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    1442 results match your criteria Traumatic Ulcers

    1 OF 29

    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

    Impact of Complete Spinal Cord Injury on Healing of Skin Ulcers in Mouse Models.
    J Neurotrauma 2017 Nov 21. Epub 2017 Nov 21.
    Rutgers University, Biomedical Engineering , 599 Taylor Road , Piscataway, New Jersey, United States , 08854 ;
    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 due to 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

    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

    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

    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

    Nutritional blood parameters and nutritional risk screening in patients with spinal cord injury and deep pressure ulcer-a retrospective chart analysis.
    Spinal Cord 2017 Oct 23. 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

    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

    Infection of recurrent calcaneal ulcer caused by a biofilm-producer Myroides odoratimimus strain.
    Folia Microbiol (Praha) 2017 Sep 27. Epub 2017 Sep 27.
    Department of Medical, Oral, and Biotechnological Sciences, "G. d'Annunzio" University of Chieti-Pescara, Via Vestini 31, 66100, Chieti, Italy.
    We report a case of recurrent post-traumatic ulcer infection due to Myroides odoratimimus in an immunocompromised male. We have also reviewed the medical literature on isolated M. odoratimimus infections. Read More

    Eosinophilic ulcer of the tongue masquerading as malignant ulcer: An unexplored distinct pathology.
    J Oral Maxillofac Pathol 2017 May-Aug;21(2):321
    Department of Oral Pathology and Microbiology, Saraswati Dental College, Lucknow, Uttar Pradesh, India.
    Eosinophilic ulcer (EU) is a rare self-limiting chronic benign ulcerative lesion of the oral mucosa often misdiagnosed as oral malignancy. Its etiopathogenesis is ambiguous, but trauma plays an important role in the development. Microscopically, it is characterized by a polymorphic inflammatory infiltrate with a prominent eosinophilic component and large mononuclear cells extending deep into the submucosa, underlying muscle and salivary glands. Read More

    Development of Acute Promyelocytic Leukemia in a Patient with Tetraplegia While in Inpatient Rehabilitation: a Case Report.
    J Spinal Cord Med 2017 Sep 20:1-4. Epub 2017 Sep 20.
    a Spinal Cord Injury Service and Disorders ; Hunter Holmes McGuire VA Medical Center , Richmond , VA , USA.
    Study Design: a single case report.

    Objectives: To report a case of a patient with tetraplegia who developed acute promyelocytic leukemia (APL) while in inpatient rehabilitation after 10.5 months. Read More

    Predictors of pressure ulcer incidence following traumatic spinal cord injury: a secondary analysis of a prospective longitudinal study.
    Spinal Cord 2017 Sep 12. Epub 2017 Sep 12.
    Department of Occupational Therapy, UT Health Science Center, San Antonio, TX, USA.
    Study Design: Secondary analysis of data from a prospective cohort study.

    Objectives: The objective of this study was to identify the medical and demographic factors associated with the development of pressure ulcers during acute-care hospitalization and inpatient rehabilitation following acute spinal cord injury.

    Setting: The study was carried out at acute hospitalization, inpatient rehabilitation and outpatient rehabilitation sites at a university medical center in the United States. Read More

    S Afr J Surg 2017 Sep;55(3):68-69
    1Department of General Surgery, Worcester Hospital, and Ukwanda Rural Clinical School, Stellenbosch University, Worcester.
    Background: There is limited published data describing the nature of surgical admissions at a regional level in the South African context. Worcester Hospital General Surgery has introduced an electronic online database to manage its surgical services. This study uses that database to evaluate the surgical burden of disease for the Cape Winelands East and Overberg districts of the Western Cape. Read More

    Traumatic spinal cord injury in the north-east Tanzania - describing incidence, etiology and clinical outcomes retrospectively.
    Glob Health Action 2017 ;10(1):1355604
    a Department of Community Medicine and Rehabilitation, Physiotherapy , Umeå University , Umeå , Sweden.
    Background: Causes, magnitude and consequences of traumatic spinal cord injury depend largely on geography, infrastructure, socioeconomic and cultural activities of a given region. There is a scarcity of literature on profile of traumatic spinal cord injury to inform prevention and rehabilitation of this health condition in African rural settings, particularly Tanzania.

