1,491 results match your criteria Traumatic Ulcers


[Modern diagnostics and treatment of posttraumatic hydrocephalus].

Zh Vopr Neirokhir Im N N Burdenko 2018 ;82(3):81-87

Burdenko Neurosurgery Institute, 4-ya Tverskaya-Yamskaya Str., 16, Moscow, Russia, 125047.

One of the frequent consequences of severe traumatic brain injury is posttraumatic hydrocephalus that not only hampers the processes of consciousness recovery, rehabilitation, and social adaptation of patients but also is the cause of disability. Pathological processes underlying the clinical picture of posttraumatic hydrocephalus and the relationship between CSF circulation disorders and structural changes in the brain substance have not been adequately studied. Of particular importance are patients in the chronic vegetative or minimally conscious state, recovery from which is blocked by posttraumatic hydrocephalus. Read More

View Article
January 2018

Development of Low-Cost Locally Sourced Two-Component Compression Bandages in Western Kenya.

Dermatol Ther (Heidelb) 2018 Jun 15. Epub 2018 Jun 15.

Academic Model Providing Access To Healthcare (AMPATH), Eldoret, Kenya.

Introduction: Compression therapy is well-established standard of care for chronic leg ulcers from venous disease and lymphedema. Chronic leg ulcers and lymphedema have a significant impact on quality of life, driven by pain, foul odor, and restricted mobility. Provision of layered compression therapy in resource-limited settings, as in Western Kenya and other regions of sub-Saharan Africa, is a major challenge due to several barriers: availability, affordability, and access to healthcare facilities. Read More

View Article
June 2018
2 Reads

Treatment of Nonhealing Ulcers with an Allograft/Xenograft Substitute: A Case Series.

Adv Skin Wound Care 2018 Jul;31(7):306-309

In Linköping, Sweden, Tobias Sivlér, MD, is medical advisor and physician, S2Medical AB, Sunnorpsgatan; Petter Sivlér, MSc, is a PhD Student, Division of Molecular Physics, Department of Physics, Chemistry and Biology, Linköping University, and Chief Executive Officer, S2Medical AB, Sunnorpsgatan; Mårten Skog, MSc, is a PhD Student, Division of Molecular Physics, Department of Physics, Chemistry and Biology, Linköping University, and Chief Operational Officer, S2Medical AB, Sunnorpsgatan; Luca Conti, PhD, is Research and Development Engineer, S2Medical AB, Sunnorpsgatan; and Daniel Aili, PhD, is Assistant Professor, Division of Molecular Physics, Department of Physics, Chemistry and Biology, Linköping University.

Objective: Wound dressings that use biosynthetic cellulose may be a good alternative to dressings currently used to treat chronic and acute ulcers because their nanostructure is similar to collagen. The objective of this study was to evaluate a wound dressing created with a new material that is composed of a fibrillary network of biosynthetic cellulose.

Methods: A case series of 8 patients in primary healthcare centers in Östergötland county council, Sweden, with chronic and acute lower limb wounds were treated with a wound dressing based on eiratex (S2Medical AB, Linköping, Sweden). Read More

View Article

Risk of pressure ulcers in tetraplegic people: a French survey crossing regional experience with a long-term follow-up.

Eur J Public Health 2018 Jun 4. Epub 2018 Jun 4.

EHESP, High School of Public Health - MSSH, House of Social Sciences and Disability, Rennes Cedex, France.

Background: Pressure ulcer risk assessment provides an indicator of quality of care in French health establishments. The reliability and validity of assessment tools have been shown to be lower for people with spinal cord injury (SCI). We hypothesized that skin complications would be less frequent in people with traumatic SCI and tetraplegia (TSCIt), who were initially managed in French regions with a high level of specialized SCI rehabilitation experience. Read More

View Article

Short-term predictors of amputation in patients with diabetic foot ulcers.

Diabetes Metab Syndr 2018 May 17. Epub 2018 May 17.

Division of Endocrinology, Diabetes and Metabolism, Centro Hospitalar do Porto, Portugal.

Background: Diabetic foot ulcers are the leading cause of non-traumatic lower extremity amputation. The aim of this study was to establish short-term predictors of lower extremity amputation (LEA) in patients with diabetic foot ulcers (DFU).

Methods: A retrospective observational study was performed. Read More

View Article

Association between oral mucosal lesions and crack and cocaine addiction in men: a cross-sectional study.

