 60-year-old woman in septic shock caused by a perforated duodenal ulcer which was treated with emergent laparoscopic repair. Read More

View Article
December 2018
2 Reads

An extracellular matrix graft (Oasis wound matrix) for treating full-thickness pressure ulcers: A randomized clinical trial.

J Tissue Viability 2018 Nov 27. Epub 2018 Nov 27.

Cook Biotech Incorporated, 1425 Innovation Place, West Lafayette, IN, 47906, USA. Electronic address:

Aim: The purpose of the study was to evaluate clinical safety and effectiveness of Oasis Wound Matrix as a treatment for full-thickness pressure ulcers and compare it to Standard Care.

Methods: A total of 130 adults with Stage III or Stage IV pressure ulcers were randomly assigned, received either multiple topical treatments of SIS plus standard care (n = 67), or standard care alone (n = 63), and were subsequently evaluated. Ulcer size was determined at enrollment and weekly throughout treatment. Read More

View Article
November 2018

Efficacy of negative pressure wound therapy using vacuum-assisted closure combined with photon therapy for management of diabetic foot ulcers.

Ther Clin Risk Manag 2018 25;14:2113-2118. Epub 2018 Oct 25.

Department of interventional Vascular Surgery, The Tenth People's Hospital affiliated to Tongji University, Tongji University School of Medicine, shanghai, 200072, China,

Background: Diabetes mellitus, one of the most prevalent chronic metabolic diseases, causes many complications. Among the complications, one of the most common chronic complications is diabetic foot ulcers (DFUs).

Objective: This study was conducted to investigate the efficacy of negative pressure wound therapy using vacuum-assisted closure (VAC) combined with photon therapy for the management of DFUs. Read More

View Article
October 2018

Incidence of and risk factors for secondary ocular hypertension in moderate to severe infectious ulcerative keratitis.

Clin Ophthalmol 2018 24;12:2121-2128. Epub 2018 Oct 24.

Department of Ophthalmology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand,

Purpose: The aim of this study was to investigate the incidence of and risk factors for secondary ocular hypertension (OHT) in patients with moderate to severe infectious ulcerative keratitis and to evaluate the long-term outcome of patients with secondary OHT.

Patients And Methods: A retrospective chart review of 346 patients with moderate to severe infectious keratitis admitted to Siriraj Hospital during the period from 1 January 2005 to 31 May 2008 was conducted. Secondary OHT was defined as intraocular pressure (IOP) greater than 21 mmHg or a consistent demonstration of higher IOP in the affected eye of 8 mmHg or greater, at any time before resolution of the ulcer. Read More

View Article
October 2018
1 Read

Prevalence and risk factors of pressure ulcer in hospitalized adult patients; a single center study from Ethiopia.

BMC Res Notes 2018 Nov 29;11(1):847. Epub 2018 Nov 29.

School of Nursing, College of Medicine & Health Sciences, University of Gondar, Gondar, Ethiopia.

Objective: The main objective of this study was to assess the prevalence of pressure ulcer and its risk factors among adult hospitalized patients at Dessie Referral Hospital, Northeast Ethiopia, 2016 G.

C Result: A cross-sectional institutional based study with a single population proportion formula was used to determine the sample size. The total sample size of 355 patients was distributed proportionally to the respected wards. Read More

View Article
November 2018
1 Read

Polypoid granulation tissue in pressure ulcers: Significance of describing individual ulcers.

J Tissue Viability 2018 Nov 4;27(4):217-220. Epub 2018 Jul 4.

Department of Nursing & Health, School of Nursing & Health, Aichi Prefectural University, Nagoya, Aichi, Japan; Department of Dermatology and Connective Tissue Medicine, National Center for Geriatrics and Gerontology, Obu, Aichi, Japan. Electronic address:

Granulation tissue formation is required for the healing of deep pressure ulcers. The wound healing process is often delayed at the stage of granulation tissue formation. The pathogenesis of pressure ulcers showing granulation tissue may vary; however, no terminology has been defined to describe existing ulcers. Read More

View Article
November 2018
1 Read

ABPI reporting and compression recommendations in global clinical practice guidelines on venous leg ulcer management: A scoping review.