    Objective: To describe the incidence, etiology and clinical outcomes of traumatic spinal cord injury and issues related to retrospective study in underdeveloped setting. Read More

    Rapid Source-Control Laparotomy: Is There a Mortality Benefit?
    Surg Infect (Larchmt) 2017 Oct 28;18(7):787-792. Epub 2017 Aug 28.
    1 Department of Surgery, Grand Strand Regional Medical Center , Myrtle Beach, South Carolina.
    Background: The purpose of this study was to determine the influence rapid source-control laparotomy (RSCL) has on the mortality rate in non-trauma patients with intra-abdominal infection. The hypothesis was that RSCL reduces deaths and hospital lengths of stay (LOS) in patients compared with definitive repair and primary fascial closure (PFC).

    Methods: The International Classification of Diseases-10 codes for sepsis, gastric and duodenal ulcer perforation or hemorrhage, incisional or ventral hernia with obstruction, intestinal volvulus, ileus with obstruction, diverticulitis with perforation or abscess, vascular disorder of intestine, non-traumatic intestinal perforation, peritoneal abscess, and unspecified peritonitis were used to query the 2015 National Surgical Quality Improvement Project (NSQIP) database for all patients treated with either RSCL or PFC. Read More

    Palatal perforation and chemical ulcers of the tongue in a blind patient.
    Spec Care Dentist 2017 Aug 22. Epub 2017 Aug 22.
    Assistant Professor of Preventive Care Dentistry, Amazonas State University, Manaus-AM, Brazil.
    We report a unique case of a potassium aluminum sulfate oral dissolution leading to palatal chemical necrosis and extensive chemical ulcers on the tongue. The patient, a 47-year-old white, blind male, denied using cocaine or other illegal drugs that could cause such lesions. His self-medication started as a treatment for a traumatic ulcerative lesion on the hard palate. Read More

    Hepatocyte growth factor (HGF) optimizes oral traumatic ulcer healing of mice by reducing inflammation.
    Cytokine 2017 Nov 19;99:275-280. Epub 2017 Aug 19.
    Key Laboratory of Oral Medicine, Guangzhou Institute of Oral Disease, Stomatology Hospital of Guangzhou Medical University, Guangzhou 510140, China. Electronic address:
    Objective: To evaluate the influence of overexpression HGF on the healing of traumatic ulcer of oral mucosa of mice.

    Material And Methods: Mice were divided into two groups: wild type C57BL6(WT) and HGF high expression transgenic (HGF-Tg) mice. Traumatic ulcer of all mice were made by number 15 scalpel blade. Read More

    Spinal cord injury during the second trimester of pregnancy.
    Spinal Cord Ser Cases 2017 10;3:17052. Epub 2017 Aug 10.
    Department of Physical Medicine and Rehabilitation King Fahad Medical City, Riyadh, Saudi Arabia.
    Introduction: Pregnancies in women with spinal cord injury (SCI) are at greater risk of morbidity and mortality. Although pregnancy after SCI is well elaborated in the literature, SCI occurring during pregnancy is rarely reported. Abrupt changes in the body physiology because of SCI and the resulting disability add a risk to maternal and fetal well-being. Read More

    Immobilization of Growth Factors to Collagen Surfaces Using Pulsed Visible Light.
    Biomacromolecules 2017 Oct 1;18(10):3185-3196. Epub 2017 Sep 1.
    Byers Eye Institute at Stanford University School of Medicine , Palo Alto, California 94303, United States.
    In the treatment of traumatic injuries, burns, and ulcers of the eye, inadequate epithelial tissue healing remains a major challenge. Wound healing is a complex process involving the temporal and spatial interplay between cells and their extracellular milieu. It can be impaired by a variety of causes including infection, poor circulation, loss of critical cells, and/or proteins, and a deficiency in normal neural signaling (e. Read More

    Reflection on the cause and avoidance of recurrent venous leg ulcers: an interpretive descriptive approach.
    J Clin Nurs 2017 Aug 9. Epub 2017 Aug 9.
    Institute of Health and Biomedical Innovation, Queensland University of Technology, 60 Musk Ave Kelvin Grove.
    Aims And Objectives: To gain insight into the experience of recurrent venous leg ulcers from the individual's perspective and provide knowledge on potential risks of recurrence not previously investigated.