Environ Sci Pollut Res Int 2018 May 8. Epub 2018 May 8.

Department of Oral Pathology, School of Dentistry, Federal University of Bahia, Av. Araújo Pinho, 62. Canela, Salvador, Bahia, 40110-150, Brazil.

The aim of this cross-sectional study was to evaluate the prevalence of oral mucosal lesions (OMLs) and their association with crack/cocaine addiction in men. Clinical oral examination was performed in 161 adult male patients at the School of Dentistry of the Federal University of Bahia, Brazil. Crack/cocaine addiction was determined from the medical records, and all drug-addicted individuals used both crack and cocaine. Read More

View Article
May 2018
2 Reads

Effects of topical application of propolis extract on fibroblast growth factor-2 and fibroblast expression in the traumatic ulcers of diabetic .

J Oral Maxillofac Pathol 2018 Jan-Apr;22(1):54-58

Department of Oral Medicine, Faculty of Dental Medicine, Universitas Airlangga, Surabaya, Indonesia.

Background: A traumatic ulcer caused by diabetes mellitus (DM) is a lesion caused by an increase in advanced glycosylation end products (AGEs), which takes a long time to heal. AGEs cause angiogenesis, vasculogenesis and a decrease in leukocytes. Fibroblast proliferation and the number of glycosaminoglycans decline, thereby inhibiting the formation of granulation tissue, collagen deposition and platelet derivatives growth factor. Read More

View Article

Clinico-microbiological Profile of Septic Diabetic Foot with Special Reference to Anaerobic Infection.

Cureus 2018 Mar 1;10(3):e2252. Epub 2018 Mar 1.

Microbiology, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, India.

Introduction Diabetic foot infections are a major cause of non-traumatic amputations. The role of anaerobes in the prognosis of these infections is particularly unclear. This study was conducted with the aim of correlating microbiological profiles with clinical outcomes in these diabetic foot ulcer patients. Read More

View Article

Granulocyte-colony stimulating factor administration for neurological improvement in patients with postrehabilitation chronic incomplete traumatic spinal cord injuries: a double-blind randomized controlled clinical trial.

J Neurosurg Spine 2018 Apr 27:1-11. Epub 2018 Apr 27.

Department of Neurosurgery, Imam Khomeini Hospital, Tehran University of Medical Sciences.

OBJECTIVE Granulocyte-colony stimulating factor (G-CSF) is a major growth factor for activation and differentiation of granulocyte colonies in the bone marrow. This cytokine has been widely and safely employed in different conditions over many years. The purpose of this study was to investigate the efficacy of G-CSF administration for traumatic spinal cord injury (TSCI). Read More

View Article
April 2018
1 Read

TEVAR - A Primary or Adjunct Procedure Helpful in the Surgical Correction of Complex Pathology of the Thoracic Aorta?

Rev Port Cir Cardiotorac Vasc 2017 Jul-Dec;24(3-4):128

Hospital de Santa Marta, Portugal.

Introduction: Thoracic Endovascular Aortic Repair (TEVAR) made possible the treatment of aortic disease that previously could only be approached openly, associated with a considerable morbidity and mortality. However, it also brings new challenges influencing patient selection - favourable landing zone, good peripheral access, propensity for endoleak (EL) - that requires rigorous clinical and imaging follow- -up.

Objective: Review all patients that underwent TEVAR in our Department and assess morbidity and mortality. Read More

View Article

Human recombinant epidermal growth factor in skin lesions: 77 cases in EPItelizando project.

J Dermatolog Treat 2018 May 10:1-6. Epub 2018 May 10.

a Centro Médico Teknon , Barcelona , Spain.

Objective: To analyze compounded recombinant human epidermal growth factor (rhEGF) effectiveness on skin lesions through a case series.

Design: Multicentric series of skin lesions treated with topical rhEGF. Site: Patients from 56 different health professionals, three different countries, and two recruitment years. Read More

View Article
May 2018
10 Reads

Safety profile of chronic leg ulcer biopsy: a monocentric retrospective series on 866 patients.

G Ital Dermatol Venereol 2018 Apr 19. Epub 2018 Apr 19.

Dermatology, Department of Experimental, Diagnostic and Specialty Medicine, University of Bologna, Bologna, Italy.

Background: Skin biopsy is an important tool for various skin conditions. However, in the case of leg ulcers, some Authors still consider it highly risky and mandatory only in selected cases.

