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Sample records for bandages

  1. Bandages

    Directory of Open Access Journals (Sweden)

    Kelly Oliver

    2014-12-01

    Full Text Available “The bandages signify death,” says Derrida, “the condemnation to death; when they fall away, out of use, undone, untied, untying, they signify, like a detached signifier, that the dead one is resuscitated." Like a detached signifier, indicating a metaphorical relationship between signification and the bandages.  But, when we follow the metonymy of bandages in Derrida’s Death Penalty seminar volume one, the bandages appear as the figure for figuration itself.  More specifically, they are a sign that needs interpretation; a sign that the bandages are detached from the body; a sign that the word, or sign, is detached from the thing.

  2. Bandages of boiled potato peels.

    Science.gov (United States)

    Patil, A R; Keswani, M H

    1985-08-01

    The use of potato peels as a dressing for burn wounds has been reported previously. A technique of preparing bandage rolls with boiled potato peels is now presented, which makes dressing of a burn wound more convenient. PMID:4041947

  3. The influence of bandage characteristics and inter-individual application variations on underneath bandage pressures.

    Science.gov (United States)

    Morlock, MM; Nassutt, R; Bonin, V

    1997-04-01

    INTRODUCTION:: Cohesive bandages are applied to the legs of racehorses and horses with limb injuries for protection (prevention of abrasion) and support (reduction of movement at the fetlock joint). The support capacity of all commercially available bandages has been questioned. Consequently, the protection aspect of bandaging and the negative side effects, which can be caused by bandaging (eg pressure induced ischemia with subsequent necrosis), were emphasized. High pressures underneath bandages were shown to cause reduced blood flow. Pressures underneath certain types of bandages were shown to be higher than under others. It is unclear if these differences were due to differences in material characteristics between the bandage types or caused by differences in application by the trainers. The purpose of this study was to determine (a) if differences between different types of bandages are observed if these are applied similarly and (b) if earlier observed differences in pressures underneath bandages are reproducible when wrapped by different trainers. METHODS AND MATERIAL:: (a) A wrapping machine for the application of bandages to an artificial joint (simulating the human knee joint) was designed and built. The machine allows to wrap bandages with adjustable, constant tension under well defined wrapping angles in order to simulate a wrapping technique similar to the wrapping by trainers. The artificial joint is equipped with two pressure sensors (Parotec, Germany). After bandage application, the artificial joint was placed in a specially designed testing machine and cycled through 200 cycles from 0 degrees to 90 degrees of flexion at a frequency of 0.5 Hz. Pressure data were collected at a frequency of 20 Hz. The force required to unwind the bandage from its core was measured with a material testing machine. Five samples each of four different 4" wide cohesive bandages were tested: 'E': high modulus latex, 'V': low mod. latex, 'C': low mod. latex, 'F': medium mod

  4. [PHYSICAL PROPERTIES OF PLASTER BANDAGES].

    Science.gov (United States)

    Antabak, Anko; Barisić, Branimir; Andabak, Matej; Bradić, Lucija; Brajcinović, Melita; Haramina, Tatjana; Haluzan, Damir; Fuchs, Nino; Durkovir, Selena; Curković, Selena; Luetić, Tomislav; Sisko, Jerko; Prlić, Ivica

    2015-01-01

    The physical properties of plaster bandages are a very important factor in achieving the basic functions of immobilization (maintaining bone fragments in the best possible position), which directly affects the speed and quality of fracture healing. This paper compares the differences between the physical properties of plaster bandages (mass, specific weight, drying rate, elasticity and strength) and records the differences in plaster modeling of fast bonding 10 cm wide plaster bandages, from three different manufacturers: Safix plus (Hartmann, Germany), Cellona (Lohman Rauscher, Austria) and Gipsan (Ivo Lola Ribar ltd., Croatia). Plaster tiles from ten layers of plaster, dimension 10 x 10 cm were made. The total number of tiles from each manufacturer was 48. The water temperature of 22 °C was used for the first 24 tiles and 34 'C was used for the remainder. The average specific weight of the original packaging was: Cellona (0.52 g/cm3), Gipsan (0.50 g/cm3), Safix plus (0.38 g/cm3). Three days after plaster tile modeling an average specific weight of the tiles was: Gipsan (1.15 g/cm3), Safix plus (1.00 g/cm3), Cellona (1.10 g/cm3). The average humidity of 50% for Safix plus and Cellona plaster tiles was recorded 18 hours after modeling, while for the Gipsan plaster tiles, this humidity value was seen after 48 hours. On the third day after plaster modeling the average humidity of the plaster tiles was 30% for Gipsan, 24% for Safix and 16% for Cellona. Cellona plaster tiles made with 34 °C water achieved the highest elasticity (11.75±3.18 MPa), and Gipsan plaster tiles made with 22 °C had the lowest (7.21±0.9 MPa). Cellona plaster tiles made with 34 °C water showed maximum material strength (4390±838 MPa), and Gipsan plaster tiles made with 22 °C water showed the lowest material strength (771±367 MPa). The rigidity and strength of Cellona and Gipsan plaster are higher in tiles made in warmer water, and for Safix plus are higher in tiles made in cooler water

  5. A novel medical bandage with enhanced clothing comfort

    Science.gov (United States)

    Oğlakcioğlu, N.; Sari, B.; Bedez Üte, T.; Marmarali, A.

    2016-07-01

    Compression garments are special textile products which apply a pressure on needed body zones for supporting medical, sport or casual activities. Medical bandages are a group of these garments and they have a very common usage for compression effect on legs or arms. These bandages are generally produced by using synthetic raw materials such as polyamide or polyester fibres. Medical bandages are in contact with skin. Even if the synthetic fibres are used, they may cause both comfort and health problems like allergies. Nowadays in textile sector, the expectations of clients include using of natural fibres as far as possible in all garments. Natural fibres have good advantages such as breathability, softness, moisture management ability, non-allergenic and ecologic structure and these characteristics present optimum utilization conditions. In this study, tubular medical bandages were manufactured by using core spun yarns (sheath fibres are selected as tencel, bamboo and cotton, core material is elastane) and their pressure and comfort (air and water vapour permeability) characteristics were investigated. The results indicated that the bandages have good comfort abilities beside adequate pressure values for compression effect. These garments can constitute a new production field for medical bandages with their comfort properties in addition to pressure characteristics.

  6. Memory Bandage for Functional Compression Management for Venous Ulcers

    Directory of Open Access Journals (Sweden)

    Bipin Kumar

    2016-02-01

    Full Text Available In current compression practice for the treatment of chronic venous disorders, there has always been a challenge of controlled compression by a bandage to achieve a particular pressure range in the affected region of the limb. The challenges in compression in the products could be solved if there were the possibility of stress control in fabric. Herein, we are exploiting the newly discovered phenomena, i.e., stress memory, in a memory polymer (MP for the design and investigation of a smart bandage for functional compression benefits. A memory bandage is developed using a blend yarn consisting of MP filaments (segmented polyurethane and nylon filaments. Results showed the possibility to control or manage the internal stress developed in the bandage in wrapped position by simple heating, and thus allowing pressure readjustment externally. Extra pressure generated by the bandage increases with increasing the level of temperature and strain (p < 0.05. The pressure variations also depend on the number of layers and limb circumference (p < 0.05. The memory bandage could have a great potential over existing conventional compression products, as they could give more freedom to govern pressure level whenever needed during the course of compression therapy as a novel wound care management system.

  7. Comparison between the efficacies of two different methods of preparing Esmarch bandages for sterilization

    OpenAIRE

    Dogan, Ahmet; Albayrak, Mehmet; Mumcuoglu, I. Erhan

    2004-01-01

    Objectives: Sterile Esmarch bandages have a widespread use in orthopedic surgery. We evaluated the efficacy of two different methods of preparing Esmarch bandages for sterilization. Methods: Two groups of Esmarch bandages were used, each group consisting of 25 bandages. The size of the bandages was 6.3 cm in width and 450 cm in length. Before sterilization, the bandages were tightly rolled in one group and loosely folded at a length of 10 cm in the other. An indicator was inserted at every...

  8. Influence of elastic bandage on knee pain, proprioception, and postural sway in subjects with knee osteoarthritis

    OpenAIRE

    Hassan, B.; Mockett, S; Doherty, M

    2002-01-01

    Objectives: To investigate whether a "standard" sized (that is, a size that would be prescribed by a physiotherapist) elastic bandage (S-bandage) around the knee of subjects with knee osteoarthritis (OA) would, in the short term (a) reduce pain, (b) improve knee joint proprioception, and (c) decrease sway in comparison with a looser (L-bandage).

  9. Improved Polyurethane-coated Orthopedic Casting Bandage for Medical Application

    Institute of Scientific and Technical Information of China (English)

    周荣星; 周煜; 冯勋伟

    2001-01-01

    A new improved polyester casting bandage, which comprises a knitted polyester substrate coated with polyurethane prepolymer, was developed. The appropriate polyester knitted substrate was selected firstly; the optimal ingredient for the synthesis of coating resin (polyurethane prepolymer) was determined then through a series of trial experiments and factorial experiments; the properties of bandage were checked at last. The results of the experiment indicate that most of the properties of the new product could exceed or approximate to the level of similar product of other countries.

  10. Super-hydrophobic bandages and method of making the same

    Science.gov (United States)

    Simpson, John T.; D'Urso, Brian R.

    2012-06-05

    A bandage that includes a material, which can be breathable, having a first surface, and a plurality of superhydrophobic particles attached to the first surface. The plurality of superhydrophobic particles ranging in size from about 100 nanometers to about 10 micrometers. The superhydrophobic particles including a protrusive material defining a plurality of nanopores and a plurality of spaced apart nanostructures that define an external boundary of the hydrophobic particles. The nanopores providing a flow through porosity. The first surface can be rendered superhydrophobic by the attached superhydrophobic particles. The material can have a second surface opposite the first surface that is hydrophilic. The superhydrophobic particles can be adhered to the first surface by a binder. Also included is a method of making the bandages described herein.

  11. Memory Bandage for Functional Compression Management for Venous Ulcers

    OpenAIRE

    Bipin Kumar; Jinlian Hu; Ning Pan

    2016-01-01

    In current compression practice for the treatment of chronic venous disorders, there has always been a challenge of controlled compression by a bandage to achieve a particular pressure range in the affected region of the limb. The challenges in compression in the products could be solved if there were the possibility of stress control in fabric. Herein, we are exploiting the newly discovered phenomena, i.e., stress memory, in a memory polymer (MP) for the design and investigation of a smart b...

  12. Exploration of alginate hydrogel/nano zinc oxide composite bandages for infected wounds

    Directory of Open Access Journals (Sweden)

    Mohandas A

    2015-10-01

    Full Text Available Annapoorna Mohandas,* Sudheesh Kumar PT,* Biswas Raja, Vinoth-Kumar Lakshmanan, Rangasamy Jayakumar Amrita Centre for Nanosciences and Molecular Medicine, Amrita Institute of Medical Sciences and Research Centre, Amrita Vishwa Vidyapeetham University, Kochi, India *These authors contributed equally to this work Abstract: Alginate hydrogel/zinc oxide nanoparticles (nZnO composite bandage was developed by freeze-dry method from the mixture of nZnO and alginate hydrogel. The developed composite bandage was porous with porosity at a range of 60%–70%. The swelling ratios of the bandages decreased with increasing concentrations of nZnO. The composite bandages with nZnO incorporation showed controlled degradation profile and faster blood clotting ability when compared to the KALTOSTAT® and control bandages without nZnO. The prepared composite bandages exhibited excellent antimicrobial activity against Escherichia coli, Staphylococcus aureus, Candida albicans, and methicillin resistant S. aureus (MRSA. Cytocompatibility evaluation of the prepared composite bandages done on human dermal fibroblast cells by Alamar assay and infiltration studies proved that the bandages have a non-toxic nature at lower concentrations of nZnO whereas slight reduction in viability was seen with increasing nZnO concentrations. The qualitative analysis of ex-vivo re-epithelialization on porcine skin revealed keratinocyte infiltration toward wound area for nZnO alginate bandages. Keywords: alginate, hydrogel, ZnO nanoparticle, hemostatic, antimicrobial activity, wound healing

  13. Liquid transmission characteristics of padding bandages under pressure.

    Science.gov (United States)

    Kumar, Bipin; Das, Apurba; Pan, Ning; Alagirusamy, R; Gupta, Rupali; Singh, Jitender

    2015-11-01

    Padding is an essential component in a multilayer compression bandaging system, used inside the compression bandage through which substantial amount of pressure is exerted on the limb of patient for treatment of venous leg ulcers. As a result, the liquid transmission behavior of padding is also critical in managing body fluids or sweat exuded from the affected limb, reducing the excessive moisture build-up around the wound and thereby ensuring comfort to and hence a better compliance from the patients. This study investigates the in-plane fluid transport characteristics of needle-punched nonwoven padding bandages. It first reviewed the existing studies related to the problems, and discussed their limits and possible improvements in dealing with complex fluid transport issues in textile porous media. The measurement of fluid transport under different pressure levels was then done using a newly designed apparatus capable of simultaneously tracing the liquid in-plane spreading along different directions, and obtaining several transport characteristics of a testing sample, e.g. the liquid flow anisotropy, the rate of movement, the area of wet surface with time, etc. Also the effects of several important factors, such as the levels of pressure applied, the specimen bulk density, and needling density of the padding products, have been experimentally investigated. In addition, based on an extended Lucas-Washburn theory, we calculated the liquid flow distance, both instantaneous speed and a more useful time-averaged speed v(av) at any given direction, and also defined a flow anisotropy index I(A) as a convenient parameter to represent the material flow anisotropy. The applications of v(av) and I(A) to actual samples have demonstrated the usefulness of these parameters in characterizing the flow nature and behavior of the materials. PMID:26228389

  14. Wireless Flexible Smart Bandage for Continuous Monitoring of Wound Oxygenation.

    Science.gov (United States)

    Mostafalu, Pooria; Lenk, William; Dokmeci, Mehmet R; Ziaie, Babak; Khademhosseini, Ali; Sonkusale, Sameer R

    2015-10-01

    Current methods in treating chronic wounds have had limited success in large part due to the open loop nature of the treatment. We have created a localized 3D-printed smart wound dressing platform that will allow for real-time data acquisition of oxygen concentration, which is an important indicator of wound healing. This will serve as the first leg of a feedback loop for a fully optimized treatment mechanism tailored to the individual patient. A flexible oxygen sensor was designed and fabricated with high sensitivity and linear current output. With a series of off-the-shelf electronic components including a programmable-gain analog front-end, a microcontroller and wireless radio, an integrated electronic system with data readout and wireless transmission capabilities was assembled in a compact package. Using an elastomeric material, a bandage with exceptional flexibility and tensile strength was 3D-printed. The bandage contains cavities for both the oxygen sensor and the electronic systems, with contacts interfacing the two systems. Our integrated, flexible platform is the first step toward providing a self-operating, highly optimized remote therapy for chronic wounds. PMID:26552096

  15. Preparation of silver-chitosan nanocomposites and coating on bandage for antibacterial wound dressing application

    International Nuclear Information System (INIS)

    Bandage is a medical device that is essential for wound dressing. To improve the performance of the bandage, it has been coated by silver-chitosan nanocomposites (Ag/Chit) with pad-dry-cure method. The nanocomposites were performed by chemical reduction method at room temperature using glucose as reducing agent, sodium hydroxide (NaOH) as accelerator reagent, silver nitrate (AgNO3) as metal precursor and chitosan as stabilizing agent. Localized surface plasmon resonance (LSPR) absorption band of silver nanoparticles was investigated using UV-Vis spectrophotometer. The bandage coated Ag/Chit nanocomposites (B-Ag/Chit) were characterized by fourier transform infrared spectroscopy (FTIR), X-ray diffraction (XRD) and scanning electron microscope (SEM). In addition, antibacterial activity of the bandage toward Gram positive (Staphylococcus aureus) and Gram negative (Escherichia coli) were also studied. The formation of silver nanoparticles was confirmed by the appearance of LSPR absorption peak at 412.2 – 423.2 nm. Coating of nanocomposite cause increasing rigidity of bandage and decreasing on crystallinity. The bandages of B-Ag/Chit demonstrated good activity against both Gram positive (S. aureus) and Gram negative (E.Coli). Thus the bandages have a potential to be used for antibacterial wound dressing application

  16. Preparation of silver-chitosan nanocomposites and coating on bandage for antibacterial wound dressing application

    Energy Technology Data Exchange (ETDEWEB)

    Susilowati, Endang, E-mail: endwati@yahoo.co.id; Ashadi [Chemistry Education Department, Faculty of Teacher Training and Education, Universitas Sebelas Maret Surakarta (Indonesia); Maryani [Medical Doctor Program, Faculty of Medicine, Universitas Sebelas Maret Surakarta, Indonesia Jl. Ir Sutami 36 A Surakarta Indonesia 53126 (Indonesia)

    2016-02-08

    Bandage is a medical device that is essential for wound dressing. To improve the performance of the bandage, it has been coated by silver-chitosan nanocomposites (Ag/Chit) with pad-dry-cure method. The nanocomposites were performed by chemical reduction method at room temperature using glucose as reducing agent, sodium hydroxide (NaOH) as accelerator reagent, silver nitrate (AgNO{sub 3}) as metal precursor and chitosan as stabilizing agent. Localized surface plasmon resonance (LSPR) absorption band of silver nanoparticles was investigated using UV-Vis spectrophotometer. The bandage coated Ag/Chit nanocomposites (B-Ag/Chit) were characterized by fourier transform infrared spectroscopy (FTIR), X-ray diffraction (XRD) and scanning electron microscope (SEM). In addition, antibacterial activity of the bandage toward Gram positive (Staphylococcus aureus) and Gram negative (Escherichia coli) were also studied. The formation of silver nanoparticles was confirmed by the appearance of LSPR absorption peak at 412.2 – 423.2 nm. Coating of nanocomposite cause increasing rigidity of bandage and decreasing on crystallinity. The bandages of B-Ag/Chit demonstrated good activity against both Gram positive (S. aureus) and Gram negative (E.Coli). Thus the bandages have a potential to be used for antibacterial wound dressing application.

  17. Preparation of silver-chitosan nanocomposites and coating on bandage for antibacterial wound dressing application

    Science.gov (United States)

    Susilowati, Endang; Maryani, Ashadi

    2016-02-01

    Bandage is a medical device that is essential for wound dressing. To improve the performance of the bandage, it has been coated by silver-chitosan nanocomposites (Ag/Chit) with pad-dry-cure method. The nanocomposites were performed by chemical reduction method at room temperature using glucose as reducing agent, sodium hydroxide (NaOH) as accelerator reagent, silver nitrate (AgNO3) as metal precursor and chitosan as stabilizing agent. Localized surface plasmon resonance (LSPR) absorption band of silver nanoparticles was investigated using UV-Vis spectrophotometer. The bandage coated Ag/Chit nanocomposites (B-Ag/Chit) were characterized by fourier transform infrared spectroscopy (FTIR), X-ray diffraction (XRD) and scanning electron microscope (SEM). In addition, antibacterial activity of the bandage toward Gram positive (Staphylococcus aureus) and Gram negative (Escherichia coli) were also studied. The formation of silver nanoparticles was confirmed by the appearance of LSPR absorption peak at 412.2 - 423.2 nm. Coating of nanocomposite cause increasing rigidity of bandage and decreasing on crystallinity. The bandages of B-Ag/Chit demonstrated good activity against both Gram positive (S. aureus) and Gram negative (E.Coli). Thus the bandages have a potential to be used for antibacterial wound dressing application.

  18. Comparative study of two silicone hydrogel contact lenses used as bandage contact lenses after photorefractive keratectomy

    OpenAIRE

    Hasan Razmjoo; Elham Abdi; Sayna Atashkadi; Akhlaghi M Reza; Peyman A Reza; Mojtaba Akbari

    2012-01-01

    Background: Silicon hydrogel bandage contact lenses are used to enhance epithelial healing, control surface-generated pain, and prevent epithelial erosions after refractive surgery. Considering the importance of faster reepithelialization in preventing complications of photorefractive keratectomy (PRK) and the fact that the features and specifications of these commercially-available lenses are different and their performance as a postoperative bandage lenses would be different also, the aim o...

  19. Waterproof Electronic-Bandage with Tunable Sensitivity for Wearable Strain Sensors.

    Science.gov (United States)

    Jeon, Jun-Young; Ha, Tae-Jun

    2016-02-01

    We demonstrate high-performance wearable electronic-bandage (E-bandage) based on carbon nanotube (CNT)/silver nanoparticle (AgNP) composites covered with flexible media of fluoropolymer-coated polydimethylsiloxane (PDMS) films. The E-bandage can be used for motion-related sensors by directly attaching them to human skin, which achieves a fast and accurate electric response with high sensitivity according to the bending and stretching movements that induce changes in the conductivity. This advance in the E-bandage is realized as a result of the sensitivity that can be achieved by controlling the concentration of AgNPs in CNT pastes and by modifying the device architecture. The fluoropolymer encapsulation with hydrophobic surface characteristics allows for the E-bandage to operate in water and protects it from physical and chemical contact with the daily life conditions of the human skin. The reliability and scalability of the E-bandage as well as the compatibility with conventional microfabrication allow new possibilities to integrate flexible human-interactive nanoelectronics into mobile health-care monitoring systems combined with Internet of things (IoTs). PMID:26751851

  20. Shoulder bandage with distal traction – application to athletes overusing

    Directory of Open Access Journals (Sweden)

    Zdeněk Florian

    2005-02-01

    Full Text Available Sportsmen with overhead activities very frequently have an increased mobility of the shoulder joints. Thus it is often difficult to distinguish between stability, hyperlaxity, and instability of the joint. Repeated extreme movements strain static stabilizers and lead to their lengthening. The principal problem in sporters is to establish a balance between the mobility and stability of the shoulder joint. Clinical examinations and the following treatment should be focused not only on pain but also on the stability of the glenohumeral joint. We can encounter a whole range of possibilities from glenohumeral instability to the impingement syndrome. We often find a narrowing of the subacromial space in so-called tennis shoulder (rotation of the scapula and relative abduction of the humerus. A helpful therapeutic solution of this problem should be provided by a bandage of our own new construction. The shoulder bandage consists of an upper arm sleeve and an elastic strap leading across the axilla and fixed around the chest. If the upper extremity is free in adduction, there is no tension to the sleeve but in the moment of abduction, the elastic strap is gradually stretched and the sleeve pulls the proximal humerus down. Greater elevation and greater tension can be modified by the tightening or lengthening of the elastic strap. On the one hand the bandage causes broadening of the subacromial space, on the other hand muscle activity is modified and a higher muscle tonus increasingly stabilizes the joint. This paper describes the effect of the bandage from different points of view – orthopedic, biomechanical, and imaging. A group of 25 patients is evaluated. The feeling of an increased stability of the shoulder is described by 16 sporters and minimizing of pain by using the bandage is reported by 13 sporters. Constraining of locomotion in the edge position is claimed by 18 persons and decreasing of performance resulting from a slowed up lifting of the

  1. A prospective randomised trial of four-layer versus short stretch compression bandages for the treatment of venous leg ulcers.

    OpenAIRE

    Scriven, J. M.; Taylor, L. E.; Wood, A. J.; Bell, P R; Naylor, A. R.; London, N. J.

    1998-01-01

    This trial was undertaken to examine the safety and efficacy of four-layer compared with short stretch compression bandages for the treatment of venous leg ulcers within the confines of a prospective, randomised, ethically approved trial. Fifty-three patients were recruited from a dedicated venous ulcer assessment clinic and their individual ulcerated limbs were randomised to receive either a four-layer bandage (FLB)(n = 32) or a short stretch bandage (SSB)(n = 32). The endpoint was a complet...

  2. The effect of honey-coated bandages compared with silver-coated bandages on treatment of malignant wounds - a randomized study

    DEFF Research Database (Denmark)

    Lund-Nielsen, Betina; Adamsen, Lis; Kolmos, Hans Jørn;

    2011-01-01

    Malignant wounds (MWs) occur in 5-10% of all cancer patients. Malodor and exudation are the most common side effects. The aim was to determine the influence of honey-coated compared with silver-coated bandages on treatment of MWs. Patients were randomly selected to enter either group A (honey...

  3. Low Cost Inkjet Printed Smart Bandage for Wireless Monitoring of Chronic Wounds.

    Science.gov (United States)

    Farooqui, Muhammad Fahad; Shamim, Atif

    2016-01-01

    Chronic wounds affect millions of patients around the world and their treatment is challenging as the early signs indicating their development are subtle. In addition, a type of chronic wound, known as pressure ulcer, develops in patients with limited mobility. Infection and frequent bleeding are indicators of chronic wound development. In this article, we present an unprecedented low cost continuous wireless monitoring system, realized through inkjet printing on a standard bandage, which can send early warnings for the parameters like irregular bleeding, variations in pH levels and external pressure at wound site. In addition to the early warnings, this smart bandage concept can provide long term wound progression data to the health care providers. The smart bandage comprises a disposable part which has the inkjet printed sensors and a reusable part constituting the wireless electronics. This work is an important step towards futuristic wearable sensors for remote health care applications. PMID:27353200

  4. Preparation of the egg membrane bandage contained the antibacterial Ag nanoparticles

    Energy Technology Data Exchange (ETDEWEB)

    Zhang, Jin; Duan, Guangwen [Department of Materials and Chemical Engineering, Hainan University, 570228 Haikou (China); Fu, Yunzhi, E-mail: yzhfu@hainu.edu.cn [Department of Materials and Chemical Engineering, Hainan University, 570228 Haikou (China); Zhao, Jinsheng [Shandong Key Laboratory of Chemical Energy-Storage and Novel Cell Technology, Liaocheng University, 252059 Liaocheng (China)

    2015-02-15

    Silver nanoparticles were synthesized using a rapid, single step, and completely green biosynthetic method employing aqueous aloe leaf extracts as both the reducing and capping agent. Transmission electron microscopy analysis revealed the average size of silver nanoparticles approximately 18.05 nm. Fourier transform infrared spectroscopy observation showed the estimation of two kinds of binding sites between aqueous aloe leaf and aqueous aloe leaf with silver nanoparticles. In addition, the critical roles of the concentration of silver nitrate, temperature, and reaction time in the formation of silver nanoparticles had been illustrated. Furthermore, silver nanoparticles were deposited on egg membrane bandage, forming a new egg membrane bandage that contained silver nanoparticles that exhibiting excellent antibacterial effects against Gram-negative Escherichia coli and Gram-positive Staphylococcus aureus, which was 2.5 times stronger than the commercially available bandage. - Graphical Abstract: Display Omitted.

  5. Low Cost Inkjet Printed Smart Bandage for Wireless Monitoring of Chronic Wounds

    KAUST Repository

    Farooqui, Muhammad Fahad

    2016-06-29

    Chronic wounds affect millions of patients around the world and their treatment is challenging as the early signs indicating their development are subtle. In addition, a type of chronic wound, known as pressure ulcer, develops in patients with limited mobility. Infection and frequent bleeding are indicators of chronic wound development. In this article, we present an unprecedented low cost continuous wireless monitoring system, realized through inkjet printing on a standard bandage, which can send early warnings for the parameters like irregular bleeding, variations in pH levels and external pressure at wound site. In addition to the early warnings, this smart bandage concept can provide long term wound progression data to the health care providers. The smart bandage comprises a disposable part which has the inkjet printed sensors and a reusable part constituting the wireless electronics. This work is an important step towards futuristic wearable sensors for remote health care applications.

  6. Preparation of the egg membrane bandage contained the antibacterial Ag nanoparticles

    International Nuclear Information System (INIS)

    Silver nanoparticles were synthesized using a rapid, single step, and completely green biosynthetic method employing aqueous aloe leaf extracts as both the reducing and capping agent. Transmission electron microscopy analysis revealed the average size of silver nanoparticles approximately 18.05 nm. Fourier transform infrared spectroscopy observation showed the estimation of two kinds of binding sites between aqueous aloe leaf and aqueous aloe leaf with silver nanoparticles. In addition, the critical roles of the concentration of silver nitrate, temperature, and reaction time in the formation of silver nanoparticles had been illustrated. Furthermore, silver nanoparticles were deposited on egg membrane bandage, forming a new egg membrane bandage that contained silver nanoparticles that exhibiting excellent antibacterial effects against Gram-negative Escherichia coli and Gram-positive Staphylococcus aureus, which was 2.5 times stronger than the commercially available bandage. - Graphical Abstract: Display Omitted

  7. Therapy of radiation induced epitheliolysis with a bandage consisting of hydrocolloids and polymers (Biofilm)

    International Nuclear Information System (INIS)

    Acute skin lesions following radiotherapy are discomfortable and unacceptable side effects. They are observed predominantly after high surface doses as in conventional roentgen or electron beam therapy. To accelerate the wound healing we tested a bandage consisting of hydrocolloids and polymeres, which is permeable for gas and water. Handling, compatibility and effectiveness of this plaster were tested in this study. According to the RTOG scoring system 19 irradiated fields with grade II to IV lesions were treated. Densitometric measurements of verification films with and without Biofilm showed no energy absorption. The bandage was comfortable for the patients and easy to handle. (orig.)

  8. Feasibility study of polyurethane shape-memory polymer actuators for pressure bandage application

    International Nuclear Information System (INIS)

    The feasibility of laboratory-synthesized polyurethane-based shape-memory polymer (SMPU) actuators has been investigated for possible application in medical pressure bandages where gradient pressure is required between the ankle and the knee for treatment of leg ulcers. In this study, using heat as the stimulant, SMPU strip actuators have been subjected to gradual and cyclic stresses; their recovery force, reproducibility and reusability have been monitored with respect to changes in temperature and circumference of a model leg, and the stress relaxation at various temperatures has been investigated. The findings suggest that SMPU actuators can be used for the development of the next generation of pressure bandages.

  9. Feasibility study of polyurethane shape-memory polymer actuators for pressure bandage application

    Directory of Open Access Journals (Sweden)

    Manzoor Ahmad, Jikui Luo and Mohsen Miraftab

    2012-01-01

    Full Text Available The feasibility of laboratory-synthesized polyurethane-based shape-memory polymer (SMPU actuators has been investigated for possible application in medical pressure bandages where gradient pressure is required between the ankle and the knee for treatment of leg ulcers. In this study, using heat as the stimulant, SMPU strip actuators have been subjected to gradual and cyclic stresses; their recovery force, reproducibility and reusability have been monitored with respect to changes in temperature and circumference of a model leg, and the stress relaxation at various temperatures has been investigated. The findings suggest that SMPU actuators can be used for the development of the next generation of pressure bandages.

  10. Effects of a Modified Hand Compression Bandage for Treatment of Post-Burn Hand Edemas

    Science.gov (United States)

    Park, Won Yong; Joo, So Young; Jang, Ki Un; Seo, Cheong Hoon; Jun, Ah Young

    2016-01-01

    Objective To evaluate the effect of a modified hand compression bandage in patients with a post-burn hand edema. Methods Patients were recruited from burn centers. We classified the patients into two groups: the modified hand compression bandage group comprising of 22 patients who had a modified hand compression bandage and received conventional physical therapy and the conventionally treated group, comprising of 20 patients who received only conventional physical therapy during the 4-week period post-burn. Hand circumference, hand skin thickness, and hand function were evaluated by grip strength, active range of motion (ROM), Jebsen hand function test, and visual analogue scale (VAS). These assessments were used to evaluate treatment effectiveness prior to the first treatment, 2 weeks after the first treatment, 4 weeks after the first treatment, and 4 months after the first treatment. Results As a result of repeated-measures analysis of variance on hand circumference, skin thickness, VAS, and each metacarpophalangeal joint ROM, we found significant differences that corresponded to time effect (p0.05). Conclusion The modified hand compression bandage will be clinically useful for the treatment of patients with post-burn hand edemas. PMID:27152286

  11. A compression bandage improves local infiltration analgesia in total knee arthroplasty

    DEFF Research Database (Denmark)

    Andersen, Lasse; Husted, Henrik; Otte, Niels Kristian Stahl Kri; Kristensen, Billy Bjarne; Kehlet, Henrik

    2008-01-01

    BACKGROUND: High-volume local infiltration analgesia has been shown to be an effective pain treatment after knee replacement, but the role of bandaging to prolong analgesia has not been evaluated. METHODS: 48 patients undergoing fast-track total knee replacement with high-volume (170 mL) 0.2% rop...

  12. Sub-bandage sensing system for remote monitoring of chronic wounds in healthcare

    Science.gov (United States)

    Hariz, Alex; Mehmood, Nasir; Voelcker, Nico

    2015-12-01

    Chronic wounds, such as venous leg ulcers, can be monitored non-invasively by using modern sensing devices and wireless technologies. The development of such wireless diagnostic tools may improve chronic wound management by providing evidence on efficacy of treatments being provided. In this paper we present a low-power portable telemetric system for wound condition sensing and monitoring. The system aims at measuring and transmitting real-time information of wound-site temperature, sub-bandage pressure and moisture level from within the wound dressing. The system comprises commercially available non-invasive temperature, moisture, and pressure sensors, which are interfaced with a telemetry device on a flexible 0.15 mm thick printed circuit material, making up a lightweight biocompatible sensing device. The real-time data obtained is transmitted wirelessly to a portable receiver which displays the measured values. The performance of the whole telemetric sensing system is validated on a mannequin leg using commercial compression bandages and dressings. A number of trials on a healthy human volunteer are performed where treatment conditions were emulated using various compression bandage configurations. A reliable and repeatable performance of the system is achieved under compression bandage and with minimal discomfort to the volunteer. The system is capable of reporting instantaneous changes in bandage pressure, moisture level and local temperature at wound site with average measurement resolutions of 0.5 mmHg, 3.0 %RH, and 0.2 °C respectively. Effective range of data transmission is 4-5 m in an open environment.

  13. Effect of Multi-layer Compression Bandage Systems on Leg Ulcers Associated with Chronic Venous Insufficiency

    Directory of Open Access Journals (Sweden)

    Hüseyin Kuplay

    2013-03-01

    Full Text Available Introduction: Venous leg ulcer is a major health problem in terms of high prevalence and high cost for treatment. Multi-layer compression bandage systems for venous leg ulcers are supposed to be the gold standard for the treatment of venous ulcers. The aim of the current study is to investigate the effectiveness of multi-layer compression bandage systems for the treatment of venous leg ulcers.Patients and Methods: Nineteen consecutive patients diagnosed to have leg ulcers were evaluated and four patients were excluded from the study due to the peripheral arterial disease. Fifteen patients, enrolled in the study, were classified according to CEAP classification and belonged to the same class. Betaven® multi-layer compression bandage was applied to patients. Patients were followed-up in terms of wound healing and reduction in wound diameter.Results: Twelve male and three female patients underwent multi-layer bandage system. Mean age of patients was 38.2 ± 4.2 years. Ulcer size was measured planimetrically and baseline ulcer size was 4-10 cm². The location of ulcer was on medial malloelus in seven patients, lateral malleolus in three patients, anterior surface of the leg in four patients and lateral side of the leg in one patient. Patients had chronic venous insuuficiency for a mean of 5.1 ± 2.1 years. CEAP classifications were C6, Ep, As2,3-p18, Pr2,3, 18. Each bandage was changed five days after application along with wound care. Mean duration of treatment was 6 ± 2 weeks. Complete healing of the venous ulcers occurred in all patients except for one. This patient was referred to plastic surgery clinic for reconstruction.Conclusion: Multi-layer compression bandage system is an effective method of treatment for venous leg ulcers associated with chronic venous insufficiency by reducing venous return and increasing intertitial tissue pressure. This effect occurred in the shortrun as well as with a low cost and prevented loss of labor.

  14. Effect of a stent bandage on the likelihood of incisional infection following exploratory coeliotomy for colic in horses

    DEFF Research Database (Denmark)

    Tnibar, Aziz; Grubbe Lin, Kathrine; Nielsen, Katrine Thurøe; Christophersen, Mogens Teken; Lindegaard, Casper; Martinussen, Torben; Ekstrøm, Claus Thorn

    2013-01-01

    Reasons for performing study: Incisional infections are common in horses after colic surgery. There is a clinical impression that the use of a stent bandage reduces the prevalence of such infections. Objective: To determine the effect of a stent bandage on the likelihood of incisional infection...... after ventral midline exploratory coeliotomy. It was hypothesised that the use of a stent bandage would reduce the likelihood of incisional infection. Methods: Medical records of horses that underwent exploratory coeliotomy for colic between January 2005 and September 2011 were reviewed. Inclusion...... of incisional infections. Potential relevance: A stent bandage would reduce the likelihood of incisional infection in horses undergoing exploratory coeliotomy for colic. © 2012 EVJ Ltd....

  15. THE EFFECT OF MICROWAVE AND BANDAGING TREATMENT ON SKIN IMMUNOLOGICAL CELLS IN CHRONIC LIMB LYMPHEDEMA

    Institute of Scientific and Technical Information of China (English)

    曹卫刚; 张涤生; 干季良

    2000-01-01

    Objective To clarify the characteristics of immunological reactions in skin tissues of non - filarial lymphedema patients with or without skin bacterial infection. Methods Avidin-biotin peroxidase (ABC)immunohistochemical method was used to examine the local skin tissue infiltrating inflammatory cells in 16chronic limb lymphedema patients before and after two courses of microwave and bandaging treatment. Results There was a significant increase of T lymphocyte infiltration in lymphedematous skin tissues; after two courses of microwave treatment, T lymphocyte infiltration was greatly resolved whereas the number of macrophages, which can lyse the stagnant proteins in lymphedematous tissues through proteolysis increased. Conclusion Microwave and bandaging treatment can promote regression of extremity edema by reducing chronic inflammation and enhancing the stagnant protein lysis capability in lymphedematous skin tissues.

  16. Effects of Aircast brace and elastic bandage on physical performance of athletes after ankle injuries

    OpenAIRE

    Gunay, Sevtap; Karaduman, Ayse; Ozturk, Burcu Bahar

    2014-01-01

    Objective: The aim of this study was to evaluate the effect of using Aircast® orthosis and elastic bandage application on the physical performance of athletes with ankle injuries. Methods: The study included 60 elite male football players with ankle injuries. Ankle range of motion on the sagittal and frontal plane was measured. One maximum repetition test for the tibialis anterior, tibialis posterior and peroneal muscles; fingertip rise test, single- and double-feet vertical jump tests and...

  17. Topical Antimicrobial and Bandaging Effects on Equine Distal Limb Wound Healing

    OpenAIRE

    Berry II, Douglass Boone

    2001-01-01

    The objective of this study was to determine if topical antimicrobials silver sulfadiazine and povidone-iodine ointment increase rates of healing of equine distal limb wounds that heal by second intention. Second, to determine the effect of bandaging with these topical antimicrobials. Six healthy adult horses were used to create thirty-six, 2.5 cm2 standardized full-thickness metacarpal/tarsal skin wounds. Each wound was exposed to a single treatment: 1.0 % silver sulfadiazine cream ba...

  18. An Improved Flexible Telemetry System to Autonomously Monitor Sub-Bandage Pressure and Wound Moisture

    Directory of Open Access Journals (Sweden)

    Nasir Mehmood

    2014-11-01

    Full Text Available This paper presents the development of an improved mobile-based telemetric dual mode sensing system to monitor pressure and moisture levels in compression bandages and dressings used for chronic wound management. The system is fabricated on a 0.2 mm thick flexible printed circuit material, and is capable of sensing pressure and moisture at two locations simultaneously within a compression bandage and wound dressing. The sensors are calibrated to sense both parameters accurately, and the data are then transmitted wirelessly to a receiver connected to a mobile device. An error-correction algorithm is developed to compensate the degradation in measurement quality due to battery power drop over time. An Android application is also implemented to automatically receive, process, and display the sensed wound parameters. The performance of the sensing system is first validated on a mannequin limb using a compression bandage and wound dressings, and then tested on a healthy volunteer to acquire real-time performance parameters. The results obtained here suggest that this dual mode sensor can perform reliably when placed on a human limb.

  19. Soft Bandage Contact Lenses in Management of Early Bleb Leak Following Trabeculectomy

    Institute of Scientific and Technical Information of China (English)

    Zhenggen Wu; Chukai Huang; Yuqiang Huang; Wanqi Zhang; Di Ma

    2015-01-01

    Purpose:To investigate the efficacy of a soft bandage contact lens in the management of early bleb leak following tra-beculectomy. Methods: Between October 2011 and April 2013, 11 patients with early bleb leak following fornix-based trabeculectomy were instructed to wear a soft bandage contact lens 14 mm in diameter continuously for 1-2 weeks. The daily visual acuity, intraocular pressure (IOP), anterior chamber situation, and healing condition were measured at 1, 3, and 7 d, after con tact lens removal,.and 3 months after trabeculectomy..The con-ditions of blebs,.sensation of wearing contact lens,.and ad-verse events were recorded. Results:.Bleb leaks were observed at 2-8 d after surgery, (4.09±1.10 d on average). The daily LogMAR visual acuity did not significantly differ before and after contact lens wear (P>0.05). The IOP was significantly raised after at 1, 3, and 7 d after lens wear. (all P<0.05).The IOP at 3 months after lens wear did not significantly differ from that measured at lens removal (t=1.191, P=0.089). At 1 d after lens wear, 6 cases had deeper anterior chambers..All patients presented with a significantly deepened anterior chamber at 3 d after lens wear,.and were restored to the preoperative conditions..The bleb leakage was successfully treated at 7 d after lens removal in 10 patients, while 1 patient had to wear the contact lens for another 7 d for full healing of the bleb leak. No ocular infec-tion was noted throughout the management. Conclusion: A soft bandage contact lens of 14 mm diameter is a safe and efficacious therapy for an early bleb leak fol-lowing fornix-based trabeculectomy.

  20. Quantitative and qualitative study of natural bacterial microflora of bandages to be sterilized by radiation

    International Nuclear Information System (INIS)

    The microflora of numerous samples of bandages was investigated before and after irradiation. The total nucleus and mould numbers, D10 values, Gram values and the shape of the microbes were determined. To measure the radiation resistance the samples were irradiated with doses of 1-8 kGy. No infection could be observed in the samples irradiated with 8 kGy. Microbes of extremely high resistance could not be found, D10 value exceeded 1 kGy in case of two bacteria. (V.N.)

  1. Application of the thermally insulating medical bandage in complex treatment of patients with cold injury

    OpenAIRE

    Shapoval, Elena

    2015-01-01

      Objective: To study the effectiveness of using of thermally insulat­ing medical bandage (рat. 72350, Ukraine) in treatment of patients with cold injury. Methods: We investigated an incidence of local complications in 62 patients with cold injury and a mean age of 36 years. For the patients in the group I (n = 17) the first aid was provided in 1–2 hours after the onset of low temperature action, in the II (n = 16) — from 3 to 6 hours, and in the III (n = 19) — after 6 hours or more. In patie...

  2. A prospective randomised trial of four-layer versus short stretch compression bandages for the treatment of venous leg ulcers.

    Science.gov (United States)

    Scriven, J M; Taylor, L E; Wood, A J; Bell, P R; Naylor, A R; London, N J

    1998-05-01

    This trial was undertaken to examine the safety and efficacy of four-layer compared with short stretch compression bandages for the treatment of venous leg ulcers within the confines of a prospective, randomised, ethically approved trial. Fifty-three patients were recruited from a dedicated venous ulcer assessment clinic and their individual ulcerated limbs were randomised to receive either a four-layer bandage (FLB)(n = 32) or a short stretch bandage (SSB)(n = 32). The endpoint was a completely healed ulcer. However, if after 12 weeks of compression therapy no healing had been achieved, that limb was withdrawn from the study and deemed to have failed to heal with the prescribed bandage. Leg volume was measured using the multiple disc model at the first bandaging visit, 4 weeks later, and on ulcer healing. Complications arising during the study were recorded. Data from all limbs were analysed on an intention to treat basis; thus the three limbs not completing the protocol were included in the analysis. Of the 53 patients, 50 completed the protocol. At 1 year the healing rate was FLB 55% and SSB 57% (chi 2 = 0.0, df = 1, P = 1.0). Limbs in the FLB arm of the study sustained one minor complication, whereas SSB limbs sustained four significant complications. Leg volumes reduced significantly after 4 weeks of compression, but subsequent volume changes were insignificant. Ulcer healing rates were not influenced by the presence of deep venous reflux, post-thrombotic deep vein changes nor by ulcer duration. Although larger ulcers took longer to heal, the overall healing rates for large (> 10 cm2) and small (10 cm2 or less) ulcers were comparable. Four-layer and short stretch bandages were equally efficacious in healing venous ulcers independent of pattern of venous reflux, ulcer area or duration. FLB limbs sustained fewer complications than SSB. PMID:9682649

  3. Soft bandage versus casting in the treatment of torus fracture of distal radius in children; a prospective randomized study

    Directory of Open Access Journals (Sweden)

    Prakash Bahadur Thapa

    2016-01-01

    Full Text Available Background & Objectives: Various methods of immobilization have been recommended for the treatment of torus fracture of distal radius in children. The purpose of this study is to determine if soft bandage is as effective and safe as below elbow circumferential casts in the treatment of torus fracture of the distal radius in the children.Materials & Methods: Children from 4 to 14 years of age, who presented to emergency and outpatient department of orthopaedics and trauma at National Academy of Medical Sciences with an isolated torus fracture of distal radius, were randomized and treated with either soft bandage or below-elbow plaster cast by the same investigators. Patients with associated neurovascular injuries, bilateral torus fractures, concomitant physeal injuries and associated musculoskeletal injuries were excluded. The patients were followed up at weekly interval for 4 weeks and analyzed with VAS, ROM and outcome questionnaire and data were analyzed by using SPSS 18.Results: Among the 114 patients analyzed, 57 patients were kept in soft bandage group and 57 in below-elbow cast group. The mean age in soft bandage group was 8.29 year and the mean age in below-elbow cast group was 8.55 years. There was no significant difference between the two groups with regard to patient demographics, initial fracture characteristics and mechanism of injury.Conclusion: Treatment of distal radius torus fracture with soft bandage is a cost-effective and safe in the children below 14 years of age. These minor fractures are stable and not subject to the risks of late displacement which can be very effectively treated symptomatically to provide pain relief by using soft bandage only and educating the parents about the nature of this paediatrics fracture.Journal of College of Medical Sciences-Nepal, Vol.11(4 2015: 3-8

  4. Radiotherapeutic bandage based on electrospun polyacrylonitrile containing holmium-166 iron garnet nanoparticles for the treatment of skin cancer.

    Science.gov (United States)

    Munaweera, Imalka; Levesque-Bishop, Daniel; Shi, Yi; Di Pasqua, Anthony J; Balkus, Kenneth J

    2014-12-24

    Radiation therapy is used as a primary treatment for inoperable tumors and in patients that cannot or will not undergo surgery. Radioactive holmium-166 ((166)Ho) is a viable candidate for use against skin cancer. Nonradioactive holmium-165 ((165)Ho) iron garnet nanoparticles have been incorporated into a bandage, which, after neutron-activation to (166)Ho, can be applied to a tumor lesion. The (165)Ho iron garnet nanoparticles ((165)HoIG) were synthesized and introduced into polyacrylonitrile (PAN) polymer solutions. The polymer solutions were then electrospun to produce flexible nonwoven bandages, which are stable to neutron-activation. The fiber mats were characterized using scanning electron microscopy, transmission electron microscopy, powder X-ray diffraction, Fourier transform infrared spectroscopy, thermogravimetric analysis and inductively coupled plasma mass spectrometry. The bandages are stable after neutron-activation at a thermal neutron-flux of approximately 3.5 × 10(12) neutrons/cm(2)·s for at least 4 h and 100 °C. Different amounts of radioactivity can be produced by changing the amount of the (165)HoIG nanoparticles inside the bandage and the duration of neutron-activation, which is important for different stages of skin cancer. Furthermore, the radioactive bandage can be easily manipulated to irradiate only the tumor site by cutting the bandage into specific shapes and sizes that cover the tumor prior to neutron-activation. Thus, exposure of healthy cells to high energy β-particles can be avoided. Moreover, there is no leakage of radioactive material after neutron activation, which is critical for safe handling by healthcare professionals treating skin cancer patients. PMID:25396281

  5. The effect of stromal hydration on surgical outcomes for cataract patients who received a hydrogel ocular bandage

    Directory of Open Access Journals (Sweden)

    Thomas R Walters

    2011-03-01

    Full Text Available Thomas R WaltersTexan Eye, Austin, TX, USAPurpose: The purpose of this study was to examine the effect of stromal hydration on surgical outcomes for patients who received the new hydrogel ocular bandage (ReSure™ Adherent Ocular Bandage, Ocular Therapeutix, Inc, Bedford, MA, USA following routine cataract surgery.Methods: This post-hoc, single-masked study was conducted with 310 patients who were scheduled to undergo unilateral clear corneal cataract surgery with phacoemulsification and intraocular lens implantation. Incisions were closed with stromal hydration (270 patients or without stromal hydration (40 patients based on physician standard of care. All patients received the hydrogel bandage at the conclusion of the procedure. Ocular assessments of stromal edema, flare, corneal staining, anterior chamber cells, best-corrected visual acuity, and intraocular pressure were made 24 hours after surgery.Results: Significantly more patients experienced stromal edema in the group with stromal hydration (26.3% versus 10.0%, respectively; P = 0.028. A higher percentage of patients experienced corneal staining when stromal hydration was performed (20.4% versus 2.5%; P = 0.004. The mean BCVA (best-corrected visual acuity also was significantly different between the groups (logMAR of 0.164 with stromal hydration versus 0.095 without hydration; P = 0.007. No significant differences were observed between the study groups in terms of flare, anterior chamber cells, or intraocular pressure.Conclusion: Cataract surgery without stromal hydration provided better surgical outcomes than the traditional hydration procedure when used in conjunction with a new hydrogel bandage.Keywords: cataract surgery, hydrogel bandage, phacoemulsification, stromal hydration

  6. Fatal pulmonary embolism subsequent to the use of Esmarch bandage and tourniquet: A case report and review of literature

    Directory of Open Access Journals (Sweden)

    Sameer Desai

    2013-01-01

    Full Text Available We report a case of fatal pulmonary embolism (PE following exsanguinations of lower limb in orthopedic surgery. A 30-year-old man was posted for fixation of a tibial plateau fracture on the seventh day after injury. Subarchnoid block was performed. Esmarch bandage was used for exsanguination of the limb and tourniquet was inflated. Within three minutes after tourniquet inflation, the patient became unconscious hypotensive, and collapsed. Resuscitation was instituted and spontaneous circulation restored. Right ventricular strain pattern on transthoracic echocardiography, increased levels of D-dimer, and Doppler examination of the lowerlimb confirmed deep venous thrombosis of right femoral vessels and PE. In spite of thrombolytic therapy with streptokinase and heparin, the patient died on the ninth day after the event. Cases of PE secondary to the use of Esmarch bandage and tourniquet are reviewed here to identify the risk groups and management of PE.