Int Wound J 2018 Nov 28. Epub 2018 Nov 28.

School of Nursing & Midwifery, National University of Ireland, Galway, Republic of Ireland.

Clinical practice guidelines (CPGs) for venous leg ulcer (VLU) management recommend below-knee compression to improve healing outcomes after calculating the ankle-brachial pressure index (ABPI) to rule out significant arterial disease. This systematic scoping review aimed to complete a qualitative and quantitative content analysis of international CPGs for VLU management to determine if consensus existed in relation to recommendations for compression application based on an ABPI reading and clinical assessment. Our review shows that there is a lack of consensus across 13 VLU CPGs and a lack of clear guidance in relation to the specific ABPI range of compression therapy that can be safely applied. Read More

View Article
November 2018
1 Read

Multisegmental Lumbar Corporectomy and Transcorporal Fixation for Correction of Extreme Thoracolumbar Kyphosis in Myelomeningocele with Chronic Decubitus.

Pediatr Neurosurg 2018 Nov 27:1-5. Epub 2018 Nov 27.

Department of Neurosurgery, Hannover Medical School, Hannover, Germany.

We introduce a novel technique for the treatment of severe kyphosis in myelomeningocele. A 5-year-old paraplegic boy with myelomeningocele presented with severe thoracolumbar kyphosis and a chronic ulcus at the site of the gibbus. The myelomeningocele had been treated during his first week of life, and an accompanying Chiari type II malformation had been treated by ventriculoperitoneal shunting. Read More

View Article
November 2018
5 Reads

Validation of a weight bearing ankle equinus value in older adults with diabetes.

J Foot Ankle Res 2018 21;11:62. Epub 2018 Nov 21.

1School of Health Sciences, Faculty of Health, University of Newcastle, PO Box 127, Ourimbah, NSW 2258 Australia.

Background: Accurate measurement of ankle joint dorsiflexion is clinically important as a restriction has been linked to many foot and ankle pathologies, as well as increased ulcer risk and delayed ulcer healing in people with diabetes. Use of the reliable weight bearing (WB) Lunge test is limited as normal and restricted ranges for WB ankle joint dorsiflexion are not identified. Additionally the extent of WB dorsiflexion restriction that results in clinically adverse outcomes is unclear. Read More

View Article
November 2018
1 Read

Concentration of Costs among High Utilizers of Healthcare Services over the First 10 Years after Spinal Cord Injury Rehabilitation: A Population-based Study.

Arch Phys Med Rehabil 2018 Nov 23. Epub 2018 Nov 23.

College of Health Professions, Medical University of South Carolina, Charleston, SC.

Objective: (1) Categorize individuals into high, medium, and low utilizers of healthcare services over a 10-year period after the onset of spinal cord injury (SCI) and (2) Identify the pattern of causes of hospitalizations and the characteristics associated with high utilization.

Design: Retrospective analysis of self-report assessment linked to administrative data.

Setting: Data were collected from participants living in and utilizing hospitals in the state of South Carolina. Read More

View Article
November 2018

Knowledge and attitudes of nurses in a major public hospital in Cyprus towards pressure ulcer prevention.

J Tissue Viability 2018 Nov 10. Epub 2018 Nov 10.

European University Cyprus, Cyprus.

Study Aim: The main aim of the study was to identify the knowledge and attitudes of nurses towards pressure ulcer prevention in a major public hospital in Cyprus.

Material And Methods: A descriptive and cross-sectional study design was used to collect the data between December 2014 and February 2015, the sample consisted of n = 102 nurses employed in a major public hospital in Cyprus. Customised and standardised Pressure Ulcer Knowledge Test and an attitudes Likert questionnaire was used to investigate both parameters. Read More

View Article
November 2018
8 Reads

Application of a paste-type acellular dermal matrix for coverage of chronic ulcerative wounds.