Methods: To evaluate the rate of adverse events after leg ulcers biopsy in 866 consecutive patients referring to our Wound Care Unit in Bologna from January 2008 to December 2016. Read More

View Article
April 2018
1 Read

Comparison of Wound Tape and Suture Wounds on Traumatic Wounds' Scar.

Adv Biomed Res 2018 27;7:49. Epub 2018 Mar 27.

Emergency Medicine Research Center, Al-Zahra Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran.

Background: Several methods have been used in wound closure for traumatic wounds, but it is not clear that which of these methods has more safety and efficacy. This study aimed to compare scar width due to standard and current treatments in wound repair by suturing and method of wound restoration using wound tape in patients with traumatic ulcers.

Materials And Methods: This randomized clinical trial was done in ninety patients with wounds in the facial area. Read More

View Article
March 2018
1 Read

Expression of vascular endothelial growth factor and matrix metalloproteinase-9 in Lawang propolis extract gel-treated traumatic ulcers in diabetic rats.

Vet World 2018 Mar 14;11(3):304-309. Epub 2018 Mar 14.

Department of Oral Medicine, Faculty of Dental Medicine, Universitas Airlangga, Surabaya, Indonesia.

Aim: The aim of this study was to determine the effect of propolis extract gel on vascular endothelial growth factor (VEGF) and matrix metalloproteinase-9 (MMP-9) expression in the traumatic ulcers of rats afflicted with diabetes mellitus (DM).

Materials And Methods: The study was conducted on 24 male Wistar rats () induced with DM by injecting 50 mg/kg of Streptozotocin, intraperitoneally, and a traumatic ulcer on their lower lip mucosa. These were divided into eight groups: Four each for control and treatment groups. Read More

View Article

Nursing Sensitive Outcomes After Severe Traumatic Brain Injury: A Nationwide Study.

J Neurosci Nurs 2018 Jun;50(3):149-154

Questions or comments about this article may be directed to Lene Odgaard, PhD MHS RN, at She is Data Manager, Hammel Neurorehabilitation Centre and University Research Clinic, Hammel, Denmark. Lena Aadal, PhD MSN RN, is Head of Clinical Nursing Research, Hammel Neurorehabilitation Centre and University Research Clinic, Hammel, Denmark. Marianne Eskildsen, is Social and Health Assistant, Department of Neurorehabilitation, Traumatic Brain Injury, Rigshospitalet, Copenhagen University Hospital, Hvidovre, Denmark. Ingrid Poulsen, PhD RN, is Associate Professor and Research Manager, RUBRIC (Research Unit on Brain Injury Rehabilitation), Department of Neurorehabilitation, Traumatic Brain Injury, Rigshospitalet, Copenhagen University Hospital, Hvidovre; and Section of Nursing Science, Aarhus University, Aarhus, Denmark.

Background: Complications such as infections and conditions after immobilization are frequent after severe traumatic brain injury (TBI) due to compromised bodily functions. Traditionally, bodily functions are core elements in nursing, and therefore nurses in the rehabilitation departments are pivotal in the prevention of complications. Hence, the frequency of complications is an indicator of nursing care quality, which can be included in nursing-sensitive outcome indicators. Read More

View Article
June 2018
6 Reads

Neuroprotective Effects of Platonin, a Therapeutic Immunomodulating Medicine, on Traumatic Brain Injury in Mice after Controlled Cortical Impact.

Int J Mol Sci 2018 Apr 6;19(4). Epub 2018 Apr 6.

Department of Pharmacology, College of Medicine, Taipei Medical University, Taipei 11031, Taiwan.

Traumatic brain injury (TBI) is one of the leading causes of mortality worldwide and leads to persistent cognitive, sensory, motor dysfunction, and emotional disorders. TBI-caused primary injury results in structural damage to brain tissues. Following the primary injury, secondary injuries which are accompanied by neuroinflammation, microglial activation, and additional cell death subsequently occur. Read More

View Article

Delayed Splenic Rupture Resulting in Massive Intraperitoneal Hemorrhage Post Ambulatory-Related Injury.

Cureus 2018 Feb 5;10(2):e2160. Epub 2018 Feb 5.

College of Medicine, Texas A&M College of Medicine.