    Background: Venous leg ulcers are a consequence of chronic venous disease and frequently recur. They are costly and can impact on physical and psychological health. Read More

    The Economic Burden of Urinary Tract Infection and Pressure Ulceration in Acute Traumatic Spinal Cord Injury Admissions: Evidence for Comparative Economics and Decision Analytics from a Matched Case-Control Study.
    J Neurotrauma 2017 Oct 18;34(20):2892-2900. Epub 2017 Sep 18.
    3 Vancouver Spine Surgery Institute, Department of Orthopaedics, University of British Columbia , Vancouver, British Columbia, Canada .
    Secondary complications of spinal cord injury (SCI) are a burden to affected individuals and the rest of society. There is limited evidence of the economic burden or cost of complications in SCI populations in Canada, however, which is necessary for comparative economic analyses and decision analytic modeling of possible solutions to these common health problems. Comparative economic analyses can inform resource allocation decisions, but the outputs are only as good as the inputs. Read More

    The Role of Hyperbaric Oxygen Therapy in Orthopedics and Rheumatological Diseases.
    Isr Med Assoc J 2017 Jul;19(7):429-434
    IRCCS Galeazzi Orthopedic Institute, Milan, Italy.
    Background: Hyperbaric oxygen therapy (HBOT) has been investigated as a primary/adjunctive treatment for a number of injuries and medical conditions including traumatic ischemia, necrotizing soft tissue injuries, non-healing ulcers and osteoradionecrosis, but the results are controversial. There is insufficient evidence to support or reject the use of HBOT to quicken healing or to treat the established non-union of fractures. However, in patients with fibromyalgia, HBOT reduces brain activity in the posterior cortex and increases it in the frontal, cingulate, medial temporal and cerebellar cortices, thus leading to beneficial changes in brain areas that are known to function abnormally. Read More

    Negative Pressure Wound Therapy for Patients With Complex Abdominal Wounds.
    Wounds 2017 Jul;29(7):209-214
    Division of Gynecologic Oncology, Ege University, İzmir, Turkey.
    Background: Research on treatment alternatives that improve wound healing is an ever-evolving area in medicine, and a wound healing agent that carries minimal pain, discomfort, and scarring for patients with burn wounds, venous and decubitis ulcers, traumatic wounds, and many others is needed. The phases of wound healing include homeostasis, inflammation, migration, proliferation, and maturation. Adeps suillus (axonge) is known as a therapeutic agent for skin diseases and mainly consists of triglycerides. Read More

    Tubercular Ulcer of Tongue in an Elderly Patient Masquerading as a Traumatic Ulcer.
    Case Rep Otolaryngol 2017 28;2017:8416963. Epub 2017 Jun 28.
    Department of Pathology, Chitwan Medical College Teaching Hospital, P.O. Box 42, Bharatpur 10, Chitwan, Nepal.
    Tuberculosis is still one of the most prevalent diseases in developing countries like Nepal. However, due to the effectiveness of DOTS therapy, vaccination, and education, the prevalence of tuberculosis has fallen in recent years. Although the pulmonary and extrapulmonary tuberculosis, especially the tubercular lymphadenitis, is still very common in our country, the tuberculosis of oral cavity is an uncommon condition. Read More