  7. Soft bandage versus casting in the treatment of torus fracture of distal radius in children; a prospective randomized study

    OpenAIRE

    Prakash Bahadur Thapa; Rudra Prasad Marasini; Shrawan Kumar Thapa; Nabeesman Singh Pradhan; Shreekrishna Giri

    2016-01-01

    Background & Objectives: Various methods of immobilization have been recommended for the treatment of torus fracture of distal radius in children. The purpose of this study is to determine if soft bandage is as effective and safe as below elbow circumferential casts in the treatment of torus fracture of the distal radius in the children.Materials & Methods: Children from 4 to 14 years of age, who presented to emergency and outpatient department of orthopaedics and trauma at National A...

  8. Successful management of jejunojejunal anastomosis dehiscence by extra-abdominal exteriorization and bandaging in a cat with septic peritonitis.

    Science.gov (United States)

    Tzimtzimis, Emmanouil; Kouki, Maria; Rampidi, Stefania; Giannikaki, Matina; Karnezi, Georgia; Papazoglou, Lysimachos G

    2016-05-01

    Duodenal and jejunal resections were performed in a cat with septic peritonitis due to small intestinal perforations by a linear foreign body. Three days later jejunal resection and anastomosis were repeated due to dehiscence of the anastomosis site. This segment of intestine was exteriorized through the body wall and managed with bandages for 5 days before it was surgically replaced into the abdomen. The cat made a full recovery. PMID:27152038

  9. Antimicrobial Properties of Diamond-Like Carbon/Silver Nanocomposite Thin Films Deposited on Textiles: Towards Smart Bandages

    OpenAIRE

    Tadas Juknius; Modestas Ružauskas; Tomas Tamulevičius; Rita Šiugždinienė; Indrė Juknienė; Andrius Vasiliauskas; Aušrinė Jurkevičiūtė; Sigitas Tamulevičius

    2016-01-01

    In the current work, a new antibacterial bandage was proposed where diamond-like carbon with silver nanoparticle (DLC:Ag)-coated synthetic silk tissue was used as a building block. The DLC:Ag structure, the dimensions of nanoparticles, the silver concentration and the silver ion release were studied systematically employing scanning electron microscopy, energy dispersive X-ray spectroscopy and atomic absorption spectroscopy, respectively. Antimicrobial properties were investigated using micro...

  10. The effect of body position, sedation, and thoracic bandaging on functional residual capacity in healthy deep-chested dogs

    OpenAIRE

    Rozanski, Elizabeth A.; Bedenice, Daniela; Lofgren, Jennifer; Abrams, Julie; Bach, Jonathan; Hoffman, Andrew M.

    2010-01-01

    The objective of this study was to determine the effect of body position, chest wrap, and sedation on functional residual capacity (FRC) in 6 healthy dogs. Functional residual capacity was determined by helium dilution (re-breathing) whilst in different clinically relevant conditions. These conditions included the standing (sternal) and lateral positions in unsedated dogs and then again both standing and lateral following chest bandaging, and sedation with acepromazine, IV and butorphanol, IV...

  11. A wearable conformal bandage for non-invasive two-dimensional imaging of skin oxygenation (Conference Presentation)

    Science.gov (United States)

    Li, Zongxi; Roussakis, Emmanuel; Keeley, Emily; Apiou-Sbirlea, Gabriela; Birngruber, Reginald; Huang, Christene; Evans, Conor L.

    2016-03-01

    The complex surface topology and soft mechanics of the skin poses a considerable challenge to the development of wearable, conformal sensors. As a results, current clinical assessments of healing-related skin parameters often rely on bulky and expensive optical systems that are difficult to deploy at the point of care. Here, using a rapid-drying, liquid bandage containing oxygen-sensing molecules, we created a wearable sensor bandage that conforms the surface geometry of skin and wounds, and provides two-dimensional maps of cutaneous oxygenation in a non-disruptive fashion. Custom oxygen sensing phosphors have been developed in house that are at least five times brighter than the commercial sensing molecules, enabling the visualization of oxygen concentration using a simple color camera or even by eye under ambient lighting conditions. The oxygen-sensing bandage has been applied to monitor tissue ischemia, graft integration, as well as the progression of burn in animal models. Recent studies have demonstrated its ability to track and quantify skin inflammation induced by complete Freund's adjuvant in an in vivo porcine model.

  12. Antimicrobial Properties of Diamond-Like Carbon/Silver Nanocomposite Thin Films Deposited on Textiles: Towards Smart Bandages

    Directory of Open Access Journals (Sweden)

    Tadas Juknius

    2016-05-01

    Full Text Available In the current work, a new antibacterial bandage was proposed where diamond-like carbon with silver nanoparticle (DLC:Ag-coated synthetic silk tissue was used as a building block. The DLC:Ag structure, the dimensions of nanoparticles, the silver concentration and the silver ion release were studied systematically employing scanning electron microscopy, energy dispersive X-ray spectroscopy and atomic absorption spectroscopy, respectively. Antimicrobial properties were investigated using microbiological tests (disk diffusion method and spread-plate technique. The DLC:Ag layer was stabilized on the surface of the bandage using a thin layer of medical grade gelatin and cellulose. Four different strains of Staphylococcus aureus extracted from humans’ and animals’ infected wounds were used. It is demonstrated that the efficiency of the Ag+ ion release to the aqueous media can be increased by further RF oxygen plasma etching of the nanocomposite. It was obtained that the best antibacterial properties were demonstrated by the plasma-processed DLC:Ag layer having a 3.12 at % Ag surface concentration with the dominating linear dimensions of nanoparticles being 23.7 nm. An extra protective layer made from cellulose and gelatin with agar contributed to the accumulation and efficient release of silver ions to the aqueous media, increasing bandage antimicrobial efficiency up to 50% as compared to the single DLC:Ag layer on textile.

  13. Towards the development of active compression bandages using dielectric elastomer actuators

    International Nuclear Information System (INIS)

    Disorders associated with the lower extremity venous system are common and significantly affect the quality of life of a large number of individuals. These disorders include orthostatic hypotension, oedema, deep vein thrombosis and a number of other conditions related to insufficient venous blood return. The common recommended treatment for these disorders is the use of hosiery compression stockings. In this research, an active compression bandage (ACB) based on the technology of dielectric elastomeric actuators (DEA) was designed, prototyped and tested. A customized calf prototype (CP) was developed to measure the pressure applied by the ACB. Experimental results performed with the CP showed that the pressure applied by the ACB could be electrically controlled to be either below or above the pressure exerted by commercially available compression stockings. An analytical model was used to provide the design criteria. A finite element model (FEM) was also developed to simulate the electromechanical behaviour of the DEA. Comparison of the experimental results with the FEM and analytical models showed that the modelling could accurately predict the behaviour of the ACB. The FEM was subsequently used to study how to improve the ACB performance by varying geometrical parameters such as the ACB thickness. (papers)

  14. 弹性绷带的发展及其在医疗领域的应用%Development and Application of Elastic Bandage in Medical Field

    Institute of Scientific and Technical Information of China (English)

    张洁; 钱晓明

    2011-01-01

    The application and development trends of current elastic bandage in medical field were discussed. The elastic bandage elasticity mechanism was summarized briefly, development of medical elastic bandage from early cotton spandex blended to current pure cotton and composite was explained, the advantages and disadvantages of different elastic bandages were analyzed, development prospect of nonwoven composite elastic bandage in medical field is pointed out.%探讨当前弹性绷带在医疗领域的应用情况及其发展趋势.简要概括了弹性绷带的弹性机理,阐述了医用弹性绷带由初期的棉氨弹性绷带发展到纯棉弹性绷带、复合弹性绷带的过程,并分析了不同弹性绷带的优缺点,指出了非织造复合弹性绷带在医疗领域的发展前景.

  15. Dose setting for radiation sterilization of disposable medical device, (2). Bioburden and sterility dose setting of adhesive bandage with gauze pad

    Energy Technology Data Exchange (ETDEWEB)

    Hosobuchi, Kazunari; Oka, Mitsuru (Tokyo Metropolitan Isotope Research Center (Japan)); Furuya, Tatsuo

    1984-07-01

    The bioburden of the commercial adhesive bandage with gauze pad was investigated in order to estimate the sterility dose setting of this item. The distribution of the contaminated microbes on a strip were determined with 1,258 strips of bandage sampled from 12 lots of the products. It was found that the maximum and minimum of the contaminants per strip was 11 and 0, respectively, and the average per strip was 2.65. Besides, no significant differences in the distribution of the numbers of contaminants per strip among the lots were observed. From strips of 5 lots, 235 isolates were obtained and subjected to the taxonomic tests. Most of them were bacilli, of which Bacillus pumilus was predominant. The D value of each strain of 147 isolates sampled from 3 lots, was determined after the irradiation of the prepared test pieces and the D value distribution with microbial population was calculated. The highest D value, 0.19 Mrad was obtained with some strains of B. pumilus and B. megaterium. In the comparison with the D values of indicator microbes, B. pumilus ATCC 27142 loaded on the parts of the bandage or on the test pieces, the maximum D value MAXD 10 was assumed to be 0.22 Mrad. Sterility tests of the intact bandages were also carried out after irradiation at incremental doses. From the results obtained, sterilization dose SD was estimated at 1.76 Mard according to the formula SD = D x l og (No/N), on the other hand, according to four methods described in AAMI recommended practice, SD was estimated at 1.52 Mrad, 1.52 Mrad, 1.28 Mrad and 1.33 Mrad, respectively. In the estimations above, it is supposed that 10/sup -6/ of sterility assurance level of this bandage is attained at the dose less than 2.0 Mrad.

  16. The Canadian Bandaging Trial: Evidence-informed leg ulcer care and the effectiveness of two compression technologies

    Directory of Open Access Journals (Sweden)

    Hopman Wilma M

    2011-10-01

    Full Text Available Abstract Background Objective: To determine the relative effectiveness of evidence-informed practice using two high compression systems: four-layer (4LB and short-stretch bandaging (SSB in community care of venous leg ulcers. Design and Setting: Pragmatic, multi-centre, parallel-group, open-label, randomized controlled trial conducted in 10 centres. Cognitively intact adults (≥18 years referred for community care (home or clinic with a venous ulceration measuring ≥0.7cm and present for ≥1 week, with an ankle brachial pressure index (ABPI ≥0.8, without medication-controlled Diabetes Mellitus or a previous failure to improve with either system, were eligible to participate. Methods Consenting individuals were randomly allocated (computer-generated blocked randomization schedule to receive either 4LB or SSB following an evidence-informed protocol. Primary endpoint: time-to- healing of the reference ulcer. Secondary outcomes: recurrence rates, health-related quality of life (HRQL, pain, and expenditures. Results 424 individuals were randomized (4LB n = 215; SSB n = 209 and followed until their reference ulcer was healed (or maximum 30 months. An intent-to-treat analysis was conducted on all participants. Median time to ulcer healing in the 4LB group was 62 days [95% confidence interval (CI 51 to 73], compared with 77 days (95% CI 63 to 91 in the SSB group. The unadjusted Kaplan-Meier curves revealed the difference in the distribution of cumulative healing times was not significantly different between group (log rank χ2 = 0.001, P = 0.98 nor ulcers recurrence (4LB, 10.1%; SSB, 13.3%; p = 0.345. Multivariable Cox Proportional Hazard Modeling also showed no significant between-bandage differences in healing time after controlling for significant covariates (p = 0.77. At 3-months post-baseline there were no differences in pain (no pain: 4LB, 22.7%; SSB, 26.7%; p = 0.335, or HRQL (SF-12 Mental Component Score: 4LB, 55.1; SSB, 55.8; p = 0.615; SF

  17. Evaluation of Two Miniplate Systems and Figure-of-eight Bandages for Stabilization of Experimentally Induced Ulnar and Radial Fractures in Pigeons ( Columba livia ).

    Science.gov (United States)

    Bennert, Beatrice M; Kircher, Patrick R; Gutbrod, Andreas; Riechert, Juliane; Hatt, Jean-Michel

    2016-06-01

    Although plate fixation has advantages over other fixation methods for certain indications, it is rarely used in avian surgery, especially in birds that weigh less than 1000 g. Exceptionally small plating systems for these birds are required, which are relatively expensive and difficult to insert. To study avian fracture healing after repair using miniplates, we evaluated 2 steel miniplate systems in 27 pigeons ( Columba livia ) divided into 4 groups. In each pigeon, the left ulna and radius were transected and the ulna was repaired with a bone plate. In groups A and B, a 1.3-mm adaption plate was applied without and with a figure-of-eight bandage; in groups C and D, a 1.0-mm compression plate was applied without and with a bandage, respectively. Healing was evaluated with radiographs after 3, 14, and 28 days; flight tests were conducted after 14, 21, and 28 days; and the wing was macroscopically examined after euthanasia of birds on day 28. Fractures healed without bending or distortion of the plate in all 27 birds, and no significant differences in healing were found between treatment groups. At the end of the study, 23 pigeons (85.2%) showed good or very good flight ability. Results show the 1.3-mm adaption plate and the 1.0-mm compression plate meet the requirements for avian osteosynthesis and can be recommended for fracture repair of the ulna or other long bones in birds weighing less than 500 g. The application of a figure-of-eight bandage might be beneficial in fracture healing. PMID:27315377

  18. Heating and Bandage Treatment on Patients with Chronic Lymphedema of Extremities%烘绑疗法治疗肢体慢性淋巴水肿

    Institute of Scientific and Technical Information of China (English)

    李科; 刘宁飞; 付兰芬; 汪立; 陈佳佳; 梁辰; 章一新

    2014-01-01

    Objective To investigate the effects of heating and bandage treatment on patients with chronic lymphedema of extremities. Methods From January 2012 to September 2013, 53 patients with chronic lymphedema of extremities were received heating and bandage treatment. The extent of tissue edema were detected by Multiple-frequency bioelectrical impedance analysis before and after treatment. The circumference of the extremities were measured before and after treatment. Results After heating and bandage treatment, remarkable reduction of accumulated edema fluid in tissue and circumference were observed (P=0.006, P=0.000). On long-term follow-up, most of the patients felt better. The relapse of lymphedema was reduced by pressure therapy with elastic material secondly. The correlation between edema lessening and circumference reducing was obviously significant (r=0.356, P=0.01). Conclusion Heating and bandage treatment can effectively reduce the edema of extremities. Simultaneously, the subsequent elastic material pressure therapy was essential.%目的:观察烘绑疗法治疗肢体慢性淋巴水肿的临床疗效。方法自2012年1月至2013年9月,53例肢体慢性淋巴水肿患者接受烘绑疗法治疗,治疗前后采用多频生物电阻人体成分分析仪检测组织水肿程度,卷尺测量患肢周径变化。结果烘绑治疗后,患肢组织水肿程度明显减轻(P=0.006),患肢周径明显缩小(P=0.000)。长期随访显示,患者主观感觉改善明显,后续弹性材料加压治疗减少了水肿复发。烘绑治疗前后水分与周径变化具有明显相关性(r=0.356, P=0.01)。结论烘绑疗法可有效消除慢性淋巴水肿患者的肢体水肿,后续弹性材料加压治疗亦不可缺少。

  19. Application potential of silicone hydrogel contact lenses used as a bandage%硅水凝胶镜片作为绷带型角膜接触镜的应用前景

    Institute of Scientific and Technical Information of China (English)

    江臻颖; 瞿小妹

    2012-01-01

    角膜接触镜除了能够矫正屈光不正外,还能够作为绷带型角膜接触镜(绷带镜片)用于眼表疾病的治疗,大多数绷带镜片需要连续过夜配戴以实现良好的治疗效果,而传统的水凝胶镜片由于透氧性能的不足可能导致角膜缺氧,因此有高透氧性能的硅水凝胶镜片是更为理想的绷带镜片选择.了解硅水凝胶镜片作为绷带镜片在角膜病变、角膜屈光手术后以及作为药物载体的应用情况,将有助于制定绷带镜片治疗措施的个性化方案.%In addition to the correction of refractive errors,contact lenses can also be used as a bandage in the treatment of ocular surface diseases.In most cases,extended-wear bandage lenses can achieve better therapeutic results.Traditional hydrogel lenses may lead to corneal hypoxia due to a lack of oxygen so it is more desirable to choose the silicone hydrogel lens as a bandage based on its higher oxygen permeability.Knowledge about the application of silicone hydrogel lenses as bandage lenses in the treatment of corneal diseases after corneal refractive surgery,as well as its role in drug delivery, can be useful in the development of personalized treatment programs that include the bandage lens as an option.

  20. Application of Weft Bandage Tape in MOA Polymeric Housing%无纬绑扎带在复合外套MOA中的应用

    Institute of Scientific and Technical Information of China (English)

    阎中华; 袁海婴

    2001-01-01

    芯体成型工艺是决定复合外套MOA的技术性能和成本的关键。笔者分析了各种芯体成型工艺的利弊,介绍了无纬带的性能及选用方法,并简要介绍了无纬带芯体成型工艺及常见问题的解决措施。%The cylinder core forming technique is a key measure on which the technical behavior and cost of MO A polymeric housing depends.The author makes a comparison among various forming procedures and gives guidance for se lection of performance of weftless bandage tape.The forming processing and countermeasures from frequent failure are described.

  1. Application of bandage contact lens in pterygium surgery%绷带型角膜接触镜在翼状胬肉手术中的应用

    Institute of Scientific and Technical Information of China (English)

    李新宇; 王娟; 徐玲娟; 胡军; 胡维琨; 李贵刚

    2013-01-01

    Objective To explore the efficacy and safety of bandage contact lens in pterygium excision surgery.Methods A total of 28 cases (28 eyes) treated with pterygium excision combined with autologous limbal stem cell transplantation surgery from March 2012 to December 2012 were collected by prospective controlled case study,and were randomly and evenly divided into two groups.Patients in bandage contact lens group weared bandage contact lens from the first to third day after surgery,while patients in the control group did not.The degree of pain after surgery were evaluated at 2 hours,6 hours,24 hours,48 hours and 72 hours after surgery,and the healing of corneal epithelial were assessed by fluorescein staining and differences of the corneal epithelial defect areas were obeserved at 3 days after surgery.Results There was no significant difference between the ages,sexes and pterygium sizes of the two groups (all P >0.05).The pain index scores at 2 hours,6 hours,24 hours,48 hours and 72 hours after surgery:the bandage contact lens group were(0.79 ± 0.43) scores,(0.88 ± 0.53) scores,(0.43 ± 0.51) scores,(0.29 ± 0.47) scores,and (0.14 ± 0.36) scores; Control group were (2.57 ± 0.51) scores,(2.57 ± 0.76) scores,(1.86 ± 0.66) scores,(1.43 ± 0.51) scores,and(0.86 ± 0.53) scores.The pain index scores of the bandage contact lens group were significantly less than those of control group(all P < 0.01).At the third day after surgery,there was no significant difference in corneal epithelial fluorescein staining scores between the control group (1.57 ± 1.34) scores and the bandage contact lens group (0.86 ±1.10)scores (P =0.135),while the epithelial defect areas of the bandage contact lens group (0.17 ± 0.45)mm2 was statistically smaller than that of the control group (2.68 ±4.33)mm2(P =0.041).They were followed up from 2 to 6 months,there were no infection,relapse and implant healing badness,and complications like subconjunctival cyst.Conclusion Bandage contact

  2. The measurement of intraocular pressure by non-contact tonometer through bandage contact lenses%应用非接触性眼压计经绷带型角膜接触镜的眼压测量

    Institute of Scientific and Technical Information of China (English)

    陈约洁; 王爱孙; 郑钦象

    2015-01-01

    Objective To evaluate the feasibility and accuracy of the measurement of inttrocular pressure (IOP) by non-contact tonometer (NCT) through bandage contact lenses.Methods IOPs were measured by (NCT) in 42 eyes of 42 patients with and without bandage contact lenses for three times each to get the averages.The values of with and without bandage contact lenses were compared.The correlation of the measurements with and without bandage contact lenses was analyzed.Results The measurement with bandage contact lenses appeared greater than the one without bandage contact lenses (15.26±6.81mmHg vs 13.05±6.16mmHg, P <0.05).The difference of IOPs was 2.21±2.04mmHg, with a maximum of 8mmHg, a minimum of-1.5mmHg, and 95% confidence interval (1.58-2.85mmHg).The measurements with bandage contact lenses significantly correlated with the measurements without bandage contact lenses (r =0.96, P <0.01), while the differences of IOPs did not significantly correlated with the native measurement (r =0.17, P =0.28).Conclusions The measurement of intraocular pressure by non-contact tonometer through bandage contact lens is feasible, so it's unnecessary to remove lenses frequently before the procedures, lest the corneas will be injured once more.However, it should be noted that IOPs through bandage contact lenses may be overestimated.%目的 评价非接触性眼压计(non-contact tonometry,NCT)经绷带型角膜接触镜测量眼压的可行性和准确性.方法 选取2013年11月至2014年6月在温州医科大学眼视光医院需要配戴绷带型角膜接触镜的角膜病、角膜外伤及角膜术后患者42例,共42只患眼.应用NCT分别在患者配戴角膜接触镜前、后测量眼压3次取平均值,比较配戴角膜接触镜前后眼压测值,并进行相关分析以判断角膜接触镜对眼压测量的影响.结果 42例患者配戴前的眼压为(13.05±6.16) mmHg,配戴后的眼压为(15.26±6.81) mmHg,差异有统计学意义(P<0.05),

  3. Nursing Intervention of Pressure Sores Caused by Using Self-adhesive Bandage for Fixing Venous Indwelling Needles%自粘绷带外固定留置针引发压疮的护理干预

    Institute of Scientific and Technical Information of China (English)

    徐巧芳

    2015-01-01

    Objective:This study investigates the reasons for the pressure ulcer of skin caused by self-adhesive bandage used for fixing children venous indwelling needles as well as the ameliorative effects after nursing interven-tion. Methods:The nursing intervention is cushioning a cotton ball respectively under the Y-type hosepipe base and under the conduit connecting base on the front end of the long conduit while using self-adhesive bandage for fixing outside venous indwelling needles. Results:There is a decrease in pressure ulcer of skin after using cotton balls. Conclusion:The operation of cushioning cotton balls while using self-adhesive bandage for fixing venous indwelling needles is convenient, economical and easy to be carried out in clinical treatment.%目的:探讨自粘绷带固定儿童静脉留置针引发皮肤压力性溃疡的原因以及进行护理干预后的改善效果.方法:护理干预为使用留置针外用自粘绷带固定时在Y型软管座的下方及长导管前端的导管连接座的下方各垫一个棉球.结果:使用棉球后皮肤压力性溃疡减少.结论:自粘绷带外固定留置针时加垫棉球这个操作简单、经济,在临床易推行.

  4. Cochlear implant patients underwent successful MRI examination after local bandaging:a case report%电子耳蜗植入术患者局部包扎后行MRI检查成功1例

    Institute of Scientific and Technical Information of China (English)

    保国华; 曹克利

    2012-01-01

    Summary A female patient, now 6 years old. received cochlear implant in the right ear at the age of 2(February .2006). In August 16. 2010. a cervical spine MR1 examination was required due to the cervical spine injury in order to confirm the diagnosis. Considering the cochlea coil may interfere with the MKI examination results, a local bandaging around the ear was given to isolate cochlear magnetic field. The results of cervical spine MR1 ex aminations showed no obvious disturbance, which suggests that we could further explore this method clinically.

  5. Treating acute ankle sprain by the Tongde Ning plus elastic bandage%痛得宁加减熬膏外敷结合弹力绷带外固定治疗急性踝关节扭伤

    Institute of Scientific and Technical Information of China (English)

    郑一非

    2015-01-01

    Objective:To observe effects of Tongde Ning plus elastic bandage on acute ankle sprain. Methods:Through retrospective study, 56 cases of acute ankle sprain were selected;30 cases were male, and 26 cases were female, 28 to 52 years old. The average age was (34.5±1.4) years. 56 cases of acute ankle sprain were randomly divided into treatment group and control group, each group for 28 cases. Patients in the treatment group received Tongde Ning plus elastic bandage, and patients in the control group received elastic bandage only. Results: After the treatment, the course of disease in both groups appeared obvious difference,P<0.05. In the treatment group, 20 cases (71.4%) were cured; 8 cases (28.6%) were better. In the control group, 9 cases (32.1%) were cured; 18 cases (64.3%) were better; 1 case (3.6%) were ineffective. Conclusion:Tongde Ning applied plus elastic bandage were highly effective on acute ankle sprain, and worthy of promotion.%目的:研究痛得宁加减熬膏外敷结合弹力绷带外固定治疗急性踝关节扭伤的疗效。方法:选择回顾性研究方法,选取2014年2-5月之间来沈阳市骨科医院进行急性踝关节扭伤治疗的患者56例,其中男30例,女26例,年龄28~52岁,平均年龄(34.5±1.4)岁。按1∶1的随机方式分为治疗组和对照组,每组28人。治疗组为外敷中药膏剂加弹力绷带外固定组,对照组为单纯弹力绷带外固定组。结果:治疗组与对照组经治疗后,病程时间比较有明显差异,P<0.05;治疗组治愈20人(71.4%),好转8人(28.6%),未愈0人(0.0%);对照组治愈9人(32.1%),好转18人(64.3%),未愈1人(3.6%)。结论:痛的宁加减熬膏外敷结合弹力绷带外固定治疗急性踝关节扭伤疗效确切,值得推广应用。

  6. 绷带式角膜接触镜在翼状胬肉切除合并结膜移植术的应用%Clinical observation on bandage contact lens applied in pterygium excision combined with conjunctival transplantation

    Institute of Scientific and Technical Information of China (English)

    袁苑; 李建南

    2013-01-01

    目的:探讨绷带式角膜接触镜应用于翼状胬肉切除合并结膜移植术的临床效果。  方法:回顾性分析2012-06/2013-06行翼状胬肉切除合并结膜移植术101例114眼的临床资料,按术后处理方式分为A、B、C三组,A组30例38眼,配戴绷带式角膜接触镜,B组33例38眼,绷带加压包扎,C组38例38眼,遮盖普通眼垫,术后第1,3,5d观察。  结果:选取114眼术后随诊均未发生角膜溃疡、肉芽肿、复发等并发症。三组间比较在各种眼部刺激症状程度方面A组比其他两组轻;术后角膜上皮修复时间上比较A、B组短于C组。  结论:绷带式角膜接触镜能明显减轻翼状胬肉切除合并结膜移植术后患者各种眼部刺激症状,促进缺损区角膜上皮修复,与传统处理方式比较能明显提高患者术后的舒适度,易于推广,风险小,具有广泛的临床实用价值。%AIM: To observe the clinical effect of bandage contact lens in pterygium excision combined with conjunctival transplantation. METHODS:The retrospective study included 114 eyes of 101 patients who underwent the pterygium excision combined with conjunctival transplantation from June 2012 to June 2013 in our hospital. The patients were divided into three groups according to the postoperative treatment.In group A, 30 cases (38 eyes) wore bandage contact lens;In group B, compression bandage was used in all the 33 cases ( 38 eyes ); In group C, 38 eyes ( 38 cases ) were covered with normal eye pad.All patients were examined 1, 3, 5d after surgery. RESULTS: No complications such as corneal ulcer, granuloma, etc.or recurrence occurred in 114 eyes.Eye irritations in group A were less severe than in the other two groups. Postoperative repair time of corneal epithelium was shorter in group A and B than in group C. CONCLUSION: Bandage contact lens can significantly reduce the irritations after pterygium excision combined with conjunctival

  7. Influence of the number of layers of paris bandage plasters on the mechanical properties speciments used on orthopedic splints Influência do número de camadas na propriedade mecânica de espécimes fabricados com atadura gessada usados para confeccionar splints ortopédicos

    OpenAIRE

    Gustavo C. Vieira; Barbosa, Rafael I.; Alexandre M. Marcolino; Antonio C. Shimano; Valeria M.C. Elui; Marisa C. R. Fonseca

    2011-01-01

    OBJECTIVE: To evaluate the effects of varying numbers of layers of plaster of Paris bandages on the mechanical properties of specimens used on the construction of orthopedic splints. METHODS: Rectangular plate-shaped and cylinder-shaped specimens were constructed and assigned to two groups simulating plaster slabs and cast and further divided into six subgroups according to the number of layers used: 3, 6, 8, 10, 12 and 14 layers. The specimens were subjected to either a three-point bending t...

  8. 10%盐水冰袋联合弹力绷带持续加压冷敷用于全膝关节置换术后关节肿痛%Continued pressured cold therapy by using elastic bandage to secure 10% saline ice pack for pain and swelling after artificial total knee arthroplasty

    Institute of Scientific and Technical Information of China (English)

    王春萍; 田琴; 李英

    2012-01-01

    Objective To safely and effectively minimize swelling and pain after artificial total knee arthroplasty. Methods Totally, 60 patients with knee joint osteoarthritis scheduled for total knee arthroplasty were divided into 2 groups commensurateiy (odd registration ID number for the observation group, and even number for the control group). After arthroplasty, a common gauze roller bandage was applied to the surgical site of the control group and then a 10% saline ice pack was placed above the bandage. An elastic compression bandage was applied lo the surgical site of the observation group, and was topped by a 10.% saline ice pack, which was secured to the operated knee by another roll of elastic compression bandage. Results Swelling and pain after artificial total knee arthroplasty in the observation group were significantly milder than those in the control group, and the time it took for swelling and pain to subside in the observation group was significantly shortened than in the control group CPbandage to secure 10% saline ice pack can minimize swelling and pain after artificial to tal knee arthroplasty and boost them to subside.%目的 探讨安全经济有效的减轻全膝关节置换术后关节肿胀及疼痛的方法.方法 将60例膝关节骨性关节炎实施全膝关节置换术患者按住院号单双数分为观察组和对照组各30例.术后对照组采用绷带包扎,10%盐水冰袋冷敷;观察组用弹力绷带包裹患肢后用10%盐水冰袋冷敷,再用弹力绷带加压包扎,均持续3d.结果 观察组下肢肿胀、疼痛程度显著轻于对照组,肿胀及疼痛消退时间显著短于对照组(均P<0.01).结论 10%盐水冰袋联合弹力绷带持续加压冷敷可有效减轻全膝关节置换术后膝关节肿胀和疼痛,加快肿胀、疼痛消退.

  9. 婴幼儿烧伤早期MEBO包扎治疗诱发急性类白血病反应%Induced Acute Leukemoid Reaction Occurred in Burn Infants Treated with MEBO Bandaging Method at the Early Stage.

    Institute of Scientific and Technical Information of China (English)

    柯家祥; 王青

    2000-01-01

    Objective: To treat the burn infants with acute leukemoid reaction induced by application of MEBO bandage at the early stage. Method: Apply MEBT/MEBO according to the standardized method and at the same time, adjust systemic treating scheme. Results: After adjusting the treating scheme, the burned infants cured and were discharged on day 22 and 24. Conclusion: Proper application of MEBT/MEBO according to the standardized method helps to make full play of the effect of MEBO and can avoid complications.%目的:采用MEBT/MEBO治疗婴幼儿烧伤,因早期包扎而诱发急性类白血病反应者。方法:规范应用MEBT/MEBO疗法,结合调整全身治疗措施。结果:调整治疗方案后22~24天治愈出院。结论:正确掌握MEBT/MEBO的使用方法,可充分发挥MEBO的疗效,避免并发症的发生。

  10. Therapeutic effect of heating and bandage treatment for chronic lymphedema of extremities accompanied with erysipelas: a report of 80 cases%烘绑疗法控制肢体慢性淋巴水肿伴发丹毒80例疗效分析

    Institute of Scientific and Technical Information of China (English)

    李科; 刘宁飞; 付兰芬; 汪立; 陈佳佳; 梁辰; 章一新

    2015-01-01

    目的 探讨烘绑疗法治疗肢体慢性淋巴水肿伴发丹毒的效果.方法 回顾性分析2004年3月至2013年3月收治的80例肢体慢性淋巴水肿伴发丹毒患者行烘绑疗法的临床资料.采用上海市第九人民医院自制远红外烘疗机,温度一般为42℃左右,每天烘疗2h,20 h为1个疗程.每天治疗结束后患者用弹力绑带包扎.平均每年定期进行1~2个疗程.对丹毒发作频率、患者主观感觉、治疗总疗程、弹性材料使用情况进行随访观察.用秩和检验的方法比较发作频率的变化,使用SPSS 17.0统计软件分析数据.结果 烘绑治疗后,患者丹毒发作频率得到了明显的控制(Z =7.598,P=0.000),其中60例(75%)患者不再伴发丹毒;对于不同发病原因导致的淋巴水肿伴发丹毒都有明显疗效,原发性和继发性分别与治疗前比较,差异均有统计学意义,P值分别为0.001和0.000,Z值分别为3.417和5.009,主观感觉明显改善,后续弹性材料加压治疗减少了丹毒复发.结论 烘绑疗法可以有效控制肢体慢性淋巴水肿患者的丹毒发作,提高生活质量,后续弹性材料加压治疗是必要的.%Objective To investigate the therapeutic effect of heating and bandage treatment for chronic lymphedema of extremities accompanied with erysipelas.Methods From March 2004 to March 2013,80 patients with chronic lymphedema of extremities accompanied with erysipelas were analyzed retrospectively.The patients underwent heating treatment (42 degree centigrade) with infrared light machine made by Shanghai Ninth People' s Hospital,2 hours a day,20 hours for a session.Bandage treatment was adopted after heating treatment.1 or 2 sessions were performed for each patient every year.The erysipelas occurring frequency,patients subjective feeling,treatment sessions and elastic material usage was recorded during the follow-up period.The erysipelas occurring frequency was tested by the method of rank and inspection.SPSS 17.0 was

  11. PERITÔNIO DE BOVINO COMO BANDAGEM EM QUEIMADURAS CUTÂNEAS EXPERIMENTAIS EM COELHOS BOVINE PERITONEUM AS BANDAGE FOR FULL-THICKNESS CUTANEOUS BURNS IN RABBITS Peritoneo de los bóvidos como vendaje para las quemaduras cutáneas del lleno-grueso en conejos

    Directory of Open Access Journals (Sweden)

    Louisiane de Carvalho Nunes

    2009-09-01

    group. All wounds were involved by crepe gauze bandage and changed everyday and evaluation on 3, 7, 14 and 21 days of postoperative period. The bovine peritoneum bandage came off from wounds in 20 day of postoperative period, in average. xenogenic bandage in cutaneous burnings in rabbits causes absence of exudations and occlusion of the wound and formation of a scar organized with less intensity granulation tissue.

    KEY WORDS: Biological membrane, healing, skin, wounds.
    Una evaluación clínica e histopathological de la reparación cutánea de las quemaduras del lleno-grueso en conejos en la presencia de las preparaciones de herida del peritoneo de los bóvidos preservadas en el glicerol el 98% fue conducida. Dos áreas de los 2,5cm del diámetro, los 4cm equidistantes, en superficies torácicas dorsales derechas e izquierdas fueron delimitadas en dieciséis animales. Las áreas de la piel fueron quitadas hasta la exposición de la faja muscular. La faja y los bordes de la herida eran cauterized con eletrocautery. En las heridas en el derecho, el fragmento del peritoneo de los bóvidos conservado en la glicerina el 98% bajo wih humedecido gasa el 0.9% que la solución fisiological era heridas aplicadas (del grup tratado en el lado izquierdo fue irrigado con destilled el agua (grup del control. Todas las heridas fueron implicadas por el vendaje de la gasa del crepe y cambiaron diario y la evaluación en 3, 7, 14 y 21 días del período postoperatorio. El bandagem del peritonieum de los bóvidos vino apagado de heridas en el día 20 del período posoperative, en el vendaje xenogenic medio en burnings cutáneos en la ausencia de las causas de los conejos de exsudations y la obstrucción de la herida y la formación de una cicatriz organizada con menos tejido fino de la granulación de la intensidad.

  12. Performing Allen's test in immobile hand: The Esmarch bandage method

    Directory of Open Access Journals (Sweden)

    Nebil Yesiloglu

    2015-12-01

    Full Text Available In this study, an alternative method of assessing hand vascular flow using a modification of Allen's test is presented. This technique may be helpful for patients who have immobile hands due to severe trauma, patients scheduled for free tissue transfer reconstruction, patients under general anesthesia in intensive care units that require serial arterial blood gas analyses, and emergency coronary by-pass candidates who decided to receive radial arterial grafts. [Hand Microsurg 2015; 4(3.000: 83-85

  13. Functional bandage for ankle sprains. Recommendations for nursing

    Directory of Open Access Journals (Sweden)

    Mª Isabel Arcos Cirauqui

    2011-11-01

    Full Text Available Three quarters of ankle injuries are diagnosed as sprains. For the most part sprains are caused by a forced inversion movement with involvement of the lateral collateral ligament (LCL. One of the recommended guidelines is immobilization by taping. The aim of this article is to unify the recommendations for nursing, on taping in the treatment of ankle sprains. The methodology used was a literature review, analyzing the information found in books and journals in hospital libraries and nursing databases on the Internet. The main results are a set of guidelines for the most accurate and therapeutic taping.

  14. Cotton gauze bandage: a support for protease immobilization for use in biomedical applications Gaze esterilizada de algodão: suporte para a imobilização de tripsina para uso em aplicações biomédicas

    Directory of Open Access Journals (Sweden)

    Inês José Seabra

    2007-12-01

    Full Text Available The covalent immobilization of trypsin on sterilized cotton gauze bandage was carried out for future use as an anti-inflammatory agent on wound dressing. The optimal immobilization conditions were determined: the influence of pH, concentration, and volume of the trypsin solution used in the immobilization procedure was studied. The catalytic properties and kinetic parameters, as well as the storage stability of the immobilized and free enzyme were compared. Results showed that the optimal pH and temperature for the immobilized trypsin in the hydrolysis of N-benzoyl-DL-arginine p-nitroanilide were 9.5 and 55 ºC, which were higher than those of the free form (7.5 and 45 ºC. It was found, at 37 ºC and pH 7.0 (approximately, the physiological conditions, that the Km (Michaelis constant was 3.98 µmol/mL and that Vmax (maximal reaction rate was 0.719 µmol/(min mg for the immobilized trypsin, compared to a Km of 2.46 mmol/mL and a Vmax of 2.89 µmol/(min mg for the free trypsin. The amount of immobilized trypsin was 6 mg/g dried support. After 30 days, no trypsin had liberated from the support. The superior performance of the immobilized trypsin demonstrates its potential application in practice.Neste trabalho foi efetuada a imobilização de tripsina numa gaze esterilizada de algodão. Foram determinadas as condições ótimas de imobilização: foi estudada a influência do pH, concentração e volume da solução de tripsina usada na imobilização na hidrólise da N-benzoil-DL-arginina p-nitroanilida. As propriedades catalíticas, os parâmetros cinéticos e as condições de estabilidade das enzimas livre e imobilizada foram comparadas. Os resultados mostraram que o pH e a temperatura ótimos para a tripsina imobilizada foram 9.5 e 55 ºC, respectivamente, maiores que os correspondentes da forma livre (7,5 e 45 ºC. A 37 ºC e a pH 7,0 (aproximadamente as condições fisiológicas Km (constante de Michaelis foi 3,98 µmol/mL e Vmax

  15. Influence of the number of layers of paris bandage plasters on the mechanical properties speciments used on orthopedic splints Influência do número de camadas na propriedade mecânica de espécimes fabricados com atadura gessada usados para confeccionar splints ortopédicos

    Directory of Open Access Journals (Sweden)

    Gustavo C. Vieira

    2011-10-01

    Full Text Available OBJECTIVE: To evaluate the effects of varying numbers of layers of plaster of Paris bandages on the mechanical properties of specimens used on the construction of orthopedic splints. METHODS: Rectangular plate-shaped and cylinder-shaped specimens were constructed and assigned to two groups simulating plaster slabs and cast and further divided into six subgroups according to the number of layers used: 3, 6, 8, 10, 12 and 14 layers. The specimens were subjected to either a three-point bending test (plates/slab or compressive strength test (cylinders/cast. The following mechanical properties were evaluated: maximum load, elastic limit load and stiffness. Specimen weight was also calculated. Data was analyzed using Kruskal-Wallis and the least significant difference (LSD tests. RESULTS: Pairwise comparisons of the subgroups 10x12 and 10x14 revealed significant differences for all mechanical properties (pOBJETIVO: Avaliar as propriedades mecânicas de amostras fabricadas a partir de ataduras de gesso que são utilizadas em órteses ortopédicas e que variam quanto ao número de camadas. MÉTODOS: Foram confeccionados espécimes em forma de placa retangular e em forma cilíndrica, divididos em dois grupos que simulavam splint e gesso circular, os quais foram divididos em seis subgrupos de acordo com o número de camadas utilizadas, ou seja, três, seis, oito, dez, 12 e 14 camadas. Os espécimes foram submetidos a um teste de inclinação de três pontos (placas/splint ou teste de resistência à compressão (cilindros/gesso circular. As seguintes propriedades mecânicas foram avaliadas: carga máxima e carga no limite de elasticidade e rigidez. O peso da amostra foi calculado. Os dados foram analisados estatisticamente pelos testes de Kruskal-Wallis e diferença mínima significativa (DMS. Comparações pareadas entre os subgrupos 10x12 e 10x14 revelaram diferenças significativas para todas as propriedades mecânicas (p<0,05. RESULTADOS: Os

  16. 超高分辨率眼前节OCT评价翼状胬肉术后绷带式角膜接触镜的治疗效果%An evaluation of the therapeutic effect of the bandage contact lenses after pterygium surgery using ultra-high resolution optical coherence tomography

    Institute of Scientific and Technical Information of China (English)

    陈鼎; 连燕; 黄芳; 李瑾; 吕帆

    2014-01-01

    Objective To evaluate the therapeutic effect of the bandage contact lens (BCL) using ultra-high resolution optical coherence tomography (UHR-OCT) after pterygium surgery.Methods Prospective case-control study.Sixty eyes of 60 patients undergoing pterygium excision and conjunctival autografting were randomly allocated into 2 groups:30 eyes were covered with silicone hydrogel BCLs at the conclusion of surgery and 30 eyes served as a control.UHR-OCT scans of the cornea were performed sequentially on day 1,day 2,day 3,and then every other day until the end of re-epithelialization after surgery.Complete corneal epithelial healing was verified with fluorescein staining after removal of the BCLs.Post-surgical pain was evaluated using the visual analogue scale (VAS).An independent t test and a Mann-Whitney U test were used.Results All BCLs were successfully fit without any contact lens-related complications.UHR-OCT images clearly revealed the architectural features of the postoperative cornea with BCL in situ and showed the epithelial healing process.UHR-OCT imaging highly agreed with the fluorescein staining in detecting corneal epithelial defects (95%).Based on the assessment by UHR-OCT,the average time line for re-epithelialization in the BCL group was 3.7±1.2 days while in the control group it was 4.8±1.5 days (t=16.78,P<0.01).VAS scores reported lower pain levels in the BCL group compared to the control group at each time point (Z=-4.75,-3.84,-2.96,-2.52,-1.98,all P<0.05).Conclusion Silicone hydrogel BCL is recommended as an adjuvant therapy after pterygium surgery for its efficacy in improving re-epithelialization and postoperative comfort.UHR-OCT is an excellent tool in monitoring corneal epithelial healing under BCLs and determining the appropriate time for lens removal.%目的 应用超高分辨率眼前节OCT(UHR-OCT)技术评价翼状胬肉术后绷带式角膜接触镜(BCL)的治疗效果.方法 前瞻性病例对照研究.选取行翼状胬肉切除

  17. Peha-haft bandage as a new dressing for pediatric hypospadias repair

    Directory of Open Access Journals (Sweden)

    Gangopadhyay A

    2005-01-01

    Full Text Available Hypospadias Repair has varied alternatives in every step including dressing. Objective: To compare Peha-Haft cohesive dressing with compressed gauze penile wrap dressing in hypospadias repair. Patients and methods: Peha-Haft cohesive dressing was prospectively used in 60 subjects (Group A over a period of three and a half years from Jan.2001 to July 2004 and compared with 60 subjects of compressed gauze dressing with micropore adhesive (Group B. Primary outcome measures were ease of application, cost, comfort with dressing, dressing related early complications, pain during dressing removal assessed by FLACC score and time taken during removal. Results: Time taken during dressing removal was 30 + 11 seconds in Group A and 180 + 26 seconds in Group B. FLACC score was 3 + 2 in Group A and 7 + 3 in Group B. No sedation was required in the Group A while it was required in 26 cases in Group B Conclusion: Peha-Haft dressing was superior in terms of the ease of application, cost, comfort with dressing, dressing related early complications, time consumed and pain during dressing removal.

  18. Peha-haft bandage as a new dressing for pediatric hypospadias repair

    OpenAIRE

    Gangopadhyay A; Sharma S

    2005-01-01

    Hypospadias Repair has varied alternatives in every step including dressing. Objective: To compare Peha-Haft cohesive dressing with compressed gauze penile wrap dressing in hypospadias repair. Patients and methods: Peha-Haft cohesive dressing was prospectively used in 60 subjects (Group A) over a period of three and a half years from Jan.2001 to July 2004 and compared with 60 subjects of compressed gauze dressing with micropore adhesive (Group B). Primary outcome measures were ease of app...

  19. Superiority of terahertz over infrared transmission through bandages and burn wound ointments

    Science.gov (United States)

    Suen, Jonathan Y.; Padilla, Willie J.

    2016-06-01

    Terahertz electromagnetic waves have long been proposed to be ideal for spectroscopy and imaging through non-polar dielectric materials that contain no water. Terahertz radiation may thus be useful for monitoring burn and wound injury recovery, as common care treatments involve application of both a clinical dressing and topical ointment. Here, we investigate the optical properties of typical care treatments in the millimeter wave (150-300 GHz), terahertz (0.3-3 THz), and infrared (14.5-0.67 μm) ranges of the electromagnetic spectrum. We find that THz radiation realizes low absorption coefficients and high levels of transmission compared to infrared wavelengths, which were strongly attenuated. Terahertz imaging can enable safe, non-ionizing, noninvasive monitoring of the healing process directly through clinical dressings and recovery ointments, minimizing the frequency of dressing changes and thus increasing the rate of the healing process.

  20. THE EFFECT OF MICROWAVE AND BANDAGING TREATMENT ON SKIN IMMUNOLOGICAL CELLS INCHRONIC LIMB LYMPHEDEMA

    Institute of Scientific and Technical Information of China (English)

    曹卫刚; 张涤生; 干季良

    2000-01-01

    R6sumeObjectifPourcaracteriserlesrdactionsimmunolgiquesdestissuscutanesdesmaladesporteursdelymPhoedemenon-filarienavecousansinfection.methodesParmoyenimmunohistochimiquedAvidinebiotineperoxydase(ABC),chez16maladesproteursdelymPhoedemechroniquedesmembres,lestissuscutanesinlltresdescellulesinfammatoiresonteteexamindsavantetaPr6sdeuxtemPsdutraitementparmicro'ondesetbandage.Rds"ItatsIlyavaituneinfltrationimPortantedeslymPhocytesTdanslestissuscutaneslymPhoedemateux.APrbsdeuxtemPsdutraitementparmicro-ondesetbanda...

  1. Functional bandage - a possible supporting resource for the rehabilitation of hemiplegic patients

    OpenAIRE

    Emilyn Borba da Silva; Daniela Tonús

    2015-01-01

    Cerebral vascular accident (CVA) is one of the main causes of neurological sequelae, presenting motor deficits such as hemiplegia. Motor deficits can cause loss of coordination and precision of movements necessary for a good functional performance in self-care, leisure and productivity activities, significantly changing one’s routine. Individuals affected by CVA suffer a rupture in their family, affective, social and professional relationships, with repercussions in their lifestyle. Several m...

  2. Does comprilan bandage have any influence on peripheral perfusion in patients with oedema?

    DEFF Research Database (Denmark)

    Midttun, M; Ahmadzay, N F; Henriksen, J H

    2010-01-01

    : Blood flow rate was measured by the heat-washout method in the pulp of the first toe of 10 patients (eight women, two men, aged 75-94) with leg oedemas, and systolic toe blood pressure was determined by the strain gauge method. Oedema was scored according to a visual scale, and the patients were treated...

  3. Comparative study of two silicone hydrogel contact lenses used as bandage contact lenses after photorefractive keratectomy

    Directory of Open Access Journals (Sweden)

    Hasan Razmjoo

    2012-01-01

    Conclusion: Silicon hydrogel BCLs are safe and effective for corneal reepithelialization and have great therapeutic outcome on visual outcomes after PRK. But, senofilcon A had better effect on postoperative pain and discomfort which made it superior than lotrafilcon A. However for more conclusive results, it is recommended to study larger sample size with evaluation the possible factors responsible for the obtained findings regarding postoperative pain and discomfort.

  4. 75 FR 59695 - Foreign-Trade Zone 169-Manatee County, Florida; Extension of Subzone; Aso LLC (Adhesive Bandage...

    Science.gov (United States)

    2010-09-28

    ... procedures (Board Order 1120, 65 FR 58508-58509, 9/29/2000) for a period of 4 years of activation, subject to... Foreign-Trade Zones Board Foreign-Trade Zone 169--Manatee County, Florida; Extension of Subzone; Aso LLC... Zones Board (the Board) by the Manatee County Port Authority, grantee of FTZ 169, requesting...