Delayed splenic rupture, once thought to be unusual, but now growing in incidence, is an issue that could potentiate severe morbidity and mortality to patients, regardless of the severity of the trauma. This case report presents one instance of delayed splenic rupture following minor trauma and discusses the need for further investigation in the management of this condition. A middle-aged, hypotensive male presented to the emergency department (ED) with signs of an acute abdomen following a syncopal episode, with successful resuscitation upon arrival. Read More

View Article
February 2018
1 Read

Use of Dehydrated Human Amnion/Chorion Membrane Allografts in More Than 100 Patients with Six Major Types of Refractory Nonhealing Wounds.

J Am Podiatr Med Assoc 2018 Mar;108(2):84-89

Background: Biochemical properties of the amniotic membrane help modulate inflammation and enhance soft-tissue healing. In controlled trials, the efficacy of dehydrated human amnion/chorion membrane (dHACM) allografts has been established. Our purpose is to describe our experience with using dHACM to treat nonhealing wounds of various etiologies. Read More

View Article
March 2018
8 Reads

A functional polymorphism at miR‑491‑5p binding site in the 3'UTR of MMP9 gene confers increased risk for pressure ulcers after hip fracture.

Oncol Rep 2018 Jun 28;39(6):2695-2702. Epub 2018 Mar 28.

Department of Traumatic Ankle Surgery, Tianjin Hospital, Tianjin 300211, P.R. China.

The roles of matrix metalloproteinase (MMP)9 in the control of pressure ulcers (PU) after hip fracture as well as how the rs1056629 in MMP9 3'UTR compromises the interaction between MMP9 and miR‑491 were explored. Online miRNA database (http://www.bioguo. Read More

View Article

Utilization of a Viable Human Amnion Membrane Allograft in Elderly Patients With Chronic Lower Extremity Wounds of Various Etiologies.

Authors:
Matthew Regulski

Wounds 2018 Mar;30(3):E36-E40

Medical Director, Wound Care Institute of Ocean County, Toms River, NJ; and Partner, Ocean County Foot and Ankle Surgical Associates, Toms River, NJ.

ntroduction. Chronic nonhealing wounds are a growing health care problem in the United States, afflicting more than 6.5 million patients annually. Read More

View Article
March 2018
7 Reads

Effect of a New Purified Collagen Matrix With Polyhexamethylene Biguanide on Recalcitrant Wounds of Various Etiologies: A Case Series.

Wounds 2018 Mar;30(3):72-78

Wayne UNC Health Care's Wound Healing and Hyperbaric Center, Goldsboro, NC.

Introduction: The management of chronic, nonhealing wounds in patients with multiple comorbidities continues to be a challenge for health care practitioners. Chronic wounds typically do not progress through the normal phases of wound healing and generally remain stagnant during the inflammatory phase, resulting in an increase in proteolytic enzymes with degradation of the extracellular matrix. Bacterial biofilm has been documented to be one of the main factors delaying wound healing, resulting in the prolongation of the inflammatory phase. Read More

View Article
March 2018
3 Reads

[Aortic diseases : Modern diagnostic and therapeutic strategies].

Authors:
R Erbel

Herz 2018 May;43(3):275-290

Institut für Medizinische Informatik, Biometrie und Epidemiologie, Universitätsklinikum Essen, Universität Duisburg-Essen, Hufelandstr. 55, 45147, Essen, Deutschland.

Aortic diseases include not only the thoracic but also the abdominal part of the aorta. In the etiology cardiovascular risk factors, such as hypertension, smoking and hyperlipoproteinemia play a major role, but more and more genetic diseases with familiar predisposition are being identified. Even large aneurysms remain asymptomatic as long as other organs in the neighborhood are not damaged and no acute aortic event occurs including aortic dissection, intramural hematoma, penetrating aortic ulcer, and traumatic aortic injury. Read More

View Article

Cango Lyec (Healing the Elephant): Gender Differences in HIV Infection in Post-conflict Northern Uganda.

J Acquir Immune Defic Syndr 2018 Jul;78(3):257-268

School of Population and Public Health, University of British Columbia, Vancouver, Canada.

Background: As previously encamped resettle, potential for rapid HIV transmission in post-conflict Northern Uganda is concerning. Women in particular may be experiencing heightened vulnerability resulting from war-related sexual violence.

Setting: Cango Lyec (Healing the Elephant) Project is a cohort involving conflict-affected people in 3 districts in Northern Uganda. Read More

View Article
July 2018
1 Read

Endoscopic Treatment of Benign Esophageal Fistulas Using Fully-covered Metallic Esophageal Stents.