    History of venous leg ulcers.
    J Biol Regul Homeost Agents 2017 APR-JUN;31(2 Suppl. 2):107-120
    University B.I.S. Group of Institutions, Punjab Technical University, Punjab, India.
    To retrieve the history of venous ulcers and of skin lesions in general, we must go back to the appearance of human beings on earth. It is interesting to note that cutaneous injuries evolved parallel to human society. An essential first step in the pathogenesis of ulcers was represented by the transition of the quadruped man to Homo Erectus. Read More

    Risk factors for myocardial dysfunction after traumatic brain injury: A one-year follow-up study.
    Injury 2017 Aug 8;48(8):1794-1800. Epub 2017 Jul 8.
    Department of Neurosurgery, E-Da Hospital, I-Shou University, Kaohsiung, Taiwan; School of Medicine for International Students, I-Shou University, Kaohsiung, Taiwan. Electronic address:
    Introduction: Traumatic brain injury has been associated with an increased risk of myocardial dysfunction. Common abnormalities accompanying this pathology include electrocardiographic abnormalities, elevated creatine kinase levels, arrhythmias, and pathologic changes of the myocardium. The aim of this study was to determine if TBI patients have a higher risk of myocardial dysfunction than the general population and to identify the risk factors of myocardial dysfunction in TBI patients. Read More

    Pharyngocutaneous fistula as an alternative access route for inserting a percutaneous endoscopic gastrostomy tube in head and neck cancer patients.
    Endosc Int Open 2017 Jul 6;5(7):E630-E634. Epub 2017 Jul 6.
    Department of Digestive Endoscopy, Cancer Hospital I, Brazilian National Cancer Institute, Rio de Janeiro, Brazil.
    Background And Study Aims:  Performing a percutaneous endoscopic gastrostomy (PEG) in head and neck cancer (HNC) patients can be challenging because of the presence of trismus, pharyngeal obstruction by tumor, and pharyngoesophageal strictures or fistula. Pharyngocutaneous fistula (PCF) is a major postoperative concern in patients submitted to total laryngectomy (TL). In the medical literature to date, the cervical fistula has been used as an access to PEG in only four reports. Read More

    A Clinicoepidemiological Profile of Chronic Wounds in Wound Healing Department in Shanghai.
    Int J Low Extrem Wounds 2017 Mar 8;16(1):36-44. Epub 2017 Mar 8.
    1 Shanghai 9th People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
    The aim of the study was to update the clinical database of chronic wounds in order to derive an evidence based understanding of the condition and hence to guide future clinical management in China. A total of 241 patients from January 1, 2011 to April 30, 2016 with chronic wounds of more than 2 weeks' duration were studied in wound healing department in Shanghai. Results revealed that among all the patients the mean age was 52. Read More

    Pain Intensity, Interference, and Medication Use After Spinal Cord Injury: Association With Risk of Mortality After Controlling for Socioeconomic and Other Health Factors.
    Arch Phys Med Rehabil 2017 Jun 23. Epub 2017 Jun 23.
    College of Health Professions, Medical University of South Carolina, Charleston, SC.
    Objective: To identify the association of pain intensity, pain interference, and pain medication use with risk of mortality after spinal cord injury, controlling for demographic, injury, socioeconomic, and health factors.

    Design: Prospective cohort study.

    Setting: Academic medical center. Read More

    Effects of Copaiba Oil Topical Administration on Oral Wound Healing.
    Phytother Res 2017 Aug 21;31(8):1283-1288. Epub 2017 Jun 21.
    Department of Oral Pathology, School of Dentistry, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, 90035-003, Brazil.
    The effects of topical copaiba oil extract and topical corticosteroid were assessed on oral wound healing in an in vivo model using 96 male Wistar rats. Traumatic ulcers were caused in the dorsum of the tongue using a 3-mm punch tool. The animals were divided into: Control; Corticosteroid; Placebo and Copaiba oil Group. Read More

    Trunk Function and Ischial Pressure Offloading in Individuals with Spinal Cord Injury.
    J Spinal Cord Med 2017 Nov 14;40(6):723-732. Epub 2017 Jun 14.
    a SCI Mobility Lab, Lyndhurst Centre, Toronto Rehabilitation Institute - University Health Network , Toronto , Canada.
    Objective: To determine if there is a relationship between trunk function and offloading of the ischial tuberosities in individuals with Spinal Cord Injury (SCI).

