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Featured Articles

  • June 13, 2017

    Effect of Lymphedema Treatment for Management of Acute Pilon Fractures

    Patients who have suffered a length-unstable pilon fracture are routinely staged with an external fixator to stabilize the ankle until the surrounding soft tissue is amenable for surgery, generally between 10 days and 3 weeks. Coupled with delaying surgical intervention, posttraumatic edema also increases the risk of wound complications and postoperative infections. Because pilon fractures have alarmingly high complication rates, it has been suggested that soft tissue management is as important as the bony reconstruction, further highlighting the need to control and reduce swelling in the affected limbs.  Read More

    Ulcers: Closing the Gaps

    More than 25% of seniors age 65 and older have diabetes, and as many as 34% of nursing home residents battle the disease - a rate higher than any other population. Diabetes can damage organs, diminish vascular and arterial health, and cause neuropathy that raises the risk for ulcers, amputations and death. Some studies have shown roughly 1 in 5 infected foot ulcers lead to amputation, and the mortality rate for those with a lower-extremity amputation is just two to five years.  Read More

    Advances in Wound Healing Treatment May Help Diabetics

    Cell therapy has provided a new avenue for treatment care in diabetic patients and skin repair as a whole. This form of therapy involves modifying white blood cells-the cells that fight infection-to accelerate the healing process. Normally, white blood cells play a vital role in normal wound healing. By maintaining the balance between inflammation and anti-inflammatory reactions, white blood cells promote tissue repair and cellular clean up. By using these modified macrophages, the researchers could heal lesions much more quickly by using a newly developed treatment called adaptive cell transfer. Read More  

  • June 6, 2017

    Wound Care Awareness Week is June 5-9

    The fourth annual Wound Care Awareness Week is being held June 5-9. One of nearly 800 Healogics-managed centers, UVMC offers advanced therapies to patients suffering from chronic wounds. Program directors across the nation will dedicate the entire week to educating physicians, patients and the general public about the chronic wound epidemic and the advanced wound care solutions.  Read More

    Personalizing Wound Care to Educate and Drive Patient Comprehension

    Applying wound care dressings can be complex, frustrating, and frankly a bit scary. The process of changing dressings doesn't have to be complicated. However, many times an individual's lack of understanding can create barriers to successful treatment and healing. Education and retention on how to care for their wounds will reduce the need for follow-up calls and, potentially, complications from chronic open wounds.  Read More

    Adherence to Lipid-Management Guidelines Benefits Patients with CLI

    Patients undergoing revascularization for critical limb ischemia had better mortality and major adverse limb event outcomes if they adhered to the statin intensity recommended in the 2013 American College of Cardiology/American Heart Association lipid-management guidelines, researchers reported. The researchers conducted a retrospective analysis of all patients who underwent first-time endovascular or surgical revascularization for CLI - also called chronic limb-threatening ischemia. Read More  

  • May 31, 2017

    Healing Wounds with Cell Therapy

    An experimental treatment in mice allows the reprogramming of blood cells in order to promote the healing process of cutaneous wounds. This approach could prove to be beneficial in healing challenging wounds in diabetics and major-burn victims. Diabetic patients frequently have lesions on their feet that are very difficult to heal due to poor blood circulation. In cases of serious non-healing infections, a decision to amputate could be made. A new therapeutic approach, presented recently in the Journal of Investigative Dermatology by Canadian researchers affiliated with the University of Montreal Hospital Research Centre (CRCHUM), could prevent these complications by promoting wound healing. Read More

    Exploring the Influence of a Cooling Treatment on Quality of Life in Patients with Chronic Venous Disease

    The purpose of this study was to determine whether quality of life (QOL) was affected by the use of a cooling cuff to reduce negative symptoms of chronic venous disease (CVD) of the lower legs where the skin was previously ulcerated and/or damaged. Individuals participating in the study received one of two treatments: a cooling cuff made of gel or a "placebo" cuff filled with cotton. The cuffs were kept in the freezer until they were ready to be applied to the affected skin, starting daily for 30 minutes for 30 days, then twice-weekly for 3 months and then weekly for 3 months.  Read More

    A Quarter of Nursing Home Residents are Colonized with Drug-Resistant Bacteria

    The significant presence of multidrug-resistant gram-negative bacteria (MDR-GNB), such as E. coli, among nursing home residents demonstrates the need for heightened infection control prevention and control measures in nursing homes, according to a meta-analysis published in the May issue of the American Journal of Infection Control, the official journal of the Association for Professionals in Infection Control and Epidemiology (APIC). Read More  