Arch Plast Surg 2018 Nov 15;45(6):564-571. Epub 2018 Nov 15.

Department of Plastic and Reconstructive Surgery, Sanggye Paik Hospital, Inje University School of Medicine, Seoul, Korea.

Background: Chronic wounds occur due to failure of the normal healing process, associated with a lack of deposition of cellular components and a suitable microenvironment such as the extracellular matrix (ECM). Acellular dermal matrix (ADM) is viewed as an ECM substitute, and a paste-type ADM has recently been introduced. We hypothesized that CGPaste, an injectable paste-type ADM, could serve as a scaffold and promote wound healing. Read More

View Article
November 2018
5 Reads

Successful treatment of repeated hematemesis secondary to postsclerotherapy esophageal ulcer in a cirrhotic patient: A case report.

Drug Discov Ther 2018 ;12(5):309-314

Department of Gastroenterology, General Hospital of Shenyang Military Area.

Esophageal variceal bleeding is a common lethal complication of cirrhosis. Endoscopic injection sclerotherapy (EIS) is one of the major endoscopic approaches for treating esophageal variceal bleeding. However, complications may occur after EIS, which mainly include retrosternal discomfort/pain, dysphagia, re-bleeding, esophageal ulcer, esophageal strictures, and esophageal perforation, etc. Read More

View Article
January 2018
6 Reads

A propeller SGAP flap raised from a previous gluteus maximus myocutaneous flap to reconstruct a recurrent type IV sacral pressure ulcer.

Microsurgery 2018 Nov 21;38(8):924-925. Epub 2018 Nov 21.

Plastic and Reconstructive Surgery Department, Salisbury NHS Foundation Trust, Salisbury, United Kingdom.

View Article
November 2018

Retrograde dynamic locked intramedullary nailing for distal femoral aseptic nonunion associated with broken antegrade locked nail.

Authors:
Chi-Chuan Wu

Acta Orthop Belg 2018 Jun;84(2):132-140

Techniques for treating distal femoral aseptic nonunions associated with antegrade locked nail breakage are controversial. Each technique has unique advantages and disadvantages. Retrograde dynamic locked nailing was used in such treatment. Read More

View Article
June 2018
4 Reads

Ultrasonography Detects Deep Tissue Injuries in the Subcutaneous Layers of the Buttocks Following Spinal Cord Injury.

Top Spinal Cord Inj Rehabil 2018 12;24(4):371-378. Epub 2018 Feb 12.

Faculty of Health and Medical Sciences, University of Western Australia, Crawley, Perth, Western Australia, Australia.

Ultrasonography may have potential as an effective diagnostic tool for deep tissue injury (DTI) in tissues overlying bony prominences that are vulnerable when under sustained loading in sitting. Three cases of DTI in the fat and muscle layers overlying the ischial tuberosity of the pelvis in 3 persons with spinal cord injury (SCI) with different medical histories and abnormal tissue signs are described. There is a need for prospective studies using a reliable standardized ultrasonography protocol to diagnose DTI and to follow its natural history to determine its association with the development of pressure injuries. Read More

View Article
February 2018
1 Read

Impact of Patient Safety Indicators on readmission after abdominal aortic surgery.

J Vasc Nurs 2018 Dec 2;36(4):189-195. Epub 2018 Oct 2.

Division of Vascular Surgery, University of Missouri, School of Medicine, Columbia, MO, USA. Electronic address:

Patient safety is a critical component of health-care quality and measures created by the Agency for Healthcare Research and Quality (AHRQ) to identify hospitalizations with potentially preventable adverse events. This analysis evaluated whether Patient Safety Indicator (PSI) events after open surgical repair (OSR) or endovascular aneurysm repair (EVAR) of abdominal aortic aneurysm (AAA) were associated with increased risk of readmission. Patients undergoing elective repair of nonruptured AAA from 2009 to 2012 were selected in the Medicare Provider Analysis and Review files using the International Classification of Diseases, Ninth Revision, Clinical Modification codes. Read More

View Article
December 2018
5 Reads

Palliative care after stroke.