Chirurgia (Bucur) 2018 Jan-Feb;113(1):108-115

Non-malignant esophageal fistulas have a wide spectrum of clinical and pathological features and it`s important to learn to detect and treat them, due to significant morbidity, mortality and costs. The need for minimally invasive, efficient and also quick procedures is imperative. Esophageal stenting using fully-covered expandable stents has become an increasingly preferred option and addresses to fistulas which arise from 2-3 cm beyond Killian's mouth and up to the gastroesophageal junction. Read More

View Article
June 2018
1 Read

Acute non-traumatic disease of the abdominal aorta.

Abdom Radiol (NY) 2018 May;43(5):1067-1083

Mallinckrodt Institute of Radiology, Washington University School of Medicine, 510 S. Kingshighway Blvd, Campus Box 8131, St. Louis, MO, 63110, USA.

Acute pathology in the abdominal aorta is associated with significant morbidity and mortality. The most feared complication of abdominal aortic disease is acute rupture in the setting of atherosclerotic abdominal aortic aneurysm. Although frank rupture often is easily diagnosed on CT, other findings such as a hyperattenuating crescent, discontinuous intimal calcium, and draping of the aorta are subtle signs of aneurysm instability. Read More

View Article
May 2018
4 Reads

Follicular Unit Grafting in Chronic Nonhealing Leg Ulcers: A Clinical Study.

J Cutan Aesthet Surg 2017 Oct-Dec;10(4):200-206

Department of Dermatology, Bangalore Medical College and Research Institute, Bengaluru, Karnataka, India.

Introduction And Objectives: The restoration of the epithelium after injury takes place by migration of epithelial cells adjoining a wound or by centrifugal migration from hair follicles. To evaluate the feasibility and potential healing capacity of scalp follicular unit grafts transplanted into the wound bed of chronic leg ulcers.

Materials And Methods: Patients with chronic nonhealing ulcers of more than 6 weeks duration were selected for the study. Read More

View Article
March 2018
2 Reads

CAD/CAM produces dentures with improved fit.

Clin Oral Investig 2018 Feb 22. Epub 2018 Feb 22.

University Hospital for Dental Prosthetics and Restorative Dentistry, Medical University of Innsbruck, MZA, Anichstr. 35, A-6020, Innsbruck, Austria.

Objectives: Resin polymerisation shrinkage reduces the congruence of the denture base with denture-bearing tissues and thereby decreases the retention of conventionally fabricated dentures. CAD/CAM denture manufacturing is a subtractive process, and polymerisation shrinkage is not an issue anymore. Therefore, CAD/CAM dentures are assumed to show a higher denture base congruence than conventionally fabricated dentures. Read More

View Article
February 2018
2 Reads

Predictive Value of Braden Risk Factors in Pressure Ulcers of Outpatients With Spinal Cord Injury.

Acta Med Iran 2018 Jan;56(1):56-61

Brain and Spinal Cord Injury Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran. AND Department of Neurosurgery, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran.

Pressure Ulcers (PUs) remain among the most common complications after traumatic spinal cord Injuries (SCIs). The main goal of risk factor assessment with different tools has been to provisionally estimate the chance of developing pressure ulcers in patients with Spinal Cord Injury (SCI). Braden tool has been of good predictive value and most commonly employed in hospital communities for risk assessment of pressure sore development. Read More

View Article
January 2018

Micrografting chronic lower extremity ulcers with mechanically disaggregated skin using a micrograft preparation system.

J Wound Care 2018 Feb;27(2):60-65

Vascular Surgeon, Clinica N. Annunziatella - Rome, Italy.

Objective: The Rigenera system is a new standardised micrograft preparation system. It works by means of automated mechanical disaggregation of small tissue samples, extracting only the smallest cells (<50µm). The aim of this study was to retrospectively evaluate patients affected by chronic ulcers and who were treated with the micrograft preparation method. Read More

View Article
February 2018
4 Reads

A profile of traumatic spinal cord injury and medical complications in Latvia.

Spinal Cord Ser Cases 2017 6;3:17088. Epub 2017 Dec 6.

2Riga Stradins University, Riga, Latvia.

Study Design: A single centre retrospective study.

Objectives: To collect data and analyse the epidemiological profile of traumatic spinal cord injury and its medical complications during the subacute rehabilitation period.

Setting: Spinal Cord Injury Rehabilitation Programme of the National Rehabilitation Centre, 'Vaivari', Jurmala, Latvia. Read More

View Article
December 2017
1 Read

Imaging of non-neoplastic duodenal diseases. A pictorial review with emphasis on MDCT.