  • May 24, 2017

    Using Fibrous Borate Bioactive Glass in Wound Healing 

    Wound healing is usually taken for granted; however, there are many factors that can affect this complex process, such as medications, infection, and lack of oxygen. Age and diabetes are considered the top risk factors for impaired or delayed wound healing. Diabetes and aging can result in blood and other body fluids that accumulate in the lower limbs and feet owing to damaged valves or stretched veins, and therefore prevent these fluids from being pumped back to the heart. When more and more fluid accumulates, it increases the pressure which, in turn, causes the accumulated fluids to seep through the skin. This triggers a venous stasis ulcer.  Read More

    The Art and Science of Wound Care Nursing

    For wound care nurses, in particular, making a difference in the lives of our patients requires a holistic approach. Our relationships often span many years, as we care not only for patients' chronic and difficult-to-heal wounds over time, but also address their nutrition, ability to function, and lifestyle habits. We offer reassurance, guidance, and education as they endure complicated and frequently painful procedures and surgeries. We serve as their advocates, cheerleaders, health and wellness educators, and weight loss coaches. Good nursing care is the science of treating the problem at hand and the art of understanding the big picture regarding a patient's individual needs. Read More

    Diabetes Management: The Pathogenesis and Management of Diabetic Foot Ulcers

    Two frequent features of diabetes are peripheral vascular disease leading to ischaemic lower limb extremities, and sensory neuropathy, which renders the patient prone to foot injury and vulnerable to the development of diabetic foot ulcers. The diabetic foot results from an interplay between a number of factors: vascular disease, neuropathy, trauma and infection - the two main ones being peripheral neuropathy and peripheral vascular disease (PVD). Read More  

  • May 16, 2017

    IAD Prevention Cited as Reason for More Wound-Care Nursing 

    A first-of-its-kind study tying incontinence-associated dermatitis to several risk factors underscores the need for wound and ostomy care nurses in skilled nursing facilities. Researchers from the University of Minnesota School of Nursing found a greater incidence of dermatitis among patients admitted with a perineal pressure injury; those not receiving preventative interventions; and those with greater functional limitation, more perfusion problems or fewer cognitive deficits.  Read More

    Pollution Can Delay Wound Healing: Study

    Air-polluting diesel exhaust particles, already linked to cardiovascular and respiratory diseases, also can delay diabetic wound healing, according to South Korean researchers. The team examined the effect of such pollutants on rats, measuring levels of post-exposure inflammation in normal and diabetic fibroblasts, critical collagen-producing cells found in connective tissue.The resulting inflammation can be particularly dangerous for patients with diabetic ulcers.  Read More

    Developing Guidelines for Staphylococcus Aureus Decolonization a Difficult Task

    The Centers for Disease Control and Prevention estimates that about 30% of the general population is colonized with Staphylococcus aureus in their nasal mucosa. The majority are colonized with methicillin-sensitive S. aureus (MSSA), with up to 10% harboring methicillin-resistant S. aureus (MRSA). S. aureus also colonizes the oropharynx, rectum and skin folds. Risk factors for S. aureus colonization include health care exposure (previous hospitalization, long-term acute care facility or nursing home residents), certain comorbid conditions (HIV infection, chronic dialysis, eczema) and groups in close contact (prisoners, military recruits and athletes).  Read More  

  • May 10, 2017

    Can Compression Socks Be Safely Used in Diabetics With Lower Extremity Edema? 

    RUse of mild compression diabetic socks may reduce ankle and calf circumferences in patients with diabetes and lower extremity (LE) edema, according to recent research published in Diabetes Research and Clinical Practice. "Macro and microvascularity was not compromised in either group. Results of this study suggest that mild compression diabetic sock may be effectively and safely used in patients with diabetes and [LE] edema," Stephanie C. Wu, DPM, from the Center for Lower Extremity Ambulatory Research, and colleagues wrote in their study.  Read More

    Hospital Lower-Extremity Amputation Volume Linked to Major Amputation, Mortality in Patients with CLI

    Among patients with critical limb ischemia, those in hospitals with a high volume of amputation procedures had elevated rates of major amputation and mortality, but those in hospitals with a high volume of revascularization procedures had better outcomes, according to new findings. We believe that unless it is otherwise contraindicated, these data support consideration for selective referral of CLI patients to high-volume centers for [lower-extremity revascularization] regardless of distance."  Read More

    Gene Therapy and Epidermolysis Bullosa

    At the Society for Investigative Dermatology conference last week, data on Abeona's gene therapy to treat chronic wounds in patients with epidermolysis bullosa (EB) was presented. The ongoing Phase 1/2 trial continues to impress. In the Phase 1/2 trial, Abeona is using gene therapy techniques to add Collagen VII to skin grafts that can be applied to large chronic wounds often observed in EB. The grafts were given to 6 patients with non-healing chronic wounds, and the primary outcome measures were safety and wound closure. Read More