    Design: Prospective cross-sectional evaluation.

    Setting: Sub-acute rehabilitation hospital. Read More

    Silver-containing foam dressings with Safetac: a review of the scientific and clinical data.
    J Wound Care 2017 Jun;26(Sup6a):S1-S32
    Kristina Hamberg has over 10 years of experience of working with the design and development of wound care products, particularly those with antimicrobial properties. During that time, she has become an expert within the areas of microbiology and test method development, as well as infection prevention. Kristina was awarded her MSc in food science in 1997 from the University of Kalmar, Sweden, and in 2002 she was awarded a PhD for microbiological evaluation of novel technologies for food preservation by Chalmers Technical University, Gothenburg, Sweden.
    Background Topical antimicrobials, such as silver dressings, are progressively being used alongside systemic antibiotics to provide adjunctive, antimicrobial therapy to wounds that are clinically infected or at risk of infection. To help improve wound management, dressings that use Safetac soft silicone technology in combination with a silver-impregnated foam dressing material were developed by Mölnlycke Health Care (Gothenburg, Sweden). The range comprises Mepilex Ag, Mepilex Border Ag and Mepilex Transfer Ag. Read More

    Latent Structural Analysis of Health Outcomes in People Living With Spinal Cord Injury.
    Arch Phys Med Rehabil 2017 Jun 3. Epub 2017 Jun 3.
    Medical University of South Carolina, Charleston, SC.
    Objective: To develop a latent structural model of health outcomes in people with spinal cord injury (SCI) that accounts for the measurement of underlying factors and their association with demographic and injury-related exogenous variables.

    Design: Cross-sectional study.

    Setting: Specialty hospital and medical university. Read More

    Traumatic Lesions of the Sole.
    Vet Clin North Am Food Anim Pract 2017 Jul;33(2):271-281
    Department of Large Animal Clinical Studies, College of Veterinary Medicine, University of Tennessee, 2407 River Dr, Knoxville, TN 37996, USA.
    Traumatic lesions of the sole are a common cause of lameness in beef and dairy cattle. This article provides a brief description of traumatically induced conditions with specific attention to underlying causes, treatment, and prevention. Lameness, traumatic lesions of the sole, sole punctures, thin soles, thin sole toe ulcers, toe tip necrosis syndrome, and toe abscesses are discussed. Read More

    Oral mucosal lesions in teenagers: a cross-sectional study.
    Ital J Pediatr 2017 May 31;43(1):50. Epub 2017 May 31.
    Dental School, Pediatric Dentistry Department, University of Brescia, P.le Spedali Civili, 1, 25123, Brescia, Italy.
    Background: Adolescence is a period of transition to adulthood. Little is known about oral mucosal lesions (OMLs) in teenagers, in which the emergence of new habits, unfamiliar to children, could affect the type of lesions. The aim of this study was to evaluate the distribution of oral mucosal lesions (OMLs) in a wide sample of adolescents. Read More

    Previously Identified Common Post-Injury Adverse Events in Traumatic Spinal Cord Injury-Validation of Existing Literature and Relation to Selected Potentially Modifiable Comorbidities: A Prospective Canadian Cohort Study.
    J Neurotrauma 2017 Oct 28;34(20):2883-2891. Epub 2017 Jun 28.
    1 Department of Orthopaedics, Vancouver Spine Surgery Institute, University of British Columbia , Vancouver, British Columbia, Canada .
    Adverse events (AEs) are common during care in patients with traumatic spinal cord injury (tSCI). Increased risk of AEs is linked to patient factors including pre-existing comorbidities. Our aim was to examine the relationships between patient factors and common post-injury AEs, and identify potentially modifiable comorbidities. Read More