Acta Neurol Belg 2018 Nov 19. Epub 2018 Nov 19.

Department of Anesthesiology and Reanimation, University of Health Sciences, Ankara Numune Training and Research Hospital, Ankara, Turkey.

Stroke is the leading cause of disability and one of the most common reasons of death around the world. Information is not sufficient on the palliative care (PC) needs of stroke patients and factors affecting their prognosis. In this study, we have investigated the demographics and comorbidities of stroke patients followed-up in a PC center (PCC), and the factors efficient on their prognosis. Read More

View Article
November 2018
3 Reads

Extended Retrosigmoid Approach for the Resection of a Pontomedullary Junction Cavernous Malformation.

J Neurol Surg B Skull Base 2018 Dec 25;79(Suppl 5):S418-S419. Epub 2018 Sep 25.

Department of Neurosurgery, University of Tennessee, Memphis, Tennessee, United States.

 To describe an extended retrosigmoid approach for the resection of a cavernoma involving the ponto-medullary junction, with emphasis on the microsurgical anatomy and technique.  A retrosigmoid craniotomy is performed in the lateral decubitus position and the sigmoid sinus exposed. After opening the dura, sutures are placed medial to the sinus to allow its gentle mobilization. Read More

View Article
December 2018
4 Reads

Assessment of histopathology of wounds based on protein distribution detected by wound blotting.

SAGE Open Med 2018 14;6:2050312118812220. Epub 2018 Nov 14.

Department of Gerontological Nursing/Wound Care Management, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.

Background: Shortening the duration of healing based on an accurate assessment is important in pressure ulcer management. This study focused on the peroxidase and alkaline phosphatase activity detected by wound blotting, a non-invasive method of collecting wound exudate, to establish a non-invasive and point-of-care assessment method for analyzing the histopathology of wounds using an animal model.

Methods: Wounds were created on the dorsal skin of rats. Read More

View Article
November 2018
3 Reads

Patient Positioning in Arthroscopic Management of Posterior-Inferior Shoulder Instability: A Systematic Review Comparing Beach Chair and Lateral Decubitus Approaches.

Arthroscopy 2018 Nov 16. Epub 2018 Nov 16.

UPMC Lemieux Sports Complex (D.V.), Cranberry, Pennsylvania, U.S.A.

Purpose: To analyze the available literature pertaining to clinical outcomes and complications of posterior-inferior shoulder stabilization performed arthroscopically in either the beach chair (BC) or lateral decubitus (LD) position.

Methods: According to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA), 3 databases (PubMed, EMBASE, and Medline) were searched up to January 2018 for English-language studies on posterior shoulder instability. Descriptive statistics are presented. Read More

View Article
November 2018
1 Read

A New Vision for Preventing Pressure Ulcers: Wearable Wireless Devices Could Help Solve a Common-and Serious-Problem.

IEEE Pulse 2018 Nov-Dec;9(6):28-31

With an aging population, the incidence and prevalence of wound problems is on the rise. Bedsores (also known as pressure ulcers or decubitus ulcers) are painful, take months to heal, and, for many patients, never do, leading to other health problems. The condition has become so acute that treating bedsores is now a significant burden on the healthcare system. Read More

View Article
November 2018
1 Read

Preoperative assessment of gastric contents and volume using bedside ultrasound in adult patients: A prospective, observational, correlation study.

Indian J Anaesth 2018 Oct;62(10):753-758

Department of Anaesthesia, Columbia Asia Referral Hospital, Bengaluru, Karanataka, India.

Background And Aims: Pulmonary aspiration of gastric contents is a serious complication of anaesthesia. The aim of this study was to determine, with the help of ultrasound, the gastric volume and content in fasted patients presenting for elective surgeries and correlate the results with fasting times and co-morbidities of the patients.