Insights Imaging 2018 Apr 31;9(2):121-135. Epub 2018 Jan 31.

Department of Diagnostic Imaging Institute (IDI) and Girona Biomedical Research Institute (IDIBGI), Dr. Josep Trueta University Hospital, Av/ Francia s/n, Girona, Spain.

A wide spectrum of abnormalities can affect the duodenum, ranging from congenital anomalies to traumatic and inflammatory entities. The location of the duodenum and its close relationship with other organs make it easy to miss or misinterpret duodenal abnormalities on cross-sectional imaging. Endoscopy has largely supplanted fluoroscopy for the assessment of the duodenal lumen. Read More

View Article
April 2018
6 Reads

Outcome analyses of a multimodal treatment approach for deep pressure ulcers in spinal cord injuries: a retrospective cohort study.

Spinal Cord 2018 06 31;56(6):582-590. Epub 2018 Jan 31.

Treatment Centre for Spinal Cord Injuries, Trauma Hospital Berlin, Berlin, Germany.

Study Design: Retrospective observational cohort study.

Objectives: To describe outcomes, risk factors for complications, and relapse rates associated with the multimodal treatment approach for deep pressure ulcers (PUs) grade IV for the ischium, trochanter major, and sacral regions of patients with traumatic and non-traumatic spinal cord injury (SCI).

Setting: The settings comprised two spinal cord units within a maximum care hospital. Read More

View Article
June 2018
6 Reads

Acute duodenal intramural hematoma complicated by acute pancreatitis-a rare complication of endoscopic epinephrine injection therapy.

Oxf Med Case Reports 2018 Jan 23;2018(1):omx090. Epub 2018 Jan 23.

Department of Internal Medicine, SBH Health System, Bronx, NY 10457,USA.

Intramural duodenal hematoma (IDH) is a rare complication in endoscopic management of ulcer hemorrhage. Usually noted in cases of blunt abdominal trauma, non-traumatic IDHs have been reported in individuals on anticoagulation, with blood disorders, pancreatic diseases and in endoscopic procedures such as biopsy, sclerotherapy and argon plasma coagulation. Patients may be asymptomatic or present with acute blood loss anemia, abdominal pain or vomiting. Read More

View Article
January 2018
6 Reads

Topical chlorhexidine, povidone-iodine and erythromycin in the repair of traumatic ulcers on the rat tongue: Clinical, histological and microbiological evaluation.

Arch Oral Biol 2018 Mar 4;87:218-225. Epub 2018 Jan 4.

Oral Medicine Division, Pontifical Catholic University of Rio Grande do Sul-PUCRS, Porto Alegre, RS, Brazil.

Objective: This study investigated the effect of topical application of 0.12% chlorhexidine, 10% povidone-iodine and 50% erythromycin on the optimization of healing process of traumatic ulcers made on ventral tongue of rats.

Design: Forty-Eight Wistar rats were randomly divided into four groups: control, chlorhexidine (Chx), povidone-iodine (PvI) and erythromycin (Er). Read More

View Article
March 2018
6 Reads

Prevention of pressure ulcers in patients undergoing subacute rehabilitation after severe brain injury: An observational study.

J Clin Nurs 2018 Jul 6;27(13-14):2776-2784. Epub 2018 Apr 6.

Department of Neurorehabilitation, Traumatic Brain Injury, Rigshospitalet, Hvidovre, Denmark.

Aims And Objectives: To uncover efforts made by healthcare professionals to prevent pressure ulcers in patients with severe brain injury undergoing treatment at a subacute rehabilitation department.

Background: Pressure ulcers are a major burden for patients and also generate considerable healthcare costs. Pressure ulcers are, nevertheless, prevalent in both secondary care and primary care. Read More

View Article
July 2018
2 Reads

First Aid for Skin Tears by Mini Patch Grafting from the Flap Edge.

J Emerg Med 2018 04 3;54(4):514-515. Epub 2018 Jan 3.

Department of Dermatology and Plastic Surgery, Faculty of Life Sciences, Kumamoto University, Kumamoto, Japan.

Background: Traumatic skin tears often occur in patients with dystrophic skin. Closing them with adhesive skin closures is useful for patients with a healthy flap, but occasionally fails to cover the entire defect. We describe a simple technique to perform mini patch grafting on the remaining raw surface without damaging healthy skin. Read More

View Article
April 2018
4 Reads

An Economic Evaluation of the Impact, Cost, and Medicare Policy Implications of Chronic Nonhealing Wounds.