    Negative pressure therapy for the treatment of complex wounds.
    Rev Col Bras Cir 2017 Jan-Feb;44(1):81-93
    - Ribeirao Preto Medical School, University of Sao Paulo, Division of Plastic Surgery, Ribeirao Preto, Sao Paulo State, Brazil.
    The objective of this study is to evaluate the effectiveness of negative pressure therapy (NPT) in the treatment of complex wounds, with emphasis on its mechanisms of action and main therapeutic indications. We searched the Pubmed / Medline database for articles published from 1997 to 2016, and selected the most relevant ones. The mechanisms of action of NPT involveboth physical effects, such as increased perfusion, control of edema and exudate, reduction of wound dimensions and bacterial clearance, and biological ones, such as the stimulation of granulation tissue formation, microdeformations and reduction of Inflammatory response. Read More

    Characterization of Chronic Mechanical Irritation in Oral Cancer.
    Int J Dent 2017 6;2017:6784526. Epub 2017 Apr 6.
    Oral Biology Department, Dentistry College, Universidad Nacional de Córdoba, Av. Haya de la Torre s/n, Ciudad Universitaria, Córdoba, Argentina.
    Objective. Oral mucosa could host many lesions originated by chronic mechanical irritation (CMI) from teeth or dentures, and it has been proposed as risk factor for oral cancer. Nevertheless, the features of CMI factors in oral cancer and other lesions are not assessed. Read More

    Subcutaneous mycosis presenting as a non- healing left calf ulcer in an immunocompromised patient.
    Med J Malaysia 2017 Apr;72(2):122-123
    Sarawak General Hospital, Department of Internal Medicine, Haematology Unit, Sarawak, Malaysia.
    This is a case report of subcutaneous mycosis presenting as a non-healing left calf ulcer in an immunocompromised patient. Traumatic inoculation of the causative agent is the most likely route of infection. The diagnosis requires a detailed history and high clinical suspicion, confirmed by histopathological examination. Read More

    Bedsores successfully treated with topical phenytoin.
    Acta Biomed 2017 04 28;88(1):45-48. Epub 2017 Apr 28.
    Phenytoin is normally used in epilepsy treatment. One of the side effect affecting a significative part of the treated patients is the gingival overgrowth. It could surely be a correlation between this stimulatory effect and the assessment of phenytoin in wound healing. Read More

    Evaluation of a new tension relief system for securing wound closure: A single-centre, Chinese cohort study.
    Plast Surg (Oakv) 2016 19;24(3):177-182. Epub 2016 Aug 19.
    Department of Plastic Surgery, Second Affiliated Hospital, College of Medicine, Zhejiang University, Hang Zhou, People's Republic of China.
    Background: Wounds that have been closed under excessive tension, and skin defects that cannot be closed primarily, pose a daily challenge for the reconstructive surgeon.

    Objective: To evaluate a new tension relief system (TRS) device for skin stretching and secure wound closure.

    Methods: From September 2013 to March 2014, a consecutive series of 41 Chinese patients with 43 wounds were enrolled for application of 50 cycles of TRS therapy. Read More

    Superficial swab versus deep-tissue biopsy for the microbiological diagnosis of local infection in advanced-stage pressure ulcers of spinal-cord-injured patients: a prospective study.
    Clin Microbiol Infect 2017 Apr 19. Epub 2017 Apr 19.
    Infectious Disease Unit, Sant'Orsola-Malpighi Teaching Hospital - Alma Mater Studiorum University of Bologna, Bologna, Italy.
    Objective: To assess the predictive value of superficial ulcer swab culture to make a microbiological diagnosis of deep wound infections in spinal cord injury (SCI) patients with advanced-stage pressure ulcers.

    Methods: From July 2011 to February 2014, we performed a prospective, single-centre study on adult SCI patients undergoing scheduled surgical debridement and reconstruction for advanced-stage pressure ulcers, at Montecatone Rehabilitation Institute, a 150-bed hospital dedicated to SCI care. Three superficial ulcer swabs were preoperatively collected using the Levine technique, then sent for culture. Read More

    An MRI investigation of the effects of user anatomy and wheelchair cushion type on tissue deformation.
    J Tissue Viability 2017 Apr 11. Epub 2017 Apr 11.
    Tel Aviv University, Department of Biomedical Engineering, Ramat Aviv, Israel.
    Aim Of The Study: Tissue deformation is recognized as an important risk factor for pressure injuries. This study investigated the effects of anatomy and wheelchair cushion type on tissue deformation.

