The diabetic foot in Germany 2005–2012: Analysis of quality in specialized diabetic foot care centers
Publication date: February 2014 Source:Wound Medicine, Volume 4 Author(s): R. Lobmann , O. Achwerdov , S. Brunk-Loch , G. Engels , A. Trocha , C. Groene , J. Kersken In 2003, the German Working Group on the Diabetic Foot developed a certification procedure and requirements for diabetic foot care centers. The goal was to establish comparable diabetic foot care centers with clearly defined standards of care. The Working Group on the Diabetic Foot and the German Diabetes Society established a system for accrediting hospitals and outpatient clinics specialized in treating diabetic foot wounds. All centers have to pr...
Source: Wound Medicine - December 8, 2014 Category: Journals (General) Source Type: research
Stressing the dressing: Assessing stress during wound care in real-time using wearable sensors
Conclusions This pilot study shows that patients with DFU experience moderate to high stress while visiting a wound clinic, which may negatively impact wound healing outcomes. In particular, the highest stressful condition was during wound dressing change, which may be related to painful dressing or perception of pain. Further investigation is required to explore association between quantified stress and outcomes of wound healing. In addition, future studies need to explore benefit of stress management in enhancing the outcomes of wound healing in patients with diabetes. (Source: Wound Medicine)
Source: Wound Medicine - December 8, 2014 Category: Journals (General) Source Type: research
The Diabetic-Foot Online Clinic Utilization Score (DFOCUS): A calculator for estimating clinic volume and utilization
Publication date: February 2014 Source:Wound Medicine, Volume 4 Author(s): John D. Miller , Nicholas A. Giovinco , Joseph L. Mills , David G. Armstrong The goal of this manuscript is to suggest the utilization of pre-existing population data to provide a functional tool for health systems and administrators to best estimate and plan resource utilization when building or refining a diabetic foot clinic. The system allows one to predict the number of expected risk-category specific visits from a local community in a given year. It is our hope that this system will aid health care providers in administrative planning ...
Source: Wound Medicine - December 8, 2014 Category: Journals (General) Source Type: research
The SALSA spike: A novel technique using Kirschner wires to anchor tenuous midfoot and forefoot amputation flaps
Publication date: February 2014 Source:Wound Medicine, Volume 4 Author(s): John D. Miller , Natalie T. Hua , Nicholas A. Giovinco , David G. Armstrong , Joseph L. Mills Extensive tissue resection often mandates unique approaches to complete a functional reconstruction. While there are numerous options for selecting a donor site for a skin or soft tissue flap, available options for securing a local flap following midfoot amputation are quite limited. Adequate flap fixation is essential to maintain its viability, yet this may be challenging to achieve when there is a substantial residual post debridement requiring c...
Source: Wound Medicine - December 8, 2014 Category: Journals (General) Source Type: research
Innovations in wound medicine
Publication date: February 2014 Source:Wound Medicine, Volume 4 Author(s): Christina Irene Günter , Hans-Günther Machens The prevalence of chronic wounds is closely correlated to civilisational diseases and the ageing population. They are causing morbidity and mortality of millions of patients worldwide. Besides the individual distress, chronic wounds induce enormous and rapidly growing costs for our health care systems and society in general. Therefore medically effective and cost efficient treatment methods are desperately needed. “Regenerative Medicine” might offer innovative scientific solutions, including ...
Source: Wound Medicine - December 8, 2014 Category: Journals (General) Source Type: research
Wounds with complicated shapes tend to develop infection during negative pressure wound therapy
Conclusion Wounds with complicated shapes are more likely to develop infectious complications during the management of NPWT. More careful observation is required when negative pressure therapy is used for wounds with a complicated shape. (Source: Wound Medicine)
Source: Wound Medicine - December 8, 2014 Category: Journals (General) Source Type: research
Effective management of pressure ulcers using Hydrofibre technology with silver ions
Conclusion SCHD was a safe, effective and easy-to-apply treatment for patients with bedsores and eliminated the need for local or systemic antibiotic therapy. (Source: Wound Medicine)
Source: Wound Medicine - December 8, 2014 Category: Journals (General) Source Type: research
Why waiting for Godot could not be an ideal technique to generate scientific data
Publication date: June 2014 Source:Wound Medicine, Volume 5 (Source: Wound Medicine)
Source: Wound Medicine - December 8, 2014 Category: Journals (General) Source Type: research
Quality of life measurement in chronic wounds and inflammatory skin diseases: Definitions, standards and instruments
Conclusion PROs, in particular QoL and patient preferences, are indispensable constructs in the assessment of the patient perspective in clinical care, clinical research and health services research. The use of validated methodologies is recommended, and, in most cases, validated instruments are available. Any instrument used should be checked for validity, scientific rigor, and feasibility. (Source: Wound Medicine)
Source: Wound Medicine - December 8, 2014 Category: Journals (General) Source Type: research
Efficacy of electrical muscle stimulation in the treatment of patients with shin bone fractures
Publication date: June 2014 Source:Wound Medicine, Volume 5 Author(s): V.N. Obolenskiy , A.V. Karpenko A prospective, randomized, controlled study was undertaken with the aim to evaluate the efficacy of shin electrical muscle stimulation (EMS) in the prevention of venous thromboembolism events (VTE) and reduction of treatment and rehabilitation times in patients with shin bone fractures. The authors analyzed the incidence of VTE, treatment and rehabilitation times, and changes in quality of life as assessed with the SF-36 questionnaire; they conclude that EMS is a valuable choice for recently hospitalized traumatolog...
Source: Wound Medicine - December 8, 2014 Category: Journals (General) Source Type: research
Four layer dressing in the management of chronic venous ulcers in the outpatient setting of a tertiary hospital in India
Conclusion Four layer dressing is effective in the healing of venous ulcers in the outpatient setting with good patient compliance. (Source: Wound Medicine)
Source: Wound Medicine - December 8, 2014 Category: Journals (General) Source Type: research
Use of the WoundQoL instrument in routine practice: Feasibility, validity and development of an implementation tool
Conclusion WoundQoL is a feasible and valid questionnaire for the assessment of HRQoL in chronic wounds. The implementation tool WoundAct is convenient for implementing active measures to improve patient condition. (Source: Wound Medicine)
Source: Wound Medicine - December 8, 2014 Category: Journals (General) Source Type: research
Iliac vein stenting as an adjunct to four layer dressing in the healing of chronic venous ulcers
We present two cases of refractory non-healing venous ulcers which were successfully treated with a combination of four layer dressing and iliac vein stenting. (Source: Wound Medicine)
Source: Wound Medicine - December 8, 2014 Category: Journals (General) Source Type: research
Corrigendum to “The Too Few Toes principle: A formula for limb-sparing low-level amputation planning” [Wound Med. 4 (2014) 37–41]
Publication date: September 2014 Source:Wound Medicine, Volume 6 Author(s): John D. Miller , Michelle Zhubrak , Nicholas A. Giovinco , Joseph L. Mills , David G. Armstrong (Source: Wound Medicine)
Source: Wound Medicine - December 8, 2014 Category: Journals (General) Source Type: research
Wound treatment costs comparing a bio-cellulose dressing with moist wound healing dressings and conventional dressings
Conclusion Moist wound healing dressings showed a cost reduction, compared to traditional dressings, with a larger cost reduction shown for bio-cellulose dressing. 1 These findings are to be confirmed by randomized controlled studies. (Source: Wound Medicine)
Source: Wound Medicine - December 8, 2014 Category: Journals (General) Source Type: research