  5. Synthesis and properties of regenerated cellulose-based hydrogels with high strength and transparency for potential use as an ocular bandage

    International Nuclear Information System (INIS)

    Cellulose is a biologically derived material with excellent wound-healing properties. The high strength of cellulose fibers and the ability to synthesize gels with high optical transparency make these materials suitable for ocular applications. In this study, cellulose materials derived from wood pulp, cotton, and bacterial sources were dissolved in lithium chloride/N,N-dimethylacetamide to form regenerated cellulose hydrogels. Material properties of the resulting hydrogels, including water content, optical transparency, and tensile and tear strengths, were evaluated. Synthesis parameters, including activation time, dissolution time, relative humidity, and cellulose concentration, were found to impact the material properties of the resulting hydrogels. Overnight activation time improves the optical transparency of the hydrogels from 77% to 97% at 550 nm, whereas controlling cellulose concentration improves their tear strength by as much as 200%. On the basis of the measured transmittance and strength values of the regenerated hydrogels prepared via the optimized synthesis parameters, Avicel PH 101, Sigma-Aldrich microcrystalline cellulose 435236, and bacterial cellulose types were prioritized for future biocompatibility testing and potential clinical investigation. - Highlights: • Hydrogels were prepared (via LiCl/DMAc) from 7 different types of cellulose. • Synthesis parameters (activation, gelation, and concentration) were optimized. • Impact of synthesis parameters on transparency and strength was explored

  6. Synthesis and properties of regenerated cellulose-based hydrogels with high strength and transparency for potential use as an ocular bandage

    Energy Technology Data Exchange (ETDEWEB)

    Patchan, M. [Research and Exploratory Development Department, The Johns Hopkins University Applied Physics Laboratory, 11100 Johns Hopkins Road, Laurel, MD 20723 (United States); Graham, J.L. [Department of Biomedical Engineering, Johns Hopkins University, School of Medicine, 720 Rutland Avenue/Ross 720, Baltimore, MD 21205 (United States); Xia, Z.; Maranchi, J.P. [Research and Exploratory Development Department, The Johns Hopkins University Applied Physics Laboratory, 11100 Johns Hopkins Road, Laurel, MD 20723 (United States); McCally, R. [Research and Exploratory Development Department, The Johns Hopkins University Applied Physics Laboratory, 11100 Johns Hopkins Road, Laurel, MD 20723 (United States); Wilmer Eye Institute, Johns Hopkins Medical Institutions, 600 N. Wolfe Street, Baltimore, MD 21287 (United States); Schein, O. [Wilmer Eye Institute, Johns Hopkins Medical Institutions, 600 N. Wolfe Street, Baltimore, MD 21287 (United States); Elisseeff, J.H. [Department of Biomedical Engineering, Johns Hopkins University, School of Medicine, 720 Rutland Avenue/Ross 720, Baltimore, MD 21205 (United States); Trexler, M.M., E-mail: morgana.trexler@jhuapl.edu [Research and Exploratory Development Department, The Johns Hopkins University Applied Physics Laboratory, 11100 Johns Hopkins Road, Laurel, MD 20723 (United States)

    2013-07-01

    Cellulose is a biologically derived material with excellent wound-healing properties. The high strength of cellulose fibers and the ability to synthesize gels with high optical transparency make these materials suitable for ocular applications. In this study, cellulose materials derived from wood pulp, cotton, and bacterial sources were dissolved in lithium chloride/N,N-dimethylacetamide to form regenerated cellulose hydrogels. Material properties of the resulting hydrogels, including water content, optical transparency, and tensile and tear strengths, were evaluated. Synthesis parameters, including activation time, dissolution time, relative humidity, and cellulose concentration, were found to impact the material properties of the resulting hydrogels. Overnight activation time improves the optical transparency of the hydrogels from 77% to 97% at 550 nm, whereas controlling cellulose concentration improves their tear strength by as much as 200%. On the basis of the measured transmittance and strength values of the regenerated hydrogels prepared via the optimized synthesis parameters, Avicel PH 101, Sigma-Aldrich microcrystalline cellulose 435236, and bacterial cellulose types were prioritized for future biocompatibility testing and potential clinical investigation. - Highlights: • Hydrogels were prepared (via LiCl/DMAc) from 7 different types of cellulose. • Synthesis parameters (activation, gelation, and concentration) were optimized. • Impact of synthesis parameters on transparency and strength was explored.

  7. Chapter 5. Technological aspects of obtaining of ethynyl-piperidol polymers. 5.1. Elaboration of method of continuous production of bandaging material

    International Nuclear Information System (INIS)

    The elaboration of method of continuous production of styptic and antibacterial material was the purpose of present scientific research. The flowsheet of continuous production of styptic and antibacterial material was elaborated and described. The process of iodine sorption by modified materials was studied. The iodine sorption by modified materials in moment of its formation from the potassium iodide was studied as well. The influence of nature of grafted polymer on sorption of iodide ions was studied as well.

  8. Omkostningseffektiv ændring af behandling ved delhudstransplantat på crus

    DEFF Research Database (Denmark)

    Vennegaard Kalialis, Louise; von Sperling, Marie Louise; Hoyer, A.P.

    2012-01-01

    We present a clinical comparison of short stretch bandage versus a two-layer compression bandage and early mobilization after split skin grafting to lower leg defects. A total of 38 patients were included. The first group were immobilized for four days and given a short stretch support bandage. G...

  9. Clinical application of silicone hydrogel contact lens as a bandage immediately after LASIK%硅水凝胶角膜接触镜在LASIK术后早期的应用

    Institute of Scientific and Technical Information of China (English)

    付智勇; 王艳玲; 唐思梦

    2013-01-01

    目的 评价硅水凝胶角膜接触镜在准分子激光原位角膜磨镶术(LASIK)后早期应用的临床安全性和有效性.方法 30例近视患者(60眼)自身对照,每例患者在LASIK手术结束时随机选取一眼佩戴Pure Vision角膜接触镜,术后第1天取出,分别记录术后1d、3d、7d的主观症状评分、角膜荧光素染色(FL)、泪膜破裂时间(BUT)以及泪液分泌试验(SIt).戴镜眼组和未戴镜眼组之间以及两眼各自分别进行上述时间点不同观察指标的统计学分析.结果 主观症状戴镜眼组在术后1d比未戴镜眼组轻(Z=2.60,P<0.01),在术后3d、7d两组差异无统计学意义;戴镜眼组在术后1d角膜荧光素染色(FL)阳性率比未戴镜眼组低(x2=12.912,P<0.01);在术后3d、7d两组差异无统计学意义.戴镜眼组在术后1 d(t=2.51,P<0.05)、3 d(t=2.03,P<0.05)、7 d(t=1.94,P<0.05)泪膜破裂时间(BUT)均比未戴镜眼组长,差异有统计学意义.两组术后3天、7天BUT值均比术后1天增加(F=3.02,P<0.05;F=4.77,P<0.01).戴镜眼组在术后1 d(t=2.06,P<0.05)、3 d(t=1.89,P<0.05)比未戴镜眼组基础泪液分泌量多,差异有统计学意义.术后7天两组差异无统计学意义.结论 硅水凝胶角膜接触镜对于促进角膜愈合、缓解疼痛刺激有显著疗效,适宜于LASIK术后早期配戴.

  10. [Compression material].

    Science.gov (United States)

    Perceau, Géraldine; Faure, Christine

    2012-01-01

    The compression of a venous ulcer is carried out with the use of bandages, and for less exudative ulcers, with socks, stockings or tights. The system of bandages is complex. Different forms of extension and therefore different types of models exist. PMID:22489428

  11. Medical image of the week: maggots

    OpenAIRE

    Mosier JM

    2013-01-01

    An 80-year old man presented with pruritic exacerbation of his chronic wound. He had venous stasis ulcers chronically to the lower extremities bilaterally, requiring bandages. He presented with pruritis, but no fevers or pain. The bandage was removed which revealed the maggots (Figure 1).

  12. Medical image of the week: maggots

    Directory of Open Access Journals (Sweden)

    Mosier JM

    2013-12-01

    Full Text Available An 80-year old man presented with pruritic exacerbation of his chronic wound. He had venous stasis ulcers chronically to the lower extremities bilaterally, requiring bandages. He presented with pruritis, but no fevers or pain. The bandage was removed which revealed the maggots (Figure 1.

  13. NEW APPROACH TO PREDICT PRESSURE PRODUCED BY ELASTIC TEXTILE IN THE THEREPEUTIC TREATMENT OF VENOUS LEG

    Directory of Open Access Journals (Sweden)

    R. Halfaoui

    2016-05-01

    Full Text Available This paper presents the first theoretical and practical work on compression therapy using the Laplace law to estimate pressures under the bandages. Three articles are considered: the first with the warp highly-twisted on cotton, the second with the warp on polyamide and the third with spandex wrapped by cotton yarn. Starting from these woven fabrics, three models, E5, E6 and Ef have been developed with respective elongations of 108 %, 86 % and 92 % and specific mechanical behavior. The results show that than the single layer bandages develop much higher pressure than the multilayer bandages but the multilayer bandages exert much more uniform pressure than single layered bandages. Obtaining uniform pressure along the length of the leg is a positive result in this treatment. Averages circumferences of the human body are used for the pressure calculations in four zones: C1, C2, C3 and C4.

  14. PERITÔNIO DE BOVINO COMO BANDAGEM EM QUEIMADURAS CUTÂNEAS EXPERIMENTAIS EM COELHOS BOVINE PERITONEUM AS BANDAGE FOR FULL-THICKNESS CUTANEOUS BURNS IN RABBITS Peritoneo de los bóvidos como vendaje para las quemaduras cutáneas del lleno-grueso en conejos

    OpenAIRE

    Louisiane de Carvalho Nunes; Guilherme Ronceti Raft; Duvaldo Eurides; Patrícia Maria Coletto Freitas; Camila Araujo Busnardo; Marcelo Emílio Beletti

    2009-01-01

    Foram avaliados os aspectos macroscópicos e histológicos de queimaduras cutâneas de coelhos tratadas com peritônio de bovino conservado em glicerina a 98%. Em dezesseis animais delimitaram-se duas áreas de 2,5cm de diâmetro na pele da região dorsal do tórax, sendo uma no antímero direito e outra no esquerdo. A pele das áreas demarcadas foi removida com exposição da fáscia muscular e as feridas cauterizadas com termocautério. Sobre as queimaduras do antímero direito, aplicou-se um segmento de ...

  15. 硅水凝胶角膜接触镜在乙醇法-和机械法-激光上皮下角膜磨镶术术后的应用%Clinical evaluation of the Galyfilcon A silicon hydrogel contact lens as a bandage after LASEK or epi-LASIK

    Institute of Scientific and Technical Information of China (English)

    吴莹; 瞿小妹; 周行涛; 戴锦晖; 褚仁远

    2006-01-01

    目的 评价Galyfilcon A硅水凝胶软性角膜接触镜(acuve advance)作为乙醇法-准分子激光上皮下角膜磨镶术(laser subepithelial keratomileusis,LASEK)和机械法-激光上皮下角膜磨镶术(epi-laser in situ keratomileusis,epi-LASIK)术后绷带式接触镜应用的临床安全性和有效性.方法 31例(58眼)行LASEK或epi-LASIK的患者参与了本前瞻性临床研究,其中9例双眼行LASEK手术者作acuve advance和月抛型镜片的对照研究,其余22例均使用acuve advance镜片.根据角膜上皮愈合的情况,镜片连续配戴3 d或7 d.在术后第1天、第3天和第7天,观察镜片的中心位置、移动度、湿润度和沉淀物,在裂隙灯下对角膜缘充血和角膜上皮水肿情况进行评分,并由患者对其不适感(疼痛和异物感)行主观量化评分.结果 Acuve advance的镜片中心位置、移动度、湿润度均良好,常见散在沉淀物.大部分患者疼痛感无或很轻,而异物感是主要症状.与月抛型镜片相比,术后第1天和第3天的戴acuve advance者异物感更轻(Z=2.72,P=0.007;Z=2.37,P=0.018);戴acuve advance者术后第1天的疼痛感更轻(Z=2.60,P=0.009);戴acuve advance者术后角膜缘充血与角膜上皮水肿也略轻,但差异无显著性.未发生严重并发症.结论 Galyfilcon A硅水凝胶软性角膜接触镜作为LASEK和epi-LASIK术后绷带式接触镜应用是安全有效的,与月抛型镜片相比,更适合于长期配戴.

  16. Feline onychectomy at a teaching institution: a retrospective study of 163 cases.

    Science.gov (United States)

    Tobias, K S

    1994-01-01

    One hundred sixty-three cats underwent onychectomy from January 1985 to November 1992. Onychectomy was performed with guillotine-type nail shears (62%), surgical blade (24.5%), or both (8.6%), and wound closure consisted of bandages alone (61.3%), bandages after suture closure (26.4%), or tissue adhesive application (9.2%). The duration of surgery was significantly longer when onychectomy was performed with a blade or when suture closure was used instead of bandages alone (P onychectomy (P onychectomy (P = .018). Use of tissue adhesive was associated with more postoperative lameness (P onychectomy, with more infections (P = .049). PMID:8091630

  17. State-of-the-Art Hip Surgeries for Active Adults

    Medline Plus

    Full Text Available ... Jefferson University Hospital specializing in hip and knee joint replacement. And today with me I have Dr. ... bandaged up. The yellow material covers the hip joint. I’m standing there to the right on ...

  18. Carbapenem-Resistant Enterobacteriaceae (CRE) Infection

    Science.gov (United States)

    ... bandages or handling medical devices After using the bathroom After blowing your nose, coughing, or sneezing Ask ... Contact CDC–INFO Healthcare-associated Infections Data and Statistics HAI Data: Progress Report HAI Data: Progress Report ...

  19. Effect of physical therapy on breast cancer related lymphedema

    DEFF Research Database (Denmark)

    Tambour, Mette; Tange, Berit; Christensen, Robin Daniel Kjersgaard;

    2014-01-01

    BACKGROUND: Physical therapy treatment of patients with lymphedema includes treatment based on the principles of 'Complete Decongestive Therapy' (CDT). CDT consists of the following components; skin care, manual lymphatic drainage, bandaging and exercises. The scientific evidence regarding what...

  20. Infection and Other Complications

    Science.gov (United States)

    ... Manual Lymph Drainage (MLD) Self-Care Contraindications for Treatment Lymphedema for Cancer Patients Measurements Bandaging Stomp Out Lymphedema ... complications. It is never too late to undergo treatment for lymphedema and improve your overall health. Other Complications of ...

  1. Lymphedema Risk Reduction Practices

    Science.gov (United States)

    ... Manual Lymph Drainage (MLD) Self-Care Contraindications for Treatment Lymphedema for Cancer Patients Measurements Bandaging Stomp Out Lymphedema ... National Lymphedema Network. Position Paper on Diagnosis and Treatment of Lymphedema. /pdfDocs/nlntreatment.pdf . Updated Feb 2011. Werner RS, ...

  2. Corneal injury

    Science.gov (United States)

    ... by almost any fluid that gets into the eye Contact lens problems: Overuse, poor fit, or sensitivity to contact ... Wearing an eye patch or temporary bandage contact lens Using eye drops or ointments prescribed by the doctor Not ...

  3. Delivery of Compression Therapy for Venous Leg Ulcers

    DEFF Research Database (Denmark)

    Zarchi, Kian; Jemec, Gregor B E

    2014-01-01

    IMPORTANCE: Despite the documented effect of compression therapy in clinical studies and its widespread prescription, treatment of venous leg ulcers is often prolonged and recurrence rates high. Data on provided compression therapy are limited. OBJECTIVE: To assess whether home care nurses achieve...... municipalities. Sixty-eight home care nurses who managed wounds in their everyday practice were included. MAIN OUTCOMES AND MEASURES: Participant-masked measurements of subbandage pressure achieved with an elastic, long-stretch, single-component bandage; an inelastic, short-stretch, single-component bandage; and...... a multilayer, 2-component bandage, as well as, association between achievement of optimal pressure and years in the profession, attendance at wound care educational programs, previous work experience, and confidence in bandaging ability. RESULTS: A substantial variation in the exerted pressure was...

  4. Skin (Pressure) Sores

    Science.gov (United States)

    ... every 15 minutes. Use special foam or gel seat cushions to reduce pressure. Choose clothing that isn’ ... any open sore with water very carefully and cover with a bandage. Do this every time the ...

  5. Efficacy of removable rigid dressing after transtibial amputation in diabetes mellitus patients

    Directory of Open Access Journals (Sweden)

    Evi R.N. Hidayati

    2013-02-01

    Full Text Available Background: The aim of this study was to evaluate the RRD’s efficacy in decreasing stump edema and pain compared to elastic bandage for diabetic mellitus patients after transtibial amputation.Methods: Interventional research was using consecutive  sampling. Subjects were randomized into two groups: RRD and elastic bandage. Twenty-three subjects were analyzed. Stump  edema volume was measured by the amount of water spilled out from volume glass. Elastic bandage was reapplied every 4 hours  and RRD was refitted every 7 days during evaluation time. Stump edema volume was evaluated every 7 days during the 8 week observation.Results: There was a significant decrease of stump volume in RRD group during the first and second week (p = 0.03, p = 0.01 and the edema decreasing time was also significant (p = 0.03.  The average decrease of edema volume in RRD was 63.85% of second week and in the elastic bandage group was 34.35%. There were a tendency of pain reduction time in RRD group (4.83 ± 1.95 weeks compared to elastic bandage group (5.18 ± 2.31weeks. Cox regression result of decreasing edema volume time was 3.088 (CI 95%: 1.128 – 4.916.Conclusion: This study found that there was stump edema  volume acceleration in RRD group, it was three times faster for stump to become not edematous compared to elastic bandage group. There was a tendency of faster decreasing stump pain in  RRD group than elastic bandage group, eventhough this result  was not statistically significant. (Med J Indones. 2013;22:16-21Keywords: Diabetes mellitus, removable rigid dressing, transtibial amputation

  6. Pressure mapping with textile sensors for compression therapy monitoring.

    Science.gov (United States)

    Baldoli, Ilaria; Mazzocchi, Tommaso; Paoletti, Clara; Ricotti, Leonardo; Salvo, Pietro; Dini, Valentina; Laschi, Cecilia; Francesco, Fabio Di; Menciassi, Arianna

    2016-08-01

    Compression therapy is the cornerstone of treatment in the case of venous leg ulcers. The therapy outcome is strictly dependent on the pressure distribution produced by bandages along the lower limb length. To date, pressure monitoring has been carried out using sensors that present considerable drawbacks, such as single point instead of distributed sensing, no shape conformability, bulkiness and constraints on patient's movements. In this work, matrix textile sensing technologies were explored in terms of their ability to measure the sub-bandage pressure with a suitable temporal and spatial resolution. A multilayered textile matrix based on a piezoresistive sensing principle was developed, calibrated and tested with human subjects, with the aim of assessing real-time distributed pressure sensing at the skin/bandage interface. Experimental tests were carried out on three healthy volunteers, using two different bandage types, from among those most commonly used. Such tests allowed the trends of pressure distribution to be evaluated over time, both at rest and during daily life activities. Results revealed that the proposed device enables the dynamic assessment of compression mapping, with a suitable spatial and temporal resolution (20 mm and 10 Hz, respectively). In addition, the sensor is flexible and conformable, thus well accepted by the patient. Overall, this study demonstrates the adequacy of the proposed piezoresistive textile sensor for the real-time monitoring of bandage-based therapeutic treatments. PMID:27334110

  7. Another test of the passive facial feedback hypothesis: when your face smiles, you feel happy.

    Science.gov (United States)

    Mori, Kazuo; Mori, Hideko

    2009-08-01

    88 undergraduates (44 men, 44 women) participated in an experiment to examine whether the cutaneous sensation of having the cheeks lifted would cause a feeling of happiness. Two types of paired adhesive bandages connected with rubber bands were prepared and used either to raise or lower the cheeks. While the bandages were applied, the participants rated their feelings. The results showed that 50 participants felt happiness when their cheeks were lifted, statistically significant compared to the 27 who felt sadness. They confirmed the hypothesis that people may feel happy when their cheeks are lifted upward. PMID:19831088

  8. 78 FR 18314 - Foreign-Trade Zone 169-Manatee County, Florida; Application for Production Authority; ASO, LLC...

    Science.gov (United States)

    2013-03-26

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF COMMERCE Foreign-Trade Zones Board Foreign-Trade Zone 169--Manatee County, Florida; Application for Production Authority; ASO, LLC; Subzone 169A (Textile Fabric Adhesive Bandage Coating and Production);...

  9. The nitric acid burn trauma of the skin.

    Science.gov (United States)

    Kolios, L; Striepling, E; Kolios, G; Rudolf, K-D; Dresing, K; Dörges, J; Stürmer, K M; Stürmer, E K

    2010-04-01

    Nitric acid burn traumata often occur in the chemical industry. A few publications addressing this topic can be found in the medical database, and there are no reports about these traumata in children. A total of 24 patients, average 16.6 years of age, suffering from nitric acid traumata were treated. Wound with I degrees burns received open therapy with panthenol-containing creams. Wound of II degrees and higher were initially treated by irrigation with sterile isotonic saline solution and then by covering with silver-sulphadiazine dressing. Treatment was changed on the second day to fluid-absorbent foam bandages for superficial wounds (up to IIa degrees depth) and occlusive, antiseptic moist bandages in combination with enzymatic substances for IIb degrees -III degrees burns. After the delayed demarcation, necrectomy and mesh-graft transplantation were performed. All wounds healed adequately. Chemical burn traumata with nitric acid lead to specific yellow- to brown-stained wounds with slower accumulation of eschar and slower demarcation compared with thermal burns. Remaining wound eschar induced no systemic inflammation reaction. After demarcation, skin transplantation can be performed on the wounds, as is commonly done. The distinguishing feature of nitric-acid-induced chemical burns is the difficulty in differentiation and classification of burn depth. An immediate lavage should be followed by silver sulphadiazine treatment. Thereafter, fluid-absorbent foam bandages or occlusive, antiseptic moist bandages should be used according to the burn depth. Slow demarcation caused a delay in performing surgical treatments. PMID:19875347

  10. Current concepts in wound management and wound healing products.

    Science.gov (United States)

    Davidson, Jacqueline R

    2015-05-01

    Current concepts in wound management are summarized. The emphasis is on selection of the contact layer of the bandage to promote a moist wound environment. Selection of an appropriate contact layer is based on the stage of wound healing and the amount of wound exudate. The contact layer can be used to promote autolytic debridement and enhance wound healing. PMID:25744144

  11. SURGICAL MANAGEMENT OF FRACTURE SHAFT HUMERUS WITH INTERLOCKING NAIL - A PROSPECTIVE STUDY

    OpenAIRE

    Muralidhar,; Mahendranath Reddy

    2013-01-01

    ABSTRACT : INTRODUCTION : Conservative treatment of fracture humerus has resulted in malunion , nonunion , and ultimately poor functional outcome. Internal fixation of fracture shaft of humerus allows ready access for nursing care in patients with multiple injuries and associated co morbid conditions. And also restrictive bandages and splints are avoided , early mobilization o f the patients and his limbs helps to prevent fracture disease....

  12. Radioisotope gage for automatic control of cotton wool package

    International Nuclear Information System (INIS)

    A summary is given of research work and in-service tests carried out on radiometric gages for on-line control in bandage industry. A special type of thickness gage based on beta absorption measurements restricts the weight fluctuations of ready cotton wool packages to less than +- 2 per cent. Economic effectiveness of the gage is evaluated

  13. Bacterial Skin Infections

    Science.gov (United States)

    ... or scraped, the injury should be washed with soap and water and covered with a sterile bandage. Petrolatum may be applied to open areas to keep the tissue moist and to try to prevent bacterial invasion. Doctors recommend that people do not use ...

  14. 21 CFR 807.65 - Exemptions for device establishments.

    Science.gov (United States)

    2010-04-01

    .... This exemption also applies to a pharmacy or other similar retail establishment that purchases a device... bandage or crutch, indicating “distributed by” or “manufactured for” followed by the name of the pharmacy... hospital, clinic, dental laboratory, orthotic or prosthetic retail facility, whose primary...

  15. A randomized comparative trial of combinational methods for preventing post-spinal hypotension at elective cesarean delivery

    Directory of Open Access Journals (Sweden)

    Mitra Jabalameli

    2011-01-01

    Conclusions: Among the three studied methods, administration of ephedrine plus bandage of the lower extremities was the most effective one in reducing the incidence of post-spinal hypotension. The groups were not clinically different concerning the effect of treatment on newborn health.

  16. A retrospective study of the association between shortening of the clavicle after fracture and the clinical outcome in 136 patients

    DEFF Research Database (Denmark)

    Rasmussen, Jeppe; Jensen, Steen L; Petersen, Jens; Falstie-Jensen, Thomas; Lausten, Gunnar; Olsen, Bo S

    2011-01-01

    The purpose of this retrospective study was to examine the association between shortening of the clavicle after a united midshaft fracture and clinical outcome. Second, the purpose was to compare the results obtained by conservative treatment with either a figure-of-eight bandage or a simple sling....

  17. Feasibility and effectiveness of basic lymphedema management in Leogane, Haiti, an area endemic for bancroftian filariasis.

    Directory of Open Access Journals (Sweden)

    David G Addiss

    Full Text Available BACKGROUND: Approximately 14 million persons living in areas endemic for lymphatic filariasis have lymphedema of the leg. Clinical studies indicate that repeated episodes of bacterial acute dermatolymphangioadenitis (ADLA lead to progression of lymphedema and that basic lymphedema management, which emphasizes hygiene, skin care, exercise, and leg elevation, can reduce ADLA frequency. However, few studies have prospectively evaluated the effectiveness of basic lymphedema management or assessed the role of compressive bandaging for lymphedema in resource-poor settings. METHODOLOGY/PRINCIPAL FINDINGS: Between 1995 and 1998, we prospectively monitored ADLA incidence and leg volume in 175 persons with lymphedema of the leg who enrolled in a lymphedema clinic in Leogane, Haiti, an area endemic for Wuchereria bancrofti. During the first phase of the study, when a major focus of the program was to reduce leg volume using compression bandages, ADLA incidence was 1.56 episodes per person-year. After March 1997, when hygiene and skin care were systematically emphasized and bandaging discouraged, ADLA incidence decreased to 0.48 episodes per person-year (P<0.0001. ADLA incidence was significantly associated with leg volume, stage of lymphedema, illiteracy, and use of compression bandages. Leg volume decreased in 78% of patients; over the entire study period, this reduction was statistically significant only for legs with stage 2 lymphedema (P = 0.01. CONCLUSIONS/SIGNIFICANCE: Basic lymphedema management, which emphasized hygiene and self-care, was associated with a 69% reduction in ADLA incidence. Use of compression bandages in this setting was associated with an increased risk of ADLA. Basic lymphedema management is feasible and effective in resource-limited areas that are endemic for lymphatic filariasis.

  18. Effect of external pressure on intramuscular blood flow at rest and after running

    International Nuclear Information System (INIS)

    Local blood flow in the thigh was measured with 133Xe clearance technique in eight male distance runners after compression with a foam rubber compress and a standard elastic bandage. Two degrees of compression were tested, and an initial experiment with rested subjects was followed by a similar experiment immediately after running. Maximum compression exerted a cutaneous pressure of 85 (+/- 8) mm Hg and caused an immediate cessation of intra-muscular blood flow in the compressed area. Moderate compression gave a cutaneous pressure of 40 (+/- 5) mm Hg and resulted in a reduction of blood flow by approximately 50%. During compression, there were no significant differences in the blood flow of rested subjects compared to subjects immediately after running. In acute soft tissue injuries, a maximum compression bandage should effectively reduce or eliminate the formation of an intra-muscular hematoma, and an additive effect on blood flow of ice should not be expected

  19. [Modern methods of prehospital bleeding management based on the experience and standards of tactical medicine].

    Science.gov (United States)

    Kluj, Przemysław; Aleksandrowicz, Dawid; Machała, Waldemar; Gaszyński, Tomasz

    2015-02-01

    Isolated limb hemorrhage represents 60% of avoidable deaths and remains the leading cause of death in combat zone. Ideal tourniquet must be light, durable and cheap. They should completely stop the flow of arterial blood in the limb, and their attachment should be quick and easy. Tourniquets applied in correct location save lives by stopping the bleeding. Their use in civil environment appear to be particularly relevant in the mass casualties events. Modern bandages used by the military, were designed mostly in the form of an elastic bandage, which attachment has to be easy and quick. Sequential wrapping of elastic dressing around the wound produces compressive force which aim is to stem the bleeding by pressing vessel from the outside. Dressings are made of materials which adhere well to the wound, causing the seal and leave no fragments in the injured tissue. The combination of all components enables fast and effective application of the dressing in the most demanding conditions. PMID:25771513

  20. The Role of Wet Wrap Therapy in Skin Disorders - A literature Review

    DEFF Research Database (Denmark)

    Andersen, Rosa Marie; Thyssen, Jacob P; Maibach, Howard I

    2015-01-01

    Wet wrap therapy, based on skin application of a double layer of tubular bandages or gauze with a moist first inner layer and a dry second outer layer, is utilized to treat various pruritic conditions, in particular severe and refractory atopic dermatitis. This review, by literature search, evalu...... therapy may trigger increased lamellar body secretion resulting in recovery of the damaged intercellular lipid laminar structure. Otherwise, little investigation on mechanisms exists.......Wet wrap therapy, based on skin application of a double layer of tubular bandages or gauze with a moist first inner layer and a dry second outer layer, is utilized to treat various pruritic conditions, in particular severe and refractory atopic dermatitis. This review, by literature search......, evaluates current knowledge about wet wrap therapy. Wet wrap therapy superimposed topical corticosteroids appears more efficient than emollients only, at least for short-time treatments. Despite higher efficacy, there is a tendency towards more frequent infections when topical corticosteroids are covered...

  1. [New aspects of compression therapy].

    Science.gov (United States)

    Partsch, Bernhard; Partsch, Hugo

    2016-06-01

    In this review article the mechanisms of action of compression therapy are summarized and a survey of materials is presented together with some practical advice how and when these different devices should be applied. Some new experimental findings regarding the optimal dosage (= compression pressure) concerning an improvement of venous hemodynamics and a reduction of oedema are discussed. It is shown, that stiff, non-yielding material applied with adequate pressure provides hemodynamically superior effects compared to elastic material and that relatively low pressures reduce oedema. Compression over the calf is more important to increase the calf pump function compared to graduated compression. In patients with mixed, arterial-venous ulcers and an ABPI over 0.6 inelastic bandages not exceeding a sub-bandage pressure of 40 mmHg may increase the arterial flow and improve venous pumping function. PMID:27259340

  2. TO STUDY THE ROLE OF COMPRESSIVE THERAPY AND SURGICAL INTERVENTION IN TREATMENT OF VENOUS ULCERS

    Directory of Open Access Journals (Sweden)

    Sashi Walling

    2015-07-01

    Full Text Available OBJECTIVE: The aim of this study is to study the response of venous ulcers to compressive therapy plus surgical treatment. STUDY DESIGN : Patients presenting to our hospital from the period March’ 2014 to December’ 2014 with venous ulcers were examined and investigated. Thirty patients who had findings of venous ulcers along with varicose veins were selected for the study. Patients were initially treated with elastic compression bandages to allow ulcer healing followed by surgical intervention of varicose veins and incompetent perforators. The response to treatment was evaluated in terms of symptomatic improvement and ulcer healing. RESULTS: Venous ulcers respond well to both conservative treatment and surgical intervention. Meticulous assessment of patients is necessary for successful treatment. In our study period, elastic compres sion bandages combined with surgical treatment was successful in improving symptoms of venous ulcer as well as ulcer healing in the patients. Patient education regarding compliance to treatment is paramount to ulcer healing and preventing recurrence.

  3. Case report: Manual lymphatic drainage and kinesio taping in the secondary malignant breast cancer-related lymphedema in an arm with arteriovenous (A-V) fistula for hemodialysis.

    Science.gov (United States)

    Chou, Ya-Hui; Li, Shu-Hua; Liao, Su-Fen; Tang, Hao-Wei

    2013-08-01

    Lymphedema is a dreaded complication of breast cancer treatment. The standard care for lymphedema is complex decongestive physiotherapy, which includes manual lymphatic drainage (MLD), short stretch bandaging, exercise, and skin care. The Kinesio Taping could help to improve lymphatic uptake. We reported a patient with unilateral secondary malignant breast cancer-related lymphedema and arteriovenous (A-V) fistula for hemodialysis happened in the same arm, and used kinesio taping, MLD, and exercise to treat this patient because no pressure could be applied to the A-V fistula. The 12-session therapy created an excellent effect. We do not think the kinesio taping could replace short stretch bandaging, but it could be another choice for contraindicating pressure therapy patients, and we should pay attention to wounds induced by kinesio tape. PMID:22879520

  4. Histological and bacteriological studies of burn wounds treated with boiled potato peel dressings.

    Science.gov (United States)

    Keswani, M H; Vartak, A M; Patil, A; Davies, J W

    1990-04-01

    Histological and clinical studies have been made on comparable burn wounds covered with either boiled potato peels affixed to gauze bandages or gauze dressings alone; both dressings were applied over a thin layer of 5 per cent silver sulphadiazine. Compared with treatment with plain gauze dressings, the application of the potato peel dressing reduced or eliminated dessication, permitted the survival of superficial skin cells and hastened epithelial regeneration. Bacteriological studies showed that the potato peels had no intrinsic antibacterial activity, the wounds beneath both dressings showing either no growth or, on most occasions, the same bacterial species. The easy availability of potato peels and gauze bandages on to which they can be affixed, the simplicity of the preparation of this dressing, the ease of sterilization and its low cost of production make this the dressing of choice for burn wounds in our developing country. PMID:2350410

  5. Laser patterned carbon–polyethylene mesh electrodes for wound diagnostics

    International Nuclear Information System (INIS)

    Carbon loaded polyethylene films were selected as the base substrate for a mechanically flexible and conductive sensing material for use wound monitoring technologies. The films were processed using laser ablation of the surface to increase the effective surface area of the electrode and then subject to an oxidative electrochemical etch to improve the electron transfer kinetics. The surface morphology of the resulting films was analysed and the electrode performance in relation to monitoring uric acid, a key wound biomarker, was optimized. A prototype smart bandage was designed, based on interfacing the mesh to a portable potentiostat, and the response to urate and potential interferences assessed. - Highlights: • Innovative use of a carbon–polyethylene mesh for wound sensing applications. • Electroanalytical characterisation of a mechanically flexible conductive film. • Design and preliminary characterisation of an integrated smart bandage

  6. Comparison of the effectiveness of different postoperative edema control methods in below knee amputees

    OpenAIRE

    ,

    2013-01-01

    Purpose: The classical elastic bandage (EB) application is a common method used in edema control in amputees. In recent years, however, complex decongestive physiotherapy (CDP) is found to be an effective approach in the treatment of edema. This study was planned to compare effectiveness of EB and CDP technique on the edema control and the period of transition to permanent prosthesis in below knee amputees. Methods: Twenty unilateral below knee amputees were included in the study. Ten amputee...

  7. A Cross-Platform Health Care Application

    OpenAIRE

    Eriksson, Rickard; Hemani, Sajjadali

    2015-01-01

    This report describes the development process of the mobile application HealthyWay. The application is developed as a Bachelor thesis project together with KTH Royal Institute of Technology. The applications' main function is to be the interface to a number of wearable medical electronic appliances such as bandages and pill boxes. The communication is done through Bluetooth Low Energy. The application was mainly written in 3 di erent languages, QML, C++ and Java. The most stressed point throu...

  8. [History of the therapeutic uses of the tinder polypore, Fomes fomentarius (L. : Fr].

    Science.gov (United States)

    Roussel, Bertrand; Rapior, Sylvie; Charlot, Colette; Masson, Christian-Louis; Boutié, Paul

    2002-01-01

    This paper presents the major therapeutic uses of Fomes fomentarius (L. : Fr.) Fr., tinder polypore. The context of this fungus is a wooly and soft material so called amadou (tinder). During the XVIII and XIXth centuries, the fungal material was used as haemostatic dressing and bandage to keep the temperature and compress parts of the body. It was also used as cautery for moxibustion and was reported in several traditional pharmacopoeias (Hungarian, Chinese, Indian). PMID:12712985

  9. Testing and Analysis of the Peeling of Medical Adhesives From Human Skin

    OpenAIRE

    Karwoski, Alicia Corrine

    2003-01-01

    The analysis of peeling tape or a bandage from skin is a challenging problem. Skin is a very complex material made of many layers with anisotropic material properties. Adhesives that bond tapes or patches to skin must attach to skin through moisture and skin movement, but then be removed with little skin trauma. A computer model of peeling from skin apparently has not been developed previously. With experiments and the application of mechanics, research was conducted to analyze adhesion t...

  10. Iris rubeosis and hyphema caused by chemical injury due to household detergent

    Directory of Open Access Journals (Sweden)

    Suto C

    2012-11-01

    Full Text Available Chikako Suto,1,2 Tetsuya Ishizuka,1 Hiroshi Toshida31Department of Ophthalmology, Saiseikai Kurihashi Hospital, Kuki, Saitama, 2Department of Ophthalmology, Tokyo Women's Medical University, Shinjuku, Tokyo, 3Department of Ophthalmology, Juntendo University Shizuoka Hospital, Izunokuni, Shizuoka, JapanAbstract: We report an unusual case of iris rubeosis and hyphema caused by chemical injury due to household detergent. A 74-year-old man with a 15-year history of diabetes mellitus was refilling a container with household detergent at home. He splashed the detergent in his eyes. Slit-lamp examination revealed extensive epithelial damage to the left eye, leading to a persistent corneal epithelial defect. We used a bandage soft contact lens with levofloxacin eye drops as concomitant therapy in order to promote healing. However, a strain of fluoroquinolone-resistant Corynebacterium colonized the eye, so that the corneal ulcer eventually became severe. Use of the bandage soft contact lens was discontinued. His antimicrobial agent was changed to cefmenoxime, a drug to which fluoroquinolone-resistant Corynebacterium is sensitive, and topical instillation of autologous serum subsequently promoted improvement of the ulcer. On day 38 after injury, iris rubeosis led to hyphema and ghost cell glaucoma. With improvement of his corneal epithelial defect, the iris rubeosis and hyphema regressed and his visual acuity improved to 20/25 on the left eye. To the best of our knowledge, this is the first report of a case resulting in severe complications due to chemical injury by a neutral detergent. Ophthalmologists should be aware that corneal epithelial damage may become prolonged in elderly patients with diabetes, and unexpectedly severe when wearing bandage soft contact lens, with infection of Corynebacterium resistant to fluoroquinolones, even if the chemical agent is a neutral detergent.Keywords: chemical injury, household detergent, persistent corneal

  11. The Mannequin-leg: a new instrument to assess stiffness of compression materials

    OpenAIRE

    Masafumi Hirai; Hugo Partsch

    2013-01-01

    Stiffness of compression material, which has major impact on the performance of the used product, has mainly been investigated by clinical in vivo experiments up to now. Experimental two-centre study has been performed in Japan and in Austria. Results are presented using a novel leg model, whose circumference can mechanically be extended by 1 cm. The change of the interface pressure measured under a compression device corresponds to its stiffness. Inelastic and multi-component bandages show s...

  12. Corneal epitheliopathy after trauma by fake snow powder in a 7-year-old child

    OpenAIRE

    Al-Amry, Mohammad A.; Al-Ghadeer, Huda A.

    2016-01-01

    Fake snow is a polymer of sodium polyacrylates used in games and celebrations. Despite the product leaflet that indicates safety, contact with the ocular surface can cause injury. We report a case of a child with corneal epitheliopathy due to a chemical burn injury after ocular surface contact with fake snow. The case was managed with epithelial debridement and a bandage contact lenses and topical antibiotics with complete resolution.

  13. Corneal epitheliopathy after trauma by fake snow powder in a 7-year-old child

    Directory of Open Access Journals (Sweden)

    Mohammad A Al-Amry

    2016-01-01

    Full Text Available Fake snow is a polymer of sodium polyacrylates used in games and celebrations. Despite the product leaflet that indicates safety, contact with the ocular surface can cause injury. We report a case of a child with corneal epitheliopathy due to a chemical burn injury after ocular surface contact with fake snow. The case was managed with epithelial debridement and a bandage contact lenses and topical antibiotics with complete resolution.

  14. A Lymphedema Self-Management Programme: Report on 30 Cases

    OpenAIRE

    Tidhar, Dorit; Hodgson, Pamela; Shay, Carol; Towers, Anna

    2014-01-01

    Purpose: Compression therapy is the most important element in the treatment and long-term management of moderate and severe lymphedema, but it is not universally accessible in Canada. For those unable to access private lymphedema treatment, physiotherapists at the McGill University Health Centre (MUHC) Lymphedema Clinic began teaching patients and caregivers how to use compression bandages safely and effectively. Methods: A retrospective chart review was combined with structured telephone or ...

  15. Effect of physical therapy on breast cancer related lymphedema: protocol for a multicenter, randomized, single-blind, equivalence trial

    OpenAIRE

    Tambour, Mette; Tange, Berit; Christensen, Robin; Gram, Bibi

    2014-01-01

    Background Physical therapy treatment of patients with lymphedema includes treatment based on the principles of ‘Complete Decongestive Therapy’ (CDT). CDT consists of the following components; skin care, manual lymphatic drainage, bandaging and exercises. The scientific evidence regarding what type of treatment is most effective is sparse. The objective of this study is to investigate whether CDT is equally effective if it includes manual lymphatic drainage or not in the treatment of arm lymp...

  16. Biomechanisch begründeter Rehabilitationsansatz bei verschiedenen Krankheitsbildern des Handgelenks in der orthopädischen Praxis : eine prospektive Studie

    OpenAIRE

    Schmitt, Stefanie

    2006-01-01

    Handgelenkserkrankungen haben sowohl in Amerika wie auch in Europa mit steigenden Fallzahlen einen durch den Ausfall der Arbeitskraft nicht unerheblichen Einfluß auf die Volkswirtschaft. Ständige Wiederholungen in hoher Frequenz werden für die RSI ursächlich verantwortlich gemacht. Basierend auf der Annahme, dass Vibrationen und Beschleunigungskräften mittels Dämpfkörpern beeinflusst werden können, wurde die Coopercare Lastrap-Bandage entwickelt. Obwohl die Behandlung mit Handgelenksorthesen ...

  17. Elastomeric hoof boots

    OpenAIRE

    Hanley, John

    2003-01-01

    The design, manufacture and testing of a prototype elastomeric equine boot is described in this thesis. Thoroughbred horses may suffer from a number of serious hoof disorders. These include stone bruising, navicular syndrome and hoof wall separation. Excessive concussion in the equine hoof is a major contributory factor in most of the problems horses experience in their lower limbs. Bandaging of a horses foot after injury is time consuming as well as being labour intensive. The proposed boot ...

  18. Conservative Treatment of a Patient with Epidermolysis Bullosa Presenting as Bart Syndrome: A Case Report

    OpenAIRE

    2010-01-01

    We presented a case of a newborn male with aplasia cutis congenita on the lower limb. The case was treated with conservative method. As for the conservative treatment, daily hydrodebridement with 1/200 diluted povidone-iodine and serum physiologic was performed, followed by closure of the wound with a dexpanthenol + chlorhexidine + fusidic acid-impregnated sterile gauze bandage. the followup that occured after three weeks, the wound was completely epithelialized, but a hypopigmented scar rema...

  19. 运用湿性愈合法治疗四期压疮的护理体会

    Institute of Scientific and Technical Information of China (English)

    郭泽霞; 詹海珠; 郑海莫; 蒋家玉; 覃莲英

    2011-01-01

    Objective To summarize and discuss iv bedsore nursing points methods Using wound healing treatment of wet four bedsore results Reduce the bandage wound, Alleviate pain, Obviously shortened wound healing time.%目的:总结和探讨四期压疮护理要点.方法:运用伤口湿性愈合法治疗四期压疮.结果:减轻患者疼痛,缩短伤口愈合时间.

  20. HOLSTEIN IRKI BIR BUZAĞIDA KONGENITAL TOPUK EKLEMİ BÜKÜLMESİ OLGUSU

    OpenAIRE

    FIRAT, İbrahim; YILDIZ, Funda; ÖZSOY, Serhat

    2013-01-01

    AbstractIn this study, congenital flexure of fetlock, which is a congenital malformation and mild form of arthrogryposis was presented in a 7 day old, male, Holstein calf.The calf with an abnormality in the rear limbs was presented to the department of Surgery of our Faculty. The clinical and radiological examinations revealed hyperextension and rigidity in the fetlock. Euthanasia was performed due to the inefficiency of one-weck-long bandage application and the progressive deterioration of t...

  1. Dressing wounds with potato peel

    OpenAIRE

    Patange Vidya; Fernandez Rui; Motla Meena; Mahajan Sunanda

    1996-01-01

    The use of boiled potato peel (PP) in dressing of various skin conditions was studied. A total of 11 patients were selected, which included resistant wounds of pemphigus, bullous pemphigoid and leg ulcers. An autoclaved PP dressing with a thin layer of antiseptic cream was applied at 25 sites. It was covered with multilayered gauze and the dressing was secured firmly with either a roller bandage or with an adhesive tape. Complete epithelization was seen at 20 sites (80%), near complete...

  2. Kinesio taping application in a pediatric patient with spinal muscular atrophy

    OpenAIRE

    Bayram Kelle; Didem Arslan Tas; Erkan Kozanoglu

    2016-01-01

    Kinesio taping is one of the elastic bandage methods which has been quite popular in the last 20 years and has been applied in various musculoskeletal conditions. Although the mechanism of action is not clear, many theories have been suggested so far. In this case report, we aimed to present the results of kinesiotape application for back pain of the patient with spinal muscular atrophy which is one of the progressive muscular disorders. It was performed for three times with four days interva...

  3. Efficacy of adding the kinesio taping method to guideline-endorsed conventional physiotherapy in patients with chronic nonspecific low back pain: a randomised controlled trial

    OpenAIRE

    Added, Marco Aurélio Nemitalla; Costa, Leonardo Oliveira Pena; Fukuda, Thiago Yukio; de Freitas, Diego Galace; Salomão, Evelyn Cassia; Monteiro, Renan Lima; Costa, Lucíola da Cunha Menezes

    2013-01-01

    Background Chronic nonspecific low back pain is a significant health condition with high prevalence worldwide and it is associated with enormous costs to society. Clinical practice guidelines show that many interventions are available to treat patients with chronic low back pain, but the vast majority of these interventions have a modest effect in reducing pain and disability. An intervention that has been widespread in recent years is the use of elastic bandages called Kinesio Taping. Althou...

  4. Neuromuscular dressing effects: a literature review

    OpenAIRE

    Calero PA; Cañón GA

    2012-01-01

    The kinesio taping is a technique that was created in 1979 by Doctor Kenzo Kase I’m looking through it that could generate a new therapeutic option to control pain, improve athletic performance and reduce the impact of musculoskeletal disorders. From the Sydney 2000 Olympic Games, this technique as a therapeutic alternative PTO and is composed of health professionals in the field of sport and physical rehabilitation.Objetive: This article aims to identify theoretical approaches on the bandage...

  5. Conformal tissue scaffold with multi-functional porosity for wound healing

    OpenAIRE

    Khoda, AKM Bashirul; Koç, Bahattin; Koc, Bahattin

    2012-01-01

    In tissue engineering and wound healing, porous scaffolds can stimulate the wound healing process by regenerating the damaged or diseased tissue. But when applied in wound area various forces like bandage, contraction and self weight act upon these visco-elastic scaffold/membrane and cause deformation. As a result, the geometry and the designed porosity change which eventually alters the desired choreographed functionality such as material concentration, design parameters, cytokines distri...

  6. Intermittent pneumatic compression pump in upper extremity impairments of breast cancer-related lymphedema

    OpenAIRE

    UZKESER, Hülya; Karatay, Saliha

    2013-01-01

    To investigate the effect of intermittent pneumatic compression (IPC) pumps on upper extremity impairments in breast cancer-related lymphedema. Materials and methods: Twenty-five patients with lymphedema were randomized into 2 groups. For 3 weeks, the pneumatic compression group (n = 12) underwent a treatment program including skin care, compression bandage, exercise therapy, manual lymph drainage (MLD), and IPC. The control group (n = 13) participated in the same program, but without IPC. ...

  7. Prototype Superconducting Quadrupole for the ISR high-luminosity (low beta)insertion:end view.

    CERN Multimedia

    1977-01-01

    In this picture, taken before the insertion of the inner vacuum chamber with inbedded 6-pole superconducting windings, one can see the main components of the magnet structure: (from inside outwards) the superconducting quadrupole coils surronded by glass epoxy bandage rings and stainless steel spacers, the low-carbon steel yoke quadrants and the aluminium alloy shrinking rings. See also photos 7702307, 7702688X, 7702690X.

  8. Superconducting Quadrupole for the ISR High Luminosity insertion:end view

    CERN Multimedia

    1977-01-01

    Connection end view of the prototype quadrupole before insertion of the inner vacuum chamber with inbedded 6-pole windings. The main components of the structure can be seen: (from inside outwards) the superconducting quadrupole coils surrounded by glass epoxy bandage rings and stainless steel spacers, the low-carbon steel yoke quadrants and the aluminium alloy shrinking rings. See also photos 7702690X, 7702307, 7702308, 7812604X.

  9. Disposable Natural Scrubber from Sisal and Bamboo Fibers

    OpenAIRE

    T. Rasigha; S. Kirthika

    2015-01-01

    Medical Textiles describes a textile structure that has been designed and produced for use in any of a variety of medical applications. The medical textiles include a vast range of applications, viz, adhesive tapes, bandages, beddings, blankets, castings, diapers, dressings, eye pads, gauzes, protective clothing’s, sutures, surgical covers, surgical clothing’s, swabs, supports, sanitary products, hospital gowns, etc. Consumers have become more aware about the repercussions of lead...

  10. Netra darpanamu - A Unique book on eye diseases

    OpenAIRE

    Prasad, Goli Penchala

    2007-01-01

    Netra Darpanamu is the only book written exclusively on Eye diseases in Telugu. This Ayurvedic book, which is famous in Andhra Pradesh, was first published in 1908 in Eluru. The book is written in chaste Telugu poetry, comprising the types of treatment followed by 36 recipes. This book contains names of various eye diseases, treatment procedures like bandages, plasters, collyriums and regimen of food and behaviour. This article aims to highlight the importance of this book in treating various...

  11. Wound healing activity of Ipomoea batatas tubers (sweet potato)

    OpenAIRE

    Madhav Sonkamble; Vandana Panda

    2011-01-01

    Background: Ipomoea batatas (L.) Lam. from the family Convolvulaceae is the world’s sixth largest food crop. The tubers of Ipomoea batatas commonly known as sweet potato are consumed as a vegetable globally. The tubers contain high levels of polyphenols such as anthocyanins and phenolic acids and vitamins A, B and C, which impart a potent antioxidant activity that can translate well to show wound healing effects. To check their effects on wound healing, the peels and peel bandage were tested ...

  12. Conservative Treatment of a Patient with Epidermolysis Bullosa Presenting as Bart Syndrome: A Case Report

    Directory of Open Access Journals (Sweden)

    Samet Vasfi Kuvat

    2010-01-01

    Full Text Available We presented a case of a newborn male with aplasia cutis congenita on the lower limb. The case was treated with conservative method. As for the conservative treatment, daily hydrodebridement with 1/200 diluted povidone-iodine and serum physiologic was performed, followed by closure of the wound with a dexpanthenol + chlorhexidine + fusidic acid-impregnated sterile gauze bandage. the followup that occured after three weeks, the wound was completely epithelialized, but a hypopigmented scar remained in the limb.