    Materials And Methods: Direct 3-dimensional tissue deformation response was measured for six participants sitting on six different wheelchair cushions using MR imaging. Read More

    Morbidity and Mortality Associated with Surgery of Traumatic C2 Fractures in Octogenarians.
    Neurosurgery 2017 Jun;80(6):854-862
    Department of Neurological Surgery, University of California, San Francisco, San Francisco, California.
    Background: Management of axis fractures in the elderly remains controversial. As the US population increasingly lives past 80 years, published C2 fracture morbidity/mortality profiles in younger cohorts (55+) have become less applicable to octogenarians.

    Objective: To report associations between surgery and mortality, hospital length of stay and discharge disposition in octogenarians with traumatic C2 fractures. Read More

    Heterotopic Ossification of the Calvarium Following Bilateral Craniectomies in Traumatic Brain Injury.
    Ochsner J 2017 ;17(1):118-120
    Department of Neurosurgery, Virginia Commonwealth University Health System, Medical College of Virginia, Richmond, VA.
    Background: Heterotopic ossification (HO) is defined as ectopic bone formation following traumatic brain injury. Patients typically develop lesions in the hips, knees, and elbows that cause pain, restricted range of motion, nerve impingement, and pressure ulcers.

    Case Report: We report an unusual presentation of HO in an 18-year-old male who was involved in a motor vehicle accident and subsequently developed malignant intracranial pressure. Read More

    Neurocritical Care of Acute Subdural Hemorrhage.
    Neurosurg Clin N Am 2017 Apr 7;28(2):267-278. Epub 2017 Feb 7.
    Department of Neurology, Henry Ford Health System, 2799 W Grand Boulevard, Detroit, MI 48202, USA. Electronic address:
    Although urgent surgical hematoma evacuation is necessary for most patients with subdural hematoma (SDH), well-orchestrated, evidenced-based, multidisciplinary, postoperative critical care is essential to achieve the best possible outcome. Acute SDH complicates approximately 11% of mild to moderate traumatic brain injuries (TBIs) that require hospitalization, and approximately 20% of severe TBIs. Acute SDH usually is related to a clear traumatic event, but in some cases can occur spontaneously. Read More

    Clinical Outcomes for Endovascular Repair of Thoracic Aortic Disease Using the Seal Thoracic Stent Graft: A Korean Multicenter Retrospective Study.
    J Vasc Interv Radiol 2017 May 28;28(5):645-654. Epub 2017 Feb 28.
    Department of Radiology, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea.
    Purpose: To investigate the midterm outcomes of thoracic endovascular aneurysm repair (TEVAR) with the use of the Seal stent graft for four categories of thoracic aortic disease.

    Materials And Methods: This retrospective multicenter study evaluated the records of 216 Korean patients who underwent TEVAR with the Seal stent graft during 2007-2010. The study outcomes were (i) perioperative death, (ii) endoleak, (iii) repeat intervention, (iv) aortic-related death, and (v) all sudden unexplained late deaths. Read More

    Traumatic brain injury and palliative care: a retrospective analysis of 49 patients receiving palliative care during 2013-2016 in Turkey.
    Neural Regen Res 2017 Jan;12(1):77-83
    Department of Anesthesiology and Reanimation, Ankara Ulus State Hospital, Ankara, Turkey.
    Traumatic brain injury (TBI), which is seen more in young adults, affects both patients and their families. The need for palliative care in TBI and the limits of the care requirement are not clear. The aim of this study was to investigate the length of stay in the palliative care center (PCC), Turkey, the status of patients at discharge, and the need for palliative care in patients with TBI. Read More

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