Value Health 2018 01 19;21(1):27-32. Epub 2017 Sep 19.

Integra Lifesciences, Plainsboro, NJ, USA.

Objective: The aim of this study was to determine the cost of chronic wound care for Medicare beneficiaries in aggregate, by wound type and by setting.

Methods: This retrospective analysis of the Medicare 5% Limited Data Set for calendar year 2014 included beneficiaries who experienced episodes of care for one or more of the following: arterial ulcers, chronic ulcers, diabetic foot ulcers, diabetic infections, pressure ulcers, skin disorders, skin infections, surgical wounds, surgical infections, traumatic wounds, venous ulcers, or venous infections. The main outcomes were the prevalence of each wound type, Medicare expenditure for each wound type and aggregate, and expenditure by type of service. Read More

View Article
January 2018
18 Reads

Epidemiology and Clinical Management of Traumatic Spine Injuries at a Major Government Hospital in Cambodia.

Asian Spine J 2017 Dec 7;11(6):908-916. Epub 2017 Dec 7.

Department of Neurosurgery, Preah Kossamak Hospital, Phnom Penh, Cambodia.

Study Design: Cross sectional study.

Purpose: To characterize the pattern of injury, describe the current clinical management, and determine the outcomes in traumatic spine injury (TSI) patients presenting to a major government hospital in Phnom Penh, Cambodia.

Overview Of Literature: There is a paucity of literature on epidemiology or current clinical practices for TSIs in Cambodia. Read More

View Article
December 2017
5 Reads

Self-Efficacy and Pressure Ulcer Prevention After Spinal Cord Injury-Results From a Nationwide Community Survey in Switzerland (SwiSCI).

PM R 2018 Jun 7;10(6):573-586. Epub 2017 Dec 7.

REHAB Basel, Clinic for Neurorehabilitation and Paraplegiology, Basel, Switzerland(#).

Background: Pressure ulcers (PUs) are a common and severe health condition in persons with spinal cord injury (SCI). Skin-care strategies for PU prevention are usually provided during initial rehabilitation. However, individuals with SCI often do not perform these strategies continuously, especially after discharge. Read More

View Article
June 2018
3 Reads

Reduction of hyperthermia in pediatric patients with severe traumatic brain injury: a quality improvement initiative.

J Neurosurg Pediatr 2018 Feb 1;21(2):164-170. Epub 2017 Dec 1.

Division of Critical Care and.

OBJECTIVE Severe traumatic brain injury remains a leading cause of morbidity and mortality in the pediatric population. Providers focus on reducing secondary brain injury by avoiding hypoxemia, avoiding hypotension, providing normoventilation, treating intracranial hypertension, and reducing cerebral metabolic demand. Hyperthermia is frequently present in patients with severe traumatic brain injury, contributes to cerebral metabolic demand, and is associated with prolonged hospital admission as well as impaired neurological outcome. Read More

View Article
February 2018
5 Reads

Final diagnosis of 86 cases included in differential diagnosis of American tegumentary leishmaniasis in a Brazilian sample: a retrospective cross-sectional study.

An Bras Dermatol 2017 Sep-Oct;92(5):642-648

Division of Dermatology, Department of Medical Clinics, Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo (FMRP-USP) - Ribeirão Preto (SP), Brazil.

Background: Cutaneous leishmaniasis is distributed worldwide, including Brazil. Its several clinical forms need to be distinguished from other dermatoses. Clinical similarities and lack of a gold standard diagnostic tool make leishmaniasis-like lesions a challenging diagnosis. Read More

View Article
February 2018
1 Read

Impact of Complete Spinal Cord Injury on Healing of Skin Ulcers in Mouse Models.

J Neurotrauma 2018 Mar 11;35(6):815-824. Epub 2018 Jan 11.

1 Department of Biomedical Engineering, Rutgers, The State University of New Jersey , Piscataway, New Jersey.

Pressure ulcers (PUs) are common debilitating complications of traumatic spinal cord injury (SCI) and tend to occur in soft tissues around bony prominences. There is, however, little known about the impact of SCI on skin wound healing because of the lack of suitable animal models for studies in controlled experimental settings. Herein, we describe a reproducible and clinically relevant mouse model of PUs in the context of complete SCI. Read More

View Article
March 2018
3 Reads

The Traumatic Tube: Bleeding Rectal Ulcer Caused by Flexi-Seal Device.