  13. A 29-Year-Old Man with Hospital-Acquired Cavitary Pneumonia

    OpenAIRE

    Mansoor Mehmood; Halloush, Ruba A; Khasawneh, Faisal A

    2014-01-01

    Mucormycosis is an infection that can manifest in many forms and is an emerging complication in several health care procedures. Portals of entry can be attributed to surgical procedures and medical devices such as chest tubes; however, the skin and gastrointestinal tract are the most common sites of infection and outbreaks have been traced to adhesive bandages, wooden tongue depressors and ostomy bags. This article describes the presentation, work-up, diagnosis and treatment of an East Asian ...

  14. Management of Subcutaneous Emphysema

    Directory of Open Access Journals (Sweden)

    Mahmut Tokur

    2012-10-01

    Full Text Available Subcutaneous emphysema can develop spontaneously, traumatically or iatrogenically. In its treatment, either no surgical intervention may be followed or initiatives in removal of the hypodermic aberrant air may be combined with treatment that leads to etiological causes. Procedures such as placing a chest tube, massage of the tissue, inserting cutaneous intracath, wrapping the chest wall with elastic bandage, fasciotomy, mediastinotomy, Video As-sisted Thoracoscopic Surgery (VATS and thoracotomy may be implemented.

  15. Grand challenge in Biomaterials-wound healing

    OpenAIRE

    Salamone, Joseph C.; Salamone, Ann Beal; Swindle-Reilly, Katelyn; Leung, Kelly Xiaoyu-Chen; McMahon, Rebecca E.

    2016-01-01

    Providing improved health care for wound, burn and surgical patients is a major goal for enhancing patient well-being, in addition to reducing the high cost of current health care treatment. The introduction of new and novel biomaterials and biomedical devices is anticipated to have a profound effect on the future improvement of many deleterious health issues. This publication will discuss the development of novel non-stinging liquid adhesive bandages in healthcare applications developed by R...

  16. Silicone hydrogel materials for contact lens applications

    OpenAIRE

    González-Méijome, José Manuel; González-Pérez, Javier; Fernandes, Paulo Rodrigues Botelho; Ferreira, Daniela Patrícia Lopes; Mollá, Sergio; Compañ-Moreno, V.

    2014-01-01

    Silicone hydrogel (Si-Hy) materials combine the benefi ts of silicone or siloxane derivates in terms of oxygen permeability and mechanical properties with those of hydrogels in terms of wettability and hidrophilicity. Such properties are critical when it comes to the application at the ocular surface in the form of contact lenses (CL) to correct visual dysfunctions, as bandage mechanism or as drug delivery devices. Nowadays, CL are used by over 100 million people worldwide. Silico...

  17. The Mannequin-leg: a new instrument to assess stiffness of compression materials

    Directory of Open Access Journals (Sweden)

    Masafumi Hirai

    2013-03-01

    Full Text Available Stiffness of compression material, which has major impact on the performance of the used product, has mainly been investigated by clinical in vivo experiments up to now. Experimental two-centre study has been performed in Japan and in Austria. Results are presented using a novel leg model, whose circumference can mechanically be extended by 1 cm. The change of the interface pressure measured under a compression device corresponds to its stiffness. Inelastic and multi-component bandages show stiffness values which are more than three times higher than those of elastic bandages and of compression stockings. There is a significant correlation between the stiffness values measured with the simple mannequin- leg and those obtained from extensometer measurements (Hohen stein-method on one hand, and also with data on the human leg (static stiffness index on the other hand. The average variation coefficient with repeated measurements is 5.4%. The absolute values differ with the used pressure probes. The newly developed mannequin-leg offers a simple method to measure and to compare the stiffness of compression stockings and bandages, including the combination of such devices.

  18. Heavy Load Rollers in Logistic Systems

    Directory of Open Access Journals (Sweden)

    B. Künne

    2003-01-01

    Full Text Available Wheels with polyurethane bandages are in common use in logistic systems with friction gear actuation. Many research projects have studied the mechanical construction of these heavy load wheels. The studies have been theoretical as well as experimental. Research interests at the department of machine elements include the wear in the presence of intermediate material on the contact area between the bandage surface and the contact surface on which the wheel rolls off. This problem, which is observed when examining this tribochemical system, has not been studied before. Within this project both one-phase intermediate materials such as sand, water, cutting-cooling-emulsion, metal splinters and two-phase intermediate materials such as sand/water and combinations of the latter were taken into consideration. In addition, the exposure of the bandage hardness, the cross linking agent of the polyurethane, the mechanical stress, and the slip are observed. The analysis of the experimental results indicates that friction gear actuators can be constructed abrasion-optimised, taking into account special interfering effects in the form of intermediate materials in the contact area.

  19. Improving clinical examination in acute tibial fractures by enhancing visual cues: the case for always 'cutting back' a tibial back-slab and marking the dorsalis pedis pulse.

    Science.gov (United States)

    Thomas, Alasdair; Kimber, Cheryl; Bramwell, Donald; Jaarsma, Ruurd

    2016-08-01

    Look, feel, move is a simple and widely taught sequence to be followed when undertaking a clinical examination in orthopaedics (Maher et al., 1994; McRae, 1999; Solomon et al., 2010). The splinting of an acute tibial fracture with a posterior back-slab is also common practice; with the most commonly taught design involving covering the dorsum of the foot with bandaging (Charnley, 1950; Maher et al., 1994; McRae, 1989). We investigated the effect of the visual cues provided by exposing the dorsum of the foot and marking the dorsalis pedis pulse. We used a clinical simulation in which we compared the quality of the recorded clinical examination undertaken by 30 nurses. The nurses were randomly assigned to assess a patient with either a traditional back-slab or one in which the dorsal bandaging had been cut back and the dorsalis pedis pulse marked. We found that the quality of the recorded clinical examination was significantly better in the cut-back group. Previous studies have shown that the cut-back would not alter the effectiveness of the back-slab as a splint (Zagorski et al., 1993). We conclude that all tibial back-slabs should have the bandaging on the dorsum of the foot cut back and the location of the dorsalis pedis pulse marked. This simple adaptation will improve the subsequent clinical examinations undertaken and recorded without reducing the back-slab's effectiveness as a splint. PMID:27236718

  20. Plaster of Paris: the orthopaedic surgeon heritage.

    Science.gov (United States)

    Hernigou, Philippe

    2016-08-01

    Plastering is one of the most ancient of the building handicrafts. Plaster is the common name for calcium sulphate hemi hydrate made by heating the mineral gypsum, the common name for sulphate of lime. In the tenth century the Arabs used liquid plaster in orthopaedic treatment. At the beginning of the nineteenth century, patients with fractures of the lower extremities-and often of the upper extremities as well-were treated in bed with restriction of all activity for many weeks until the fractures united. It was the practice of surgeons to dress wounds and fractures at frequent intervals. The bandages, pads, and splints were removed, the fractures manipulated, and the dressings reapplied. The search for simpler, less cumbersome methods of treatment led to the development of occlusive dressings, stiffened at first with starch and later with plaster of Paris. The ambulatory treatment of fractures was the direct result of these innovations. Two military surgeons, Antonius Mathijsen of the Netherlands, and Nikolai Ivanovitch Pirogov of Russia, were responsible for the introduction of the new plaster bandage technique. At the beginning of the twentieth century the technique was improved by Jean-François Calot, a French surgeon, who invented the hand manufacture of plaster bandage as a roll. During the twentieth century, walking cast and ambulation for fresh fractures were developed with plaster and pin incorporated in plaster; the open fracture care concept was introduced with plaster of Paris by Trueta before the external fixation. PMID:27055448

  1. The influence of Kinesiology Taping on the volume of lymphoedema and manual dexterity of the upper limb in women after breast cancer treatment.

    Science.gov (United States)

    Taradaj, J; Halski, T; Rosinczuk, J; Dymarek, R; Laurowski, A; Smykla, A

    2016-07-01

    The aim of our study was to evaluate the effect of Kinesiology Taping (KT) on the size of lymphoedema and manual dexterity of the upper limb in women after breast cancer treatment. We also examined whether the application of KT can replace the traditional and standard multilayered bandaging in the treatment of upper extremity lymphoedema. Group A comprised of 22 patients who underwent KT as well as pneumatic and manual lymphatic drainage. Then, group B comprised of 23 patients who were treated with quasi-KT as well as pneumatic and manual lymphatic drainage. In contrast, group C had 25 patients subjected only to the standard procedure - pneumatic and manual lymphatic drainage and multilayered bandaging. Patient evaluation items included limb size, grip strength and range of motion. After 4-week therapy, we observed that KT is not an effective method of reducing lymphoedema II and III(0) in women after breast cancer treatment. At this moment, the taping cannot replace the traditional and standard multilayered bandaging in the treatment of upper extremity lymphoedema. PMID:25963332

  2. Effect of Kinesiology Taping on Breast Cancer-Related Lymphedema: A Randomized Single-Blind Controlled Pilot Study

    Directory of Open Access Journals (Sweden)

    A. Smykla

    2013-01-01

    Full Text Available The aim of the study was to assess the efficacy of Kinesiology Taping (KT for treating breast cancer-related lymphedema. Sixty-five women with unilateral stage II and III lymphedema were randomly grouped into the KT group (K-tapes, n=20, the Quasi KT group (quasi K-tapes, n=22, or the MCT group (multilayered compression therapy group, n=23. Skin care, 45 min pneumatic compression therapy, 1 h manual lymphatic drainage, and application of K-tape/Quasi K-tapes/multilayered short-stretch bandages were given every treatment session, 3 times per week for 1 month. Patient evaluation items included limb size and percentage edema. Comparing the changes in K-tapes with quasi K-tapes changes, there were no significant differences (P>0.05. The edema reduction of multilayered bandages was much better than in results observed in taping groups. The KT appeared to be ineffective at secondary lymphedema after breast cancer treatment. The single-blind, controlled pilot study results suggest that K-tape could not replace the bandage, and at this moment it must not be an alternative choice for the breast cancer-related lymphedema patient. The trial is registered with ACTRN12613001173785.

  3. Commentary: Europe needs a central, transparent, and evidence based regulation process for devices

    DEFF Research Database (Denmark)

    Eikermaan, Michaela; Gluud, Christian; Perleth, Matthias;

    2013-01-01

    with the body, invasiveness, and whether it has a local or a systemic effect. Medium and high risk devices must be certified by one of the notified bodies, organisations that are accredited to assess a product’s compliance with EU legislation (CE mark). At a first glance this seems a structured process....... Medical devices range from bandages to life support machines, and manufacturers classify them into four risk categories from low (such as urine drainage bags) to high risk (such as drug eluting cardiac stents) according to EU rules.2 The risk associated with the device depends on the duration of contact...

  4. Pathology Gross Photography: The Beginning of Digital Pathology.

    Science.gov (United States)

    Rampy, B Alan; Glassy, Eric F

    2016-03-01

    The underutilized practice of photographing anatomic pathology specimens from surgical pathology and autopsies is an invaluable benefit to patients, clinicians, pathologists, and students. Photographic documentation of clinical specimens is essential for the effective practice of pathology. When considering what specimens to photograph, all grossly evident pathology, absent yet expected pathologic features, and gross-only specimens should be thoroughly documented. Specimen preparation prior to photography includes proper lighting and background, wiping surfaces of blood, removing material such as tubes or bandages, orienting the specimen in a logical fashion, framing the specimen to fill the screen, positioning of probes, and using the right-sized scale. PMID:26851666

  5. The influence of the external ankle support on the dynamic balance in volleyball athletes

    OpenAIRE

    Manuela Azevedo Correia de Lima; Germanna de Medeiros Barbosa; Joseanne Daniele Cezar Ribeiro; José Jamacy de Almeida Ferreira; Palloma Rodrigues de Andrade; Heleodório Honorato dos Santos

    2015-01-01

    AbstractThe purpose of this study was to assess the effect of ankle external supports on proprioception and dynamic balance in volleyball players. Seventeen female volleyball players (18.94±2.49 years; 65.45±9.49 kg; 1.71±0.05 m; BMI=22.0±2.67 kg/m²) took part in this study. The dynamic balance was assessed through the Star Excursion Balance Test (SEBT). Comparisons between stabilization (no stabilizer/NS, orthosis/ORT and functional bandaging/FB) modes and the SEBT grid lines and inter-limb ...

  6. First aid for cobra (Naja naja) bites

    International Nuclear Information System (INIS)

    The blood levels of Indian cobra (Naja naja) venom from its injection site in the lower limbs of monkeys (Macaca fascicularis) were studied by radioimmunoassay. In practical terms, the movement of venom from its site of injection into the general circulation, was effectively delayed by the application of a firm crepe or elastic bandage over the whole limb, and especially the injection site, combined with its immobilisation by a splint, taking care that firm pressure is maintained over the area of the bite. (auth.)

  7. Curativo para fixação de cateter intravenoso periférico: revisão integrativa da literatura

    OpenAIRE

    Adriana Serafim Bispo e Silva; Maria Lúcia Zanetti

    2004-01-01

    Esta revisão integrativa da literatura teve como objetivo identificar na literatura nacional e internacional, no período de 1992 a 2002, as publicações referentes aos curativos para fixação do cateter intravenoso periférico e as implicações de sua utilização. Foram identificados sete artigos científicos no banco de dados Medline por meio da utilização dos descritores peripheral catheterization e bandage. Os resultados demonstraram que 85% das publicações foram realizadas por enfermeiros, 42,8...

  8. [The therapeutic efficacy of the triase preparation in experimental pancreatic exocrine insufficiency].

    Science.gov (United States)

    Beliaev, O A

    1994-01-01

    The therapeutical efficiency of the new enzyme preparation Triase which contains microbial lipase, protease, and alpha-amylase was studied in dogs with experimental pancreatic failure. Enzyme maldigestion was made by bandaging the great pancreatic duct with pancreatic trypsin injection. The daily therapeutical dose of Triase (4 tablets) eliminated dyspepsia, creatorrhoea, restored body weight. But steatorrhoea was not abolished completely. The fecal fat content decreased to 22.1% versus 33.2% for untreated dogs following 8 weeks of the experiment. The enzyme therapy led to a more rapid reduction in blood amylase and lipase activities. This testifies that pancreatitis ran less severely. PMID:7756959

  9. System for diagnosis of rolling profiles of the railway vehicles

    Science.gov (United States)

    Medianu, Silviu Octavian; Rimbu, Gimi Aurelian; Lipcinski, Daniel; Popovici, Iuliu; Strambeanu, Dumitru

    2014-10-01

    A computerized system for monitoring and diagnosis (Profilograph), which is capable to predict the wheel profile evolution, was developed. The S78 and UIC-ORE types of profiles were tested, for which the wear parameters are monitored. The main parameters that characterize the wear profiles were measured and analyzed: Sh-flange height, Sd-flange thickness and qR-flange slope quota. The tests were executed on the basis of UIC norms and regulations. The diagnosis, gives technical information about the wheel profile, based on which, the following corrective mechanical actions should be taken: re-profiling, invalidation or parts replacement (in case of bandage wheel profile).

  10. Delayed effect of Kinesio Taping on neuromuscular performance, balance, and lower limb function in healthy individuals: a randomized controlled trial

    OpenAIRE

    Caio A. A. Lins; Daniel T. Borges; Liane B. Macedo; Karinna S. A. Costa; Jamilson S. Brasileiro

    2016-01-01

    ABSTRACT Background Kinesio Taping (KT) is an elastic bandage that aims to improve neuromuscular performance, although there is no consensus as to its benefits. Objective To analyze the immediate and delayed effects of KT on the neuromuscular performance of the femoral quadriceps, on balance, and lower limb function in healthy subjects. Method This is a randomized controlled trial. Thirty-six women with a mean age of 22.2±3.6 years and BMI of 22.5±2.3 Kg/m2 were divided into three groups: ...

  11. DEBRIDEMENT SEBAGAI TATALAKSANA ULKUS KAKI DIABETIK

    Directory of Open Access Journals (Sweden)

    Made Agustya Darmaputra Wesnawa

    2014-01-01

    Full Text Available Reported a case of female patient 45 years old with diagnose Diabetes Mellitus Type 2 withDiabetic Foot Ulcer Wagner grade 2 at region pedis dextra. Debridement was done in thispatient. The type of debridement was surgical debridement. The purpose of this procedure is toremove necrotic tissue and hyperkeratosis until reach the health tissue. After debridement, thewound was dressed with kassa sterile and elastic bandage. During treatment, there were no pus,bleeding, and unpleasant odor on wound, granulation tissue begin to appear, and pain on thepedis was reduced.

  12. Suicide by intravenous injection of rocuronium-bromide: Case report

    Directory of Open Access Journals (Sweden)

    Nikolić Slobodan

    2005-01-01

    Full Text Available Suicides by intravenous injection of an overdose of medicaments are uncommon. In this paper, we present the case of a suicide by rocuronium-bromide injection in combination with an oral overdose of metoprolol. Unfortunately, in Belgrade, there is no toxicological laboratory capable of detecting rocuronium. The interpretation of autopsy and toxicological data in this case was made difficult due to the extreme putrefaction of the body of the deceased. So, by forensic investigation, the case was solved indirectly, through circumstantial evidence: an empty ampoule of rocuronium found near the body, as well as a plastic syringe and cloth-bandage found in the left hand of the deceased.

  13. The historical evolution of the concept of apoptosis in rheumatic diseases

    OpenAIRE

    Gensini, G F; D. Lippi; A.A.Conti

    2011-01-01

    The concept of “apoptosis” can be found in chapter 35 of Hippocrates’ Mochlicon (V-IV century B.C.), a treatise concerning the reduction of dislocations, in which the gangrene resulting from the treatment of fractures by means of bandages is reported and described (1,2). The idea of apoptosis was consequently already implied by Hippocrates to indicate what today is considered the physiological destruction of cells and tissues. Areteus of Cappadocia in the I century A.D. and Galen of Pergamus ...

  14. Wound healing activity of Ipomoea batatas tubers (sweet potato

    Directory of Open Access Journals (Sweden)

    Madhav Sonkamble

    2011-10-01

    Full Text Available Background: Ipomoea batatas (L. Lam. from the family Convolvulaceae is the world’s sixth largest food crop. The tubers of Ipomoea batatas commonly known as sweet potato are consumed as a vegetable globally. The tubers contain high levels of polyphenols such as anthocyanins and phenolic acids and vitamins A, B and C, which impart a potent antioxidant activity that can translate well to show wound healing effects. To check their effects on wound healing, the peels and peel bandage were tested on various injury models in rats in the present study.Methods: The methanolic extracts of the peels and peel bandage of Ipomoea batatas tubers (sweet potato were screened for wound healing by excision and incision wound models on Wistar rats. Three types of gel formulations were prepared, viz., gel containing 3.0% (w/w peel extract, gel containing 6.0% (w/w peel extract and gel containing 10% (w/w peel extract. Betadine (5% w/w povidone iodine cream was used as a reference standard. In the incision wound model, Tensile strength of the skin was measured. Epithelization time, wound contraction, hydroxyproline content of the scab, and ascorbic acid and malondialdehyde content of the plasma were determined in the excision wound model.Results: In the incision wound model, high tensile strength of the wounded skin was observed in animals treated with the peel extract gels and the peel bandage when compared with wounded control animals. The increase in tensile strength indicates the promotion of collagen fibers and that the disrupted wound surfaces are being firmly knit by collagen. In the excision wound model, significant wound closure was observed on the 4th day in rats treated with all three gel formulations when compared with the wounded control rats. A significant increase inFunctional Foods in Health and Disease 2011; 10:403-415hydroxyproline and ascorbic acid content in the gel-treated animals and a significant decrease in malondialdehyde content in the

  15. Fractures of the proximal humerus

    DEFF Research Database (Denmark)

    Brorson, Stig

    2013-01-01

    bandages were further supported by splints made of wood or coarse grass. Healing was expected in forty days. Different fracture patterns have been discussed and classified since Ancient Greece. Current classification of proximal humeral fractures mainly relies on the classifications proposed by Charles...... clinically significant differences in observer agreement were found at different levels of clinical experience, by reducing the number of categories, or by adding high quality radiographs, CT or 3D CT scans. A consistently low agreement on the Neer classification within and between untrained orthopaedic...

  16. Management of fractures of the humerus in Ancient Egypt, Greece, and Rome

    DEFF Research Database (Denmark)

    Brorson, Stig

    2009-01-01

    linen was recommended. In Corpus Hippocraticum (circa 440-340 BC), the maneuver of reduction was fully described: bandages of linen soaked in cerate and oil were applied followed by splinting after a week. In The Alexandrian School of Medicine (third century BC), shoulder dislocations complicated with...... fractures of the humerus were mentioned and the author discussed whether the dislocation should be reduced before or after the fracture. Celsus (25 BC-AD 50) distinguished shaft fractures from proximal and distal humeral fractures. He described different fracture patterns, including transverse, oblique, and...

  17. Wound Care.

    Science.gov (United States)

    Balsa, Ingrid M; Culp, William T N

    2015-09-01

    Wound care requires an understanding of normal wound healing, causes of delays of wound healing, and the management of wounds. Every wound must be treated as an individual with regard to cause, chronicity, location, and level of microbial contamination, as well as patient factors that affect wound healing. Knowledge of wound care products available and when negative pressure wound therapy and drain placement is appropriate can improve outcomes with wound healing. Inappropriate product use can cause delays in healing. As a wound healing progresses, management of a wound and the bandage material used must evolve. PMID:26022525

  18. Possibility of electrodeposition of niobium, coatings on Fe-Mn alloy from fluorine salts melt

    International Nuclear Information System (INIS)

    Applicability of fluoride electrolyte (LiF-NaF-KF)eut-K2NbF7 (2,5 mol%) for deposition of niobium coatings on iron-manganese alloy (24-29 mass% Mn) substrates is evaluated. Corrosion behaviour of iron-manganese alloy in electrolyte at 950-1020 K is studied. Passivation of the alloy takes place under these conditions. It is possible to obtain a quality niobium coatings by electrolysis. Good adhesion of coatings to substrate testifies to the possibility to use a cryogenic Fe-Mn alloy with superconducting niobium in bandage composite

  19. Development of steel head joints with fiberglass sucker rod on the base of contact stresses investigation

    Energy Technology Data Exchange (ETDEWEB)

    Kopey, B.V.; Kopey, L.B. [Ivano-Frankivsk State Technical Oil and Gas University (Ukraine); Maksymuk, A.V.; Shcherbyna, N.M. [National Ukrainian Academy of Sciences (Ukraine)

    1998-12-31

    The methods of calculation of contact stresses during cylinder shell tube - steel bandage interaction are presented. Tymoshenko`s generalized theory of shells serves as a basis for investigating steel head to fiberglass sucker rod joint strength. This theory allows to consider mechanical performance of composite materials. The problem is reduced to solving Fredholm integral equation of second degree. The numeric analysis is performed. Several joints of composite body with steel head are proposed. The full-size sucker rod fatigue tests are performed to determine the fatigue limit under the bending and axial cyclic loads in the medium of oil well fluids. (orig.)

  20. Dynamic Encryption Technology in Ad-hoc Networks

    Institute of Scientific and Technical Information of China (English)

    JIN Zhao-hui; WANG Shun-man; XU Kai; LIANG Qing

    2007-01-01

    A new dynamic encryption application in ad-hoc networks is proposed. The advantages of this method are its being able to use the previous ciphertext as a seed of a new encryption process, rendering the encryption process effective in all communication process by continuous dynamic key generation together with synchronization, and its capability to cut back on system bandages to a greater extent, which is valuable for the ad-hoc circumstance. In addition, the rationality and effectiveness of this novel encryption method have been verified by the test results.

  1. Preliminary Report On Combined Surgical- And Laser-Treatment Of Large Hemangiomas And Tattoos

    Science.gov (United States)

    Ginsbach, G.

    1981-05-01

    As most hemangiomas and tattoos require many sessions to be cured completely by argon-laser or conventional therapy I developed a new combined surgical and laser-therapy method for large hemangiomas and tattoos. This is a three step method. First: The skin lesion is treated by argon-laser with the point by point method, developed by ourself. Second: Under local or general anaesthesia a) the hemangioma is partially excised and undermined letting only the skin which is already treated by argon-laser-beams. Than the hemangioma is exstirpated in toto, the wound closed by running intradermal sutures and a pressure bandage applied, b) the tattoo is abraded as deep as possible, draped by lyofoam. Then a pressure bandage is applied. Third: The hemangioma as well as the tattoo are treated by argon-laser-beams after the operation. This method is safe and effective, gives good results, minimal scars in the case of hemangiomas and tattoos. In this paper the method is described and some cases are illustrated by pre- and postoperational photographs.

  2. Adaptive compression therapy for venous leg ulcers: a clinically effective, patient-centred approach.

    Science.gov (United States)

    Harding, Keith G; Vanscheidt, Wolfgang; Partsch, Hugo; Caprini, Joseph A; Comerota, Anthony J

    2016-06-01

    A prospective, randomised, 12-week study was performed to evaluate the efficacy and tolerability of two compression methods for venous leg ulcers (VLUs); a new adaptive compression therapy (ACT) system, combining intermittent and sustained pneumatic compression (n = 38) and a conventional four-layer bandage system (n = 52). Primary outcomes were ulcer healing and safety. Secondary outcomes were comfort, compliance, ulcer pain, patient-perceived product performance and quality of life. Ulcer healing rate was similar (31·6% versus 42·3%, respectively, P = 0·30) between the treatments. Adverse events and patient-rated comfort were also similar. Average daily usage for the dual system was 10·5 and 1·8 hours in the sustained and intermittent modes, respectively, representing its use during 71% of waking hours. Predicted final ulcer pain was also similar (P = 0·68). Performance was subjectively better for adaptive compression and significantly higher for exudate management (P = 0·04), skin protection (P quality-of-life score was 0·1025 higher for adaptive compression (P = 0·0375). Subjects with healed ulcers attained higher final scores than unhealed subjects (P = 0·0004). This study provides evidence that ACT is comparably efficacious to successfully heal VLUs compared with four-layer bandage management but is better accepted and achieves higher patient-reported quality-of-life scores in these challenging patients. PMID:24802769

  3. [Modern wound dressings].

    Science.gov (United States)

    Triller, Ciril; Huljev, Dubravko; Planinsek Rucigaj, Tanja

    2013-10-01

    Chronic wounds are, due to the slow healing, a major clinical problem. In addition to classic materials, a great number of supportive wound dressings for chronic wound treatment, developed on the basis of new knowledge about the pathophysiological events in non-healing wounds, are available on the market. Today we know that modern wound dressings provide the best local environment for optimal healing (moisture, warmth, appropriate pH). Wound dressings control the amount of exudate from the wound and bacterial load, thus protecting local skin from the wound exudate and the wound from secondary infections from the environment. Using supportive wound dressings makes sense only when the wound has been properly assessed, the etiologic factors have been clarified and the obstacles making the wound chronic identified. The choice of dressing is correlated with the characteristics of the wound, the knowledge and experience of the medical staff, and the patient's needs. We believe that the main advantage of modern wound dressing versus conventional dressing is more effective wound cleaning, simple dressing application, painless bandaging owing to reduced adhesion to the wound, and increased absorption of the wound exudate. Faster wound granulation shortens the length of patient hospitalization, and eventually facilitates the work of medical staff. The overall cost of treatment is a minor issue due to faster wound healing despite the fact that modern supportive wound dressings are more expensive than conventional bandaging. The article describes different types of modern supportive wound dressings, as well as their characteristics and indications for use. PMID:24371980

  4. Wound dressings, does it matter and why?

    Science.gov (United States)

    Maessen-Visch, Marjolein Birgitte; van Montfrans, Catherine

    2016-03-01

    Compression therapy and treating venous insufficiency is the standard of care for venous leg ulcers. The need for debridement on healing venous leg ulcers is still debated. Dressings are often used under compression bandages to promote faster healing and prevent adherence of the bandage to the ulcer. A wide range of dressings is available, including modern dressings with different kinds of biological activity. Microbial burden is believed to underlie delayed healing, but the exact role of microbiofilm in wound healing is uncertain. Before choosing a specific wound dressing, four main functions should be considered: (1) cleaning, (2) absorbing, (3) regulating or (4) the necessity of adding medication. There is no clear evidence to support the use of one dressing over another, as demonstrated by many Cochrane review studies. In addition, the prescriber should enquire about contact allergies that may also develop during wound treatment. It is shown that early intervention and early investment may reduce the cost of treatment. The choice of wound dressings should be guided by cost, ease of application and patient and physician preference and be part of the complete strategy. The role of the medical specialist is evident. Wound dressings matter as part of the optimal treatment in VLU patients. PMID:26916771

  5. The Morel-Lavallée Lesion as a Rare Differential Diagnosis for Recalcitrant Bursitis of the Knee: Case Report and Literature Review

    Directory of Open Access Journals (Sweden)

    Ivor S. Vanhegan

    2012-01-01

    Full Text Available A 72 year-old-male was referred to our institution with recalcitrant prepatellar bursitis. The injury was sustained after striking his right knee against a post whilst horse riding 9 months ago. Previous treatments included repeated aspiration and excision of the bursa with elastic compression bandaging. A diagnosis of a Morel-Lavallée internal degloving injury was made, and the lesion was satisfactorily managed by an internal quilting procedure to eliminate the potential dead space. A review of the literature reveals 29 published reports of Morel-Lavallée lesions with sufficient information for inclusion. These came from 14 separate countries with a total of 204 lesions in 195 patients. The most common anatomical location was the greater trochanter/hip (36%, followed by the thigh (24% and the pelvis (19%. Most were managed surgically with evacuation of the haematoma and necrotic tissue followed by debridement, which was often repeated (36%. Conservative treatment with percutaneous aspiration and compression bandaging was the next most common treatment (23%. The knee was the fourth most common region affected (16%, and only 3 other lesions in the literature have been managed with a quilting procedure.

  6. Smart textile sensing system for human respiration monitoring based on fiber Bragg grating

    Science.gov (United States)

    Zhang, Cheng; Miao, Chang-yun; Li, Hong-qiang; Song, Hui-chao; Xu, Fan-jie

    2009-07-01

    Magnetic resonance imaging (MRI) has become an indispensable aid to diagnosis and treatment. As the doctor cannot accompany the patient, it is essential that the patient be monitored remotely to avoid the risk of respiration being impaired by anesthetic drugs or upper airway obstruction. A smart wearable textile sensing system is described in this paper. A fiber Bragg grating (FBG) with polymer encapsulation has been woven into an elastic bandage to detect the respiration motion. According to the strain principle of FBG, the breathing rate and intensity can be obtained by measuring the variety of FBG reflected wavelength. In order to eliminate the temperature cross-sensitivity, a FBG temperature sensor has also been woven into the bandage to achieve the temperature compensation computing. Based on the tunable Fabry-Perot filter wavelength demodulated theory, wavelength measuring method and data processing arithmetic have been presented, and the system with ARM microprocessor has been designed to process and display the breathing information. The experiments to the system have proved that the wavelength measuring range is about 40nm, the resolution of wavelength can arrive at 2pm, and the sampling rate is 5Hz.

  7. A new surgical technique to treat corneal perforations using amniotic membrane and surgical adhesive

    Directory of Open Access Journals (Sweden)

    K.C.S. Pontes

    2014-06-01

    Full Text Available The objectives of this study were to compare surgical techniques and the effects of using n-butyl 2-cyanoacrylate and bovine amniotic membrane to repair perforated lesions in corneas. Penetrating keratoplasty was performed in sixty New Zealand White rabbits under general anesthesia. Group 1 (G1 was treated with n-butyl 2-cyanoacrylate, group 2 (G2 received a fragment of amniotic membrane through the anterior chamber and application of n-butyl 2-cyanoacrylate over the lesion, group 3 (G3 was treated with the same technique as G2 with the addition of an amniotic membrane bandage covering the cornea and sutured in the limbus region, and group 4 (G4 was treated with an amniotic membrane sutured to the lesion and an amniotic membrane bandage sutured in the limbus region. Clinical, histological and histomorphometric examinations of the corneas were performed. The membrane acted as a barrier for aqueous humor in G2 and G3, thereby keeping the surface dry for adhesive application; it also prevented the adhesive from contacting intraocular structures. The groups treated with amniotic membrane and surgical adhesive showed better results than the groups treated with either material alone. Thus, the combination of the membrane with the adhesive is recommended for this type of lesion.

  8. Compression therapy of leg ulcers with PAOD.

    Science.gov (United States)

    Ladwig, Andrea; Haase, Hermann; Bichel, Jens; Schuren, Jan; Jünger, Michael

    2014-05-19

    Objectives: To assess the clinical safety of a new short-stretch 2-layer compression system (3M(tm) Coban(tm) 2 Lite) in patients with peripheral arterial occlusive disease (PAOD). This system combines a low resting pressure with a high working pressure. Methods: A pilot study was performed in 15 subjects with moderate PAOD, i.e. an ABPI of 0.5-0.8. Co-existing chronic venous insufficiency or leg ulcer was not mandatory. All subjects received the compression system which was reapplied at each study visit (days 1, 2, 3, 4, 7, 10, 14). The safety parameters were: sub-bandage pressure immediately after application, pressure-related skin damage, hypoxia-related pain, and adverse events. A product comfort questionnaire was completed at the last visit. Results: The average sub-bandage pressure of 30 mmHg defined by the protocol was achieved. No pressure-related skin damage or hypoxia-related pain was found. The reported adverse device effects were as expected for compression therapies, including dry skin and pruritus. The product comfort questionnaire completed by the subjects showed a good tolerability profile. Conclusion: The short-stretch 2-layer compression system (3M(tm) Coban(tm) 2 Lite) was safe and well tolerated in subjects with moderate PAOD. PMID:24843079

  9. Topical application of amelogenin extracellular matrix protein in non-healing venous ulcers

    Directory of Open Access Journals (Sweden)

    Burçin Abud

    2014-12-01

    Full Text Available Background and Design: Treatment of chronic venous ulcers of the lower extremity is still an important difficulty. The principal treatment of these ulcers includes compression therapy, local wound care and surgery. Unresponsiveness to these standard treatments is a frequent situation with negative effects on life quality and reductions in personal productivity. Therefore, there is a need for new applications to increase the effectiveness of treatment in treatment-resistant cases. In the present study, we retrospectively evaluated the results of topical application of amelogenin extracellular matrix protein in resistant venous ulcers. Materials and Methods: We analyzed the records of patients with treatment-resistant venous ulceration who were treated with amelogenin extracellular matrix protein between June 2011 and December 2012.. Results: 26 patients (21 male and 5 female with a total number of 28 ulcers (24 patients with 1 ulcer, 2 patients with two ulcers were evaluated. The patients were treated with topically applied amelogenin extracellular matrix protein and regional four bandage compression. Bandages were changed weekly. Each cure continued for six weeks. In fourteen patients (15 ulcers, we observed a complete healing by the end of the first cure. In another twelve cases (13 ulcers, the same period resulted with a reduction in wound diameter. We continued to the second cure for these patients. By the end of the second cure, complete healing was achieved in five cases (6 ulcers. Conclusion: Topical application of amelogenin extracellular matrix protein may be considered as an effective therapeutic choice for refractory venous ulcers.

  10. Mesoglycan: Clinical Evidences for Use in Vascular Diseases

    Directory of Open Access Journals (Sweden)

    Antonella Tufano

    2010-01-01

    Full Text Available Vascular glycosaminoglycans (GAG are essential components of the endothelium and vessel wall and have been shown to be involved in several biologic functions. Mesoglycan, a natural GAG preparation, is a polysaccharide complex rich in sulphur radicals with strong negative electric charge. It is extracted from porcine intestinal mucosa and is composed of heparan sulfate, dermatan sulfate, electrophoretically slow-moving heparin, and variable and minimal quantities of chondroitin sulfate. Data on antithrombotic and profibrinolytic activities of the drug show that mesoglycan, although not indicated in the treatment of acute arterial or venous thrombosis because of the low antithrombotic effect, may be useful in the management of vascular diseases, when combined with antithrombotics in the case of disease of cerebral vasculature, and with antithrombotics and vasodilator drugs in the case of chronic peripheral arterial disease. The protective effect of mesoglycan in patients with venous thrombosis and the absence of side effects, support the use of GAG in patients with chronic venous insufficiency and persistent venous ulcers, in association with compression therapy (zinc bandages, multiple layer bandages, etc., elastic compression stockings, and local care, and in the prevention of recurrences in patients with previous DVT following the standard course of oral anticoagulation treatment.

  11. NONWOVEN TEXTILES WITH MEDICAL DESTINATION ROMANIAN PRODUCTION

    Directory of Open Access Journals (Sweden)

    BULACU Romulus

    2015-05-01

    Full Text Available The widest range of medical disposable from nonwoven textiles are: absorbent and hygiene products : (diapers, feminine care, incontinence from the layered structures absorbent or impervious; use products such as hospital operating theaters sterile clothing (caps, gowns, masks, shoe coverings, materials for field operators, lab coats, packaging materials for hot or cold treatments, sterile materials (wipes, bandages, sterile bandages, etc.. Currently these materials, in their majority, are imported. This paper presents research done for getting, with the country equipment, disposable medical products from 40 g/m2 nonwoven textile materials. The technology adopted for the purpose, in SC "Minet" S.A. Ramnicu Valcea, Romania consisted of the following steps:Carding - folding, the aggregate Spinnbau-Hergeth type, Germany, with major changes carding technology adjustment and folding, to obtain a fibrous layer with a mass per unit surface of about 40-50 g / m2 and a width of 2,1 m;Pre-heat consolidation by pre-heating required only to ensure product stability required minimal interphase transport to final consolidation. Final thermal consolidation of the fibrous layer by thermal calendering at a temperature of 110°C and calenders cylinder speed of 2 m / min. The processing of the fiber by carding - folding and preliminary thermally consolidation and final by calendering.

  12. Neuromuscular dressing effects: a literature review

    Directory of Open Access Journals (Sweden)

    Calero PA

    2012-05-01

    Full Text Available The kinesio taping is a technique that was created in 1979 by Doctor Kenzo Kase I’m looking through it that could generate a new therapeutic option to control pain, improve athletic performance and reduce the impact of musculoskeletal disorders. From the Sydney 2000 Olympic Games, this technique as a therapeutic alternative PTO and is composed of health professionals in the field of sport and physical rehabilitation.Objetive: This article aims to identify theoretical approaches on the bandage neuromuscular. Material and methods: held today, for which conducted a literature search of databases such as como Proquest, Ovid, Cochraine, PEDro, Journal of Orthopedic and Sports Physical, Sciencedirect, Pubmed y Literatura Latinoamericana y del Caribe en Ciencias de la Salud (Lilacs.The paper proposes a scheme of contextualization of the current landscape of the use and effects of kinesio taping in the management of different pathologies of the musculo-skeletal system in sports. Conclusion: it is concluded that currently many health professionals, and take the neuromuscular bandage a good therapeutic option in the management of diseases affecting the human body is investigated and every day more about the subject, which makes these new therapeutic methods to acquire a scientific value and transcends knowledge.

  13. Grand challenge in Biomaterials-wound healing.

    Science.gov (United States)

    Salamone, Joseph C; Salamone, Ann Beal; Swindle-Reilly, Katelyn; Leung, Kelly Xiaoyu-Chen; McMahon, Rebecca E

    2016-06-01

    Providing improved health care for wound, burn and surgical patients is a major goal for enhancing patient well-being, in addition to reducing the high cost of current health care treatment. The introduction of new and novel biomaterials and biomedical devices is anticipated to have a profound effect on the future improvement of many deleterious health issues. This publication will discuss the development of novel non-stinging liquid adhesive bandages in healthcare applications developed by Rochal Industries. The scientists/engineers at Rochal have participated in commercializing products in the field of ophthalmology, including rigid gas permeable contact lenses, soft hydrogel contact lenses, silicone hydrogel contact lenses, contact lens care solutions and cleaners, intraocular lens materials, intraocular controlled drug delivery, topical/intraocular anesthesia, and in the field of wound care, as non-stinging, spray-on liquid bandages to protect skin from moisture and body fluids and medical adhesive-related skin injuries. Current areas of entrepreneurial activity at Rochal Industries pertain to the development of new classes of biomaterials for wound healing, primarily in regard to microbial infection, chronic wound care, burn injuries and surgical procedures, with emphasis on innovation in product creation, which include cell-compatible substrates/scaffolds for wound healing, antimicrobial materials for opportunistic pathogens and biofilm reduction, necrotic wound debridement, scar remediation, treatment of diabetic ulcers, amelioration of pressure ulcers, amelioration of neuropathic pain and adjuvants for skin tissue substitutes. PMID:27047680

  14. [Bottoming out in augmentation mammaplasty--correction and prevention].

    Science.gov (United States)

    Hoch, J; Stahlenbrecher, A

    2006-08-01

    Displacement of a breast implant beneath the original submammary fold is known as a rare but, in most cases, difficult to correct complication after augmentation mammaplasty. Suggestions for re-centering the mammary implant range from simple percutaneous sutures to the additional application of expensive alloplastic dermal grafts. Based on the latest findings concerning plastination histology of the fascial system of the breast and in the light of our own clinical experience regarding correction of implant ptosis we have developed a special treatment concept. When placing the implant, the vertical fibers of the submammary fold are saved as a precautionary measure. In cases where there is a risk of possible inferior displacement of the mammary implant, an individually manufactured belt-like bandage is applied for approximately eight weeks postoperatively. In cases requiring the correction of a severe "bottoming out" deformity, we either lift the capsular shell of the implant or, if the fibrous capsule is thin and vulnerable, we use a special capsular flap technique resulting in a hammock that catches the implant at the height of the new submammary fold. Postoperative application of our belt-like bandage is again indispensable. PMID:16991043

  15. ZnO nanoparticles obtained by pulsed laser ablation and their composite with cotton fabric: Preparation and study of antibacterial activity

    Science.gov (United States)

    Svetlichnyi, Valery; Shabalina, Anastasiia; Lapin, Ivan; Goncharova, Daria; Nemoykina, Anna

    2016-05-01

    A simple deposition method was used to prepare a ZnO/cotton fabric composite from water and ethanol dispersions of ZnO nanoparticles obtained by the pulsed laser ablation method. The structure and composition of the nanoparticles from dispersions and as-prepared composites were studied using electron microscopy, X-ray diffraction, and spectroscopy. The nanoparticles and composite obtained exhibited antibacterial activity to three different pathogenic microorganisms-Escherichia coli, Staphylococcus aureus, and Bacillus subtilis. An attempt to understand a mechanism of bactericidal effect of ZnO nanoparticles was made. It was shown that zinc ions and hydrogen peroxide were not responsible for antibacterial activity of the particles and the composite, and surface properties of nanoparticles played an important role in antibacterial activity of zinc oxide. The proposed composite is a promising material for use as an antibacterial bandage.

  16. Medical management of severe local radiation injury after acute X-ray exposure

    International Nuclear Information System (INIS)

    Medical management during acute period in a case of severe local radiation injury after acute X-ray exposure includes 3 stages. During the fist stage patient got conservative treatment according to the common pathogenetic mechanisms of LRI (dis aggregating therapy, stimulation of regeneration, dis intoxication therapy, antibiotic therapy, pain relief therapy, Local anti-burn therapy-specific non-adhesive bandage with antiseptic and anti-burn medicaments); estimation of severity, deepness and area of injury by clinical picture and dates of instrumental methods of examining; defining necessity and volume of surgical treatment; preparing arrangements for surgical treatment. This stage ends with forming of demarcation line of a very hard severity of a Local Radiation Injure. The second stage includes necrectomy of the area of a very hard severity with microsurgical plastic by re vascularized flap and auto dermoplastic. The third stage - adaptation of re vascularized flap and total epithelization of injured area. (author)

  17. Uterus Wrapping: A Novel Concept in the Management of Uterine Atony during Cesarean Delivery

    Directory of Open Access Journals (Sweden)

    N. Kimmich

    2015-01-01

    Full Text Available Uterine atony during cesarean delivery is a serious cause of maternal morbidity and mortality. Management strategies include medical treatment with uterotonic agents, manual compression of the uterus, and interventional or surgical procedures. A novel technique to compress the uterus by wrapping it with an elastic bandage and its outcome in 3 cases of uterine atony during cesarean section are presented. Our novel method of intermittent wrapping of the uterus during cesarean delivery seems to be a successful additional approach in the management of uterine atony during cesarean delivery and may be an alternative treatment option to other compressing procedures in order to avoid high blood loss and last but not least postpartum hysterectomy.

  18. The early days of splints and splinting.

    Science.gov (United States)

    Ellis, Harold

    2011-07-01

    There can be little doubt that fractures and wounds would have been among the first problems that the healers within primitive communities would have been called upon to treat. Indeed, this has been amply confirmed by anthropologists and archaeologists. The Australian aboriginals seem to have taken the adage 'splint the patient where he lies' quite literally. Early observers saw the relatives take it in turns simply to hold the injured leg still until union occurred, a shelter being erected over the patient and his succession of 'human splints'. The excavation of ancient Egyptian burial sites by Sir Grafton Elliot Smith in the early years of the 20th century revealed fractures of some 5000 years ago, bound up in splints of bark, wrapped in linen and held by bandages. Where the fractures were compound, dressings of vegetable fibre were used to plug the wound and some still showed traces of 50 century old blood! PMID:21874991

  19. Overview of guidelines for the prevention and treatment of venous leg ulcers: a US perspective

    Directory of Open Access Journals (Sweden)

    White-Chu EF

    2014-02-01

    Full Text Available E Foy White-Chu,1 Teresa A Conner-Kerr2 1Oregon Health and Science University, Portland VA Medical Center, Portland, OR, 2Winston-Salem State University, Department of Physical Therapy, Winston Salem, NC, USA Abstract: Comprehensive care of chronic venous insufficiency and associated ulcers requires a multipronged and interprofessional approach to care. A comprehensive treatment approach includes exercise, nutritional assessment, compression therapy, vascular reconstruction, and advanced treatment modalities. National guidelines, meta-analyses, and original research studies provide evidence for the inclusion of these approaches in the patient plan of care. The purpose of this paper is to review present guidelines for prevention and treatment of venous leg ulcers as followed in the US. The paper further explores evidence-based yet pragmatic tools for the interprofessional team to use in the management of this complex disorder. Keywords: venous insufficiency, varicose ulcer, wound, compression bandages

  20. Bruck syndrome: a case report

    Directory of Open Access Journals (Sweden)

    Dmitry Stepanovich Buklaev

    2015-09-01

    Full Text Available The article describes the clinical case of an infant with Bruck syndrome. The clinical and radiological analyses showed the presence of systemic osteoporosis with pathological fractures; contractures of the elbow, knee, and ankle joints; delay of physical and motor development; and signs of hypoplasia in some of the muscle groups. There was also a right-sided congenital muscular torticollis. X-ray analysis revealed a moderate antecurvation deformity of the lower legs and femurs, with cortical thinning. Laboratory data detected an abnormal beta-cross lap increase.Treatment of osteoporosis by inhibitors of osteoclastic resorption (pamidronate had a positive effect, and the elimination of flexion contractures at the elbow using plaster bandages with the distraction device also resulted in a positive effect.

  1. Silver nanoparticle containing silk fibroin bionanotextiles

    Energy Technology Data Exchange (ETDEWEB)

    Calamak, Semih; Aksoy, Eda Ayse [Hacettepe University, Department of Basic Pharmaceutical Sciences, Faculty of Pharmacy (Turkey); Erdogdu, Ceren; Sagıroglu, Meral [Hacettepe University, Department of Pharmaceutical Microbiology, Faculty of Pharmacy (Turkey); Ulubayram, Kezban, E-mail: ukezban@hacettepe.edu.tr [Hacettepe University, Department of Basic Pharmaceutical Sciences, Faculty of Pharmacy (Turkey)

    2015-02-15

    Development of new generation bionanotextiles is an important growing field, and they have found applications as wound dressings, bandages, tissue scaffolds, etc. In this study, silver nanoparticle (AgNP) containing silk-based bionanotextiles were fabricated by electrospinning, and processing parameters were optimized and discussed in detail. AgNPs were in situ synthesized within fibroin nanofibers by UV reduction of silver ions to metallic silver. The influence of post-treatments via methanol treatment and glutaraldehyde (GA) vapor exhibited changes in the secondary structure of silk. Methanol treatment increased the tensile properties of fibers due to supported crystalline silk structure, while GA vapor promoted amorphous secondary structure. AgNP containing silk fibroin bionanotextiles had strong antibacterial activity against gram-positive Staphylococcus aureus and gram-negative Pseudomonas aeruginosa.

  2. Elaboração e caracterização de blendas de amido fosforilado com quitosana e PVA

    Directory of Open Access Journals (Sweden)

    Paloma L. da Silva

    2016-05-01

    Full Text Available The aims of this study were to produce films from phosphorylated starch/chitosan/PVA blends and evaluate their physicochemical properties. The film properties were dependent on the starch percentage in the blend. The infrared spectra of the blends showed the appearance of bands at 1716 and 1733 cm-1 (stretching C = O of PVA acetate residues and 1556 cm-1 (amide II deformation of the chitosan indicating the incorporation of these components into the blends. The films with high phosphorylated starch content showed low thermal and mechanical strength and high water absorption capacity while blends with higher content of chitosan and PVA showed good mechanical properties and low water vapor permeability. Films containing 40% and 20% starch showed excellent properties such as high water absorption capacity and biodegradability for use as bandages and agricultural films and also as a source of organic matter in soil.

  3. Practical applications of the diode in dental practice

    Science.gov (United States)

    Moldoveanu, Lucia E.; Odor, Alin A.

    2016-03-01

    Introduction: The use of lasers has become a practice in modern periodontology and it is a fact that the use of diodes in the dental office can bring a real benefit in periodontal surgery. Material and method: These case reports describe few of various soft tissue procedures that were performed with diode laser 940 nm (Epic 10, Biolase Inc., USA). Discussions: There are a few immediate benefits of the intervention: the "periodontal bandage" belongs to the patient, the procedure is painless, performed under a superficial anesthesia and the psychological impact on the patient, as well as the acceptance, are superior to conventional methods of dentistry. Conclusions: Diode lasers at the level of periodontium have become a significant part of the dentistry, reducing the patient's stress and giving satisfaction to practitioners as well.

  4. [Dressing and wound care pain].