Methods: The study was conducted in 100 adult patients presenting for elective surgery. Read More

View Article
October 2018
2 Reads

Prevalence and Outcomes of Isolated Tricuspid Valve Surgery Among Medicare Beneficiaries.

Am J Cardiol 2019 Jan 27;123(1):132-138. Epub 2018 Sep 27.

Smith Clinical Outcomes Center and the Departments of Internal Medicine (Cardiovascular Division), Cardiac Surgery at the Beth Israel Deaconess Medical Center, Boston, Massachusetts.

We sought to characterize the clinical outcomes and to identify predictors of mortality undergoing isolated tricuspid valve surgery in the United States. We identified 5,164 patients undergoing isolated tricuspid valve surgery from the Centers for Medicare and Medicaid Services Medicare Provider Analysis and Review data between January 2003 and December 2014. The primary outcome was all cause 1-year mortality. Read More

View Article
January 2019
5 Reads

Impact of nurse-assisted patient turning at different sleep stages on the quality of subsequent sleep.

Conf Proc IEEE Eng Med Biol Soc 2018 Jul;2018:2096-2099

Background: Nursing care performed during sleep, including nurse-assisted patient turning, is one of the factors that deteriorates sleep quality but is necessary for pressure ulcer prevention. Thus, it is important to determine when nurseassisted patient turning has the least impact on sleep quality.

Aim: The aim of this study was to clarify the impact of nurseassisted patient turning at different sleep stages and to determine the optimal timing of this aspect during sleep. Read More

View Article
July 2018
1 Read

Nutritional management of older hospitalised patients with pressure injuries.

Int Wound J 2018 Nov 15. Epub 2018 Nov 15.

Institute of Nursing Science, Medical University of Graz, Graz, Austria.

This cross-sectional, multicentre study was conducted in hospitals to investigate nutritional interventions conducted in patients aged 70 years or older with (risk of) pressure injuries. A total of 1412 patients from 33 hospitals with 208 wards participated in the study. A standardised questionnaire was used to collect demographic data and data on care dependency, malnutrition risk, risk for/prevalence of pressure injuries, and nutritional interventions. Read More

View Article
November 2018
6 Reads

Association of gastric and duodenal ulcers with anthropometry and nutrients: Korean National Health and Nutrition Examination Survey (KNHANES II-IV) 2001-2009.

PLoS One 2018 15;13(11):e0207373. Epub 2018 Nov 15.

Future Medicine Division, Korea Institute of Oriental Medicine, Daejeon, Republic of Korea.

Objectives: The objective of this study was to examine the association of peptic ulcer disease (PUD), including gastric ulcer and duodenal ulcer, with obesity-related indices, nutrients, and blood parameters in Korean adults.

Methods: Data were obtained from the Second-Fourth Korean National Health and Nutrition Examination Survey (KNHANES II-IV). Binary logistic regression was carried out to analyze the association between PUD and all variables in the crude analysis; in a subsequent analysis, adjustments were made for age, region, house type, number of snacks per day, and number of household members. Read More

View Article
November 2018
4 Reads
3.230 Impact Factor

Assessment of effectiveness of cricoid pressure in preventing gastric insufflation during bag and mask ventilation: A randomized controlled trial.

Saudi J Anaesth 2018 Oct-Dec;12(4):606-611

Department of Anesthesiology and Critical Care, Jawaharlal Institute of Postgrauate Medical Education and Research, Puducherry, India.

Background: Rapid sequence induction and intubation (RSII) with application of "Cricoid pressure" and avoidance of "facemask ventilation" (FMV) is believed to minimize the risk of pulmonary aspiration of gastric contents during general anesthesia. However, some patients may be at risk of developing hypoxemia and may benefit from FMV during RSII. The purpose of this study was to assess the effectiveness of "cricoid pressure" in preventing gastric insufflation during FMV using gastric ultrasonography. Read More

View Article
November 2018
5 Reads