Case Rep Gastrointest Med 2017 4;2017:5278971. Epub 2017 Oct 4.

Department of Gastroenterology, University of Toledo Medical Center, Toledo, OH, USA.

Diarrhea and fecal incontinence are common in critically ill patients and present a challenging problem in patient management. The Flexi-Seal® Fecal Management System is a device to divert the stools away from the patient, thus improving the care to patients with fecal incontinence. There have been only few case reports describing the complications with the use of this device. Read More

View Article
October 2017
6 Reads

Treatment Outcomes for Isolated Maxillary Complex Fractures with Maxillomandibular Screws.

Craniomaxillofac Trauma Reconstr 2017 Dec 12;10(4):278-280. Epub 2017 Apr 12.

Department of Dental Surgery, Christian Medical College and Hospital Vellore, Vellore, Tamil Nadu, India.

Intermaxillary fixation (IMF) is a basic and fundamental principle in the management of patients with fractures of the maxillomandibular complex. There are several shortcomings related to the conventionally recommended tooth-mounted devices that are used to achieve IMF. To circumvent these, the use of bone-borne screws has been advocated. Read More

View Article
December 2017
5 Reads

The use of regression tree analysis for predicting the functional outcome following traumatic spinal cord injury.

J Neurotrauma 2017 Oct 25. Epub 2017 Oct 25.

CHU Sainte-Justine, Orthopedic Surgery, Montreal, Quebec, Canada.

Predicting the long-term functional outcome following traumatic spinal cord injury is needed to adapt medical strategies and to plan an optimized rehabilitation. This study investigates the use of regression tree for the development of predictive models based on acute clinical and demographic predictors. This prospective study was performed on 172 patients hospitalized following traumatic spinal cord injury. Read More

View Article
October 2017
2 Reads

Nutritional blood parameters and nutritional risk screening in patients with spinal cord injury and deep pressure ulcer-a retrospective chart analysis.

Spinal Cord 2018 02 23;56(2):168-175. Epub 2017 Oct 23.

Swiss Paraplegic Centre, Nottwil, Switzerland.

Study Design: Retrospective chart review.

Objectives: To describe (i) the nutritional blood parameters (NBP) and the nutritional risk screening (NRS) in patients with spinal cord injury (SCI) and pressure ulcers (PU) III and IV according to the EPUAP classification, and (ii) the relationship between both NBP and NRS.

Setting: SCI acute care and rehabilitation clinic in Switzerland. Read More

View Article
February 2018
3 Reads

Traumatic ulcerative granuloma with stromal eosinophilia: a malignant-appearing benign lesion.

Cutis 2017 Aug;100(2):E28-E31

Wilford Hall Ambulatory Surgical Center, San Antonio Uniformed Services Health Education Consortium, Texas, USA.

Traumatic ulcerative granuloma with stromal eosinophilia (TUGSE) is an underreported diagnosis in dermatologic literature. Rapid expansion with an ulcerative clinical appearance often provokes fear of malignancy despite its benign nature. Traumatic ulcerative granuloma with stromal eosinophilia is thought to be a reactive tissue response to trauma, but CD30 mononuclear cells within a TUGSE lesion suggests the possibility of an underlying lymphoproliferative disorder. Read More

View Article
August 2017
7 Reads

Acute Management of Traumatic Brain Injury.

Surg Clin North Am 2017 Oct;97(5):1015-1030

Division of Trauma, Surgical Critical Care, and Emergency General Surgery, Department of Surgery, Section of Surgical Sciences, Center for Health Services Research, Vanderbilt Brain Institute, Vanderbilt University Medical Center, 1211 21st Avenue South, Medical Arts Building, Suite 404, Nashville, TN 37212, USA; Surgical Services, Nashville Veterans Affairs Medical Center, Tennessee Valley Healthcare System, 1310 24th Avenue South, Nashville, TN 37212, USA. Electronic address:

Traumatic brain injury (TBI) is a leading cause of death and disability in patients with trauma. Management strategies must focus on preventing secondary injury by avoiding hypotension and hypoxia and maintaining appropriate cerebral perfusion pressure (CPP), which is a surrogate for cerebral blood flow. CPP can be maintained by increasing mean arterial pressure, decreasing intracranial pressure, or both. Read More

View Article
October 2017
6 Reads