    Science.gov (United States)

    Chin, Yen-Fan

    2006-12-01

    Wound care is an important step for promoting wound healing. Nevertheless it is also a major source of pain for patients with wounds. The results of a survey showed that not only burn patients but also non-burn ones suffered from wound care pain which occurred in inpatients and outpatients. One of the significant factors causing wound care pain was that the dressing adhered to the wound bed. Although some agencies claimed that particular dressings with low adhesion can result in painless removal, the actual effects needed to be verified. Results of clinical trials revealed that for relieving wound care pain of certain kinds of wound, it was recommended to use particular dressings, such as banana leaf dressing, boiled potato peel bandage, Acticoat, Mepital or Mefix. PMID:17160873

  5. Kinesio taping application in a pediatric patient with spinal muscular atrophy

    Directory of Open Access Journals (Sweden)

    Bayram Kelle

    2016-06-01

    Full Text Available Kinesio taping is one of the elastic bandage methods which has been quite popular in the last 20 years and has been applied in various musculoskeletal conditions. Although the mechanism of action is not clear, many theories have been suggested so far. In this case report, we aimed to present the results of kinesiotape application for back pain of the patient with spinal muscular atrophy which is one of the progressive muscular disorders. It was performed for three times with four days interval. Fascial technique B (Space technique was applied. Reduce of pain was also observed during the subsequent applications. The application of kinesio taping could be beneficial on reducing the pain in patients with progressive muscle diseases. [Cukurova Med J 2016; 41(2.000: 386-389

  6. Silver nanoparticle containing silk fibroin bionanotextiles

    International Nuclear Information System (INIS)

    Development of new generation bionanotextiles is an important growing field, and they have found applications as wound dressings, bandages, tissue scaffolds, etc. In this study, silver nanoparticle (AgNP) containing silk-based bionanotextiles were fabricated by electrospinning, and processing parameters were optimized and discussed in detail. AgNPs were in situ synthesized within fibroin nanofibers by UV reduction of silver ions to metallic silver. The influence of post-treatments via methanol treatment and glutaraldehyde (GA) vapor exhibited changes in the secondary structure of silk. Methanol treatment increased the tensile properties of fibers due to supported crystalline silk structure, while GA vapor promoted amorphous secondary structure. AgNP containing silk fibroin bionanotextiles had strong antibacterial activity against gram-positive Staphylococcus aureus and gram-negative Pseudomonas aeruginosa

  7. [Current wound care in patients with elephantiasis--third-stage lymphedema].

    Science.gov (United States)

    Rucigaj, Tanja Planinsek; Slana, Ana; Leskovec, Nada Kecelj

    2012-10-01

    Lymphedema resulting from fluid accumulation due to impairment in the lymphatic system drainage leads to enlargement of the body part involved. If left untreated, in its third stage it results in elephantiasis. Elephantiasis is frequently accompanied by papillomatosis and lymphocutaneous fistulas with lymphorrhoea, erosions and ulcers, frequently with the loss of function in the respective part of the body. Unlike other chronic wounds, wound healing in lymphedema is highly dependent on the use of combined therapies because local treatment with modern supportive dressings and compression therapy with adhesive and non-adhesive short-stretch systems is only part of the complete treatment. This treatment also includes sub-bandage foamy materials, kinesitherapy with tapes (kinesiotaping), intermittent local application of high-pressure oxygen, breathing exercise, and manual lymph drainage and exercises. PMID:23193819

  8. Minimally invasive posterior hamstring harvest.

    Science.gov (United States)

    Wilson, Trent J; Lubowitz, James H

    2013-01-01

    Autogenous hamstring harvesting for knee ligament reconstruction is a well-established standard. Minimally invasive posterior hamstring harvest is a simple, efficient, reproducible technique for harvest of the semitendinosus or gracilis tendon or both medial hamstring tendons. A 2- to 3-cm longitudinal incision from the popliteal crease proximally, in line with the semitendinosus tendon, is sufficient. The deep fascia is bluntly penetrated, and the tendon or tendons are identified. Adhesions are dissected. Then, an open tendon stripper is used to release the tendon or tendons proximally; a closed, sharp tendon stripper is used to release the tendon or tendons from the pes. Layered, absorbable skin closure is performed, and the skin is covered with a skin sealant, bolster dressing, and plastic adhesive bandage for 2 weeks. PMID:24266003

  9. The historical evolution of the concept of apoptosis in rheumatic diseases

    Directory of Open Access Journals (Sweden)

    G.F. Gensini

    2011-09-01

    Full Text Available The concept of “apoptosis” can be found in chapter 35 of Hippocrates’ Mochlicon (V-IV century B.C., a treatise concerning the reduction of dislocations, in which the gangrene resulting from the treatment of fractures by means of bandages is reported and described (1,2. The idea of apoptosis was consequently already implied by Hippocrates to indicate what today is considered the physiological destruction of cells and tissues. Areteus of Cappadocia in the I century A.D. and Galen of Pergamus in the II gave ulterior and better elaboration to the concept of “necrosis”, and the term was fully defined by Rudolph Virchow, the great German pathologist, in the XIX century (3....

  10. Fast-track hip and knee arthroplasty

    DEFF Research Database (Denmark)

    Husted, Henrik

    2012-01-01

    Fast-track hip and knee arthroplasty aims at giving the patients the best available treatment at all times, being a dynamic entity. Fast-track combines evidence-based, clinical features with organizational optimization including a revision of traditions resulting in a streamlined pathway from...... clinical and organizational aspects of fast-track hip and knee arthroplasty (I–IX). A detailed description of the fast-track set-up and its components is provided. Major results include identification of patient characteristics to predict length of stay and satisfaction with different aspects of the...... hospital stay (I); how to optimize analgesia by using a compression bandage in total knee arthroplasty (II); the clinical and organizational set-up facilitating or acting as barriers for early discharge (III); safety aspects following fast-track in the form of few readmissions in general (IV) and few...

  11. Interventions for treating proximal humeral fractures in adults

    DEFF Research Database (Denmark)

    Handoll, Helen H G; Brorson, Stig

    2015-01-01

    harms) of treatment and rehabilitation interventions for proximal humeral fractures in adults. SEARCH METHODS: We searched the Cochrane Bone, Joint and Muscle Trauma Group Specialised Register, the Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE, EMBASE, and other databases, conference...... review authors performed independent study selection, risk of bias assessment and data extraction. Only limited meta-analysis was performed. MAIN RESULTS: We included 31 heterogeneous RCTs (1941 participants). Most of the 18 separate treatment comparisons were tested by small single-centre trials. The...... displacement and non-union (2/52 versus 1/54; 2 trials).One quasi-randomised trial (28 participants) found the Gilchrist-type sling was generally more comfortable than the Desault-type sling (body bandage). One trial (48 participants) testing pulsed electromagnetic high-frequency energy provided no evidence...

  12. Unusual inferior dislocation of shoulder: reduction by two-step maneuver: a case report

    Directory of Open Access Journals (Sweden)

    Patro Dilip K

    2009-11-01

    Full Text Available Abstract Dislocation of the shoulder is the commonest of all large joint dislocations. Inferior dislocation constitutes 0.5% of all shoulder dislocations. It characteristically presents with overhead abduction of the arm, the humerus being parallel to the spine of scapula. We present an unusual case of recurrent luxatio erecta in which the arm transformed later into an adducted position resembling the more common anterior shoulder dislocation. Such a case has not been described before in English literature. Closed reduction by the two-step maneuver was successful with a single attempt. MRI revealed posterior labral tear and a Hill-Sachs variant lesion on the superolateral aspect of humeral head. Immobilisation in a chest-arm bandage followed by physiotherapy yielded excellent results. The case is first of its kind; the unusual mechanism, unique radiological findings and alternate method of treatment are discussed.

  13. Clinical Treatment of the Ⅰ and Ⅱ Degree Burn of Extremity%四肢Ⅰ、Ⅱ度烧伤临床治疗体会

    Institute of Scientific and Technical Information of China (English)

    张世民; 艾可为

    2015-01-01

    目的:总结基层医院四肢小面积Ⅰ、Ⅱ度烧伤的特点及有效的治疗方法.方法:分析宾川县平川镇中心卫生院从2012年1月至2015年1月诊治的四肢小面积Ⅰ、Ⅱ度烧伤50例的临床特点及治疗方法和疗效.结果:临床特点:①小儿四肢烧伤相对较多,占68%(34/50);②部分病例约58%(29/50)来诊时,已自用民间药物或方法自行处理创面,而致创面感染或污染.本组治疗方案:所有伤者首先进行彻底的无菌清创术,对存在创面污染或感染的29例用碘附纱布外敷创面并用多层干纱布包扎,对烧伤6 d内来诊的21例创面用湿润烧伤膏外涂后用凡士林纱布及多层干纱布包扎.根据渗液情况及时更换.本组50例,烧伤面积均在15%以下.治愈43例,占86%,创面感染17例,经换药及相应治疗后,创面愈合,其中7例创面残留明显瘢痕及色素沉着.结论:四肢小面积Ⅰ、Ⅱ度烧伤早期进行有效的无菌清创术,用碘附纱布或湿润烧伤膏外敷后,再用多层干纱布包扎,并给以相应的综合治疗措施是有效的治疗方法.%Objective:To summerize the features and treatment of the Ⅰ and Ⅱ degree burn of extremity. Methods:The features and treatment of the Ⅰ and Ⅱ degree extremity burns with 50 cases treated in our hospital from January 2012 to January 2015 were analyzed. Results: The clinical features were: ①Burn of extremity with children were 68%(34/50); ②58% had infected or contaminated wounds because they had treated the burns with folk medicine or methods before visiting the doctor. The treatments were: Sterile debridement was conducted to all patients. 29 cases with infected or contaminated wounds were applied iodophor gauze and multilayer dry gauze bandage. 21 cases burned within 6 hours were treated with moist exposed burn ointment (MEBO), vaseline gauze and multilayer dry gauze bandage. Bandage was changed when liquid appeared. The TBSA of all 50 cases were under 15%. 43

  14. Efficacy of salicylic acid in the treatment of digital dermatitis in dairy cattle

    DEFF Research Database (Denmark)

    Schultz, N.; Capion, N.

    2013-01-01

    Digital dermatitis (DD) is one of the most important causes of lameness in dairy cattle worldwide. The objective of this study was to evaluate the efficacy of salicylic acid in the treatment of the disease. A total of 201 DD lesions from 173 cows from four commercial dairy herds were evaluated...... at day 0 during routine hoof trimming and were allocated into two groups, namely, a control group given chlortetracycline spray, and a treatment group given 10 g of salicylic acid powder applied topically within a bandage. Pain, lesion size and clinical appearance (scored MO to M4) were evaluated on days...... the control group were 2.2 times more likely (P = 0.09) to have a pain score equal to 2 by day 14. The proportion of lesions getting smaller by days 14 and 34 was 2.5 times higher (P salicylic acid should be considered as an alternative...

  15. Antibacterial Properties of Copper Nanoparticle Dispersions: Influence of Synthesis Conditions and Physicochemical Characteristics

    Science.gov (United States)

    Godymchuk, A.; Frolov, G.; Gusev, A.; Zakharova, O.; Yunda, E.; Kuznetsov, D.; Kolesnikov, E.

    2015-11-01

    The production of bactericidal plasters, bandages and medicines with the inclusion of copper nanoparticles and copper ions may have a great potential in terms of their biomedical application. The work considers the influence of the synthesis conditions, size, aggregation status, and charge of nanoparticles in aqueous solutions as well as the type of microorganisms to the antibacterial properties of water suspensions of electroexplosive copper nanoparticles in the conditions in vitro in relation to strains Escherichia coli, Pseudomonas aeruginosa, Staphylococcus aureus, and Bacillus cereus. Water dispersions of copper nanoparticles were shown to inhibit the growth of test cells for both G+ and G- microbacteria but the degree of such an influence strongly depended on the type of a test strain. The authors have demonstrated that use of deeply purified water and alcohol-containing stabilizers at the synthesis of nanoparticles via metals electric erosion in the liquid prevents the copper nanoparticles coagulation and significantly influences on their physicochemical characteristics and, consequently, antibacterial properties.

  16. Nail bed expansion: A new technique for correction of multiple isolated congenital micronychia

    Directory of Open Access Journals (Sweden)

    Gholamhossein Ghaffarpour

    2014-01-01

    Full Text Available Congenital micronychia may involve big toes or may involve other nails. The etiology of micronychia is not clear but amniotic bands, teratogens (drugs, alcohol, Nail Patella Syndrome etc. A 44-year-old woman with multiple isolated congenital micronychia over her hands and feet was selected. The major affected nails were thumbs and Index fingers. Surgical method were done step by step: Anesthesia of the area, extraction of short nail, elevation of nail bed, longitudinal nail bed incisions, suturing the lateral nail bed to the nail wall, covering the nail bed by a splint of plastic suction tube, bandage with gauze Vaseline. Finally, we hypnotized that in congenital micronychia, the main pathology is in nail bed; through this theory by nail bed expansion better outcomes are coming.

  17. INNOVATIVE APPROACH IN THE COMPULSORY HEALTH INSURANCE TARIFF SETTING

    Directory of Open Access Journals (Sweden)

    M. Yu. Zasypkin

    2015-02-01

    Full Text Available Development of a single channel financing in the health system of the Russian Federation based on the standards of the compulsory health insurance (CHI requires a single channel financing of the health system through the CHI as one of the main direction using payment of the medical services in the form of so-called «full» tariff [1-12].It is not a secret that for many years the medical services tariff in the CHI system contained from only five items of expenditures (salary, charges on payroll, soft goods and clothing, medicines, bandages, other medical expenses, and food. On one hand, such defective tariff was based on the parallel government financing of the medical institutions (MIs, on the other hand, because of this tariff, the manager was hoppled in the control of the financial flows.

  18. Face lift postoperative recovery.

    Science.gov (United States)

    Mottura, A Aldo

    2002-01-01

    The purpose of this paper is to describe what I have studied and experienced, mainly regarding the control and prediction of the postoperative edema; how to achieve an agreeable recovery and give positive support to the patient, who in turn will receive pleasant sensations that neutralize the negative consequences of the surgery.After the skin is lifted, the drainage flow to the flaps is reversed abruptly toward the medial part of the face, where the flap bases are located. The thickness and extension of the flap determines the magnitude of the post-op edema, which is also augmented by medial surgeries (blepharo, rhino) whose trauma obstruct their natural drainage, increasing the congestion and edema. To study the lymphatic drainage, the day before an extended face lift (FL) a woman was infiltrated in the cheek skin with lynfofast (solution of tecmesio) and the absorption was observed by gamma camera. Seven days after the FL she underwent the same study; we observed no absorption by the lymphatic, concluding that a week after surgery, the lymphatic network was still damaged. To study the venous return during surgery, a fine catheter was introduced into the external jugular vein up to the mandibular border to measure the peripheral pressure. Following platysma plication the pressure rose, and again after a simple bandage, but with an elastic bandage it increased even further, diminishing considerably when it was released. Hence, platysma plication and the elastic bandage on the neck augment the venous congestion of the face. There are diseases that produce and can prolong the surgical edema: cardiac, hepatic, and renal insufficiencies, hypothyroidism, malnutrition, etc. According to these factors, the post-op edema can be predicted, the surgeon can choose between a wide dissection or a medial surgery, depending on the social or employment compromises the patient has, or the patient must accept a prolonged recovery if a complex surgery is necessary. Operative

  19. Thin film transistors for flexible electronics: Contacts, dielectrics and semiconductors

    KAUST Repository

    Quevedo-López, Manuel Angel Quevedo

    2011-06-01

    The development of low temperature, thin film transistor processes that have enabled flexible displays also present opportunities for flexible electronics and flexible integrated systems. Of particular interest are possible applications in flexible sensor systems for unattended ground sensors, smart medical bandages, electronic ID tags for geo-location, conformal antennas, radiation detectors, etc. In this paper, we review the impact of gate dielectrics, contacts and semiconductor materials on thin film transistors for flexible electronics applications. We present our recent results to fully integrate hybrid complementary metal oxide semiconductors comprising inorganic and organic-based materials. In particular, we demonstrate novel gate dielectric stacks and semiconducting materials. The impact of source and drain contacts on device performance is also discussed. Copyright © 2011 American Scientific Publishers.

  20. Magnet discolation - An increasing and serious complication following MRI in patients with chochlear implants; Magnetdiskolation - eine zunehmende und folgenreiche Komplikation nach MRT bei Patienten mit Cochlea Implantat

    Energy Technology Data Exchange (ETDEWEB)

    Hassepass, F.; Staubenau, V.; Arndt, S.; Beck, R.; Grauvogel, T.; Aschendorff, A. [Univ. Medical Center Freiburg (Germany). Dept. of Otorhinolaryngology-Head and Neck Surgery; Bulla, S. [Univ. Medical Center Freiburg (Germany). Dept. of Diagnostic Radiology

    2014-07-15

    Cochlear implantation (CI) represents the gold standard in the treatment of children born deaf and postlingually deafened adults. Initial magnetic resonance imaging (MRI) was contraindicated in CI users. Meanwhile, there are specific recommendations concerning MRI compatibility depending on the type of CI system and the device manufacturer. Some CI systems are even approved for MRI with the internal magnet left in place. The aim of this study was to analyze all magnet revision surgeries in CI patients at one CI center and the relationship to MRI scans over time. Between 2000 and 2013, a total of 2027 CIs were implanted. The number of magnet dislocation (MD) surgeries and their causes was assessed retrospectively. In total 12 cases of MD resulting from an MRI scan (0.59 %) were observed, accounting for 52.2 % of all magnetic revision surgeries. As per the labeling, it was considered safe to leave the internal magnet in place during MRI while following specific manufacturer recommendations: MRI intensity of 1.5 Tesla (T) and compression head bandage during examination. A compression head bandage in a 1.5 T MRI unit does not safely prevent MD and the related serious complications in CI recipients. We recommend a Stenvers view radiograph after MRI with the internal magnet in place for early identification of MD, at least in the case of pain during or after MRI examination. MRI in CI patients should be indicated with restraint and patients should be explicitly informed about the possible risks. Recommendations regarding MRI compatibility and the handling of CI patients issued with MRI for the most common CI systems are summarized.

  1. Evaluation of the effectiveness of kinesio taping application in a patient with secondary lymphedema in breast cancer: a case report

    Directory of Open Access Journals (Sweden)

    Jakub Taradaj

    2014-03-01

    Full Text Available Breast cancer-related lymphedema is one of the complications resulting from treatment. It is defined as arm oedema in the breast cancer patients caused by interruption of the flow of the axillary lymphatic system from surgery or radiation therapy, which results in the accumulation of fluid in the subcutaneous tissue of the arm, with a decrease in tissue distensibility around the joints and an increased weight of the extremity. Decongestive lymphatic therapy is common management for lymphedema. A program combining skin care, manual lymphatic drainage, exercise, and compression therapy (multilayer bandage or garment is recognised as the best practice in lymphedema management. Kinesio taping (KT for lymphatic drainage is a new choice in the field of physical therapy. The material and the original concept of the taping technique were introduced by Dr Kenso Kase in 1973. K-tape had been designed to allow 30-40% longitudinal stretch. It is composed of 100% cotton fibers and acrylic heat sensitive glue. Development of the technique for its administration is still ongoing. The paper discusses the case of a woman with breast cancer, in whom lymphedema occurred. The patient had three weeks of therapy. The treatment consisted of 12 manual lymphatic drainage, 12 pneumatic compressions and 3 applications of the KT method (due to the lack of standard multi-layer bandaging. During the measurement of oedema it was noted that KT had a significant effect on the reduction of lymphedema and accelerates healing effects compared to standard methods.

  2. The ANKLE TRIAL (ANKLE treatment after injuries of the ankle ligaments: what is the benefit of external support devices in the functional treatment of acute ankle sprain? : a randomised controlled trial

    Directory of Open Access Journals (Sweden)

    Witjes Suzanne

    2012-02-01

    Full Text Available Abstract Background Acute lateral ankle ligament injuries are very common problems in present health care. Still there is no hard evidence about which treatment strategy is superior. Current evidence supports the view that a functional treatment strategy is preferable, but insufficient data are present to prove the benefit of external support devices in these types of treatment. The hypothesis of our study is that external ankle support devices will not result in better outcome in the treatment of acute ankle sprains, compared to a purely functional treatment strategy. Overall objective is to compare the results of three different strategies of functional treatment for acute ankle sprain, especially to determine the advantages of external support devices in addition to functional treatment strategy, based on balance and coordination exercises. Methods/design This study is designed as a randomised controlled multi-centre trial with one-year follow-up. Adult and healthy patients (N = 180 with acute, single sided and first inversion trauma of the lateral ankle ligaments will be included. They will all follow the same schedule of balancing exercises and will be divided into 3 treatment groups, 1. pressure bandage and tape, 2. pressure bandage and brace and 3. no external support. Primary outcome measure is the Karlsson scoring scale; secondary outcomes are FAOS (subscales, number of recurrent ankle injuries, Visual Analogue Scales of pain and satisfaction and adverse events. They will be measured after one week, 6 weeks, 6 months and 1 year. Discussion The ANKLE TRIAL is a randomized controlled trial in which a purely functional treated control group, without any external support is investigated. Results of this study could lead to other opinions about usefulness of external support devices in the treatment of acute ankle sprain. Trial registration Netherlands Trial Register (NTR: NTR2151

  3. [Abdominal cure procedures. Adequate use of Nobecutan Spray].

    Science.gov (United States)

    López Soto, Rosa María

    2009-12-01

    Open abdominal wounds, complicated by infection and/or risk of eventration tend to become chronic and usually require frequent prolonged cure. Habitual changing of bandages develop into one of the clearest risk factors leading to the deterioration of perilesional cutaneous integrity. This brings with it new complications which draw out the evolution of the process, provoking an important deterioration in quality of life for the person who suffers this and a considerable increase in health costs. What is needed is a product and a procedure which control the risk of irritation, which protect the skin, which favor a patient's comfort and which shorten treatment requirements while lowering health care expenses. This report invites medical personnel to think seriously about the scientific rationale, and treatment practice, as to why and how to apply Nobecutan adequately, this reports concludes stating the benefits in the adequate use of this product. The objective of this report is to guarantee the adequate use of this product in treatment of complicated abdominal wounds. This product responds to the needs which are present in these clinical cases favoring skin care apt isolation and protection, while at the same time, facilitating the placement and stability of dressings and bandages used to cure wounds. In order for this to happen, the correct use of this product is essential; medical personnel must pay attention to precautions and recommendations for proper application. The author's experiences in habitual handling of this product during various years, included in the procedures for standardized cures for these wounds, corroborates its usefulness; the author considers use of this product to be highly effective while being simple to apply; furthermore, one succeeds in providing quality care and optimizes resources employed. PMID:20143738

  4. Chronic venous leg ulcers – role of topical zinc

    Directory of Open Access Journals (Sweden)

    Maher SF

    2015-06-01

    Full Text Available Sara F Maher Physical Therapy Program, Department of Healthcare Sciences, Wayne State University, Detroit, MI, USA Abstract: Topical zinc has been used in the treatment of wounds for over 3,000 years, and is reported to have antiseptic, astringent, anti-inflammatory, antimicrobial, and wound healing properties. Fourteen studies were identified and reviewed, to assess the efficacy of this treatment modality as either a bandage or skin protectant in the treatment of venous ulcers. The authors of three studies reported improved healing time or success rate in wounds treated with zinc-based products. However, the authors of one study attributed the faster healing rate mainly to the extra compression (that improved venous blood return, delivered by the non-elastic paste bandage, and not by the zinc oxide alone. The quality of evidence is fair, as 50% of the studies were conducted prior to 2000 and 50% of the studies utilized fewer than 45 patients randomized to two or more groups. Other treatments have been reported to be more cost-effective than zinc, including hydrocolloids, four-layer compression systems, and CircAid Thera-boots. Finally, zinc was reported to be less comfortable, less easy to use, and caused increased pain, in comparison to other products on the market. This literature review, therefore, demonstrated that current evidence is insufficient to determine the effectiveness of zinc-based products in the treatment of venous wounds. Future research is needed focusing on larger, high-quality trials with an emphasis on quality of life issues and cost-effectiveness of treatment. Keywords: chronic wounds, leg ulcers, venous insufficiency, topical zinc

  5. Vivências de acadêmicos de enfermagem durante o cuidado prestado às pessoas com feridas Vivencias de estudiantes de enfermería durante el cuidado prestado a personas con heridas Nursing students experiences while caring people with wounds

    Directory of Open Access Journals (Sweden)

    Geraldo Magela Salomé

    2008-12-01

    dificultades enfrentadas en ese período de su formación académica.To learn about and understand the feelings experienced by nursing students when making bandages during curricular and extracurricular clinical practice. This is a qualitative study, with a phenomenological framework. The guiding question used was: What did you feel while making the bandage? This study revealed that nursing students feel unprepared for making bandages. Students also reported various difficulties; like touching a stranger and associating theory to practice, for instance. They experienced positive emotions, like pleasure, as well as negative feelings, such as distress, insecurity, fear, and embarrassment. We believe that the teacher-student relationship would be improved if a space is created to discuss these experiences. In fact, such as space would represent one form of support, which students need due to the difficulties they have to deal with in this period of their academic education.

  6. Parâmetros de produtividade de um centro de material e esterilização Los parametros de productividad del centro de material y esterilización Productivity indicators in a sterilization central supply

    Directory of Open Access Journals (Sweden)

    Tânia Regina Sancinetti

    2007-06-01

    posibilitó contrastar resultados y analizar el proceso de trabajo del CME.This study identifies productivity indicators at a Sterilization Central Supply (CME through documents, observation and time counting of the process for two items selected from the sample: a bandage pack and a herniorrhaphy box. The monthly average production was 30,466.42 items, and the production capacity per hour was 10.3 items per employee. The bandage pack averaged 295 minutes from the expurgation area to storage; the manual process lasted 46 minutes and the automated 88 minutes. For the herniorrhaphy box the average was 329 minutes; the manual process lasted 60 minutes and automated 98 minutes. In the bandage kit, the manual process used up 59.23% of the productivity hours in the expurgation area, 3.28% in the preparation, 10.94% in the sterilization process, and 26.31% in storage and distribution. Figures for the manual process of herniorrhaphy box were: expurgation, 11.84%; preparation, 16.20%; storage and distribution, 7.47%; and sterilization, 1.89%. The study made possible to assess the results and to analyze the working process at the CME.

  7. Application of biological dressing A in the treatment of non Ⅲ° deep burn wound%生物敷料A在非Ⅲ°烧伤创面治疗中的应用

    Institute of Scientific and Technical Information of China (English)

    唐公杰; 刘付存; 王新波; 张涛; 曹霞; 夏丽华; 宋增美

    2013-01-01

    Objective To investigate the clinical efficacy of biological dressing A covering bandage of Ⅲ° burn wounds given comprehensive treatment including dermabrasion.Methods For patients of non Ⅲ° ° burn wounds (deep Ⅱ ° and partial superficial Ⅲ ° wounds),28 cases in the treatment group,were given improved dermabrasion with tangential excision plus thin layer of skin graft from the body,the wounds were covered with biological dressing A bandage.21 patients in the control group were treated by traditional tangential excision,escharectomy and self-skin grafting.The clinical treatment effect was observed and compared between the two groups.Results The wounds were healed 2 ~ 3 weeks after surgery in treatment group,the cure rate of burns in patients with a total area of 40% ~ 50% TBSA was 99%,and after treatment the scar formation significantly reduced,self-donated skin significantly reduced,the hospital stay and postoperative recovery time of the patients were significantly shorter,patients were easier to accept.In the control group,the operation time was longer,the blood loss was more,the wounds had more scar healing wounds.The wound healing time of the treatment group was (14.8 ± 1.8) d,which was significantly shorter than (19.4 ± 3.0) d of the control group (P < 0.05).Conclusion The improved grinding A scab plus biological dressings covering bandage has the advantages of simple operation,light damage,less complications,need less skin,to maximize retention of healthy tissue,wound healing speed up,healing scar lessened.%目的 探讨非Ⅲ°烧伤创面给予磨削痂等综合治疗后,采用生物敷料A覆盖包扎后的临床治疗效果.方法 烧伤患者非Ⅲ°创面(深Ⅱ°及偏浅的Ⅲ°创面),应用改良式磨痂并配合削痂加自体薄层皮片移植,创面覆盖生物敷料A包扎治疗28例(治疗组);对照组采用传统的削痂及切痂加自体皮移植治疗21例.结果 治疗组术后2~3周创

  8. Analysis of hemorrhage causes after modified radical operation for breast cancer%乳腺癌改良根治术后出血原因分析

    Institute of Scientific and Technical Information of China (English)

    罗国庆; 胡宁东; 郭远峰; 周晶晶

    2015-01-01

    Objective To analyze hemorrhage causes after modified radical operation for breast cancer, and to provide reference for clinical prevention and treatment of postoperative hemorrhage.Methods A retrospective analysis was made on the clinical data of 6 patients with postoperative hemorrhage after modified radical operation for breast cancer, in order to find their hemorrhage causes.Results There were 5 cases among the 6 cases had drainage volume ≥100 ml at the first postoperative day, with an average drainage volume as 204 ml. There were 1 case with long-term oral administration of antipsychotics and 1 case with oral administration of capecitabine for maintenance treatment of relapsed breast cancer. 1 case received emergency surgical hemostasis, and the other 5 cases were given compression bandage hemostasis. All cases were cured without any case with skin flap necrosis, while there was 1 case with local incision infection.Conclusion Prevention and treatment of hemorrhage after modified radical operation for breast cancer requires intraoperative and postoperative blood pressure control and intraoperative timely hemostasis. Drug use in perioperative period and appropriate compression bandage are also necessary.%目的:对乳腺癌改良根治术后出血原因进行分析,为临床防治术后出血提供借鉴。方法对行乳腺癌改良根治术后出血的6例患者的临床资料进行回顾性分析,寻找出血原因。结果术后首日引流量6例中5例≥100 ml,平均引流量204 ml;1例长期口服抗精神病药物;1例乳腺癌复发转移正口服希罗达维持治疗。1例急诊手术止血,余5例给予加压包扎止血,均治愈。6例无一例出现皮瓣坏死,1例出现局部切口感染。结论为防治乳腺癌改良根治术后出血,术中术后需合理控制血压,术中需及时止血,注意围手术期药物的使用,正确适当的加压包扎。

  9. Curativo do paciente queimado: uma revisão de literatura Curaciones del paciente com quemaduras: una revisión de la literatura Dressing of burned patients' wounds: a literature review

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    Enéas Ferreira

    2003-03-01

    Full Text Available O objetivo deste estudo foi descrever, mediante revisão de literatura, os agentes tópicos e tipos de cobertura que têm sido recomendados no tratamento de queimaduras e discutir as implicações do uso desses produtos. O estudo foi desenvolvido mediante levantamento bibliográfico dos últimos 12 anos, nas bases de dados Lilacs, Medline e Dedalus. As publicações encontradas foram organizadas como de pesquisa e de revisão e, posteriormente, categorizadas de acordo com a temática: agentes tópicos e substitutos temporários de pele. Foram discutidos os possíveis efeitos colaterais, indicações e recomendações quanto à manipulação.Los objetivos de este trabajo fueron: describir, mediante revisión de la literatura, los agentes topicos y tipos de cobertura recomendados para el tratamiento de las quemaduras y sus implicancias en la asistencia de enfermeria. El estudio se desarrolló mediante búsqueda bibliografica de los últimos 12 años, en los bancos de datos Lilacs, Medline y Dedalus. Los artícluos encontrados fueron organizados como artículos de investigación y de revisión. Posteriomente fueron clasificados por su temática: agentes topicos y sustitutos temporales de piel. En el analisis de las informaciones incluidas en la literatura fueron considerados los posibles efectos colaterales, indicaciones y recomendaciones sobre la manipulación de eses productos.This study aimed at describing, by means of a literature review, the topical agents and bandage types which have been recommended in the treatment of burns and their implications in nursing care. This study was conducted by collected bibliographic data concerning the last 12 years from Lilacs, Medline and Dedalus databases. The articles found were organized as research and review articles and later categorized according to the theme: topical agents and temporarily skin dressing. We discussed the possible effects as well as the indications and recommendations as to the

  10. Coloured cornea replacements with anti-infective properties: expanding the safe use of silver nanoparticles in regenerative medicine

    Science.gov (United States)

    Alarcon, E. I.; Vulesevic, B.; Argawal, A.; Ross, A.; Bejjani, P.; Podrebarac, J.; Ravichandran, R.; Phopase, J.; Suuronen, E. J.; Griffith, M.

    2016-03-01

    Despite the broad anti-microbial and anti-inflammatory properties of silver nanoparticles (AgNPs), their use in bioengineered corneal replacements or bandage contact lenses has been hindered due to their intense yellow coloration. In this communication, we report the development of a new strategy to pre-stabilize and incorporate AgNPs with different colours into collagen matrices for fabrication of corneal implants and lenses, and assessed their in vitro and in vivo activity.Despite the broad anti-microbial and anti-inflammatory properties of silver nanoparticles (AgNPs), their use in bioengineered corneal replacements or bandage contact lenses has been hindered due to their intense yellow coloration. In this communication, we report the development of a new strategy to pre-stabilize and incorporate AgNPs with different colours into collagen matrices for fabrication of corneal implants and lenses, and assessed their in vitro and in vivo activity. Electronic supplementary information (ESI) available: Collagen hydrogel, moulded as a cornea, prepared containing collagen protected AgNPs and representative images for collagen hydrogels, moulded as corneas, containing Blue AgNPs either unprotected or protected with LL37-SH; representative TEM images for Green-1 AgNPs prepared in this work; changes on surface plasmon band after synthesis for Green-2 AgNPs without LL37-SH; representative picture of the powder obtained for Green-1 AgNPs capped with LL37-SH after 72 h lyophilization, see main text; representative TEM images for Blue and Green-1 AgNPs prepared in this work; absorption spectra for the supernatants for collagen hydrogels containing Blue AgNPs; absorbance at 600 nm of PAO1 cultures prepared in 25% LB media incubated for 14 h at 37 °C in the presence of different concentrations of AgNPs, Green-1 or Blue, or silver nitrate; HECC cell density (cells per cm2) measured on gels with and without silver nitrate after 1 day of cell incubation; total silver concentration

  11. 苯扎溴铵溶液防治皮肤创伤愈合瘢痕的临床观察%Clinical observation on benzalkonium bromide solution preventing skin wound healing and scar treatment

    Institute of Scientific and Technical Information of China (English)

    顾家富; 晋继忠

    2011-01-01

    AIM: To observe 0.1 % benzalkonium bromide solution on the prevention and treatment of skin wound healing and scar treatment. METHODS: 974 cases of trauma were randomly divided into treatment group and control group each for 487 cases. 0.5% of the complex with iodine solution was used for skin disinfection. 3% hydrogen peroxide solution, 0.9% sodium chloride injection, 0.1% benzalkonium bromide solution were continuously used to clean the wound. The 0.1 % benzalkonium bromide solution was wet compressed after suture with bandage wounds, once every 2 days to wound healing in treatment group. 3 % hydrogen peroxide solution and 0.9% sodium chloride injection were used to clear the wound in the control group, then bandage usually. The long-term healing scar of two groups were observed. RESULTS: The Vancouver scar scale of two groups had significantly difference in 12 months after skin wound healing, the treatment group was lower. CONCLUSION: 0.1 % benzalkonium bromide solution has preventive effect on the skin and scar formation after wound healing.%目的:观察0.1%苯扎溴铵溶液对皮肤创伤愈合瘢痕的防治疗效.方法:将974例创伤患者随机分为治疗组及对照组各487例,用0.5%的络合碘溶液消毒皮肤,治疗组用3%过氧化氢溶液、0.9%氯化钠注射液、0.1%苯扎溴铵溶液依次清创伤口,缝合后用0.1%苯扎溴铵溶液湿敷包扎伤口,每2 d一次,至伤口愈合,对照组用3%过氧化氢溶液和0.9%氯化钠注射液清创伤口,缝合后常规包扎,观察两组远期皮肤愈合瘢痕的形成.结果:皮肤创伤愈合12月后两组的温哥华瘢痕量表评分差异显著,治疗组低于对照组的评分.结论:0.1%苯扎溴铵溶液对皮肤创伤愈合后的瘢痕形成有防治疗效.

  12. FILAR I AL LYMPHEDEMA LOWER LIMB DEBULKING 34 CASES

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    Baburao

    2015-10-01

    Full Text Available There are various treatment options in the management of filarial lymphedema of the lower extremities. The end point, regardless of the method adopted is a reduction of the girth of the limb, prevention of future increases in limb girth, prevention of recurrent episodes of streptococcal cellulitis; more important the treatment method used should not lead to any secondary problems that may far out shadow the primary co Majority of the methods adopted are mainly of the secondary prevention kind; very few of the procedures to date cure the disease condition. A few of the methods have been historically found to be more effective than the others; this may be real or apparent as the methodology of - reporting swelling in the lower limb may not have been consistent and there are too many variables to consider. This study seeks to evaluate the efficacy of one such treatment protocol for the management of filarial lymphedema of the lower limb 80 patients were admitted for filarial lymphedema of the lower limbs from 2005 to 2015 Of these 42 patients underwent surgical treatment; operative records for 8 of these patients was insufficient to analyse; among the remaining 34 patients 19 patients were unavailable for review. This left us a patient population of 15 for the final analysis . The surgical treatment of all of the 15 patients was identical, after preop preparation by using compression ba n dages to soften the edema along with a period of bed rest debulking of excess skin and subcutaneous tissue and primary closure was done. The intro operative application of Esmarch bandages helped in expelling fluid from the tissues and this ensured that closure was obtained with no tension at the margins. Patients were kept for at least 5 days post op before discharge; the routine use of compression crepe bandages postop along with bed rest ensured that we did not have a single case of skin necrosis or wound disruption in the postop period. All patients were given

  13. Subcutaneous Tissue Hook Stripping Loose Treatment in Patients with Postmastectomy Lymphoedema%皮下组织钩剥松解治疗乳腺癌术后上肢淋巴水肿

    Institute of Scientific and Technical Information of China (English)

    凤茂华; 童进东; 徐惠燕; 蒋晓飞

    2013-01-01

    Objective: To study a new method of treatment for breast carcinoma-related upper extremity lymphedema. Method: 9 cases of upper limb lymphedema after mastectomy for more than 2 years in patients with limb subcutaneous tissue hook stripping loose treatment, using small incision subcutaneous tissue hook stripping releasable edema of the upper limbs scar proliferation and tissue hypertrophy, juxtaposition subcutaneous drainage and compressed with elastic bandage. 3 days after operation, change dressing, to stretch bandage 3 months later changed to elastic cuff pressure support treatment. Result: After 3-15 months of follow-up, affected limb lymphedema is reduced apparently, the appearance of narrow, limb forearm and upper arm circumference difference (affected limb - healthy limb) compared with before treatment, the difference was statistically significant (P<0.05). Conclusion: Subcutaneous tissue hook stripping neurolysis for treatment of upper limb lymphedema after mammary cancer operation is simple, the curative effect is good.%目的:研究皮下组织钩剥松解术治疗乳腺癌术后上肢淋巴水肿的效果.方法:9例乳腺癌术后上肢淋巴水肿2年以上的患者进行患肢皮下组织钩剥松解治疗,利用小切口皮下组织钩剥松解水肿上肢瘢痕增生及组织肥厚处,并置皮下引流,术后弹力绷带加压包扎3d后换药,继续弹力绷带加压包扎3个月后改为弹力袖套加压支持治疗,观察疗效.结果:经术后3-15个月随访,患肢淋巴水肿明显减轻,外观缩小,患肢上臂及前臂周径差值(患肢-健肢)较治疗前差异有统计学意义 (P <0.05).结论:皮下组织钩剥松解术治疗乳腺癌术后上肢淋巴水肿方法简便,近期疗效良好.

  14. Ulnar Artery Compression: A Feasible and Effective Approach to Prevent the Radial Artery Occlusion after Coronary Intervention

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    Jun Tian

    2015-01-01

    Full Text Available Background: Radial artery (RA occlusion (RAO is not rare in patients undergoing coronary intervention by transradial approach (TRCI. Predictors of and prevention from RAO have not been systematically studied. This study aimed to analyze the risk factors of the weakness of RA pulsation (RAP and its predictive value for RAO after TRCI, and simultaneously to describe a feasible and effective approach to maintain RA patency. Methods: Between June 2006 and March 2010, all patients who underwent TRCI were classified according to the weakness of RAP after removing compression bandage with confirmation by Doppler ultrasound for the first 30 consecutive patients. Among a total of 2658 patients studied, 187 (7% patients having a weaker RAP were prospectively monitored. At 1 h after bandage removal, the ulnar artery in puncture side of all patients was blocked with manual compression to favor brachial and collateral artery blood flow through the RA until a good RAP was restored. The primary analysis was the occurrence of RAO. Results: Doppler ultrasound demonstrated the significant reduction of both systolic velocity (61.24 ± 3.95 cm/s vs. 72.31 ± 3.57 cm/s and diastolic velocity (1.83 ± 0.32 cm/s vs. 17.77 ± 3.97 cm/s in RA at access side as compared to the contralateral RA (all P < 0.001, but these velocities in ipsilateral ulnar artery (81.2 ± 2.16 cm/s and 13.1 ± 2.86 cm/s, respectively increased profoundly. The average time of ulnar artery compression was 4.1 ± 1.2 h (ranged 2.5-6.5 h. There were two patients experienced persistent RAO with a success rate of 98.9% and RAO in 0.075% of patients after ulnar artery compression was applied. The pulsation of the ulnar artery after compression was removed had not been influenced by the compression. Conclusions: After intervention using TRCI approach, the presence of a weaker RAP is an indicator of imminent RAO. The continuing compression of ipsilateral ulnar artery is an effective approach to

  15. Highly Sensitive, Flexible, and Wearable Pressure Sensor Based on a Giant Piezocapacitive Effect of Three-Dimensional Microporous Elastomeric Dielectric Layer.

    Science.gov (United States)

    Kwon, Donguk; Lee, Tae-Ik; Shim, Jongmin; Ryu, Seunghwa; Kim, Min Seong; Kim, Seunghwan; Kim, Taek-Soo; Park, Inkyu

    2016-07-01

    We report a flexible and wearable pressure sensor based on the giant piezocapacitive effect of a three-dimensional (3-D) microporous dielectric elastomer, which is capable of highly sensitive and stable pressure sensing over a large tactile pressure range. Due to the presence of micropores within the elastomeric dielectric layer, our piezocapacitive pressure sensor is highly deformable by even very small amounts of pressure, leading to a dramatic increase in its sensitivity. Moreover, the gradual closure of micropores under compression increases the effective dielectric constant, thereby further enhancing the sensitivity of the sensor. The 3-D microporous dielectric layer with serially stacked springs of elastomer bridges can cover a much wider pressure range than those of previously reported micro-/nanostructured sensing materials. We also investigate the applicability of our sensor to wearable pressure-sensing devices as an electronic pressure-sensing skin in robotic fingers as well as a bandage-type pressure-sensing device for pulse monitoring at the human wrist. Finally, we demonstrate a pressure sensor array pad for the recognition of spatially distributed pressure information on a plane. Our sensor, with its excellent pressure-sensing performance, marks the realization of a true tactile pressure sensor presenting highly sensitive responses to the entire tactile pressure range, from ultralow-force detection to high weights generated by human activity. PMID:27286001

  16. Antibacterial and Antimycotic Activity of Cotton Fabrics, Impregnated with Silver and Binary Silver/Copper Nanoparticles

    Science.gov (United States)

    Eremenko, A. M.; Petrik, I. S.; Smirnova, N. P.; Rudenko, A. V.; Marikvas, Y. S.

    2016-01-01

    Effective method of obtaining of the bactericidal bandage materials by impregnation of cotton fabric by aqueous solutions of silver and copper salts followed by a certain regime of heat treatment is developed. The study of obtained materials by methods of optical spectroscopy, electron microscopy, and X-ray phase analysis showed the formation of crystalline silver nanoparticles (NPs) and bimetallic Ag/Cu composites with the corresponding surface plasmon resonance (SPR) bands in the absorption spectra. High antimicrobial and antimycotic properties of tissues with low concentrations of Ag and Ag/Cu nanoparticles (Ag/Cu NPs) (in the range 0.06-0.25 weight percent (wt%) for Ag and 0.015-0.13 wt% for Ag/Cu) is confirmed in experiments with a wide range of multidrug-resistant bacteria and fungi: Escherichia coli, Enterobacter aerogenes, Proteus mirabilis, Klebsiella pneumoniae, Candida albicans yeasts, and micromycetes . Textile materials with Ag NPs demonstrate high antibacterial activity, while fabrics doped with bimetallic composite Ag/Cu have pronounced antimycotic properties. Bactericidal and antifungal properties of the obtained materials do not change after a washing. Production of such materials is extremely fast, convenient, and cost-effective.

  17. Phase change material for thermotherapy of Buruli ulcer: a prospective observational single centre proof-of-principle trial.

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    Thomas Junghanss

    Full Text Available BACKGROUND: Buruli ulcer (BU is an infection of the subcutaneous tissue leading to chronic necrotizing skin ulcers. The causative pathogen, Mycobacterium ulcerans, grows best at 30 degrees C-33 degrees C and not above 37 degrees C. We explored the safety, tolerability and efficacy of phase change material (PCM, a novel heat application system for thermotherapy of BU. METHODOLOGY/PRINCIPAL FINDINGS: In a prospective observational single centre proof-of-principle trial in Ayos/Cameroon, six laboratory reconfirmed patients with ulcerative Buruli lesions received 28-31 (ulcers 2 cm days of thermotherapy with the PCM sodium acetate trihydrate as heat application system. This PCM is widely used in commercial pocket heat pads, it is easy to apply, rechargeable in hot water, non-toxic and non-hazardous to the environment. All patients enrolled in the trial completed treatment. Being completely mobile during the well-tolerated heat application, acceptability of the PCM bandages was very high. In patients with smaller ulcers, wounds healed completely without further intervention. Patients with large defects had skin grafting after successful heat treatment. Heat treatment was not associated with marked increases in local inflammation or the development of ectopic lymphoid tissue. One and a half years after completion of treatment, all patients are relapse-free. CONCLUSIONS/SIGNIFICANCE: Our reusable PCM-based heat application device appears perfectly suited to treat BU in endemic countries with limited resources and infrastructure. TRIAL REGISTRATION: Controlled-Trials.com ISRCTN88392614.

  18. PHYSIOLOGY AND ENDOCRINOLOGY SYMPOSIUM: Insulin action and lipotoxicity in the development of polycystic ovary syndrome: A review.

    Science.gov (United States)

    Faubert, J; Battista, M-C; Baillargeon, J-P

    2016-05-01

    Polycystic ovary syndrome (PCOS) is a common condition affecting women of reproductive age. This disorder is characterized by hyperandrogenism and anovulation and is frequently associated with comorbidities such as infertility, metabolic syndrome, type 2 diabetes, and cardiovascular risk factors. Although the causes of PCOS are unknown, this review focuses on the most accepted theory involving insulin action but will also elaborate on a novel concept: the role of lipotoxicity in the development of androgen overproduction, in addition to its known role in insulin resistance. This review will also shed a spotlight on 2 drugs that target lipotoxicity and are, therefore, known or promising for the treatment of PCOS manifestations: peroxisome proliferator-activated receptor γ and angiotensin II type 2 receptor agonists. This paper, therefore, emphasizes the need to further explore the pathophysiology of PCOS and particularly the role of lipotoxicity. Indeed, this new mechanism deserves attention to develop therapeutic approaches that will directly target the root of this condition and not only bandage its associated consequences. PMID:27285677

  19. La luxation erecta bilatérale: à propos d'un cas

    Science.gov (United States)

    Madani, Tarik; Hani, Redouane; Karabila, Mohamed Amine; Kharmaz, Mohammed; Ouadghiri, Mohamed El; Lahlou, Abdou; Lamrani, Mly Omar; Bardouni, Ahmed El; Mahfoud, Mustapha; Berrada, Mohamed Saleh; Yaacoubi, Mouradh El

    2015-01-01

    La luxation erecta est une lésion rare, elle est encore plus rare quand elle est bilatérale. Nous rapportons un cas de luxation erecta bilatérale chez un sportif victime d'une chute lors d'une séance de gymnastique. Le patient s'est présenté aux urgences avec une attitude d'abduction irréductible des deux épaules, l'examen vasculo-nerveux était normal. La radiographie a confirmé le diagnostic d'une luxation erecta bilatérale associée à une fracture des deux tubercules majeurs. Le patient a bénéficié d'une réduction orthopédique et d'un bandage coude au corps. Le suivi a montré un score de l'UCLA à 30 points. L'objectif de notre travail est d'insister sur la rareté de la luxation erecta bilatérale et de rappeler sa particularité clinique, thérapeutique et évolutive. PMID:26977225

  20. Digital dermatitis of the accessory digits of dairy cows

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    Celso A. Rodrigues

    2010-03-01

    Full Text Available This report characterizes the digital dermatitis (DD lesions in the accessory digits of dairy cows and presents data on the applied therapy. Fifteen Holstein cattle with DD affecting the accessory digits of the hindlimbs from four dairy farms with previous history of DD were evaluated. Lesions were excised, the wounds were sutured, and a topical application of oxytetracycline powder covered by bandaging was associated with a single parenteral administration of long acting oxytetracycline IM (20mg/kg. Tissue samples were obtained for histopathology and transmission electronic microscopy (TEM. Lesions from all the animals were recuperated 15 days after surgical procedure. Overal, most DD lesions were papillomatous epidermal projections or wartlike verrucous lesions. Histopathologically, samples revealed hyperplasia of epidermis with hyperkeratosis, several mitoses in the stratum basale and elongated rete ridges in the superficial and middle dermis. TEM revealed long, thin spirochete-like bacteria. Morphologic features of lesions and its response to therapy were comparable to those described for DD.

  1. Sutureless femtosecond anterior lamellar keratoplasty: A 1-year follow-up study

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    Rohit Shetty

    2014-01-01

    Full Text Available Aim: To study the safety and efficacy of sutureless femtosecond anterior lamellar keratoplasty (FALK in patients with corneal stromal opacities. Materials and Methods: Eleven eyes of 11 consecutive patients with corneal stromal opacities involving < 250 μ due to various pathologies were included in the study. Preoperatively, all underwent anterior segment imaging with spectral domain optical coherence tomography (SD-OCT (Bioptigen Inc., Durham, North Carolina, USA to measure the depth of the stromal opacity. All patients underwent FALK, and bandage contact lens was placed for a period of 2 weeks. Postoperatively, uncorrected visual acuity, best corrected visual acuity (BCVA, and SD-OCT evaluation were performed. Results: All patients showed significant improvement in BCVA. The mean postoperative BCVA (in decimals improved from 0.11 ± 0.06 preoperatively to 0.59 ± 0.08. There were no intraoperative or significant postoperative complications that were noticed. Conclusion: FALK is a safe and effective alternative to deep anterior lamellar keratoplasty or penetrating keratoplasty in the treatment of anterior stromal opacities.

  2. Venous ulcers of the lower limb: Where do we stand?

    Science.gov (United States)

    Chatterjee, Sasanka S

    2012-05-01

    Venous ulcers are the most common ulcers of the lower limb. It has a high morbidity and results in economic strain both at a personal and at a state level. Chronic venous hypertension either due to primary or secondary venous disease with perforator paucity, destruction or incompetence resulting in reflux is the underlying pathology, but inflammatory reactions mediated through leucocytes, platelet adhesion, formation of pericapillary fibrin cuff, growth factors and macromolecules trapped in tissue result in tissue hypoxia, cell death and ulceration. Duplex scan with colour flow is the most useful investigation for venous disease supplying information about patency, reflux, effects of proximal and distal compression, Valsalva maneuver and effects of muscle contraction. Most venous disease can be managed conservatively by leg elevation and compression bandaging. Drugs of proven benefit in venous disease are pentoxifylline and aspirin, but they work best in conjunction with compression therapy. Once ulceration is chronic or the patient does not respond to or cannot maintain conservative regime, surgical intervention treating the underlying venous hypertension and cover for the ulcer is necessary. The different modalities like sclerotherapy, ligation and stripping of superficial varicose veins, endoscopic subfascial perforator ligation, endovenous laser or radiofrequency ablation have similar long-term results, although short-term recovery is best with radiofrequency and foam sclerotherapy. For deep venous reflux, surgical modalities include repair of incompetent venous valves or transplant or transposition of a competent vein segment with normal valves to replace a post-thrombotic destroyed portion of the deep vein. PMID:23162226

  3. Latex elastomer with a permanently hydrophilic surface

    Science.gov (United States)

    Noda, Isao

    1991-03-01

    WATER wettability is important in many applications of polymeric materials, including fabrics, printing and biomedical uses1,2. Various surface-modification techniques are available to convert the intrinsically hydrophobic surfaces of plastic to water-wettable ones, by incorporating chemically polar functional groups at the surface4-7. Although such chemically induced surface hydrophilicity can be relatively long-lived while the substrates remain rigid, increases in the mobility of surface molecules, for example, due to increasing temperature, can cause rapid loss of hydrophilicity, driven by the tendency of surfaces to minimize their free energy2-5. As the polar groups are not often bound to the polymer matrix (usually being instead free surfactant molecules), they may also be flushed from the surface by repeated exposure to water. Here I report the preparation of permanently water-wettable elastomeric films from a latex synthesized by polymerization of monomers in the presence of an amphiphilic block copolymer. By migration of the hydrophilic segments to the surface during film formation, the film is rendered essentially completely wettable by water. Applications may include flexible coatings that can introduce spatially selective wettability to solid surfaces, for example one-side wettable perforated films used for bandages and disposable diapers8.

  4. Cyanoacrylate tissue glue for wound repair in early posttrabeculectomy conjunctival bleb leak: a case series

    Directory of Open Access Journals (Sweden)

    Haslinda AR

    2015-07-01

    Full Text Available Abdul-Rahim Haslinda, Yaakub Azhany, Rasid Noor-Khairul, Embong Zunaina, Ahmad-Tajudin Liza-Sharmini Department of Ophthalmology, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia Abstract: We demonstrated a noninvasive management of early bleb leak following trabeculectomy using cyanoacrylate tissue glue (CATG. Three patients who underwent augmented trabeculectomy with mitomycin C with early bleb leak between January 2009 and June 2010 were reviewed. Case 1 and Case 2 exhibited bleb leak on postoperative Day 1 and Case 3 showed leak on follow-up at postoperative Day 7. Case 1 was successfully sealed with CATG at postoperative Day 3, after failed pressure padding and bandage contact lens. Case 2 was successfully sealed with CATG at postoperative Day 3, after failed pressure padding and conjunctiva flap resuturing. In Case 3, the leaking conjunctival flap was managed with combined techniques of resuturing and applying CATG at postoperative Day 9, after failed pressure padding. During leakage, the intraocular pressure was low (6–8 mmHg in all three cases, with shallow anterior chamber depth and absence of other complications such as choroidal detachment, hypotony maculopathy, or endophthalmitis. Foreign body sensation was the main complaint following the procedure. No clinical allergy reaction was documented. CATG may serve as a potential adjunctive and effective method in the management of posttrabeculectomy early bleb leak. Keywords: cyanoacrylate tissue glue, bleb leak, trabeculectomy, mitomycin C

  5. Sub-aponeurotic fluid collections in infancy

    International Nuclear Information System (INIS)

    AIM: To describe the radiological features and natural history of sub-aponeurotic fluid collections presenting after the neonatal period. MATERIALS AND METHODS: All cases of sub-aponeurotic scalp fluid collection presenting to the radiology department between June 1996 and June 2000 were reviewed. Note was made of the birth history, the radiographic and ultrasound features and the natural history (including any treatment) of the collection. RESULTS: Seven cases of sub-aponeurotic fluid collections were identified. There were six infants who presented 3·5-18 weeks (mean nine weeks) after delivery, four of whom had had ventouse-assisted delivery. The last case was in a seven-year-old child who presented one month after minor head trauma. Clinical examination revealed non-tender, soft, mobile and fluctuant scalp swellings in all patients. Ultrasound identified sonolucent fluid collections of between 5 and 24 mm depth in the sub-aponeurotic space. No skull fractures were identified. Six patients were treated conservatively and one had fluid aspirated and a compression bandage applied. All cases resolved 2-24 weeks after diagnosis and there were no long-term sequelae. CONCLUSION: Sub-aponeurotic scalp collections presenting after the neonatal period are usually associated with ventouse-assisted delivery ultrasound is useful for diagnosis. The condition is benign and resolution occurs with conservative treatment. Hopkins, R.E. et al. (2002)

  6. Manual lymphatic drainage therapy in patients with breast cancer related lymphoedema

    Directory of Open Access Journals (Sweden)

    Martínez Helena

    2011-03-01

    Full Text Available Abstract Background Lymphoedema is a common and troublesome condition that develops following breast cancer treatment. The aim of this study is to analyze the effectiveness of Manual Lymphatic Drainage in the treatment of postmastectomy lymphoedema in order to reduce the volume of lymphoedema and evaluate the improvement of the concomitant symptomatology. Methods A randomized, controlled clinical trial in 58 women with post-mastectomy lymphoedema. The control group includes 29 patients with standard treatment (skin care, exercise and compression measures, bandages for one month and, subsequently, compression garnments. The experimental group includes 29 patients with standard treatment plus Manual Lymphatic Drainage. The therapy will be administered daily for four weeks and the patient's condition will be assessed one, three and six months after treatment. The primary outcome parameter is volume reduction of the affected arm after treatment, expressed as a percentage. Secondary outcome parameters include: duration of lymphoedema reduction and improvement of the concomitant symptomatology (degree of pain, sensation of swelling and functional limitation in the affected extremity, subjective feeling of being physically less atractive and less feminine, difficulty looking at oneself naked and dissatisfaction with the corporal image. Discussion The results of this study will provide information on the effectiveness of Manual Lymphatic Drainage and its impact on the quality of life and physical limitations of these patients. Trial registration ClinicalTrials (NCT: NCT01152099

  7. Safety and protection of 8T NbTi gyrotron magnet in persistent mode

    International Nuclear Information System (INIS)

    Successful series of 5T cryomagnetic systems for additional high frequency plasma heating in Tokamaks T10 and T15, produced in Czechoslovakia during the last decade with the authors participation in magnet design and testing encouraged them to continue in further development of gyrotron magnets for further generation with operational field B0 = 8T. Approximately of the size and dimensions as was the case of previous 5T series, the 8T gyrotron magnet was designed as a part of preliminary work with preparations for ITER project. To achieve high mechanical stability of the superconducting winding, numerical stress-strain analyzes of winding structure and appropriate technology of epoxy impregnation were applied. To improve winding mechanical stability, initially round φ1 mm varnish insulated conductor was flattened to ''race track'' cross section (1.25 x 0.75 mm2 for inner section, respectively, 1.31 x 0.65 mm2 for the rest of magnet). Stainless steel road (φ1mm) of the bandage was flattened in the same way too (up to 1.14 x 0.77 mm2). Danger of creating a hot spot region has been limited by radial magnet sectioning and sections shunting by low ohmic shunts. Superconducting switch was protected by couple of antiparallel silicon diodes mounted between magnet flanges in parallel to it. High threshold voltages of diodes at 4.2K allow to run up system with relatively high speed without any limitation on sign of magnet field polarity

  8. [Toilet of chronic wound].

    Science.gov (United States)

    Strok, Nevenka; Huljev, Dubravko

    2013-10-01

    Chronic wound toilet, with appropriate care of the surrounding skin, is one of the basic steps that must be performed in the treatment of patients with chronic wound. On wound cleaning and bandaging, it is of utmost importance to choose an appropriate technique of cleansing, select an appropriate solution for leaching and choose an appropriate wound dressing. In this way, the wound is protected from dirt from the environment and microorganisms, while protecting the surrounding tissue from the wound exudate, providing optimal conditions for better and faster wound healing and contributing to improved patient quality of life. The frequency of dressing change is individual and must be tailored to each patient in correlation with the psychosocial status of the patient, the type of the wound, the amount and type of wound exudate, as well as what is to be put on the wound. One of the most important elements in wound toilet is appropriate care for the surrounding skin. Basic guidelines for skin care must meet three basic criteria: adequate washing and cleansing of the skin, maintain the physiological balance of the skin and protect the skin from external damage. PMID:24371977

  9. Changes in lymphatic function after complex physical therapy for lymphedema.

    Science.gov (United States)

    Hwang, J H; Kwon, J Y; Lee, K W; Choi, J Y; Kim, B T; Lee, B B; Kim, D I

    1999-03-01

    Twenty-two extremities of 19 lymphedema patients (6 arms, 16 legs) were treated by 2 weeks of complex physical therapy (CPT) and self home maintenance therapy (bandage/wearing of elastic garment and exercise). In addition to the clinical response of volume reduction before and 3 months after CPT, we analyzed the functional changes of the peripheral lymphatic system by use of lymphoscintigraphy (LS). Before CPT, the main LS findings of lymphedema included dermal backflow (100%), absent or faintly visualized regional lymph nodes (95.5%), presence of collateral lymphatic vessels (68.2%), and no or barely visualized lymphatic vessels (27.3%). LS findings suggesting improved lymphatic function after CPT were a decrease in dermal backflow (72.7%), an increase in radioisotope uptake by lymphatic vessels (27.3%), and an increase in radioisotope uptake by lymph nodes (9.1%). 81.8% of limbs showed improved lymphoscintigraphic findings and no change in 9.1%. In the others (9.1%), LS findings appeared worse. There was, however, no correlation between LS "improvement" and the amount of limb volume reduction. PMID:10197323

  10. Design and Evaluation of a Low-cost Piezoelectric Device for Remote Diagnosis of Respiratory Diseases

    Directory of Open Access Journals (Sweden)

    Rohan Palanki

    2015-12-01

    Full Text Available In this research, a piezoelectric film was utilized to develop a low-cost biomedical device for diagnosis and management of breathing disorders. First, it was shown that when a commercial polyvinylidene fluoride (PVDF film was subjected to airflow generated from human breath, the voltage generated increased with decreasing film thickness. Then, a device was fabricated that records a patient's breathing pattern and sends this data to a remote email address via the Raspberry Pi, an inexpensive computer. It was shown that the breathing patterns could be recorded in a reproducible manner with this device. Next, the efficacy of the device to detect breathing disorders was tested. A restrictive ventilatory abnormality was simulated by tying a crepe bandage around the chest. It was shown that this device could successfully distinguish between breathing in a normal patient and the breathing of a patient with a restrictive ventilatory abnormality. It is possible to fabricate this device for less than $100, thereby making it accessible to a large number of patients with chronic lung diseases.

  11. A training session in a clinical simulation laboratory for the acquisition of clinical skills by newly recruited medical interns.

    Science.gov (United States)

    Yoshimura, Akinobu; Shimura, Toshiro; Kim, Chol; Ishikawa, Gen; Haraguchi, Shuji; Ohno, Tadaaki; Hayashi, Hiroki; Nakano, Hiroshi; Nitta, Takashi; Takaoka, Masako

    2010-08-01

    In organized orientation programs for newly recruited medical interns of the Nippon Medical School Hospital, the working committee of the clinical simulation laboratory introduced a laboratory training session that was designed to improve the clinical skills of the medical interns. The session consisted of 6 training courses, comprising internal examination, tracheal intubation, auscultation of heart sounds, bandaging and the collection of samples of venous and arterial blood. Medical interns rotated to a new course every 30 minutes and did practical trainings in each of the 6 skills. A total of 36 newly recruited medical interns participated in the training session. The majority of medical interns took part in the practical training actively and positively. The session was efficiently carried out from the standpoints of human resources and the teaching hours involved. A post training questionnaire survey, completed by the medical interns, revealed that many of them valued the sessions for comprehensibility of the instructions, the descriptions in the manual and the content of the training; however, only 21% thought that they had successfully acquired the clinical skills. Medical interns must continually engage in self-training to steadily acquire basic clinical skills. The convenience of a clinical simulation laboratory, together with the reinforcement of the education of clinical skills during internship, is necessary to strengthen the educational benefits of the training session. PMID:20818139

  12. Sterilization of biological tissues with ionizing radiation

    International Nuclear Information System (INIS)

    On June 1994, the National Institute of Nuclear Research (ININ) and the South Central Hospital for High Specialty of PEMEX (HCSAE) began a joint work with the finality to obtain radio sterilized amniotic membranes for to be used as cover (biological bandage) in burnt patients. Subsequently the Chemistry Faculty of UNAM and the National Institute of Cardiology began to collaborate this last with interest on cardiac valves for graft. Starting from 1997, the International Atomic Energy Agency (IAEA) supports this project (MEX/7/008) whose main objective is to set up the basis to establish in Mexico a Radio sterilized Tissue Bank (amniotic membranes, skin, bones, tendons, cardiac valves, etc.) to be used with therapeutic purposes (grafts). The IAEA support has consisted in the equipment acquisition which is fundamental for the Tissue Bank performance such as an experimental irradiator, laminar flow bell, lyophilizer, vacuum sealer and special knives for tissues. Also visits to Mexico of experts have been authorized with the aim of advising to the personnel which participate in the project and scientific visits of this personnel to another tissue banks (Sri Lanka and Argentine). The establishment in Mexico of a Tissue bank will be a great benefit because it will have availability of distinct tissues for grafts and it will reduce the synthetic materials importation which is very expensive. (Author)

  13. Bacterial Motility Reveals Unknown Molecular Organization.

    Science.gov (United States)

    Duchesne, Ismaël; Rainville, Simon; Galstian, Tigran

    2015-11-17

    The water solubility of lyotropic liquid crystals (LCs) makes them very attractive to study the behavior of biological microorganisms in an environment where local symmetry is broken (as often encountered in nature). Several recent studies have shown a dramatic change in the behavior of flagellated bacteria when swimming in solutions of the lyotropic LC disodium cromoglycate (DSCG). In this study, the movements of Escherichia coli bacteria in DSCG-water solutions of different concentrations are observed to improve our understanding of this phenomenon. In addition, the viscosity of DSCG aqueous solutions is measured as a function of concentration at room temperature. We also experimentally identify a previously undescribed isotropic pretransition zone where bacteria start sticking to each other and to surfaces. Simple estimations show that the unbalanced osmotic pressure induced depletion force might be responsible for this sticking phenomenon. An estimate of the bacteria propulsive force and the DSCG aggregates length (versus concentration) are calculated from the measured viscosity of the medium. All these quantities are found to undergo a strong increase in the pretransition zone, starting at a threshold concentration of 6±1 wt % DSCG that is well below the known isotropic-LC transition (∼10 wt %). This study also shines light on the motility of flagellated bacteria in realistic environments, and it opens new avenues for interesting applications such as the use of motile microorganisms to probe the physical properties of their host or smart bandages that could guide bacteria out of wounds. PMID:26588572

  14. Acute ankle sprain: an update.

    Science.gov (United States)

    Ivins, Douglas

    2006-11-15

    Acute ankle injury, a common musculoskeletal injury, can cause ankle sprains. Some evidence suggests that previous injuries or limited joint flexibility may contribute to ankle sprains. The initial assessment of an acute ankle injury should include questions about the timing and mechanism of the injury. The Ottawa Ankle and Foot Rules provide clinical guidelines for excluding a fracture in adults and children and determining if radiography is indicated at the time of injury. Reexamination three to five days after injury, when pain and swelling have improved, may help with the diagnosis. Therapy for ankle sprains focuses on controlling pain and swelling. PRICE (Protection, Rest, Ice, Compression, and Elevation) is a well-established protocol for the treatment of ankle injury. There is some evidence that applying ice and using nonsteroidal antiinflammatory drugs improves healing and speeds recovery. Functional rehabilitation (e.g., motion restoration and strengthening exercises) is preferred over immobilization. Superiority of surgical repair versus functional rehabilitation for severe lateral ligament rupture is controversial. Treatment using semirigid supports is superior to using elastic bandages. Support devices provide some protection against future ankle sprains, particularly in persons with a history of recurrent sprains. Ankle disk or proprioceptive neuromuscular facilitation exercise regimens also may be helpful, although the literature supporting this is limited. PMID:17137000

  15. Electro-resistive bands for non-invasive cardiac and respiration monitoring, a feasibility study

    International Nuclear Information System (INIS)

    Continuous unobtrusive monitoring of tidal volume, particularly for critical care patients (i.e. neonates and patients in intensive care) during sleep studies and during daily activities, is still an unresolved monitoring need. Also a successful monitoring solution is yet to be proposed for continuous non-invasive cardiac stroke volume monitoring that is a novel clinical need. In this paper we present the feasibility study for a wearable, non-invasive, non-contact and unobtrusive sensor (embedded in a standard T-shirt) based on four electro-resistive bands that simultaneously monitors tidal volume and cardiac stroke volume changes. This low power sensor system (requires only 100 mW and accepts a wide power supply range up to ±18 V); thus the sensor can be easily embedded in existing wearable solutions (i.e. Holter monitors). Moreover, being contactless, it can be worn over bandages or electrodes, and as it does not rely over the integrity of the garment to work, it allows practitioners to perform procedures during monitoring. For this preliminary evaluation, one subject has worn the sensor over the period of 24 h (removing it only to shower); the accuracy of the tidal volume tested against a portable spirometer reported a precision of ±10% also during physical activity; accuracy tests for cardiac output (as it may require invasive procedure) have not been carried out in this preliminary trial. (note)

  16. Hot topics in venous ulcer treatment: an international survey

    Directory of Open Access Journals (Sweden)

    Stefano Ricci

    2013-01-01

    Full Text Available Compression is the most effective treatment to promote skin ulcer healing, although there are as many different methods of performing a leg compression as the number of phlebologists, each one having personal tricks, solutions, habits. Conversely, though dressings may be done in different ways, none is considered the standard solution. We asked few (18 questions to physicians involved in this field, in Italy and abroad, looking for some common feature. The analysis of 100 replies indicated the average treatment: compression made by multilayer bandage when edema is present, knee long stocking when edema is removed, mostly based on patient’s agreement. Escharectomy should be done when ulcer bed is covered by necrotic tissue. Advanced wound care is used, with dressing changed several times a week. For highly exuding ulcers, a specific dressing is used or frequent changing is performed. The treatment in early stage of disease is done by the physician while subsequently the dressings may be performed by the patient himself, nurses or doctors. Usually no medical treatments are associated. The cost of a single dressing is often lower than 10 Euro, without any reimbursement. The compression devices aren’t reimbursed as well. The expected compression pressure is 30/40 mm Hg. Daytime compression is not reduced at night-time. The patient is always invited to walk. The same compression is used if the ABPI is <1. However the survey shows that several variations in the cookbook may occur, sometimes even contradictory.

  17. Abdominal wall hernias in the setting of cirrhosis.

    Science.gov (United States)

    Belghiti, J; Durand, F

    1997-01-01

    In cirrhotic patients, umbilical hernias occur almost exclusively when longstanding ascites is present. Umbilical hernias expose cirrhotic patients to potentially life-threatening complications such as strangulation (which can be precipitated by rapid removal of ascitic fluid) and rupture (which is usually preceded by cutaneous ulcerations on the surface of the hernia). In cirrhotic patients, prevention of umbilical hernias is based on prevention of ascites. When prevention has failed, medical treatment of ascites should be first attempted. In patients in whom medical treatment is effective, and after ascites has disappeared, surgical treatment of umbilical hernia can be safely performed in most cases. In patients in whom medical treatment is ineffective and who develop refractory ascites, treatment strategy for umbilical hernia depends on the presence or absence of indication for liver transplantation. In patients who are candidates for liver transplantation, careful local care with pressure bandage must be performed until transplantation. Herniorrhaphy must be performed at the time of transplantation. In patients with refractory ascites, and who are not candidates for transplantation, portocaval shunt, transjugular intrahepatic portocaval shunt (both followed by surgical herniorrhaphy when ascites has disappeared) or concomitant peritoneo-venous shunt and herniorrhaphy should be considered. In contrast to umbilical hernias, groin hernias are not markedly influenced by ascites. However, ascites is a major risk factor for surgery. Therefore, surgical repair should not be recommended in patients with ascites and poor liver function. In cirrhotic patients with incisional hernia, prosthetic devices should be avoided because of the high risk of bacterial infection. PMID:9308126

  18. The influence of the external ankle support on the dynamic balance in volleyball athletes

    Directory of Open Access Journals (Sweden)

    Manuela Azevedo Correia de Lima

    2015-09-01

    Full Text Available AbstractThe purpose of this study was to assess the effect of ankle external supports on proprioception and dynamic balance in volleyball players. Seventeen female volleyball players (18.94±2.49 years; 65.45±9.49 kg; 1.71±0.05 m; BMI=22.0±2.67 kg/m² took part in this study. The dynamic balance was assessed through the Star Excursion Balance Test (SEBT. Comparisons between stabilization (no stabilizer/NS, orthosis/ORT and functional bandaging/FB modes and the SEBT grid lines and inter-limb were carried out. The SEBT assessment showed a significant difference between the groups NS x ORT and NS x FB (p < .01, and between the lines (p< .01. Significant line/limb interaction in DL and NDL (p< .01 was detected. The external supports tested herein showed similar effects on balance, restricting lower limb's reach in the SEBT execution in some of tested directions.

  19. The gambling scholar

    Science.gov (United States)

    Ekert, Artur

    2009-05-01

    Girolamo Cardano was an experienced card player, but that night he was losing money at an alarming rate. No wonder, for he was being cheated. When he realized that the cards were marked, he drew his dagger and stabbed the cheat in the face. Cardano then forced his way out of the gambling den into the narrow streets of Venice, recovering his money on the way. Running for his life in complete darkness, he slipped and plunged into the muddy waters of a canal - not the best place to be if you cannot swim. It was sheer luck that he managed, somehow, to grab the side of a passing boat and was lifted to safety by a helpful hand. Once on the boat, however, Cardano faced a man with a bandaged face - the cheat himself. Perhaps it was the chill of the night that cooled their tempers, or perhaps neither of the two wanted trouble with the notoriously strict Venetian authorities, but there was no brawl. Instead, Cardano was given clothing and travelled back home in amiable conversation.

  20. A Strategy to Develop Bioactive Nanoarchitecture Cellulose: Sustained Release and Multifarious Applications.

    Science.gov (United States)

    Karuppusamy, Sembanadar; Pratheepkumar, Annamalai; Dhandapani, Perumal; Maruthamuthu, Sundaram; Kulandainathan, Manickam Anbu

    2015-09-01

    Cellulose membranes were engineered to produce hydrophobic surfaces via a simple and soft chemical process to introduce multifunctional properties of an otherwise hydrophilic cellulose surface with polymer-grafted nanosilver to form a core-shell nanostructure. A superhydrophobic domain of the polymer on cellulose was created through the amide bond formation between the anhydride units of the polymer and the aminosiloxane-functionalized cellulose through layer-over-layer formulation. This formulation was confirmed through XPS, XRD, 29Si-NMR, and FTIR studies. Further, SEM and TEM analysis revealed that short linear silver nanowires were uniformly obtained with an average diameter of 60 nm and length of 288 nm, using a mild reducing agent at 60 degrees C, which resulted in a hierarchical cellulose surface. The nanosilver colloids released from the hierarchical cellulose surface were stabilized by the polymer matrix in solution, which led to a decrease in the rate of formation of Ag+ enhancing the material's killing efficacy against microbes. This biodegradable nanocomposite-based cellulose hierarchical surface development has potential for application as superhydrophobic membranes for oil-water separation, antimicrobial activity, and pH-triggered sustained release of colloidal silver for wound healing, which could possibly be applied for use as smart bandages. PMID:26485925

  1. Factors militating against effective implementation of primary health care (PHC system in Nigeria

    Directory of Open Access Journals (Sweden)

    Josephat M Chinawa

    2015-01-01

    Full Text Available Objectives: This study aimed to evaluate the factors that militate against effective implementation of a primary health care (PHC system in Nigeria. Materials and Methods: The study was conducted at four selected PHC centers in Enugu State from November 2014 to January 2015. The primary health center was chosen by systemic sampling from about eight primary health centers in Enugu metropolis. The sixteen-item questionnaire was elaborated with the Likert scale. Data retrieved were collected with the aid of a structured study pro forma and analyzed using SPSS Version 18. Results: A total of 169 health workers were recruited from four primary health centers. The mean age of all participants was 38.42 years standard deviation (SD = 9.8, while the male: Female ratio was 2:1. Among the subjects, 59% were aged 30-39 years. Existing equipment and manpower on one hand and job security and salary on the other hand are negative factors in the implementation of PHC; the respondents believed that adequate supply of gloves, needles, bandages, good access to drugs and medications, a good cold chain system, and full implementation of immunization programs all exist in PHC centers. Adequate community participation, culture and religion, access to safe and clean water, and steady electricity, on the other hand, are nonexistent in the PHC centers in the study. Conclusions: The PHC centers studied showed that much remains to be desired, especially in terms of manpower, communication, and the remuneration of health workers.

  2. Phototherapeutic treatment of lymphedema and other complications after mastectomy

    Science.gov (United States)

    Zharov, Vladimir P.; Kalinin, Konstantin L.; Borisov, Andrei A.; Velsher, Leonid Z.; Stakhanov, Mikhail L.; Eskin, Vadim G.; Savin, Alexei A.; Shihkerimov, Raphiz K.

    2000-05-01

    One of the possible consequences of mastectomy is lymphedema of soft tissues of upper extremities on the side of ablated breast as result of cutting and trauma of multiple nerves, lymphatic and blood vessels. This phenomenon is often accompanied by deterioration of blood and lymphatic microcirculation, increasing of stagnation and aggregation ability of thrombocities, limitation of humeral and ulnar joint activity, severe pain and decreasing of myotonus. The developing of new phototherapeutic method based on using of light-emitting diodes (LED) arrays is attempted. This method is just directed on improvement of patient's condition in combination with other traditional methods such as drug therapy, pressure bandaging etc. The main parameters of LED arrays fixed inside cylindrical tube covering pathology region are: wavelength -- 660 nm, intensity range -- 0.5 mW/sm2. To control and study efficiency of phototreatment ultrasonic dopplerography, thermography, electromyography and viscosimetry have been used. During clinical trials in oncology department of Moscow State University of Medicine and Dentistry 128 patients have been treated with following results: patients felt complete disappearance of pain and weightiness sensation in arm, restoration of skin sensitivity and muscle strength. There were statistically proved amelioration of excitation spreading velocity on radial nerve, decreasing of blood viscosity, increasing of blood velocity in main arteries of shoulder and symmetry of temperature distribution.

  3. Inability of two topical treatments to influence the course of experimentally induced dermatophytosis in cats.

    Science.gov (United States)

    DeBoer, D J; Moriello, K A

    1995-07-01

    An experimental model of dermatophytosis was used to compare the efficacy of 2 topical antifungal treatments against Microsporum canis infection in cats. Infection was established in 24 cats by topical application of 10(5) M canis macroconidia to the skin of the lateral part of the abdomen under an occlusive bandage. Three groups of 6 cats each then were treated twice weekly for 18 weeks with chlorhexidine shampoo and dip, detergent shampoo vehicle only, or glyceryl monolaurate shampoo. Six cats were left untreated as controls. The experimentally induced infections strongly resembled naturally developing infections of moderate to severe nature. Signs of infection peaked in severity at 5 weeks after inoculation, then gradually resolved over 7 to 16 additional weeks. Dermatophytes were consistently isolated on culture for at least 8 weeks of treatment. Mycologic cure (defined as lack of dermatophyte isolation on 3 successive weekly cultures) was attained in 8 cats at the end of 18 weeks of treatment. Infections appeared to resolve at equivalent rates in all groups of cats, including controls. Consistent or meaningful significant differences in variables such as lesion size, clinical sign score, or total infection score were not found between treated and control groups. Our study revealed that this topical treatment regimen with chlorhexidine or glyceryl monolaurate is ineffective against M canis infection in cats. PMID:7601693

  4. Large area radiation detectors based on II VI thin films

    Science.gov (United States)

    Quevedo-Lopez, Manuel

    2015-03-01

    The development of low temperature device technologies that have enabled flexible displays also present opportunities for flexible electronics and flexible integrated systems. Of particular interest are possible applications in flexible, low metal content, sensor systems for unattended ground sensors, smart medical bandages, electronic ID tags for geo-location, conformal antennas, neutron/gamma-ray/x-ray detectors, etc. In this talk, our efforts to develop novel CMOS integration schemes, circuits, memory, sensors as well as novel contacts, dielectrics and semiconductors for flexible electronics are presented. In particular, in this presentation we discuss fundamental materials properties including crystalline structure, interfacial reactions, doping, etc. defining performance and reliability of II-VI-based radiation sensors. We investigate the optimal thickness of a semiconductor diode for thin-film solid state thermal neutron detectors. Besides II-VI materials, we also evaluated several diode materials, Si, CdTe,GaAs, C (diamond), and ZnO, and two neutron converter materials,10B and 6LiF. We determine the minimum semiconductor thickness needed to achieve maximum neutron detection efficiency. By keeping the semiconductor thickness to a minimum, gamma rejection is kept as high as possible. In this way, we optimize detector performance for different thin-film semiconductor materials.

  5. Alban Koehler (1874-1947). Inventor of grid therapy

    International Nuclear Information System (INIS)

    Grid (or sieve) therapy (''Gitter-'' oder ''Siebtherapie''), spatially fractionated kilo- and megavolt X-ray therapy, was invented in 1909 by Alban Koehler, a radiologist in Wiesbaden, Germany. He tested it on several patients before 1913 using approximately 60-70 kV Hittorf-Crookes tubes. Koehler pushed the X-ray tube's lead-shielded housing against a stiff grid of 1 mm-square iron wires woven 3.0-3.5 mm on center, taped tightly to the skin over a thin chamois. Numerous islets unshielded by iron in the pressure-blanched skin were irradiated with up to about 6 erythema doses (ED). The skin was then thoroughly cleansed, disinfected, and bandaged; delayed punctate necrosis healed in several weeks. Although grid therapy was disparaged or ignored until the 1930s, it has been used successfully since then to shrink bulky malignancies. Also, advanced cancers in rats and mice have been mitigated or ablated using Koehler's concept since the early 1990s by unidirectional or stereotactic exposure to an array of nearly parallel microplanar (25-75 μm-wide) beams of very intense, moderately hard (median energy approximately 100 keV) synchrotron-generated X rays spaced 0.1-0.4 mm on center. Such beams maintain sharp edges at high doses well beneath the skin yet confer little toxicity. They could palliate some otherwise intractable malignancies, perhaps in young children too, with tolerable sequelae. There are plans for such studies in larger animals. (orig.)

  6. Dislocation, fold and striae of corneal flap with laser assisted in situ keratomileusis after ocular trauma: a case report

    Institute of Scientific and Technical Information of China (English)

    Sang Yanzhi; Liu Xin; Zhong Ming; Zhao Chunyan

    2008-01-01

    Objective: To report the occurrence, management and outcome of late-onset traumatic dehiscence and islocation of laser assisted in situ keratomileusis (LASIK) flaps. Treatment and Results: One patient occurred ate-onset LASIK corneal flap dislocation after ocular trauma 7days after surgery. The flap was lifted, stretched, and epositioned after irrigation and scraping of the stromal bed and the underside of the flap. A bandage contact lens as placed, and topical antibiotic and corticosteroids were given postoperatively. The dislocated corneal flap was successfully repositioned in the case. The dislocated flap was repositioned 7 days after the trauma, and the patient recovered his uncorrected visual acuity (UCVA) of 10/20, 20/20 day 1 and day 20 after the procedure, of 20/20 20 days later and had a well-positioned flap with a clear interface. Diffuse lamellar keratitis developed in the patients hat resolved with the use of topical corticosteroids. Conclusion: Laser in situ keratomileusis corneal flaps are ulnerable to traumatic dehiscence and dislocation, which should be pay more attention to it for us.

  7. Adhesive RFID Sensor Patch for Monitoring of Sweat Electrolytes.

    Science.gov (United States)

    Rose, Daniel P; Ratterman, Michael E; Griffin, Daniel K; Hou, Linlin; Kelley-Loughnane, Nancy; Naik, Rajesh R; Hagen, Joshua A; Papautsky, Ian; Heikenfeld, Jason C

    2015-06-01

    Wearable digital health devices are dominantly found in rigid form factors such as bracelets and pucks. An adhesive radio-frequency identification (RFID) sensor bandage (patch) is reported, which can be made completely intimate with human skin, a distinct advantage for chronological monitoring of biomarkers in sweat. In this demonstration, a commercial RFID chip is adapted with minimum components to allow potentiometric sensing of solutes in sweat, and surface temperature, as read by an Android smartphone app with 96% accuracy at 50 mM Na(+) (in vitro tests). All circuitry is solder-reflow integrated on a standard Cu/polyimide flexible-electronic layer including an antenna, but while also allowing electroplating for simple integration of exotic metals for sensing electrodes. Optional paper microfluidics wick sweat from a sweat porous adhesive allowing flow to the sensor, or the sensor can be directly contacted to the skin. The wearability of the patch has been demonstrated for up to seven days, and includes a protective textile which provides a feel and appearance similar to a standard Band-Aid. Applications include hydration monitoring, but the basic capability is extendable to other mM ionic solutes in sweat (Cl(-), K(+), Mg(2+), NH4(+), and Zn(2+)). The design and fabrication of the patch are provided in full detail, as the basic components could be useful in the design of other wearable sensors. PMID:25398174

  8. Antibiotic loaded carboxymethylcellulose/MCM-41 nanocomposite hydrogel films as potential wound dressing.

    Science.gov (United States)

    Namazi, Hassan; Rakhshaei, Rasul; Hamishehkar, Hamed; Kafil, Hossein Samadi

    2016-04-01

    Existing wound dressings have disadvantages such as lack of antibacterial activity, insufficient oxygen and water vapor permeability, and poor mechanical properties. Hydrogel-based wound dressings swell several times their dry volume and would be helpful to absorb wound exudates and afford a cooling sensation and a moisture environment. To overcome these hassles, a novel antibiotic-eluting nanocomposite hydrogel was designed via incorporation of mesoporous silica MCM-41 as a nano drug carrier into carboxymethylcellulose hydrogel. Tetracycline and methylene blue as antibacterial agents were loaded to the system and showed different release profiles. The prepared nanocomposite hydrogel was characterized using Fourier transform infrared spectroscopy (FT-IR), X-ray diffractometry (XRD), UV-vis spectroscopy, and scanning electron microscopy (SEM). The prepared nanocomposite hydrogels exhibited an enhanced in vitro swelling, erosion, water vapor and oxygen permeability, and antimicrobial activity. This could effectively increase the time intervals needed to exchange the bandage. The obtained data strongly encourage the use of these nanocomposite hydrogels as wound dressing material. PMID:26740467

  9. Curativo para fixação de cateter intravenoso periférico: revisão integrativa da literatura

    Directory of Open Access Journals (Sweden)

    Adriana Serafim Bispo e Silva

    2004-04-01

    Full Text Available Esta revisão integrativa da literatura teve como objetivo identificar na literatura nacional e internacional, no período de 1992 a 2002, as publicações referentes aos curativos para fixação do cateter intravenoso periférico e as implicações de sua utilização. Foram identificados sete artigos científicos no banco de dados Medline por meio da utilização dos descritores peripheral catheterization e bandage. Os resultados demonstraram que 85% das publicações foram realizadas por enfermeiros, 42,8% utilizou a pesquisa comparativa descritiva como metodologia de pesquisa, 71,4% investigaram a ocorrência de complicações. Dois estudos demonstraram redução na ocorrência de complicações durante a utilização do curativo de película transparente com dispositivo de segurança acoplado. Conclui-se que falta base suficiente para subsidiar a seleção do curativo para fixação de cateter intravenoso periférico.

  10. Sterilization of biological tissues with ionizing radiation; Esterilizacion de tejidos biologicos con radiacion ionizante

    Energy Technology Data Exchange (ETDEWEB)

    Reyes F, M.L.; Martinez P, M.E.; Luna Z, D. [Instituto Nacional de Investigaciones Nucleares, A.P. 18-1027, 11801 Mexico D.F. (Mexico)

    1997-07-01

    On June 1994, the National Institute of Nuclear Research (ININ) and the South Central Hospital for High Specialty of PEMEX (HCSAE) began a joint work with the finality to obtain radio sterilized amniotic membranes for to be used as cover (biological bandage) in burnt patients. Subsequently the Chemistry Faculty of UNAM and the National Institute of Cardiology began to collaborate this last with interest on cardiac valves for graft. Starting from 1997, the International Atomic Energy Agency (IAEA) supports this project (MEX/7/008) whose main objective is to set up the basis to establish in Mexico a Radio sterilized Tissue Bank (amniotic membranes, skin, bones, tendons, cardiac valves, etc.) to be used with therapeutic purposes (grafts). The IAEA support has consisted in the equipment acquisition which is fundamental for the Tissue Bank performance such as an experimental irradiator, laminar flow bell, lyophilizer, vacuum sealer and special knives for tissues. Also visits to Mexico of experts have been authorized with the aim of advising to the personnel which participate in the project and scientific visits of this personnel to another tissue banks (Sri Lanka and Argentine). The establishment in Mexico of a Tissue bank will be a great benefit because it will have availability of distinct tissues for grafts and it will reduce the synthetic materials importation which is very expensive. (Author)

  11. Catching the light the entwined history of light and mind

    CERN Document Server

    Zajonc, Arthur

    1995-01-01

    In 1910, the surgeons Moreau and LePrince wrote about their successful operation on an eight-year-old boy who had been blind since birth because of cataracts. When the boy's eyes were healed they removed the bandages and, waving a hand in front of the child's physically perfect eyes, asked him what he saw. "I don't know," was his only reply. What he saw was only a varying brightness in front of him. However, when allowed to touch the hand as it began to move, he cried out in a voice of triumph, "It's moving!" He could feel it move, but he still needed laboriously to learn to see it move. Light and eyes were not enough to grant him sight. How, then, do we see? What's the difference between seeing and perception? What is light? From ancient times to the present, from philosophers to quantum physicists, nothing has so perplexed, so fascinated, so captivated the mind as the elusive definition of light. In Catching the Light, Arthur Zajonc takes us on an epic journey into history, tracing how humans have endeavore...

  12. Thermal-Responsive Behavior of a Cell Compatible Chitosan/Pectin Hydrogel.

    Science.gov (United States)

    Birch, Nathan P; Barney, Lauren E; Pandres, Elena; Peyton, Shelly R; Schiffman, Jessica D

    2015-06-01

    Biopolymer hydrogels are important materials for wound healing and cell culture applications. While current synthetic polymer hydrogels have excellent biocompatibility and are nontoxic, they typically function as a passive matrix that does not supply any additional bioactivity. Chitosan (CS) and pectin (Pec) are natural polymers with active properties that are desirable for wound healing. Unfortunately, the synthesis of CS/Pec materials have previously been limited by harsh acidic synthesis conditions, which further restricted their use in biomedical applications. In this study, a zero-acid hydrogel has been synthesized from a mixture of chitosan and pectin at biologically compatible conditions. For the first time, we demonstrated that salt could be used to suppress long-range electrostatic interactions to generate a thermoreversible biopolymer hydrogel that has temperature-sensitive gelation. Both the hydrogel and the solution phases are highly elastic, with a power law index of close to -1. When dried hydrogels were placed into phosphate buffered saline solution, they rapidly rehydrated and swelled to incorporate 2.7× their weight. As a proof of concept, we removed the salt from our CS/Pec hydrogels, thus, creating thick and easy to cast polyelectrolyte complex hydrogels, which proved to be compatible with human marrow-derived stem cells. We suggest that our development of an acid-free CS/Pec hydrogel system that has excellent exudate uptake, holds potential for wound healing bandages. PMID:25932898

  13. THE INSIDE PRESSURE OF STENT TUBE ON CHOLEDOCO-JEJUNOSTOMY SCAR: A STUDY ON SCAR TISSUE COLLAGEN

    Institute of Scientific and Technical Information of China (English)

    郭善禹; 周林斌; 姚德成; 孙建民

    2002-01-01

    Objective As the beneficial effect to the skin scar under external bandage compression, intra-choledocal stent must have the same effect on splanchnic scar formation. The experiment consists to work out the time optimum to yield a minimum scar formation. Methods By means of transmitting electronic microscope (TEM), computer assisted three-dimensional morphometry (CAM), and biochemical analysis to determine the extracellular collagen volume density (ECVD) and biochemical collagen content (BCC), to analyze the ultrastructure and components within scar tissues removed from the specimens in 3 groups of experimental animals were detailed. Results In the animals of simple choledoco-jejunostomy (CJ) group, active scar proliferation was seen in all specimens excised within one year after operation. In the stent group, decreasing collagen fibers arranged in orientation began to appear in the 6-month specimens and scar maturation existed in the 9- and 12-month specimens. In periodic tube withdrawal group, 3 months following tube ablation, scar proliferation recurred in the 6th month tube retaining animals, whereas scar maturation without recurrence happened in animals following 9 to 12 months tube retaining. Conclusion 9~12 months of tube stent is necessary for stable scar maturation.

  14. 16 Cases of The moist Burn Cream in the Treatment of Deep Burn Bone Exposed%湿润烧伤膏治疗深度烧伤骨质外露16例

    Institute of Scientific and Technical Information of China (English)

    袁云平

    2015-01-01

    目的 探讨湿润烧伤膏治疗烧伤骨质外露的效果.方法 应用湿润烧伤膏治疗、包扎和半暴露疗法相结合,辅助运红外线照射.结果 烧伤患者16例21处骨质外露部位全部愈合,无一例采用骨皮质钻孔植皮手术.结论 湿润烧伤膏完全可以治愈骨外露创面,是一种患者更容易接受的非手术疗法.%Objective To study the application of moist burn ointment for the treatment of burn bone exposed. Methods all the moist burn cream treatment, bandaging and half exposure therapy, the combination of auxiliary infra?red irradiation. Results 16 cases of burn patients of 21 bone exposed parts all healing, no case of the bone cortex bore?hole skin graft. Conclusion The moist burn cream can cure bone exposed wounds, it is a kind of non-surgical therapy that patients are more likely to accept .

  15. Dressing wounds with potato peel

    Directory of Open Access Journals (Sweden)

    Patange Vidya

    1996-01-01

    Full Text Available The use of boiled potato peel (PP in dressing of various skin conditions was studied. A total of 11 patients were selected, which included resistant wounds of pemphigus, bullous pemphigoid and leg ulcers. An autoclaved PP dressing with a thin layer of antiseptic cream was applied at 25 sites. It was covered with multilayered gauze and the dressing was secured firmly with either a roller bandage or with an adhesive tape. Complete epithelization was seen at 20 sites (80%, near complete epithelization at one site. There was no satisfactory response at three sites and at one site the result could not be evaluated. The mean duration of healing was one week for superficial wounds and three weeks for deep wounds. The PP dressing facilitates the wound and three weeks for deep wounds. The PP dressing facilitates the wound healing process by providing and maintaining a moist environment. The PP dressing is easy to prepare, apply as well as remove. It is a comfortable dressing and is also cost effective.

  16. Aspiration Alone, Aspiration Plus Steroid Injection and Aspiration Plus Ethanol Injection for Treatment of Dorsal Wrist Ganglions: A Comparative Study among Three Methods

    Directory of Open Access Journals (Sweden)

    Khandoker Abdur Rahim

    2016-01-01

    Full Text Available Background: There are varieties of treatment modalities to treat dorsal wrist ganglion cysts. But none of these has been the standard. So, we designed this study to compare among different treatment modalities. Objective: To compare the effects of aspiration alone, aspiration plus methylprednisone injection and aspiration plus ethanol injection into the dorsal wrist ganglions. Materials and Methods: This prospective study was performed in Dhaka Medical College Hospital, Dhaka from March 2010 to May 2011. Sixty six patients with dorsal wrist ganglions were treated in three groups –– aspiration alone in 24 patients (Group A, aspiration plus methylprednisolone injection into the cyst in 20 patients (Group B and aspiration plus ethanol injection, then reaspiration of the ethanol from the cyst after 3–5 minutes, in 22 patients (Group C. Elastic compression bandage was applied in all patients and recommended for 3 weeks. Follow-up was done at 1, 3, 6 and 12 months and conclusive assessment was done during final visit. Results: The success rate in Group A was seen in 9 patients (37.5%, in Group B in 11 (55% and in Group C in 14 (63.5% patients. The most frequent side-effect was pain during ethanol injection which was relieved by reaspiration of cyst. Conclusion: Injection of ethanol into the dorsal wrist ganglion was associated with higher success rate compared to aspiration and methylprednisolone injection. Further studies with larger sample size should be performed to assess the effect of ethanol injection in this disease.

  17. A new cyclodextrin-grafted viscose loaded with aescin formulations for a cosmeto-textile approach to chronic venous insufficiency.

    Science.gov (United States)

    Cravotto, G; Beltramo, L; Sapino, S; Binello, A; Carlotti, M E

    2011-10-01

    Cosmeto-textile applications can be used in the treatment of chronic venous insufficiency in legs by means of elastic bandages loaded with natural products which possess flebotonic properties. We have developed an efficient synthetic procedure for the preparation of β-cyclodextrin (β-CD)-grafted viscose by means of a 2-step ultrasound-assisted reaction. The highly grafted fabric bearing bis-urethane bridged β-CD has been characterized by ATR-FTIR and CP-MAS spectra and by an empiric colorimetric method which used phenolphthalein as the CD guest. We have also developed a suitable cosmetic preparation containing natural substances and extracts (aescin, menthol, Centella asiatica and Ginkgo biloba) to recharge the CD-grafted textile. The efficacy of the new cosmeto-textile has been corroborated by in vitro studies of diffusion through membranes, cutaneous permeation and accumulation in porcine skin. Aescin was taken as a reference compound and its concentration in the different compartments was monitored by HPLC analysis. This cost effective cosmeto-textile shows excellent application compliance and is easily recharged and so has the strong base characteristics needed for possible industrial production. PMID:21805331

  18. Manufacturing and test of 2G-HTS coils for rotating machines: Challenges, conductor requirements, realization

    International Nuclear Information System (INIS)

    We investigate the use of 2nd-generation High-Temperature Superconductors (2G-HTSs) in the rotors of electrical motors and generators. For these devices the conductor must be wound into robust impregnated coils, which are operated in vacuum at temperatures around 30 K, in strong magnetic fields of about 2T. Differences in thermal contraction between the coil former, conductor constituents, impregnation resin, bandage and heat-sink materials (assembled at room temperature) cause mechanical stresses at operating temperature. Rotating-machine operation adds Lorentz forces and challenging centripetal accelerations up to thousands of g. Second generation-HTS conductors withstand large tensile stresses in axial direction and compression in normal direction. However, shear stresses, axial compression, and tension normal to the conductor can cause degradation in superconducting properties. Such stresses can be mitigated by correct choice of materials, coil lay-out and manufacturing process. A certain stress level will remain, which the conductor must withstand. We have manufactured many impregnated round and race-track coils, using different 2G-HTS conductors, and tested them at temperatures from 25 K to 77 K. Degradation of the superconductor in early coils was traced to the mentioned differences in thermal contraction, and was completely avoided in coils produced later. We will discuss appropriate coil-winding techniques to assure robust and reliable superconductor performance.

  19. Measurement of chest wall displacement based on terahertz wave

    Science.gov (United States)

    Li, Hui; Lv, Hao; Jiao, Teng; Lu, Guohua; Li, Sheng; Li, Zhao; Liu, Miao; Jing, Xijing; Wang, Jianqi

    2015-02-01

    Measurement of chest wall displacement is an important approach for measuring mechanics of chest wall, which has considerable significance for assessing respiratory system and diagnosing pulmonary diseases. However, existing optical methods for measuring chest wall displacement are inconvenient for some specific patients such as the female patients and the patients with bandaged chest. In this letter, we proposed a method for measuring chest wall displacement based on terahertz wave and established corresponding mathematic model and set up a terahertz measurement system. The main advantages of this method are that it can measure the chest wall displacement of the subjects without taking off clothes or arranging any markers. To validate this method and assess the performance of the terahertz system, in vitro, the displacement of a water module driven by a linear guide rail was measured by the terahertz system and compared with the actual displacement of the water module. The results showed that the waveforms measured with two methods have a good agreement, and the relative error is less than 5% and sufficiently good for measurement demands. In vivo, the synchronous experiment was performed on five human volunteers with the terahertz system and a respiratory belt transducer. The results demonstrate that this method has good performance and promising prospects for measuring chest wall displacement.

  20. Spontaneous calcaneal fracture in patients with diabetic foot ulcer: Four cases report and review of literature.

    Science.gov (United States)

    Evran, Mehtap; Sert, Murat; Tetiker, Tamer; Akkuş, Gamze; Biçer, Ömer Sunkar

    2016-07-16

    Spontaneous calcaneal fractures in diabetic patients without obvious trauma may occur, sometimes accompanying diabetic foot ulcers. In the current study we report four cases who were hospitalized for diabetic foot ulcer with concomitant calcaneal fractures. There were four diabetic patients (one type 1 and three type 2) who registered with diabetic foot ulcers with coexisting calcaneal fractures, all of which were classified as Type A according to Essex Lopresti Calcaneal Fracture Classification. Two of the patients with renal failure were in a routine dialysis program, as well as vascular compromise and osteomyelitis in all of the patients. The diabetic foot ulcer of the 61 years old osteoporotic female patient healed with local debridement, vacuum assisted closure and then epidermal growth factor while the calcaneal fracture was then followed by elastic bandage. In two patients could not prevent progression of diabetic foot ulcers and calcaneal fractures to consequent below-knee amputation. The only patient with type 1 diabetes mellitus improved with antibiotic therapy and split thickness skin grafting, while the calcaneal fracture did not heal. In the current study we aimed to emphasize the spontaneous calcaneal fractures as possible co-existing pathologies in patients with diabetic foot ulcers. After all the medical treatment, amputation below knee had to be performed in 2 patients. It should be noted that other accompanying conditions such as impaired peripheral circulation, osteomyelitis, chronic renal failure, and maybe osteoporosis is a challenge of the recovery of calcaneal fractures and accelerate the progress to amputation in diabetic patients. PMID:27458594

  1. Conformable wearable systems comprising organic electronics on foil for well being and healthcare (presentation video)

    Science.gov (United States)

    de Kok, Margreet M.

    2014-10-01

    Integration of electronics into materials and objects that have not been functionalized with electronics before, open up extensive possibilities to support mankind. By adding intelligence and/or operating power to materials in close skin contact like clothing, furniture or bandages the health of people can be monitored or even improved. Foil based electronics are interesting components to be integrated as they are thin, large area and cost effective available components Our developed technology of printed electronic structures to which components are reliably bonded, fulfills the promise. We have integrated these components into textiles and built wearable encapsulated products with foil based electronics. Foil components with organic and inorganic LEDs are interconnected and laminated onto electronic textiles by using conductive adhesives to bond the contact pads of the component to conductive yarns in the textile. Modelling and reliability testing under dynamic circumstances provided important insights in order to optimise the technology. The design of the interconnection and choice of conductive adhesive / underfill and lamination contributed to the durability of the system. Transition zones from laminated foil to textile are engineered to withstand dynamic use. As an example of a product, we have realized an electronic wristband that is encapsulated in rubber and has a number of sensor functionalities integrated on stretchable electronic circuits based on Cu and Ag. The encapsulation with silicone or polyurethanes was performed such, that charging and sensor/skin contacts are possible while simultaneously protecting the electronics from mechanical and environmental stresses.

  2. Antibacterial and Antimycotic Activity of Cotton Fabrics, Impregnated with Silver and Binary Silver/Copper Nanoparticles.

    Science.gov (United States)

    Eremenko, A M; Petrik, I S; Smirnova, N P; Rudenko, A V; Marikvas, Y S

    2016-12-01

    Effective method of obtaining of the bactericidal bandage materials by impregnation of cotton fabric by aqueous solutions of silver and copper salts followed by a certain regime of heat treatment is developed. The study of obtained materials by methods of optical spectroscopy, electron microscopy, and X-ray phase analysis showed the formation of crystalline silver nanoparticles (NPs) and bimetallic Ag/Cu composites with the corresponding surface plasmon resonance (SPR) bands in the absorption spectra. High antimicrobial and antimycotic properties of tissues with low concentrations of Ag and Ag/Cu nanoparticles (Ag/Cu NPs) (in the range 0.06-0.25 weight percent (wt%) for Ag and 0.015-0.13 wt% for Ag/Cu) is confirmed in experiments with a wide range of multidrug-resistant bacteria and fungi: Escherichia coli, Enterobacter aerogenes, Proteus mirabilis, Klebsiella pneumoniae, Candida albicans yeasts, and micromycetes. Textile materials with Ag NPs demonstrate high antibacterial activity, while fabrics doped with bimetallic composite Ag/Cu have pronounced antimycotic properties. Bactericidal and antifungal properties of the obtained materials do not change after a washing. Production of such materials is extremely fast, convenient, and cost-effective. PMID:26781286

  3. Delayed effect of Kinesio Taping on neuromuscular performance, balance, and lower limb function in healthy individuals: a randomized controlled trial

    Directory of Open Access Journals (Sweden)

    Caio A. A. Lins

    2016-01-01

    Full Text Available ABSTRACT Background Kinesio Taping (KT is an elastic bandage that aims to improve neuromuscular performance, although there is no consensus as to its benefits. Objective To analyze the immediate and delayed effects of KT on the neuromuscular performance of the femoral quadriceps, on balance, and lower limb function in healthy subjects. Method This is a randomized controlled trial. Thirty-six women with a mean age of 22.2±3.6 years and BMI of 22.5±2.3 Kg/m2 were divided into three groups: control, with ten minutes of rest (control, n=12, application of Kinesio Taping without tension (placebo, n=12 and with tension (KT, n=12 on the quadriceps. The primary outcome was isokinetic performance, while secondary outcomes were the single-hop test, one-footed static balance, and electromyographic activity. The evaluations were carried out in five stages: 1 before application of KT, 2 immediately after the application of KT, 3 after 24h, 4 after 48h, and 5 after 72h. Mixed ANOVA was used to determine differences between groups. Results There was no change in one-footed static balance, electromyographic activity of the VL in the lower limb function, nor in isokinetic performance between groups. Conclusion KT promotes neither immediate nor delayed changes in neuromuscular performance of the femoral quadriceps in healthy women.

  4. Multimodal Therapy of Ulcers on the Dorsum of the Hand With Exposed Tendons Caused by Pyoderma Gangrenosum.

    Science.gov (United States)

    Leitsch, Sebastian; Koban, Konstantin Christoph; Pototschnig, Adrian; Titze, Virginia; Giunta, Riccardo Enzo

    2016-03-01

    The authors present the case of a 54-year-old man with ul- cers on the dorsal hand and forearm with exposed extensor tendons after he received misdiagnoses at 2 other hospitals, leading to deep soft tissue defects from multiple debridements. Due to the compli- cated nature of the wound, the ulcers did not heal under the sys- temic medication. After careful debridement, the defect was primar- ily closed with a collagen-glycosaminoglycan biodegradable matrix (Integra Matrix Wound Dressing, Integra LifeSciences, Plainsboro, NJ) on the dorsal hand and covered with a mesh graft 14 days later. Necrosis and superinfection over the index finger was treated again with systemic antibiotics and an unmeshed skin graft under a vacuum bandage with a mesh wound contact layer (Mepitel, Mölnlycke Health Care, Norcross, GA). The patient was satisfied with the functional and aesthetic outcome 1 month later when wounds were completely healed. The authors conclude that in cases where patients are living with pyoderma gangrenosum, even a challenging and complicated wound can be handled successfully with correct systemic immuno- suppression and appropriate soft tissue coverage. PMID:26992198

  5. Sustained Release of Cx43 Antisense Oligodeoxynucleotides from Coated Collagen Scaffolds Promotes Wound Healing.

    Science.gov (United States)

    Gilmartin, Daniel J; Soon, Allyson; Thrasivoulou, Christopher; Phillips, Anthony R J; Jayasinghe, Suwan N; Becker, David L

    2016-07-01

    Antisense oligodeoxynucleotides targeting the mRNA of the gap junction protein Cx43 promote tissue repair in a variety of different wounds. Delivery of the antisense drug has most often been achieved by a thermoreversible hydrogel, Pluronic F-127, which is very effective in the short term but does not allow for sustained delivery over several days. For chronic wounds that take a long time to heal, repeated dosing with the drug may be desirable but is not always compatible with conventional treatments such as the weekly changing of compression bandages on venous leg ulcers. Here the coating of collagen scaffolds with antisense oligonucleotides is investigated and a way to provide protection of the oligodeoxynucleotide drug is found in conjunction with sustained release over a 7 d period. This approach significantly reduces the normal foreign body reaction to the scaffold, which induces an increase of Cx43 protein and an inhibition of healing. As a result of the antisense integration into the scaffold, inflammation is reduced with the rate of wound healing and contracture is significantly improved. This coated scaffold approach may be very useful for treating venous leg ulcers and also for providing a sustained release of any other types of oligonucleotide drugs that are being developed. PMID:27253638

  6. Solid Wastes Management of Yasuj Hospitals, Iran 2006

    Directory of Open Access Journals (Sweden)

    AR Raygan Shirazi

    2008-04-01

    Full Text Available ABSTRACT: Introduction & Objective: Unhygienic methods of colleting, storage, transportation and disposal of the hospital wastes results in serious hazards that can endanger the health and environment. These materials are classified as dangerous, and have to be collected and disposed based on special rules. Materials & Methods: In the present study we aimed to evaluate the quality of management of hospital wastes and to estimate the waste constituents in Yasuj hospitals. Density, constituents, methods of collecting, transportation and disposal of hospital wastes were evaluated in 3 consecutive days of every months of the year 2006. Results: Study showed that the daily production of solid wastes was 5.5 Kg per hospital bed and infected solid wastes were estimated to be 1.5 Kg per hospital bed. The total solid waste production was 1350 Kg per day which included 27.2 percent as infected solid wastes. Solid waste density was 160.7 Kg per cubic meter and its constituents were food wastes (19.753%, rubber (47.02%, paper (12.05%, glass (5.211%, metals (3.41% and bandages, gases, clothes, etc (12.556%. Conclusion: The findings suggest that the solid waste management of the studied hospitals is not satisfying and more attention must be paid to the critical issues, such as plans for reducing solid wastes, isolating infected solid wastes at the production site and using safe and updated methods of disposal of solid wastes.

  7. Are compression corsets beneficial for the treatment of breast cancer-related lymphedema? New opportunities in physiotherapy treatment – a preliminary report

    Science.gov (United States)

    Hansdorfer-Korzon, Rita; Teodorczyk, Jacek; Gruszecka, Agnieszka; Lass, Piotr

    2016-01-01

    Introduction Treatment of secondary lymphedema still remains an important medical issue. Treatment response is characterized by periodic remission rather than complete recovery. Compression methods currently used as part of complete decongestive therapy vary considerably in efficacy. Manual drainage, bandaging, and compression pumps are ineffective in everyday practice. Positive results have increasingly been reported where compression garments have been used as part of the treatment. This pilot study demonstrates a beneficial effect following the use of compression corsets in the treatment of edema in breast cancer-related lymphedema (BCRL). Material A total of 35 women with BCRL were enrolled. Of these, 29 patients completed the study. Methods Ultrasound (B-mode) was used to evaluate lymphedema in the side of the chest after mastectomy. This test was performed three times at a specific site on the operated side and symmetrically on the opposite side. Subsequently, patients were fit with an appropriate compression corset. The data were then statistically analyzed. Conclusion After the surgical treatment of breast cancer, lymphatic fluid reservoirs may form at the side of the chest. The use of carefully selected compression corsets is an effective treatment for BCRL. Corsets are an important item, which we recommend should be included in compression clothing sets. We anticipate this finding will form the foundation for further work on the use of modern compression garments for the treatment of BCRL as well as contribute to the limited number of published reports that exist on the subject. PMID:27103835

  8. The effect of taping versus semi-rigid bracing on patient outcome and satisfaction in ankle sprains: a prospective, randomized controlled trial

    Directory of Open Access Journals (Sweden)

    Lardenoye Sacha

    2012-05-01

    Full Text Available Abstract Background Functional treatment is a widely used and generally accepted treatment for ankle sprain. A meta-analysis comparing the different functional treatment options could not make definitive conclusions regarding the effectiveness, and until now, little was known about patient satisfaction in relation to the outcome. Methods Patients with acute ankle sprain received rest, ice, compression and elevation with an compressive bandage at the emergency department. After 5-7 days, 100 patients with grade II and III sprains were randomized into two groups: one group was treated with tape and the other with a semi-rigid ankle brace, both for 4 weeks. Post-injury physical and proprioceptive training was standardized. As primary outcome parameter patient satisfaction and skin complications were evaluated using a predefined questionnaire and numeric rating scale. As secondary outcome parameter the ankle joint function was assessed using the Karlsson scoring scale and range of motion. Results Patient-reported comfort and satisfaction during treatment with a semi-rigid brace was significantly increased. The rate of skin complication in this group was significantly lower compared to the tape group (14.6% versus 59.1%, P  Conclusion Treatment of acute ankle sprain with semi-rigid brace leads to significantly higher patient comfort and satisfaction, both with similar good outcome.

  9. Jellyfish Stings and Their Management: A Review

    Directory of Open Access Journals (Sweden)

    Giuseppe Mastrangelo

    2013-02-01

    Full Text Available Jellyfish (cnidarians have a worldwide distribution. Despite most being harmless, some species may cause local and also systemic reactions. Treatment of jellyfish envenomation is directed at: alleviating the local effects of venom, preventing further nematocyst discharges and controlling systemic reactions, including shock. In severe cases, the most important step is stabilizing and maintaining vital functions. With some differences between species, there seems to be evidence and consensus on oral/topical analgesics, hot water and ice packs as effective painkillers and on 30 s application of domestic vinegar (4%–6% acetic acid to prevent further discharge of unfired nematocysts remaining on the skin. Conversely, alcohol, methylated spirits and fresh water should be carefully avoided, since they could massively discharge nematocysts; pressure immobilization bandaging should also be avoided, as laboratory studies show that it stimulates additional venom discharge from nematocysts. Most treatment approaches are presently founded on relatively weak evidence; therefore, further research (especially randomized clinical trials is strongly recommended. Dissemination of appropriate treatment modalities should be deployed to better inform and educate those at risk. Adequate signage should be placed at beaches to notify tourists of the jellyfish risk. Swimmers in risky areas should wear protective equipment.

  10. Nanocapsules: The Weapons for Novel Drug Delivery Systems

    Directory of Open Access Journals (Sweden)

    Radhika Parasuramrajam

    2012-04-01

    Full Text Available Introduction: Nanocapsules, existing in miniscule size, range from 10 nm to 1000 nm. They consist of a liquid/solid core in which the drug is placed into a cavity, which is surrounded by a distinctive polymer membrane made up of natural or synthetic polymers. They have attracted great interest, because of the protective coating, which are usually pyrophoric and easily oxidized and delay the release of active ingredients. Methods: Various technical approaches are utilized for obtaining the nanocapsules; however, the methods of interfacial polymerization for monomer and the nano-deposition for preformed polymer are chiefly preferred. Most important characteristics in their preparation is particle size and size distribution which can be evaluated by using various techniques like X-ray diffraction, scanning electron microscopy, transmission electron microscopy, high-resolution transmission electron microscopy, X-ray photoelectron spectroscopy, superconducting quantum interference device, multi angle laser light scattering and other spectroscopic techniques. Results: Nanocapsules possessing extremely high reproducibility have a broad range of life science applications. They may be applied in agrochemicals, genetic engineering, cosmetics, cleansing products, wastewater treatments, adhesive component applications, strategic delivery of the drug in tumors, nanocapsule bandages to fight infection, in radiotherapy and as liposomal nanocapsules in food science and agriculture. In addition, they can act as self-healing materials. Conclusion: The enhanced delivery of bioactive molecules through the targeted delivery by means of a nanocapsule opens numerous challenges and opportunities for the research and future development of novel improved therapies.

  11. Treatment of Skin Avulsion Injuries with Basic Fibroblast Growth Factor

    Directory of Open Access Journals (Sweden)

    Hajime Matsumine, MD, PhD

    2015-04-01

    Full Text Available Summary: This report describes favorable outcomes in 9 patients with skin avulsion injuries of the extremities who underwent full-thickness skin grafting and basic fibroblast growth factor (bFGF application. Following removal of contaminated subcutaneous fat tissue on the inside of skin, the avulsed skin was processed into a full-thickness skin graft, with as much of the skin used as possible irrespective of damage. Several drainage holes (5–10 mm in diameter were made on the graft for drainage from the graft bed and to prevent seroma and hematoma formation. Genetically recombinant human bFGF was sprayed at a dose of 1 μg/cm2 onto the graft bed, which was then covered with the graft and sutured. Pressure immobilization with ointment gauzes and elastic bandages was administered for 1 week postoperatively, and the surface of the skin grafts that did not take was scraped away, preserving the revascularized dermal component on the debrided raw surface as much as possible. bFGF was sprayed again onto the debrided surface to promote epithelialization. Wound closure was achieved in all cases with conservative therapy. The surgical procedure was effective in preventing postoperative ulcer formation and scar contracture and resulted in wound healing with the formation of good-quality, flexible scars.

  12. Mummification in the Ancient and New World.

    Science.gov (United States)

    Rosso, Ana Maria

    2014-01-01

    In the Ancient and New World there was a custom to preserve the corpse in a natural and artificial way. Since Paleolithic man believed in an afterlife and even in Mesoamerica and the Andes cultures, care and ceremony were practiced to the burial of the dead in an ancestral cult. Mortuary rituals were developed in Pre-dynastic Egypt (4500-3100 BC) but apparently they had begun before in America, c. 5000 BC. Mummies served for assisting the soul to survive and for preventing the dead from frightening the livings. Incas arrived at a point of perfection in these practices after other Andean cultures but we should not forget their older predecessors, the Chinchorro culture on the arid coast of the Atacama Desert. Different steps in the technique can be distinguished in both worlds: natural desiccation covered by animal skins, methods to protect the body skin and flesh removal, replacement with clay; black, red or mud-coated corpses, evisceration, body cavity treatment, cleansing and anointing the interior, brain removal, mummified bodies, corpses covered with natron, before being washed and bandaged or wrapped. It will be necessary to carefully check dates, techniques and periods in the two zones to establish exactly the evolution of the methods applied. PMID:25811691

  13. Venous ulcers of the lower limb: Where do we stand?

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    Chatterjee S Sasanka

    2012-01-01

    Full Text Available Venous ulcers are the most common ulcers of the lower limb. It has a high morbidity and results in economic strain both at a personal and at a state level. Chronic venous hypertension either due to primary or secondary venous disease with perforator paucity, destruction or incompetence resulting in reflux is the underlying pathology, but inflammatory reactions mediated through leucocytes, platelet adhesion, formation of pericapillary fibrin cuff, growth factors and macromolecules trapped in tissue result in tissue hypoxia, cell death and ulceration. Duplex scan with colour flow is the most useful investigation for venous disease supplying information about patency, reflux, effects of proximal and distal compression, Valsalva maneuver and effects of muscle contraction. Most venous disease can be managed conservatively by leg elevation and compression bandaging. Drugs of proven benefit in venous disease are pentoxifylline and aspirin, but they work best in conjunction with compression therapy. Once ulceration is chronic or the patient does not respond to or cannot maintain conservative regime, surgical intervention treating the underlying venous hypertension and cover for the ulcer is necessary. The different modalities like sclerotherapy, ligation and stripping of superficial varicose veins, endoscopic subfascial perforator ligation, endovenous laser or radiofrequency ablation have similar long-term results, although short-term recovery is best with radiofrequency and foam sclerotherapy. For deep venous reflux, surgical modalities include repair of incompetent venous valves or transplant or transposition of a competent vein segment with normal valves to replace a post-thrombotic destroyed portion of the deep vein.

  14. Microbial Keratitis After Collagen Cross-linking Treatment

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    Banu Torun Acar

    2012-07-01

    Full Text Available A 33-year-old woman presented with pain, redness, and diminution of vision that occurred 2 days after collagen cross-linking had been performed for keratoconus in the right eye. Culture results from the patient's contact lens and corneal scrapings were positive for Staphylococcus epidermidis. According to the results of antibiotic susceptibility testing, the patient was treated with hourly topical fortified vancomycin and exocin. Before collagen cross-linking, the best-corrected visual acuity (BCVA was 4/10, the manifest refraction was -7.00 -1.755 3°. Four months after the procedure, the BCVA was 4/10, the manifest refraction was -5.50 -1.75 10°. Slit-lamp examination revealed a mild residual haze in the upper midperipheral cornea, and stromal opacities had disappeared. Collagen crosslinking is less invasive compared to other methods for treatment of keratoconus, but epithelial debridement and bandage contact lens wearing may lead to the development of bacterial keratitis. (Turk J Oph thal mol 2012; 42: 300-2

  15. Management of the late leaking filtration blebs. A report of seven cases and a selective review of the literature.

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    Mandal A

    2001-01-01

    Full Text Available PURPOSE: To describe the outcome of various treatment modalities in the management of late bleb leaks after glaucoma filtering surgery (GFS. MATERIALS AND METHODS: Seven consecutive patients treated for late bleb leaks (Seidel′s positive between July 1990 and June 1999 were were enrolled in the study. The management strategy consisted of initial conservative therapy, and tailored surgery, if necessary. The surgical technique employed was either conjunctival-Tenon′s advancement flap, hinged scleral flap, or fistulectomy with direct suturing. The main outcome measures were bleb characteristics and postoperative intraocular pressure (IOP. The secondary outcome measure was visual acuity. RESULTS: One patient responded to conservative therapy (aqueous suppressants, bandage contact lens and six patients needed surgery. The successful surgical technique was conjunctivo-Tenon′s advancement flap in three, hinged scleral flap in two, and fistulectomy-direct suturing to the wound (combined with cataract surgery and intraocular lens implantation in one patient. The bleb leak stopped in all cases and 5 of the 6 surgical patients sustained functioning filtering blebs. Follow-up ranged from 8 to 56 months (mean = 20.4 +/- 16.2 months. Visual acuity improved to 6/12 or better in 4 cases, 6/36 in 2 cases and it remained at light perception in one case. None of the patients had any intraoperative or postoperative complications. CONCLUSIONS: Late leaking blebs after GFS can be treated successfully. The management decision and selection of surgical technique should be based on the clinical condition.

  16. Management of a Small Paracentral Corneal Perforation Using Iatrogenic Iris Incarceration and Tissue Adhesive

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    Akira Kobayashi

    2012-07-01

    Full Text Available Background: Surgical intervention for corneal perforation is indicated when the anterior chamber does not reform within a short period of time. Herein, we report the successful management of a small paracentral corneal perforation using autologous iris incarceration and tissue adhesive. Case: A 41-year-old man developed a small paracentral corneal perforation (0.5 mm in size in the right eye, while the treating physician attempted to remove the residual rust ring after removal of a piece of metallic foreign body. Observations: The eye was initially managed with a bandage soft contact lens to ameliorate the aqueous leakage; however, without success. Iatrogenic iris incarceration of the wound was first induced, followed by application of cyanoacrylate tissue adhesive to the perforated site. As a result, the anterior chamber was immediately reformed and maintained. Complete corneal epithelialization of the perforation was achieved in 2 months without visual compromises. Conclusions: Cyanoacrylate tissue adhesive with iatrogenic incarceration of the autologous iris was effective in treating this type of small corneal perforation. This technique is simple and potentially useful for small paracentral corneal perforations outside the visual axis and without good apposition.

  17. Scleral lens for keratoconus: technology update

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    Rathi VM

    2015-10-01

    Full Text Available Varsha M Rathi,1 Preeji S Mandathara,2 Mukesh Taneja,1 Srikanth Dumpati,1 Virender S Sangwan1 1L V Prasad Eye Institute, Hyderabad, India; 2School of Optometry and Vision Science, University of New South Wales, Kensington, NSW, Australia Abstract: Scleral lenses are large diameter lenses which rest over the sclera, unlike the conventional contact lenses which rest on the cornea. These lenses are fitted to not touch the cornea and there is a space created between the cornea and the lens. These lenses are inserted in the eyes after filling with sterile isotonic fluid. Generally, scleral contact lenses are used for high irregular astigmatism as seen in various corneal ectatic diseases such as keratoconus, pellucid marginal degeneration, or/and as liquid bandage in ocular surface disorders. In this article, we review the new developments, that have taken place over the years, in the field of scleral contact lenses as regard to new designs, materials, manufacturing technologies, and fitting strategies particularly for keratoconus. Keywords: keratoconus, scleral lens, technology update, PROSE

  18. [Innovative therapy for leg ulcers: Electrostimulation].

    Science.gov (United States)

    Maillard, H

    2015-01-01

    Chronic wounds can take a long time to heal despite appropriate therapy based upon aetiology and use of suitable dressings. The success of electrostimulation is based upon the existence within the skin of the endogenous currents involved in the wound healing process. Where skin continuity is broken by a wound, these electrical potentials are short-circuited, resulting in leakage of electrical current. Woundel(®) therapy is the only such treatment currently available in France and is based on the use of continuous pulsed current that generates an electrical field near the endogenous electrical fields. It utilises a console to deliver the electrical impulses, a dressing electrode and a dispersion electrode. The electrode dressing is left on the wound for 3 days, and venous compression bandaging may be applied to the leg, taking care to leave the connector free. Negative polarity stimulates migration of fibroblasts, resulting in elimination of fibrin. Positive polarity causes keratinocyte migration, which in turn leads to epidermisation. Electrostimulation is of recognised utility in the healing of chronic wounds: it has been assigned a high-level recommendation in the European and American guidelines for the treatment of venous ulcers and bedsores with proof level of A. Further, the analgesic effect of electrostimulation has been demonstrated in several studies. Electrostimulation is already well developed in France among wound specialists, but prospective studies are planned so that it may be used at patients' homes. PMID:26188964

  19. Surgical amputation of a digit and vacuum-assisted-closure (V.A.C.) management in a case of osteomyelitis and wound care in an eastern black rhinoceros (Diceros bicornis michaeli).

    Science.gov (United States)

    Harrison, Tara M; Stanley, Bryden J; Sikarskie, James G; Bohart, George; Ames, N Kent; Tomlian, Janice; Marquardt, Mark; Marcum, Annabel; Kiupel, Matti; Sledge, Dodd; Agnew, Dalen

    2011-06-01

    A 14-yr-old female eastern black rhinoceros (Diceros bicornis michaeli) presented with progressive suppurative osteomyelitis in her left hind lateral toe. beta-Hemolytic Streptococcus sp. was isolated. The animal was treated with multiple systemic antibiotics, and topical wound cleansing. Repeated debridements and nail trimmings were performed for 5 mo prior to electing amputation. The toe was surgically amputated under general anesthesia between the first and second phalanges. Analgesia was diffused into the wound topically via a catheter and elastomeric pump. The open amputation site was covered with adherent drapes and a negative-pressure wound therapy device provided vacuum-assisted closure (V.A.C.) for 72 hr. Three months later this animal developed a deep dermal ulcer on the lateral aspect of the right hind limb, at the level of the stifle. Methicillin-resistant Staphylococcus aureus was isolated. The wound was managed by initial daily lavage, followed by 1 mo of V.A.C. therapy, with 72 hr between dressing changes. Clinically, this therapy expedited the formation of healthy granulation tissue and overall healing was accelerated. The animal tolerated the machine and bandage changes well via operant conditioning. The use of negative-pressure wound therapy appeared to shorten time to resolution of slow-healing wounds in black rhinoceros. PMID:22946413

  20. Control Prosody using Multi-Agent System

    Directory of Open Access Journals (Sweden)

    Kenji MATSUI

    2014-03-01

    Full Text Available Persons who have undergone a laryngectomy have a few options to partially restore speech but no completely satisfactory device. Even though the use of an electrolarynx (EL is the easiest way for a patient to produce speech, it does not produce a natural tone and appearance is far from normal. Because of that and the fact that none of them are hands-free, the feasibility of using a motion sensor to replace a conventional EL user interface has been explored. A mobile device motion sensor with multi-agent platform has been used to investigate on/off and pitch frequency control capability. A very small battery operated ARM-based control unit has also been developed to evaluate the motion sensor based user-interface. This control unit is placed on the wrist and the vibration device against the throat using support bandage. Two different conversion methods were used for the forearm tilt angle to pitch frequency conversion: linear mapping method and F0 template-based method A perceptual evaluation has been performed with two well-trained normal speakers and ten subjects. The results of the evaluation study showed that both methods are able to produce better speech quality in terms of the naturalness.

  1. A report of the anesthesia in posterior fossa operations in the sitting position in 55 patients

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    Jahanguiri B

    1994-04-01

    Full Text Available In this survey, 55 patients were studied in a period of six years for having the anesthesia in the sitting position. In this position, the surgeon will had a better access to the location, whose damages have been sustained, so less damages would be given to the healthy tissues. For the patients, due to their critical general conditions, one week prior to giving anesthesia to the posterior fossa, operation in the sitting position the right ventriculoatiral shunt was placed. For preventing the fall of blood pressure, a bandage was placed in the lower limbs after inducing anesthesia and changing supine position to sitting position. Before the induction, central venous pressure was measured for treating the air embolism. The head of catheter was placed inside the right atrial. Premedications such as atropine, pethidine, and inductive agents like thiopenton, and muscle relaxants, maintained with halothane and nitrous oxide. All of the patients endured this condition without the fall of blood pressure and air embolism

  2. Spontaneous calcaneal fracture in patients with diabetic foot ulcer: Four cases report and review of literature

    Science.gov (United States)

    Evran, Mehtap; Sert, Murat; Tetiker, Tamer; Akkuş, Gamze; Biçer, Ömer Sunkar

    2016-01-01

    Spontaneous calcaneal fractures in diabetic patients without obvious trauma may occur, sometimes accompanying diabetic foot ulcers. In the current study we report four cases who were hospitalized for diabetic foot ulcer with concomitant calcaneal fractures. There were four diabetic patients (one type 1 and three type 2) who registered with diabetic foot ulcers with coexisting calcaneal fractures, all of which were classified as Type A according to Essex Lopresti Calcaneal Fracture Classification. Two of the patients with renal failure were in a routine dialysis program, as well as vascular compromise and osteomyelitis in all of the patients. The diabetic foot ulcer of the 61 years old osteoporotic female patient healed with local debridement, vacuum assisted closure and then epidermal growth factor while the calcaneal fracture was then followed by elastic bandage. In two patients could not prevent progression of diabetic foot ulcers and calcaneal fractures to consequent below-knee amputation. The only patient with type 1 diabetes mellitus improved with antibiotic therapy and split thickness skin grafting, while the calcaneal fracture did not heal. In the current study we aimed to emphasize the spontaneous calcaneal fractures as possible co-existing pathologies in patients with diabetic foot ulcers. After all the medical treatment, amputation below knee had to be performed in 2 patients. It should be noted that other accompanying conditions such as impaired peripheral circulation, osteomyelitis, chronic renal failure, and maybe osteoporosis is a challenge of the recovery of calcaneal fractures and accelerate the progress to amputation in diabetic patients.

  3. Electroacupuncture Treatment Improves Learning-Memory Ability and Brain Glucose Metabolism in a Mouse Model of Alzheimer’s Disease: Using Morris Water Maze and Micro-PET

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    Jing Jiang

    2015-01-01

    Full Text Available Introduction. Alzheimer’s disease (AD causes progressive hippocampus dysfunctions leading to the impairment of learning and memory ability and low level of uptake rate of glucose in hippocampus. What is more, there is no effective treatment for AD. In this study, we evaluated the beneficial and protective effects of electroacupuncture in senescence-accelerated mouse prone 8 (SAMP8. Method. In the electroacupuncture paradigm, electroacupuncture treatment was performed once a day for 15 days on 7.5-month-old SAMP8 male mice. In the normal control paradigm and AD control group, 7.5-month-old SAMR1 male mice and SAMP8 male mice were grabbed and bandaged while electroacupuncture group therapy, in order to ensure the same treatment conditions, once a day, 15 days. Results. From the Morris water maze (MWM test, we found that the treatment of electroacupuncture can improve the spatial learning and memory ability of SAMP8 mouse, and from the micro-PET test, we proved that after the electroacupuncture treatment the level of uptake rate of glucose in hippocampus was higher than normal control group. Conclusion. These results suggest that the treatment of electroacupuncture may provide a viable treatment option for AD.

  4. Mucous membrane grafting for the post-Steven-Johnson syndrome symblepharon: A case report

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    Jayanta Kumar Das

    2011-01-01

    Full Text Available An 18-year-old woman was referred with late sequelae of chloroquine-induced Steven-Johnson syndrome. At the time of presentation, the symblepharon was involving the upper lids to almost the whole of the cornea, and part of the lower bulbar conjunctiva with the lower lid bilaterally. Other ocular examinations were not possible due to the symblepharon. B-scan ultrasonography revealed acoustically clear vitreous, normal chorioretinal thickness, and normal optic nerve head, with an attached retina. Conjunctivo-corneal adhesion released by superficial lamellar dissection of the cornea. Ocular surface reconstruction was carried out with a buccal mucous membrane. A bandage contact lens was placed over the cornea followed by the symblepharon ring to prevent further adhesion. The mucosal graft was well taken up along with corneal re-epithelization. Best corrected visual acuity of 20/120 in both sides after 1 month and 20/80 after 3 months was achieved and maintained till the 2.5-year follow-up.

  5. Sciatic nerve palsy associated with total hip arthroplasty.

    Science.gov (United States)

    Dhillon, M S; Nagi, O N

    1992-01-01

    Six cases of clinically evident sciatic or peroneal nerve palsy occurred in a consecutive series of 380 total hip arthroplasties (THA). An additional eight cases of peroneal nerve palsy due to pressure from Thomas splint or tight bandages were seen. Factors apparently causing nerve palsy were significant lateralization and lengthening in four cases and dislocation of the hip in one case. The cases with neuroapraxia of the peroneal nerve were seen from the third to the fifth day of Thomas splint immobilization. EMG studies were conducted in all six group 1 patients; at the end of one year the results were good in two cases, fair in three cases, and poor in one case. The results suggest that limb lengthening should be limited to 4 cm to minimize this complication. It was also seen that patients with peroneal nerve palsy due to local compression do well, though some are bothered by mild residual dysesthesia over the dorsum of the foot. In contrast, patients with sciatic nerve palsy do not have such a good outlook. PMID:1345646

  6. Arthrotomy and arthrodesis in the treatment of complicated arthritis of the fetlock joint in adult cattle.

    Science.gov (United States)

    Starke, A; Kehler, W; Rehage, J

    2006-12-01

    One Galloway bull and three German Holstein-Friesian cows aged between three and five years with complicated arthritis of the fetlock joint were treated by arthrotomy (on the bull and two of the cows) or by arthrodesis (on the other cow). Arthrotomy involved four vertical dorsolateral/dorsomedial and palmolateral/palmomedial incisions 5 cm long to give access to the joint cavities and allow fibrin, debris and necrotic tissue to be removed. Arthrodesis consisted of lateral and medial (abaxial) horizontal 5 cm incisions along the joint space. After debridement, the joint surfaces (cartilage and superficial bone tissue) of the metacarpus and first phalanx were completely abraded with a high-speed surgical drill. The interdigital region, palmar and dorsal tendons, vessels and nerves were conserved during both arthrotomy and arthrodesis, and the pouches were flushed during the surgery. The incisions were sutured and a casting tape was applied. Six weeks later, the cast was removed and a supporting bandage was applied. Each animal received 10 mg/kg ampicillin subcutaneously twice a day from one day before surgery until a mean (sd) of 23 (4) days after the arthrotomies and 36 days after the arthrodesis. After a recovery period of at least one year, all the animals could be used without restrictions. PMID:17142625

  7. Studies on the application of the TL method for dose monitoring in large nuclear plants

    International Nuclear Information System (INIS)

    The paper begins with the presentation of comprehensive grounds for the choice of the TL method supported by a discussion of faults and advantages of the two competitive methods i.e. photographic and TL followed by a short description of the instrument which is to be a model for the monitoring system are specified. They concern sensitivity, accuracy and precission, background, directional and energy dependence of response, fading, resistivity against environmental agents as well as the reader itself which is mainly responsible for the measurement accuracy and reproducibility. This is followed by an outline of construction principles for individual parts of the system, e.g.: high voltage supply, current to frequency converter, system for detector heating, method of planched temperature measurement and control, card transportation, thermoluminescence detection, reading of the card number, dark current compensation, data registration, time cycling, and card and bandage construction. Since each reader has to be tested according to an exactly specified programme, presentation of the detailed methods for this testing completes the study. (author)

  8. The effect of consequent exposure of stress and dermal application of low doses of chlorpyrifos on the expression of glial fibrillary acidic protein in the hippocampus of adult mice

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    Nadarajah Vishna

    2011-03-01

    Full Text Available Abstract Background Chlorpyrifos (CPF, a commonly used pesticide worldwide, has been reported to produce neurobehavioural changes. Dermal exposure to CPF is common in industries and agriculture. This study estimates changes in glial fibrillary acidic protein (GFAP expression in hippocampal regions and correlates with histomorphometry of neurons and serum cholinesterase levels following dermal exposure to low doses of CPF with or without swim stress. Methods Male albino mice were separated into control, stress control and four treatment groups (n = 6. CPF was applied dermally over the tails under occlusive bandage (6 hours/day at doses of 1/10th (CPF 0.1 and 1/5th dermal LD50 (CPF 0.2 for seven days. Consequent treatment of swim stress followed by CPF was also applied. Serum cholinesterase levels were estimated using spectroflurometric methods. Paraffin sections of the left hippocampal regions were stained with 0.2% thionin followed by the counting of neuronal density. Right hippocampal sections were treated with Dako Envision GFAP antibodies. Results CPF application in 1/10th LD50 did not produce significant changes in serum cholinesterase levels and neuronal density, but increased GFAP expression significantly (p Conclusions Findings suggest GFAP expression is upregulated with dermal exposure to low dose of CPF. Stress combined with sub-toxic dermal CPF exposure can produce neurotoxicity.

  9. Morphological analysis of amnion stored in glycerol sterilized with different doses of ionizing radiation

    Energy Technology Data Exchange (ETDEWEB)

    Soares, Fernando Augusto N.; Santin, Stefany P.; Martino Junior, Antonio C.; Machado, Luci Diva B.; Mathor, Monica B., E-mail: fernandonevessoares@yahoo.com.br [Instituto de Pesquisas Energeticas e Nucleares (CTR/IPEN/CNEN-SP), Sao Paulo, RJ (Brazil). Centro de Tecnologia das Radiacoes

    2013-07-01

    The amniotic membrane (AM) is the innermost layer of the fetal membranes (placenta), widely used in transplantation being a tissue that combines anti-inflammatory, antimicrobial and antifibrotic, and limited immunogenicity. The tissue can be used a bandage biological for treatment of burns and skin wounds, chronic ulcers, reconstructions from different body areas, including ophthalmic repairs. In the last decades the amniotic membrane has been used widely also as a carrier substrate to transfer tissues cultured 'in vitro'. The use of fresh membrane has some limitations, the main ones are being necessary your quick use and the inability to obtain full security for certain infections. Other types of preservation require a processing thereof. The radiosterilization is an alternative for ensuring quality and safety of tissues used in transplants, and other clinical applications in order to minimize the risk of contamination of the receptor tissue. Therefore, the objective of this study was to test various doses of radiation using two sources of ionizing radiation: the cobalt-60 irradiator Gamma and Electron Beam Accelerator (E.B.). A tissue analysis was done by visual and tactile qualitative analysis, semi-quantitative (solid colorimetry) and light microscopy to observe morphological and physic-chemical changes after the irradiation of AM preserved in glycerol, comparing the results obtained with the sample not irradiated. It was noted that at higher doses, for both radiation sources, irradiated membranes suffered greater color change, becoming yellowish and thereby reducing their initial malleability. (author)

  10. 两种手术患儿静脉留置针固定方法的效果观察

    Institute of Scientific and Technical Information of China (English)

    段娜; 程亚丽; 张文钰

    2016-01-01

    Objective To explore effective method of fixing eripheral vein indwelling needle for children operation. Methods 120 patients with peripheral venous indwelling needle of operation were randomly divided into observation group and control group,every group include 60 patients. The control group after successful puncture using 3M transparent paste fixed needle and the needle handle, plastic adhesive 2 U type fixed indwelling needle and infusion;the observation group after successful puncture first use 3M transparent dressing paste needle and the needle handle, plastic adhesive 2 U type fixed indwelling needle and transfusion device, then the elastic bandage fixed needle. The two groups were observed in children with intravenous tube off, shift operation discount, liquid leakage and phlebitis incidence of indwelling needle. Re-sults In the observation group, venous indwelling needle shift discount and phlebitis incidence was lower than that of the control group, the data result of two groups has statistical significance(P<0.05). Conclusion The use of elastic bandage improved reinforcement method of fixed indwelling needle improves operation in children with venous indwelling needle management quality, increase the operation quality of nursing safety operation in children with hypospadias.%目的:探索手术患儿外周静脉留置针的有效固定方法。方法将120例使用外周静脉留置针的手术患儿随机分为观察组和对照组,每组60例。对照组穿刺成功后使用3M透明贴粘贴固定针眼及针柄,塑料胶布2条U型固定留置针及输液器;观察组穿刺成功后先使用3M透明贴粘贴针眼及针柄,塑料胶布2条U型固定留置针及输液器,再采用弹力绷带缠绕固定留置针。观察两组手术患儿静脉留置针的脱管、移位打折、液体外渗及静脉炎发生情况。结果观察组静脉留置针移位打折及静脉炎发生情况均低于对照组,两组差异有统计学意义( P<0

  11. Effect of different body position care combined with early rehabilitation training on the functional recovery of knee joint after surgery for fracture of patella%髌骨骨折术后不同体位护理联合早期康复训练对膝关节功能恢复的影响

    Institute of Scientific and Technical Information of China (English)

    余敏; 刘长英

    2014-01-01

    目的:探讨髌骨骨折术后不同体位护理联合早期康复训练对膝关节功能恢复的影响。方法:将47例髌骨骨折患者随机分为实验组24例和对照组23例,实验组内固定术后局部弹力绷带包扎,膝后垫软枕,予屈曲膝关节90°~120°体位放置;常规组内固定术后常规抬高患肢15°~20°,膝后垫软枕,膝关节屈曲5°~10°体位。两组患者术后均实施冷敷,第2天由主管医生、护士和康复师对其进行康复指导,分别于术后第3天、第14天、第30天比较两组患者不同体位护理效果。结果:实验组患肢肿胀、疼痛程度明显轻于对照组,功能锻炼主动配合、膝关节功能恢复情况明显优于对照组,患者平均住院天数明显短于对照组(P﹤0.05);实验组早期体位舒适度较对照组差( P﹤0.05)。结论:髌骨骨折患者术后正确的体位、早期及时正确的功能锻炼是膝关节功能康复的关键。%Objective:To investigate the effect of different body position care combined with early rehabilitation training on the function-al recovery of knee joint after fracture of patella. Methods:47 patients with patellar fracture were randomly divided into the experimental group(n=24)and the control group(n=23). The local bandage was adopted with elastic bandages and soft pillow was used to cushion the knee flexion(90 °~120 °)after internal fixation in the experimental group;the affected limb was lifted about 15 °~ 20 °and soft pil-low was put under the knee in the position of knee flexion(5 ° ~ 10 °)after internal fixation in the control group. The patients in both groups were treated with cold compress after operation and they were given rehabilitation guidance by the doctor and nurse in charge and physical therapist on the second day,the effect of different body position care was compared respectively on the 3rd,14th and 30th day after operation. Results:The severity of swelling and

  12. Clinical Experience of Treating Pediatric Burns with MEBT/MEBO%皮肤原位再生复原技术治疗小儿烧伤的临床体会

    Institute of Scientific and Technical Information of China (English)

    郭西华; 邹元明

    2014-01-01

    目的:观察皮肤原位再生复原技术( Moist Exposed Burn Treatment/Moist Exposed Burn Ointment , MEBT/MEBO)治疗小儿烧伤的临床疗效。方法对2011年6月-2013年8月收治的113例烧伤患儿,在给予抗休克、抗感染、营养支持等全身综合治疗的同时,创面全程应用湿润烧伤膏( Moist Exposed Burn Ointment , MEBO)包扎或暴露治疗,包扎治疗者每天换药1~2次,暴露治疗者每天换药3~4次,并根据创面情况进行必要的耕耘减张处理,观察其治疗效果。结果113例患儿烧伤创面全部自行愈合,浅Ⅱ度烧伤创面于治疗后6~11 d愈合,深Ⅱ度烧伤创面于治疗后13~24 d愈合,浅Ⅲ度烧伤创面于治疗后27~45 d愈合;所有患儿治疗过程中均未新发感染,且疼痛较轻;随访6个月~1年,5例深Ⅱ度烧伤创面愈后留有轻微色素沉着;3例浅Ⅲ度烧伤创面愈后留有平软瘢痕,无功能障碍。结论皮肤原位再生复原技术治疗小儿烧伤痛苦小,瘢痕少,疗效显著,是治疗小儿烧伤的首选疗法。%Objective To observe the clinical effect of MEBT/MEBO in treating pediatric burns .Methods All 113 cases of patients were admitted from June of 2011 to August of 2013 .While giving systemic treatment featuring anti-shock, anti-infection and nutrition support, all wounds were treated with MEBO for bandaging or exposed treatment .Patients adopting bandaging treatment received 1 to 2 times of dressing changes a day , and those adopting exposed treatment received 3 to 4 times of dressing changes a day , ploughing and tension relief treatment was applied on wounds when necessary accord -ing to wound condition .Treatment effect was observed .Results Burn wounds of the 113 pediatric patients all healed auto-matically.The wounds of superficial Ⅱdegree healed in 6-11 d, the wounds of deep Ⅱdegree healed in 13-24 d, the wounds of superficial Ⅲdegree healed in 27-45 d.All patients

  13. 基层医院应用MEBO治疗感染创面的疗效体会%Experience of Treating Infected Wounds with MEBO in a Grass-roots Hospital

    Institute of Scientific and Technical Information of China (English)

    黄迎庆

    2016-01-01

    目的:观察湿润烧伤膏( Moist Exposed Burn Ointment, MEBO)在基层医院治疗感染创面的临床疗效。方法选取枝江市安福寺镇中心卫生院2000年至今收治的外科术后切口感染患者15例、压疮患者30例为研究对象,外科术后切口感染患者在常规换药治疗无效后改用MEBO药纱包扎治疗,压疮患者在清创后外用MEBO药纱包扎治疗,同时积极治疗原发病和并发症,观察患者创面愈合情况。结果术后切口感染患者中,结肠癌术后和全子宫切除术后切口感染的患者治疗14 d后行Ⅱ期缝合,创面痊愈;乳腺癌术后切口感染患者未行Ⅱ期缝合,创面原位再生愈合。压疮患者创面全部愈合,愈合时间为5~60 d,除1例患者骶尾部留有少许瘢痕外,其余患者创面均愈合良好。结论 MEBO治疗感染创面的疗效显著,有较强的抗感染作用和良好的镇痛作用,能够促进创面愈合、减轻瘢痕,且物美价廉、简便实用,适宜在基层医院推广应用。%Objective To observe curative effects of Moist Exposed Burn Ointment ( MEBO) in the treatment of infected wounds in grass-root hospital. Methods The study subjects were 15 patients with postoperative incision infection and 30 patients with pressure ulcer, admitted into Zhijiang Anfusi Town Health Center since the year of 2000. The patients with surgical incision infection were given the bandage method of MEBO-impregnated gauze after ineffective conventional dressing therapy, and the patients with pressure ulcer were given the bandage method of MEBO-impregnated gauze after de-bridement, in combination with active treatment of primary diseases and complications. The wound healing condition of the patients was observed. Results Among patients with postoperative incision infection, those having received colon cancer surgery and complete hysterectomy realized wound healing by 14 days of treatment and the followed secondary

  14. A highly sensitive and flexible pressure sensor with electrodes and elastomeric interlayer containing silver nanowires

    Science.gov (United States)

    Wang, Jun; Jiu, Jinting; Nogi, Masaya; Sugahara, Tohru; Nagao, Shijo; Koga, Hirotaka; He, Peng; Suganuma, Katsuaki

    2015-02-01

    The next-generation application of pressure sensors is gradually being extended to include electronic artificial skin (e-skin), wearable devices, humanoid robotics and smart prosthetics. In these advanced applications, high sensing capability is an essential feature for high performance. Although surface patterning treatments and some special elastomeric interlayers have been applied to improve sensitivity, the process is complex and this inevitably raises the cost and is an obstacle to large-scale production. In the present study a simple printing process without complex patterning has been used for constructing the sensor, and an interlayer is employed comprising elastomeric composites filled with silver nanowires. By increasing the relative permittivity, εr, of the composite interlayer induced by compression at high nanowire concentration, it has been possible to achieve a maximum sensitivity of 5.54 kPa-1. The improvement in sensitivity did not sacrifice or undermine the other features of the sensor. Thanks to the silver nanowire electrodes, the sensor is flexible and stable after 200 cycles at a bending radius of 2 mm, and exhibits outstanding reproducibility without hysteresis under similar pressure pulses. The sensor has been readily integrated onto an adhesive bandage and has been successful in detecting human movements. In addition to measuring pressure in direct contact, non-contact pressures such as air flow can also be detected.The next-generation application of pressure sensors is gradually being extended to include electronic artificial skin (e-skin), wearable devices, humanoid robotics and smart prosthetics. In these advanced applications, high sensing capability is an essential feature for high performance. Although surface patterning treatments and some special elastomeric interlayers have been applied to improve sensitivity, the process is complex and this inevitably raises the cost and is an obstacle to large-scale production. In the present

  15. Multidisciplinary Approaches to the Management of Breast-Cancer-Related Lymphedema

    Directory of Open Access Journals (Sweden)

    Solmaz Fakhari

    2013-07-01

    Full Text Available Breast-cancer-related lymphedema is a significant morbidity mostly observed following primary treatments for breast cancer (surgery, radiation, and chemotherapy (1. Multiple complications might accompany lymphedema including cosmetic deformity, psychological disorders, consistent pain, and consequently decreased quality of life. Treatment  mostly focuses on reducing edema and its subsequent pain; however, no definite treatment has been hitherto introduced (2. Surgical approaches in the management of lymphedema are efficient including physiologic methods (e.g. flap interposition, lymph transfer, and lymphatic bypass and reductive techniques (e.g. liposuction (3. While the former mostly targets at reducing lymphedema through restoring lymphatic drainage, the latter aims at removing fibrofatty tissues which contribute to lymph stasis. Microsurgical variation of lymphatic bypass has gained popularity, in which the accumulated lymph in the lymphedematous limb is redirected. Non-surgical approaches are also practiced in most cases. Comprehensive decongestive therapy, consisting of skin care, exercise, special bandaging and massage, is the most frequently used non-surgical approach efficacy of which could be enhanced in combination with self-management strategies (4. Recently newer techniques have been introduced to tackle lymphedema and its associated pain. Manual lymph drainage, stellate ganglion block, acupuncture, deep oscillation, and pneumatic compression have been efficiently used in several studies. Moreover, significant short-term progress has been reported following other modalities such as low-level laser therapy (5. The complexity of breast-cancer-related lymphedema and its complications necessitates a multidisciplinary approach with the primary goal of easing the burden of the disease on the breast cancer patients. In addition, developing special guidelines encompassing these multidisciplinary approaches and providing educational and

  16. Decontamination of injured persons in the hospital in case of NBC hazards; Dekontamination von Verletzten im Krankenhaus bei ABC-Gefahrenlagen

    Energy Technology Data Exchange (ETDEWEB)

    Martens, Frank

    2009-07-01

    Prompt recognition of contaminated people is a prerequisite for the activation of a decontamination plan. Because simple detection methods are missing, the clinical awareness for such events has to be raised. The objectives of such a plan are protection of the hospital and its staff due to secondary contamination, the rapid termination of the exposure of casualties and their treatment, if necessary. The response plan should account for exposed individuals whose contamination has been noticed in the emergency department (contaminated E.D.) as well as for the announced influx of such persons. The implementation of such a plan and its elements are not necessarily expensive and decontamination can be realized with a few employees. Personal protective equipment (PPE) is indispensable and frequent exercises are necessary to keep its protective effect. Donning and doffing PPE should be easy and personnel in different physical conditions should be able to wear it. Waterproof, chemical-resistant suits, full-face masks and powered air purifying respirators with particle filters and absorbent cartridges are necessary. Decontamination consists of undressing clothes, showers with warm water and cleaning the skin with soap. Abrasions may be cleaned in the same way whereas complex wounds should be irrigated with sterile isotonic solution and dressed with waterproof adhesive bandage before showering. Presumably, waste water may be drained into sewer system without endangering people or environment. Mutual agreements between hospitals and water authorities are recommended. To achieve the concept described, a group of interested, knowledgeable employees should compile all details specifically for their hospital. Suggestions and ideas how to realize this goal are given in this report. Good cooperation of all participants in the chain of treatment may reduce the risk for affected people, but these links between hospitals, emergency medical services, fire services and police

  17. Urgent medical response in CBR incidents

    International Nuclear Information System (INIS)

    During CBR incidents with releases of hazardous materials (HazMat), there is extremely urgent aim of first rescuing responders to safe the life for as much as possible victims and reducing health consequences from the exposure of the HazMat. Highest priority of the response is to be applied, if victims are exposed with chemicals through their airways and/or mucous membranes. There is general approach in the emergency medical services (EMS) stated that the victims being in critical status have to receive emergency medical care on-site even prior the transportation to a medical facility. However, in a case of CBR events the EMS prefer to provide the First Aid for victims to be already decontaminated as mass casualties, e.g. by the firemen and transferred to a safe zone. This approach is to be time consuming and thus creating delays in medical care not in the favor of a victim's successful survival. In order to overcome this approach, there are needs for eminent ceasing of the victims exposure, protection of breathing tract/ventilation support and administration of antidotes, if available. All this have to be done in shortest time since HazMat incident/accident occurs. This presentation is focusing on emergency provisions for saving victims directly in contaminated environment through the assistance by responders, concentrating on search and rescue of victims, their emergency decontamination, breathing protection, clothing removal, ventilation support, antidote administration, fixing and bandage of trauma injuries prior transportation and/or mass decontamination. This experience is shared based on a field exercise with the EMS volunteers (Red Cross), fire brigade volunteers and university's students.(author)

  18. [Application of modern wound dressings in the treatment of chronic wounds].

    Science.gov (United States)

    Triller, Ciril; Huljev, Dubravko; Smrke, Dragica Maja

    2012-10-01

    Chronic and acute infected wounds can pose a major clinical problem because of associated complications and slow healing. In addition to classic preparations for wound treatment, an array of modern dressings for chronic wound care are currently available on the market. These dressings are intended for the wounds due to intralesional physiological, pathophysiological and pathological causes and which failed to heal as expected upon the use of standard procedures. Classic materials such as gauze and bandage are now considered obsolete and of just historical relevance because modern materials employed in wound treatment, such as moisture, warmth and appropriate pH are known to ensure optimal conditions for wound healing. Modern wound dressings absorb wound discharge, reduce bacterial contamination, while protecting wound surrounding from secondary infection and preventing transfer of infection from the surrounding area onto the wound surface. The use of modern wound dressings is only justified when the cause of wound development has been established or chronic wound due to the underlying disease has been diagnosed. Wound dressing is chosen according to wound characteristics and by experience. We believe that the main advantages of modern wound dressings versus classic materials include more efficient wound cleaning, simpler placement of the dressing, reduced pain to touch, decreased sticking to the wound surface, and increased capacity of absorbing wound exudate. Modern wound dressings accelerate the formation of granulation tissue, reduce the length of possible hospital stay and facilitate personnel work. Thus, the overall cost of treatment is reduced, although the price of modern wound dressings is higher than that of classic materials. All types of modern wound dressings, their characteristics and indications for use are described. PMID:23193824

  19. Acroplate--a modern solution for the treatment of acromioclavicular joint dislocation.

    Science.gov (United States)

    Cîrstoiu, C; Rădulescu, R; Popescu, D; Ene, R; Circotă, G; Bădiceanu, Corina

    2009-01-01

    Two main ways to fix the reduction were imposed in surgical treatment of the acromioclavicular joint dislocations: fixation with trans acromioclavicular pin (Phemister method) and fixation with plate and screws type acroplate. The purpose of the present paper work is to compare immediate and later postoperative results between the two types of surgical interventions. During 2005-2007, 37 surgical reductions and fixation of acromioclavicular joint dislocations were performed in the Orthopedic-Traumatology Clinic of SUUB. In 17 cases a fixation with screws and plates type acroplate has been performed and in 20 cases with pins using the Phemister method. Sex ratio: 31 men and 8 women. Patients were aged between 17 and 56 years old. Follow up at 6 weeks, 3, 6, 12 and 18 post-operatory months. Osteosintesis material removing was done postoperatively, at 4 weeks in case of acroplate's and at 6 weeks in case of the pins. All patients treated of fixation with plate and screws acroplate type had a favorable evolution/development, starting with the shoulder joint mobilization at 24 hours postoperatively, with a complete recovery 4 weeks after the operation, at the same time with the ablation, and without immediate other late complications. As far as the patients treated by using the Phemister method are concerned, they were applied an immobilization, postoperatively. Desault bandage or the scarf for a period between 1 and 3 weeks, beginning with the shoulder joint mobilization later on and a full recovery after a minimum of 6 weeks. However, 3 of the cases showed a migration of one or both pins. Following the study, a more rapid recovery resulted, complete, and without complications of mobility in the shoulder joint, when using plate type acroplate vs pin. PMID:20108536

  20. Alban Koehler (1874-1947). Inventor of grid therapy; Alban Koehler (1874-1947). Erfinder der Gittertherapie

    Energy Technology Data Exchange (ETDEWEB)

    Laissue, Jean A. [Bern Univ. (Switzerland). Inst. fuer Pathologie; Blattmann, Hans; Slatkin, Daniel N.

    2012-07-01

    Grid (or sieve) therapy (''Gitter-'' oder ''Siebtherapie''), spatially fractionated kilo- and megavolt X-ray therapy, was invented in 1909 by Alban Koehler, a radiologist in Wiesbaden, Germany. He tested it on several patients before 1913 using approximately 60-70 kV Hittorf-Crookes tubes. Koehler pushed the X-ray tube's lead-shielded housing against a stiff grid of 1 mm-square iron wires woven 3.0-3.5 mm on center, taped tightly to the skin over a thin chamois. Numerous islets unshielded by iron in the pressure-blanched skin were irradiated with up to about 6 erythema doses (ED). The skin was then thoroughly cleansed, disinfected, and bandaged; delayed punctate necrosis healed in several weeks. Although grid therapy was disparaged or ignored until the 1930s, it has been used successfully since then to shrink bulky malignancies. Also, advanced cancers in rats and mice have been mitigated or ablated using Koehler's concept since the early 1990s by unidirectional or stereotactic exposure to an array of nearly parallel microplanar (25-75 {mu}m-wide) beams of very intense, moderately hard (median energy approximately 100 keV) synchrotron-generated X rays spaced 0.1-0.4 mm on center. Such beams maintain sharp edges at high doses well beneath the skin yet confer little toxicity. They could palliate some otherwise intractable malignancies, perhaps in young children too, with tolerable sequelae. There are plans for such studies in larger animals. (orig.)

  1. Controlling the release of peptide antimicrobial agents from surfaces.

    Science.gov (United States)

    Shukla, Anita; Fleming, Kathleen E; Chuang, Helen F; Chau, Tanguy M; Loose, Christopher R; Stephanopoulos, Gregory N; Hammond, Paula T

    2010-03-01

    Medical conditions are often exacerbated by the onset of infection caused by hospital dwelling bacteria such as Staphylococcus aureus. Antibiotics taken orally or intravenously can require large and frequent doses, further contributing to the sharp rise in resistant bacteria observed over the past several decades. These existing antibiotics are also often ineffective in preventing biofilm formation, a common cause of medical device failure. Local delivery of new therapeutic agents that do not allow bacterial resistance to occur, such as antimicrobial peptides, could alleviate many of the problems associated with current antibacterial treatments. By taking advantage of the versatility of layer-by-layer assembly of polymer thin films, ponericin G1, an antimicrobial peptide known to be highly active against S. aureus, was incorporated into a hydrolytically degradable polyelectrolyte multilayer film. Several film architectures were examined to obtain various drug loadings that ranged from 20 to 150 microg/cm2. Release was observed over approximately ten days, with varying release profiles, including burst as well as linear release. Results indicated that film-released peptide did not suffer any loss in activity against S. aureus and was able to inhibit bacteria attachment, a necessary step in preventing biofilm formation. Additionally, all films were found to be biocompatible with the relevant wound healing cells, NIH 3T3 fibroblasts and human umbilical vein endothelial cells. These films provide the level of control over drug loading and release kinetics required in medically relevant applications including coatings for implant materials and bandages, while eliminating susceptibility to bacterial resistance. PMID:20004967

  2. Thrombus Formation After Percutaneous Catheterization and Manual Compression of the Femoral Artery in Heparinized Sheep

    International Nuclear Information System (INIS)

    The purpose of this study was to evaluate the angiographic and histopathologic changes in the superficial femoral artery (SFA) in heparinized sheep shortly after catheterization with an 8-Fr sheath and manual compression hemostasis either with standard manual compression (SMC) or with the use of a procoagulant chitosan-based HemCon Bandage. The evaluation was done in 38 SFAs of 19 heparinized (100 mg/kg) sheep. After a 5-min catheterization with an 8-Fr sheath, a 5-min compression was applied. Follow-up angiograms to evaluate hemostasis were done immediately after release of compression and then at 2.5-min intervals until no extravasation was present. Compression was reapplied between angiograms. Final angiograms were performed approximately 30 min after hemostasis and after 3 min of passive flexion and extension of sheep hind limbs. Sheep were then euthanized and SFA specimens with surrounding tissues excised for histopathologic evaluation. Both types of compression caused similar changes in the catheterized SFAs. Follow-up angiograms showed mild arterial narrowing in 14 SFAs and intraluminal clots in 9 SFAs. Histology revealed periarterial hematoma in all 38 specimens. Intraluminal thrombi consisting predominantly of platelets and fibrin were present in 32 SFAs. Their size varied from superficial elevations (8 arteries) to medium-sized, 1- to 2-mm, polypoid protrusions (15 arteries) to large polypoid clots, 3-4 mm long (9 arteries). In six SFAs, the arterial access sites were not included in the obtained specimens. In conclusion, hemostasis with manual compression is achieved in the acute phase by formation of a predominantly platelet-fibrin thrombus occluding the arterial wall access site and often extending significantly into the arterial lumen. The healing process of arterial access sites should be explored several days after catheterization.

  3. [Face necrotizing fasciitis following spinocellular epithelioma excision].

    Science.gov (United States)

    Gindre, S; Dellamonica, J; Couadau, E; Carles, M; Vandenbos, F; Delgiudice, P; Grimaud, D; Ichai, C

    2005-06-01

    Necrotizing fasciitis is a bacterial dermo-hypodermitis with superficial aponevrosis necrosis due to Streptococcus pyogenes. Head and neck region are some rare localization of this infection especially after surgery. We report herein a case of a face necrotizing fasciitis following minor face surgery. A 86 year-old Caucasian male without any antecedents, nor treatment, has been operated for a fronthead spinocellular epithelioma under local anesthesia. Twelve hours later, a severe pain localized to the face occurred, with sleeplessness, followed up with a face orbitary oedema and fever. Twenty-four hours later, an intravenous antibiotherapy was therefore started and surgical treatment was performed as soon as the diagnosis of necrotizing fasciitis was considered. An important inflammatory oedema was noticed, associated to a large necrotic softening of the face, the eyelid and the neck sub-cutaneous tissues. Then, the patient has been transferred in intensive care unit because multi-organ failure clinical and biological signs occurred. Pre-operatory bacteriological samples culture identified Streptococcus pyogenes. Repeated surgical explorations and debridement (excision, cleaning, draining and bandages recovery) were performed daily as needed until all the necrotic tissue was all eradicated. The antibiotherapy was prescribed to totalised 15 days. Our report underlines the importance of an early recognition of the diagnosis of soft tissue infection, because early surgical treatment has a better prognosis and antibiotic treatment alone is inefficient for the recovery. Alert is delivered by the local signs quickly followed up by skin changes. Anti-inflammatory therapy must be avoid in case of any soft tissue infection sign: they may increase the lesions, hide alarm signs and delay surgical treatment. PMID:15963844

  4. Application of 2-octyl-cyanoacrylate for corneal perforation and glaucoma filtering bleb leak

    Directory of Open Access Journals (Sweden)

    Okabe M

    2013-03-01

    Full Text Available Motonori Okabe,1 Kiyotaka Kitagawa,2 Toshiko Yoshida,1 Chika Koike,1 Takeshi Katsumoto,2 Etsuko Fujihara,2 Toshio Nikaido1 1Department of Regenerative Medicine, University of Toyama, Graduate School of Medicine and Pharmaceutical Sciences, Toyama, 2Division of Ophthalmology, Matsue Red Cross Hospital, Japanese Red Cross Society, Shimane, Japan Background: This paper reports on the efficacy of a tissue adhesive, 2-octyl-cyanoacrylate, in the treatment of corneal perforation and glaucoma filtering bleb leak. Methods: Two eyes from two patients with corneal perforation or laceration and two eyes from two patients with bleb leak were included. The patients underwent application of 2-octyl-cyanoacrylate onto the perforated or leaking site, and a hydrogel contact lens was applied as a bandage. We also evaluated the in vitro cell toxicity of 2-octyl-cyanoacrylate in HeLa cells. Results: The two cases of corneal perforation were repaired within 22 days with one application of the tissue adhesive. The two cases of bleb leak were repaired with 2–4 applications of the tissue adhesive over 134 (range 17–134 days. There were no recurrences or adverse effects during a mean follow-up period of 12.7 months. In vitro testing revealed that 2-octyl-cyanoacrylate was markedly toxic to HeLa cells. Conclusion: Four patients with corneal perforation or bleb leak were successfully managed using 2-octyl-cyanoacrylate tissue adhesive. This simple and easy surgical technique may become an alternative therapeutic option for corneal perforation or bleb leak, although several applications of this tissue adhesive may be required. Although 2-octyl-cyanoacrylate was toxic to HeLa cells, no adverse clinical effects were noted using this adhesive. Keywords: corneal perforation, bleb leak, tissue adhesive, 2-octyl-cyanoacrylate

  5. Scleral necrosis in congenital erythropoietic porphyria: A case report and review of the literature

    Directory of Open Access Journals (Sweden)

    Shweta Agarwal

    2015-01-01

    Full Text Available A 28-year-old presented with complaints of severe pain and redness in the left eye since 2 weeks. He had similar complaints in the right eye 2 years back for which he had undergone a scleral patch graft. Best corrected visual acuity was 20/20 in both eyes. The right had a well vascularized scleral graft and rest of the anterior segment was normal. The left eye had inferior conjunctival congestion with an area of the scleral melt with uveal show just temporal to the limbus in the interpalbebral area. The cornea was clear and anterior chamber was quiet in the left eye. Applanation tonometry and fundus evaluation were normal in both eyes. Physical examination revealed hyperpigmented skin lesion, hypertrichosis and absorption of distal phalanges. Laboratory, ocular and physical findings confirmed the diagnosis of congenital erythropoietic porphyria. He was on oral steroids 40 mg/day since 2 weeks and topical antibiotics and lubricants. He was advised to continue the same and was taken up for scleral patch graft with fibrin glue in the left eye. Postoperatively he was continued on topical and oral steroids and lubricants.3 weeks later the left eye had stabilized however patient came with a melt in the right eye. Since it was an early melt, we went ahead with cyanoacrylate glue and bandage contact lens in the right eye and started him on topical steroids for the right eye also. Three months later both the eyes were stable, and the patient was gradually tapered off the steroids.

  6. Disposable Natural Scrubber from Sisal and Bamboo Fibers

    Directory of Open Access Journals (Sweden)

    T. Rasigha

    2015-11-01

    Full Text Available Medical Textiles describes a textile structure that has been designed and produced for use in any of a variety of medical applications. The medical textiles include a vast range of applications, viz, adhesive tapes, bandages, beddings, blankets, castings, diapers, dressings, eye pads, gauzes, protective clothing’s, sutures, surgical covers, surgical clothing’s, swabs, supports, sanitary products, hospital gowns, etc. Consumers have become more aware about the repercussions of leading an unhygienic lifestyle, which has lead to the increase in the number of hygiene conscious people. This has lead to the smart take off of the medical textiles which enables the common man in prevention and treatment of diseases and maintain health and hygiene. A range of natural fibers and biodegradable polymers is being utilized for developing new products in medical textiles. Medical textiles adding a more serious dimension to the textile domain, they are required to undergo stringent testing and hygienic criteria. This has led to innovative use of a variety of natural unconventional fibers and a lot of developments are taking place in this area. One of such unconventional fibers finding good application in the medical textile is Sisal (Agave sisalana. Agave sisalana, consisting a rosette of sword-shaped leaves has been used to extract fibers. Fibers have been extracted by decortication process. The extracted fibers have been cleaned with Sapindus Mukorossi, an herbal cleaning agent which is also hypo allergenic. The cleaned fibers have been softened using various methods, one with alkali treatment and another with citric acid. The various stages of fibers namely raw, cleaned, alkali treated and citric acid treated fibers have been tested for their absorbency and anti-microbial activity. Agave sisalana fiber has been found to have better antimicrobial properties which make it suitable for medical textile application.

  7. 创疡贴治疗糖尿病足的临床疗效观察%Observation of Clinical Effect of Treating Diabetic Foot with MEBO Wound & Ulcer Dressing

    Institute of Scientific and Technical Information of China (English)

    李华; 柴学峰

    2014-01-01

    目的:观察、探讨创疡贴治疗糖尿病足的临床疗效。方法在糖尿病常规治疗的基础上,对56例糖尿病足患者创面外用创疡贴包扎治疗,每日换药1次,观察创面愈合情况。结果56例糖尿病足患者中,43例治愈,11例好转,2例因经济困难自行出院,有效率达96�4%。结论创疡贴可促进糖尿病足部溃疡创面的生理性愈合,使用简便,安全有效。%Objective To observe and investigate clinical effect of using MEBO Wound&Ulcer Dressing to treat diabetic foot. Methods On the basis of conventional treatment of diabetes, the wounds of 56 patients with diabetic foot were treated with bandaging of MEBO Wound&Ulcer Dressing, changing dressing once a day to observe the proceeding of wound healing. Results In 56 cases of diabetic foot patients, 43 cases were cured, 11 cases were improved, and 2 left hospital due to economic reasons, the effective rate was up to 96�4%. Conclusion MEBO Wound & Ulcer Dressing can promote the physiological wound healing of diabetic foot, and is easy to use, safe and effective.

  8. Bilateral rectus femoris intramuscular haematoma following simultaneous quadriceps strain in an athlete: a case report

    Directory of Open Access Journals (Sweden)

    Papathanasiou Efthymia

    2010-02-01

    Full Text Available Abstract Introduction Bilateral rectus femoris haematoma following a simultaneous strain of the quadriceps muscles is a very rare condition. Case presentation We report the case of a 21-year-old Greek Caucasian female rowing athlete who was injured on both thighs. She complained of pain and inability to walk. Physical examination revealed tenderness over the thighs and restriction of knee movement. The result of a roentgenogram was normal, and there was no evidence of fracture or patella displacement. Magnetic resonance imaging revealed haematoma formation in both the rectus femoris muscles. The diameters of the left and right haematomas within the muscles were 6 cm and 5 cm, respectively. Therapeutic approaches included compression bandages, ice application, rest, elevation, and administration of muscle relaxant drugs. Active stretching and isometric exercises were performed after three days. The patient was able to walk using crutches two days after the initiation of treatment. On the seventh day, she had regained her full ability to walk without crutches. Non-steroidal anti-inflammatory drugs were administered on the fifth day and continued for one week. Six weeks later, she had pain-free function and the result of magnetic resonance imaging was normal. She was able to resume her training programme and two weeks later, she returned to her previous sport activities and competitions. Conclusion There are references in the literature regarding the occurrence of unilateral quadriceps haematomas following strain and bilateral quadriceps tendon rupture in athletes. Simultaneous bilateral rectus femoris haematomas after a muscle strain is a rare condition. It must be diagnosed early. The three phases of treatment are rest, knee mobilization, and restoration of quadriceps function.

  9. Ratite oils promote keratinocyte cell growth and inhibit leukocyte activation

    Science.gov (United States)

    Bennett, Darin C.; Leung, Gigi; Wang, Eddy; Ma, Sam; Lo, Blanche K. K.; McElwee, Kevin J.; Cheng, Kimberly M.

    2015-01-01

    Traditionally, native Australian aborigines have used emu oil for the treatment of inflammation and to accelerate wound healing. Studies on mice suggest that topically applied emu oil may have anti-inflammatory properties and may promote wound healing. We investigated the effects of ratite oils (6 emu, 3 ostrich, 1 rhea) on immortalized human keratinocytes (HaCaT cells) in vitro by culturing the cells in media with oil concentrations of 0%, 0.5%, and 1.0%. Peking duck, tea tree, and olive oils were used as comparative controls. The same oils at 0.5% concentration were evaluated for their influence on peripheral blood mononuclear cell (PBMC) survival over 48 hr and their ability to inhibit IFNγ production in PBMCs activated by phytohemagglutinin (PHA) in ELISpot assays. Compared to no oil control, significantly shorter population doubling time durations were observed for HaCaT cells cultured in emu oil (1.51 × faster), ostrich oil (1.46 × faster), and rhea oil (1.64 × faster). Tea tree oil demonstrated significant antiproliferative activity and olive oil significantly prolonged (1.35 × slower) cell population doubling time. In contrast, almost all oils, particularly tea tree oil, significantly reduced PBMC viability. Different oils had different levels of inhibitory effect on IFNγ production with individual emu, ostrich, rhea, and duck oil samples conferring full inhibition. This preliminary investigation suggests that emu oil might promote wound healing by accelerating the growth rate of keratinocytes. Combined with anti-inflammatory properties, ratite oil may serve as a useful component in bandages and ointments for the treatment of wounds and inflammatory skin conditions. PMID:26217022

  10. Inherited epidermolysis bullosa: clinical and therapeutic aspects Epidermólise bolhosa hereditária: aspectos clínicos e terapêuticos

    Directory of Open Access Journals (Sweden)

    Vanessa Lys Simas Yamakawa Boeira

    2013-04-01

    Full Text Available Inherited epidermolysis bullosa (EB is a heterogeneous group of genetic disorders that present with skin and, in some cases, mucosal fragility, predisposing patients to the development of blisters and/or erosions after minimal trauma or friction. Children with a recurrent history of these kinds of lesions or neonates that present them in the absence of another reasonable explanation should be investigated. Diagnosis must be based on clinical and histopathological findings. To date, management of inherited EB basically consists in avoiding traumas that trigger lesions, as well as preventing infection and facilitating healing of the wounds with the systematic use of bandages.A epidermólise bolhosa hereditária (EBH compreende um grupo heterogêneo de desordens genéticas que têm em comum a fragilidade cutânea e, em alguns casos mucosa, predispondo ao desenvolvimento de bolhas e/ou erosões após fricção ou trauma mínimo. Crianças com história recorrente deste tipo de lesão ou neonatos que as apresentem na ausência de outra explicação plausível devem ser investigados. O diagnóstico deve se basear em achados clínicos e histopatológicos. Até o presente momento, o manejo da EBH consiste basicamente em evitar os traumas desencadeadores das lesões, bem como evitar a infecção e facilitar a cicatrização das feridas com o uso sistemático de curativos.

  11. Application of liposuction technique in combination with small incision in accessory breast%脂肪抽吸术联合小切口切除腺体在副乳腺手术中的应用

    Institute of Scientific and Technical Information of China (English)

    张卓然

    2015-01-01

    目的:探讨应用脂肪抽吸术联合小切口切除腺体治疗副乳腺的临床效果.方法:应用脂肪抽吸技术对49例患者副乳腺区域脂肪组织进行抽吸使其平坦,小切口去除残留腺体组织,切除影响外观的松弛皮肤,术后加压包扎.结果:术后切口愈合良好,位置隐蔽,松弛隆起外观消失,曲线流畅,无血肿、感染等并发症发生.结论:脂肪抽吸术联合小切口切除腺体不仅可以最小创伤去除了局部的脂肪组织,而且最小切口切除残留腺体,解决了局部皮肤松弛外观,使患者拥有正常美感的生理曲线.%Objective To explore the clinical effect of liposuction technique in combination with small incision for treatment of accessory breast. Methods Application of liposuction technology vice breast area of 49 patients suction fat tissue to the flat,small incisions to remove the residual gland tissue,affect the appearance of sagging skin,postoperative compression bandage. Results Postoperative incision healed well,it was hidden position,the flabby and uplift appearance was disappeared,smooth curve,no complications such as hematoma,infection occurred. Conclusions Liposuction technique in combination with small incision to remove accessory breast can remove local adipose tissue and residual gland,solve the partial skin flabby appearance,make the patients with normal physiology curve of aesthetic feeling.

  12. Studies on the treatment of keratoconjunctivitis sicca.

    Directory of Open Access Journals (Sweden)

    Hasegawa,Eiichi

    1979-02-01

    Full Text Available Fifteen cases of keratoconjunctivitis sicca (KCS of unknown etiology were treated with soft contact lenses for the purpose of their bandage effects and moisuture supply. A soft contact lens was worn on one of the eyes of each case but not on the other to compare its effectiveness. New opthalmic drops or contact lens wearers were dropped in both eyes. Furthermore, the KCS-index was worked out on the basis of the complaints of 23 patients of KCS of unknouwn etiology. The indexes before and after treatment were compared. Corneal objective findings were improved in all the eyes wearing soft contact lensen for along period, and seven stopped wearing them although corneal objective findings were much better, because they had some troubles with handlings were much better, because they had some troubles with handling the lenses, because they had lost rhem, or because their visual acuity decreased while wearing the lenses. Forlong term wearing the flattest lenses should be used in the beginning and changed gradually to lenses of greater curvature which are better able to keep their centering. Then immediately after successful fitting, the lenses should be given appropriate refractive power. The new ophthalmic drops for soft contact lens wearers were very much effective as artificial tears to both eyes with and without sofy contact lenses. KCS-indexes were numerical values relating to patients subjective symptoms. KSC-indexes improves by an average of +6.4±7.5 after treatment. On the other hand, KCS-indexes improved by +10.7±7.9 in the group that succeeded in wearing SCL for a long period, and by +7.6±2.1 even in the group that failed.

  13. SURGICAL MANAGEMENT OF FRACTURE SHAFT HUMERUS WITH INTERLOCKING NAIL - A PROSPECTIVE STUDY

    Directory of Open Access Journals (Sweden)

    Muralidhar

    2013-10-01

    Full Text Available ABSTRACT : INTRODUCTION : Conservative treatment of fracture humerus has resulted in malunion , nonunion , and ultimately poor functional outcome. Internal fixation of fracture shaft of humerus allows ready access for nursing care in patients with multiple injuries and associated co morbid conditions. And also restrictive bandages and splints are avoided , early mobilization o f the patients and his limbs helps to prevent fracture disease. Hence the present study was undertaken to provide satisfactory functional outcome and to know the advantage and complications of the interlocking nail in treating humerus fracture. MATERIALS A ND METHODS : A prospective study of 32 patients with closed diaphyseal fracture humerus aged above 18 years who were medically fit were included in study. They were managed surgically by using interlocking nail. Average follow up period was 38 weeks. Functi ons results were scored using . Naiman , PT Schein , A.J.et al criterion. RESULTS : Male preponderance (62.5% was observed in the study with right humerus predominance (56.25%. Road traffic injury accounted for 87.5% of fractures. Majority were middle third fractures (62.5% with type A3 being the most common (53.125%. 2 patients had radial nerve palsy and they were recovered post operatively. 26 patients had sound union in less than 4 months and 3 patients at 6 months , with 29 (90.625% cases having excelle nt result according Naiman , PT Schein , A.J.et al criterion system. Post operative complication s in the form of nonunion in 3 cases (9.375% underwent reoperation and were united. and shoulder pain noted in 3 patients (9.375%. CONCLUSION : The interlocking nail properly applied , is an excellent method for internal fixation of fractures of the shaft of the humerus alternative to plating. Most of the fracture united within 4 months with minimal complication.

  14. Silk fibroin based antibacterial bionanotextiles as wound dressing materials

    Energy Technology Data Exchange (ETDEWEB)

    Çalamak, Semih [Hacettepe University, Faculty of Pharmacy, Department of Basic Pharmaceutical Sciences, 06100 Ankara (Turkey); Hacettepe University, Department of Nanotechnology and Nanomedicine, 06800 Ankara (Turkey); Erdoğdu, Ceren; Özalp, Meral [Hacettepe University, Faculty of Pharmacy, Department of Pharmaceutical Microbiology, 06100 Ankara (Turkey); Ulubayram, Kezban, E-mail: ukezban@hacettepe.edu.tr [Hacettepe University, Faculty of Pharmacy, Department of Basic Pharmaceutical Sciences, 06100 Ankara (Turkey); Hacettepe University, Department of Nanotechnology and Nanomedicine, 06800 Ankara (Turkey)

    2014-10-01

    New applications for medical biotextiles have been identified with the development of nanotechnological manufacturing technologies. Combination of nanotechnology and biotextile technology has resulted into a new field called bionanotextiles. Bionanotextiles are used in many areas which include wound dressings, bandages and tissue scaffolds. Silk fibroin (SF) from the cocoon of Bombyx mori, is one of the most favorable wound dressing materials due to its unique properties including biocompatibility, permeability, biodegradability, morphologic flexibility, and proper mechanical properties. The modification of antimicrobial properties of SFs can provide a barrier for bacterial penetration as wound dressing materials. In the present study, antibacterial polyethylenimine (PEI) (10, 20 and 30% (w/w)) was blended with SF and bionanotextiles were successfully fabricated by electrospinning. In addition, silk fibroin nanofibers were also functionalized with sulphate group in order to test whether they exhibit an antibacterial activity or not. Fibroin based bionanotextiles were characterized by scanning electron microscope (SEM), Fourier transform infrared spectroscopy (ATR-FTIR), differential scanning calorimetry (DSC) and thermogravimetric analysis (TGA). The cytotoxicity evaluations were carried out by L929 fibroblasts with MTT assay. The indirect cytotoxicity results demonstrate that all fibroin and PEI/fibroin extracts have no cytotoxicity on L929 cancer cell line. PEI/fibroin bionanotextiles showed strong antibacterial activities against gram positive Staphylococcus aureus and gram negative Pseudomonas aeruginosa. - Highlights: • Bionanotextiles are combination of nanotechnology and biotextile technology. • Bionanotextiles have good antibacterial activity against both of S. aureus and P. aeruginosa. • Antibacterial bionanotextiles are applicable to most of the infected wounds. • No cytotoxicity was observed on L929 cell line.

  15. Lymphatic edema of the lower limbs after orthopedic surgery: results of a randomized, open-label clinical trial with a new extended-release preparation.

    Science.gov (United States)

    Lessiani, G; Iodice, P; Nicolucci, E; Gentili, M

    2015-01-01

    The lymphedema is a high interstitial protein concentration edema, caused by impaired lymphatic transport capacity. It can be primary or secondary. The secondary form may be caused by a lesion of the lymphatic vessels and/or lymph nodes during diagnostic or therapeutic procedures such as surgical interventions. Often, in clinical practice, there is lymphedema after orthopedic surgery, even in minor orthopedic surgery. Lymphedema, typically presents symptoms of swelling, pain, inflammation, and itching, and it can generate, over the years, acute disability in the affected limbs. The standard therapy is mainly represented by medical treatment, such as manual lymphatic drainage and compression with bandages and stockings. In literature it is documented that lymphedema is responsive to alpha and the gamma benzopyrones. The aim of this study was to determine the effectiveness of delayed extended-release formulation of a compound containing apha-benzo-pyrone (Coumarin), benzo-gamma-pyrone (Troxuretina) and oligomeric proanthocyanidins from Vitis vinifera (OPC), in addition to compression therapy, in the reduction of lymphatic edema after prosthetic hip and knee surgery. In the group treated, after 30 days, a reduction was observed of the edema of 4.8% in the ankle area (p less than 0.008) and 2.7% in the calf area (p less than 0.013). The control group showed no significant reduction. The treated group showed a marked reduction of all the secondary symptoms considered in the study, although variations were not significant. The results show that the compound used was effective in reducing edema after major orthopedic surgery, and consequently in alleviating some related symptoms, such as pain, itching, and burning. As an edema has extensive inflammatory components in patients with reduced mobility, the final data seems interesting, however, further investigations and a better follow-up are required. PMID:26753640

  16. Safety and efficacy of the Perclose suture-mediated closure device following carotid artery stenting under clopidogrel platelet blockade

    Energy Technology Data Exchange (ETDEWEB)

    Zorger, Niels; Finkenzeller, Thomas; Lenhart, Markus; Hamer, Okka; Paetzel, Christian; Borisch, Inghita; Toepel, Ingolf; Feuerbach, Stefan; Link, Johann [University of Regensburg Klinikum, Franz-Josef-Strauss-Allee 11, 93042, Regensburg (Germany)

    2004-04-01

    The aim of this study was evaluation of a closure device (Perclose, Menlo Park, Calif.) for closure of the femoral artery access site in patients undergoing aggressive anticoagulation and platelet blockade after carotid stenting. Fifty-five patients who received clopidogrel in addition to aspirin and heparin as medication for carotid stenting were included for suture of the femoral access site after using 7- or 8-F guide catheters. The technical success, the time for suture, the clotting parameters, and complications were examined. Follow-up investigations, including ultrasound and clinical examinations, were performed. The groin was checked for possible hematoma, pseudoaneurysm, arteriovenous fistula, and local infection. Technical success was obtained in 51 of 54 patients (94%) after a mean procedure time of 6 min (range 5-10 min). The suture device was not used in one patient (2%) for anatomical reasons and failed to obtain hemostasis in 3 of 54 (6%) patients. In 4 of 54 patients (7%) bleeding was observed at the punctured site 4-6 h after intervention which was treated by a compression bandage. The mean dedicated activated clotting time was 137 s (range 29-287 s) before intervention and 349 s (150-958 s) just before deploying the Perclose device. During follow-up after 2 days (range 2-6 days) and 6 months no further complications of the puncture site were observed except for two large groin hematomas. No major complications occurred. Closure of the femoral access site after carotid stenting using a Perclose closure device is safe and effective even in patients receiving an aggressive anticoagulation and antiplatelet therapy. (orig.)

  17. Topical voriconazole therapy of Purpureocillium lilacinum keratitis that occurred in disposable soft contact lens wearers.

    Science.gov (United States)

    Todokoro, Daisuke; Yamada, Norihiro; Fukuchi, Mariko; Kishi, Shoji

    2014-10-01

    The objective of this study was to describe 2 cases of keratitis caused by Purpureocillium lilacinum (formerly Paecilomyces lilacinus) that occurred in disposable contact lens users, which were successfully treated with topical voriconazole. Case 1 was a healthy 44-year-old woman, who wore weekly disposable contact lenses and had developed a superficial corneal infection in her right eye. For diagnosis, corneal scraping and molecular identification of the cultured pathogen were performed. A corneal smear revealed the presence of fungi. The pathogen was identified as P. lilacinum by traditional morphological identification of fungal culture, and this identification was confirmed by DNA sequencing of the ribosomal internal transcribed spacer (ITS) sequence. Therapy with topical fluconazole, topical pimaricin (natamycin), and oral itraconazole were ineffective. Topical voriconazole showed a significant effect, and the keratitis was successfully treated. Case 2 was a 43-year-old woman with bilateral recurrent peripheral corneal ulcers by meibomian gland dysfunction, who used therapeutic bandage contact lenses on her left eye. However, a corneal abscess with hypopyon occurred in the eye after 3 months. The microbial smear examination showed the presence of fungi and the fungal culture, and the DNA sequence of ITS region revealed that the causative agent was P. lilacinum. The susceptibility testing against antifungal agents showed that voriconazole was effective. The lesion improved gradually by topical voriconazole. As a conclusion, P. lilacinum keratitis can occur in disposable soft contact lens wearer. Early and accurate detection of the pathogenic organism is essential. Topical voriconazole was effective against P. lilacinum keratitis. PMID:24974133

  18. Component analysis and growth process of nasopharyngeal calculus as revealed by Fourier transform infrared (FT-IR) spectroscopy.

    Science.gov (United States)

    Ogawa, T; Shibata, A; Maeda, Y; Uno, Y; Okano, M; Nishizaki, K; Ohsaki, K

    2003-06-01

    A quite rare case of nasopharyngeal calculus in a woman in her twenties associated with the nasal discharge of pseudomonas infection was reported. As the substance was irregularly large in size, we extracted it partially by piecemeal resection using forceps and also by cracking technique using the holmium yttrium-aluminum-garnet (YAG) laser, under saline irrigation and stereotactic microscopic navigator (SMN) system under endoscopic observation. The substance was firmly fixed to the pharyngeal tonsil bed. The final extract was a small piece of singly folded bandage, which is probably the focal background for calculus formation. In a cross section of calculus specimen removed during surgery, Fourier transform infrared (FT-IR) analysis revealed that a) signal ratio of methylene group (organic substance) to amide I (protein) was 21.6% at the nasal cavity side, gradually decreased toward nasal mucous membrane showing approximate 50%, b) signal ratio of amide I to P04(3-) (inorganic substance) ranged between 17.7% and 26.7% at the different sites and inside the calculus, the protein content was approximate 1/5 of the inorganic substance, and c) signal ratio of the methylene group to amide I at the nasal cavity site showed that their contents were almost equal. The quantity of the organic substance was estimated at approximate 1/2 quantity of the protein at both the central part and the part contacted with the mucous membrane. From these results, it seems that throughout the course of calculus growth, both inorganic substance and protein remain almost constant inside the calculus, while organic substance is released from the internal part of the calculus being probably formed at an early stage. PMID:12899453

  19. Progressive or degressive compression pressure profile in patients with chronic venous disorders of the lower limb

    Directory of Open Access Journals (Sweden)

    Giovanni Mosti

    2014-03-01

    Full Text Available Graduated compression devices are considered the standard care for management of venous and lymphatic disorders. Recently compression devices exerting a pressure over the calf higher than over the ankle have been proved to be more effective than traditional graduated devices in increasing the impaired ejection fraction (EF from the lower leg in patients with venous disease. Aim of this work is presenting an overview of the new concept on progressive compression, its potential benefits and limits. In different series of tests, the EF from the lower leg was assessed in 70 patients with severe reflux in the great saphenous vein (GSV. EF was measured by strain gauge plethysmography, in baseline conditions and after applying graduated compression devices or the new inversely graduated or progressive compression (PC devices. The interface pressure was recorded, simultaneously with the EF, both in the gaiter area (B1 point and at the calf (C point in order to assess the compression pressure profile. EF, severely impaired in patients with GSV reflux, was increased by compression. So called PC devices (both PC elastic stocking and PC inelastic bandages were significantly more effective than graduated compression in increasing the ejection fraction. The higher the pressure on the calf the higher the EF improvement. Maintaining the same strong pressure over the calf by means of two progressive stockings and increasing the pressure only over the calf to restore a graduated compression didn’t improve the EF. To improve venous pumping function in the ambulant patient stronger compression of the calf is more effective than graduated compression. This can be explained by the higher amount of blood volume pooled in the calf veins.

  20. Decontamination of injured persons in the hospital in case of NBC hazards

    International Nuclear Information System (INIS)

    Prompt recognition of contaminated people is a prerequisite for the activation of a decontamination plan. Because simple detection methods are missing, the clinical awareness for such events has to be raised. The objectives of such a plan are protection of the hospital and its staff due to secondary contamination, the rapid termination of the exposure of casualties and their treatment, if necessary. The response plan should account for exposed individuals whose contamination has been noticed in the emergency department (contaminated E.D.) as well as for the announced influx of such persons. The implementation of such a plan and its elements are not necessarily expensive and decontamination can be realized with a few employees. Personal protective equipment (PPE) is indispensable and frequent exercises are necessary to keep its protective effect. Donning and doffing PPE should be easy and personnel in different physical conditions should be able to wear it. Waterproof, chemical-resistant suits, full-face masks and powered air purifying respirators with particle filters and absorbent cartridges are necessary. Decontamination consists of undressing clothes, showers with warm water and cleaning the skin with soap. Abrasions may be cleaned in the same way whereas complex wounds should be irrigated with sterile isotonic solution and dressed with waterproof adhesive bandage before showering. Presumably, waste water may be drained into sewer system without endangering people or environment. Mutual agreements between hospitals and water authorities are recommended. To achieve the concept described, a group of interested, knowledgeable employees should compile all details specifically for their hospital. Suggestions and ideas how to realize this goal are given in this report. Good cooperation of all participants in the chain of treatment may reduce the risk for affected people, but these links between hospitals, emergency medical services, fire services and police

  1. 贞芪扶正胶囊联合湿润烧伤膏治疗100例皮肤软组织损伤创面的临床效果%Effect of Zhenshifuzheng Capsule Combined Shirunshaoshang Cream in the Treatment of 100 Cases of Skin Soft Tissue Injuries Wound

    Institute of Scientific and Technical Information of China (English)

    刘伟涛

    2016-01-01

    目的:观察贞芪扶正胶囊联合湿润烧伤膏用于软组织损伤创面的治疗效果。方法100例患者全部贞芪扶正胶囊联合湿润烧伤膏治疗,根据创面情况分别采取湿润暴露疗法和湿润包扎疗法。结果100例病例中<2×4 cm创面愈合时间平均为10 d,>7×9 cm为15 d,15×12 cm以上的为30 d,创面愈合时间缩短,组织修复较快。结论贞芪扶正胶囊联合湿润烧伤膏对损伤皮肤有保护作用,可促进裸露创面愈合。%Objective To observe the zhenshifuzheng capsule combined effect of shirunshaoshang cream for the treatment of soft tissue injuries wound. Methods 100 patients were all her virginity stilbene righting capsule with moist burn cream therapy, according to the situation of wound moist exposed therapy and moist bandaging therapy were taken respectively. Results 100 cases<2×4 cm wound healing for an average of 10 days, , 7×9 cm for 15 days, 15×12 cm more than 30 days, wound healing time shortened, tissue repair quickly. Conclusion Zhenshifuzheng capsule combined the shirunshaoshang cream to damage skin has a protective effect, can promote wound healing exposed.

  2. 云南白药胶囊治疗挫伤性前房积血临床分析%Yunnan baiyao Capsule in Treatment of Contusion Hyghema Clinical Analysi

    Institute of Scientific and Technical Information of China (English)

    赵德海

    2014-01-01

    Objective:To observe the Yunnan baiyao capsule of contusion hyphema .Mtehods:60 patients with contusion hyphema sex were randomly divided into 2 groups, treatment group (32 cases treated with Yunnan baiyao capsule , mannitol, dexamethasone;Con-trol group 28 cases with bleeding aromatic acid , mannitol, dexamethasone treatment;All patients are half lie quiet , suffer from eye banda-ging, cold, specialized treatment .Result:hyphema absorption time was shorter in treatment group , the difference was statistically signifi-cant (P<0.05).Conclusion:Yunnan baiyao capsule on contusion hyghema of the treatment effect is good ,can be widely used.%目的:观察云南白药胶囊对挫伤性前房积血的疗效。方法:将挫伤性前房积血患者60例随机分成2组,治疗组32例用云南白药胶囊、甘露醇、地塞米松治疗;对照组28例用止血芳酸、甘露醇、地塞米松治疗;所有患者均半卧位静养,患眼包扎,冷敷,散瞳治疗。结果:治疗组前房积血吸收时间较对照组短,差异有统计学意义( P<0.05)。结论:云南白药胶囊对挫伤性前房积血的治疗效果较好,可广泛应用。

  3. 湿润烧伤膏治疗压疮的疗效与护理%Treatment Effects and Nursing Strategy of MEBO Ointment in the Treatment of Bedsores

    Institute of Scientific and Technical Information of China (English)

    章立华; 姚子文; 徐美玲; 岳玲

    2015-01-01

    Objective To study the clinical treatment effects and nursing strategy of MEBO Ointment in the treat-ment of bedsores. Methods Fourth-eight patients with bedsores were treated with the dressing change of MEBO Ointment. The exposed therapy and bandage therapy were adopted based on the wound conditions, with the dressing change frequency being 4-6 times per day and once per day respectively. The healing effects of bedsore wounds were observed. Results Of the 48 patients, 39 cases healed and 9 cases turned for the better, with the total effective rate being 100%. Conclusion MEBO Ointment can promote the wound healing of bedsores since it can protect the wound and create a moist, acidy and clean environment for wounds and etc.%目的 探讨湿润烧伤膏治疗压疮的临床疗效与护理对策.方法 48例压疮患者创面全部采用湿润烧伤膏换药治疗,根据创面情况分别采取暴露疗法和包扎疗法,暴露疗法者每日换药4~6次,包扎疗法者每日换药1次,观察创面愈合效果.结果 48例患者中痊愈39例,好转9例,总有效率达100%.结论 湿润烧伤膏具有保护创面,为创面持续营造湿润、微酸、洁净环境等作用,可促进压疮创面愈合.

  4. Ratite oils promote keratinocyte cell growth and inhibit leukocyte activation.

    Science.gov (United States)

    Bennett, Darin C; Leung, Gigi; Wang, Eddy; Ma, Sam; Lo, Blanche K K; McElwee, Kevin J; Cheng, Kimberly M

    2015-09-01

    Traditionally, native Australian aborigines have used emu oil for the treatment of inflammation and to accelerate wound healing. Studies on mice suggest that topically applied emu oil may have anti-inflammatory properties and may promote wound healing. We investigated the effects of ratite oils (6 emu, 3 ostrich, 1 rhea) on immortalized human keratinocytes (HaCaT cells) in vitro by culturing the cells in media with oil concentrations of 0%, 0.5%, and 1.0%. Peking duck, tea tree, and olive oils were used as comparative controls. The same oils at 0.5% concentration were evaluated for their influence on peripheral blood mononuclear cell (PBMC) survival over 48 hr and their ability to inhibit IFNγ production in PBMCs activated by phytohemagglutinin (PHA) in ELISpot assays. Compared to no oil control, significantly shorter population doubling time durations were observed for HaCaT cells cultured in emu oil (1.51×faster), ostrich oil (1.46×faster), and rhea oil (1.64×faster). Tea tree oil demonstrated significant antiproliferative activity and olive oil significantly prolonged (1.35×slower) cell population doubling time. In contrast, almost all oils, particularly tea tree oil, significantly reduced PBMC viability. Different oils had different levels of inhibitory effect on IFNγ production with individual emu, ostrich, rhea, and duck oil samples conferring full inhibition. This preliminary investigation suggests that emu oil might promote wound healing by accelerating the growth rate of keratinocytes. Combined with anti-inflammatory properties, ratite oil may serve as a useful component in bandages and ointments for the treatment of wounds and inflammatory skin conditions. PMID:26217022

  5. Endophthalmitis in Boston keratoprosthesis: case series and review of literature.

    Science.gov (United States)

    Chhablani, Jay; Panchal, Bhavik; Das, Taraparasad; Pathegay, Avinash; Motukupally, Swapna R; Pappuru, Rajeev Reddy; Basu, Sayan; Sangwan, Virender

    2015-10-01

    To report the clinical and microbiological characteristics of infectious endophthalmitis after Boston type I keratoprosthesis (B-K-Pro) implantation. Retrospective analysis of 136 eyes that received a B-K-Pro type 1 between 1999 and 2012 was performed. Five eyes with a diagnosis of exogenous endophthalmitis after B-K-pro type 1 were identified and information about demographic data, indication for K-Pro, post-operative bandage contact lens use, post-operative prophylactic antibiotic use, timing and clinical presentation of endophthalmitis, gram stain and culture results of intraocular fluid and preoperative and post-operative visual acuity were collected. The incidence of endophthalmitis was 3.67% (5 of 136 eyes) and average time to develop endophthalmitis was 5.62 months (range 2 days to 8 months). Mean patient age was 31.4 years (5 to 65 years). The surgical indications included corneal injury due to chemical burns (n = 2), multiple failed grafts secondary to microbial keratitis (n = 2) and congenital glaucoma with congenital herpetic keratitis (n = 1). Post-Boston K-Pro, the visual acuity ranged from light perception (LP) to 20/50. K-pro was explanted in 4 patients. There was bacterial and fungal growth in two patients each and one vitreous did not grow anything. All the eyes were phthisical at last visit. Infectious endophthalmitis after K-Pro implantation in our study had a higher incidence, early onset and extremely poor visual outcome compared with post-cataract surgery endophthalmitis, as reported in literature. Not only bacterial but also fungal infections are an important etiology for infectious endophthalmitis in these cases. PMID:25183460

  6. `Inscrutable Intelligence´: The Case against Plastic Surgery in the Works of Jean Stafford and Sylvia Plath

    Directory of Open Access Journals (Sweden)

    Mercè Cuenca

    2009-01-01

    Full Text Available Coolabah, Vol.3, 2009, ISSN 1988-5946 Observatori: Centre d’Estudis Australians, Australian Studies Centre, Universitat de Barcelona 182 “Inscrutable Intelligence”: The Case against Plasti c Surgery in the Works of Jean Stafford and Sylvia Plath Mercè Cuenca Abstract: Jean Stafford’s short story “The Interior Castle” (1946 and Sylvia Plath’s “Face Lift” and “The Plaster”, written in the early 1960s but published posthumously in Crossing the Water (1971, dwell on a theme which is rarely tackled in Postwar American literature: plastic surgery. Using a marke dly mnemonic tone, both authors trace in detail the passive submission of female bo dies to male (reconstruction. While the history of women in early Cold War America is u sually associated with the patriarchal mystifying of housewifery, the myth of ideal, domestic femininity was also intimately related to bodily beauty. The demand for physical “perfection” which resulted from constructing women as, primarily, obj ects of male desire was mirrored in popular magazines, such as Ladies’ Home Journal , which endorsed women’s seeking medical aid to model themselves into “ideal” sexual mates (Meyerowitz in Meyerowitz ed., 244. Women’s submission to the notion that th ey should use any means necessary to become aesthetic objects to be appraised by men was thus represented as desirable. In this paper, I shall trace how both Stafford and Pla th adopted a confessional style of writing in the abovementioned pieces in order to de nounce the cultural construction of women as passive bodies to be moulded at will, inst ead of as active, thinking subjects. I shall argue that by reproducing the recollections a nd thoughts of the women being stitched, sewn and bandaged in their pieces, both a uthors articulated an alternative protofeminist aesthetics based on the beauty of wha t Stafford described as “inscrutable intelligence”

  7. Cardiac dysrhythmia resulting from antibiotic abuse

    Directory of Open Access Journals (Sweden)

    Basil Nwaneri Okeahialam

    2015-01-01

    Full Text Available Antibiotics are commonly used to combat infections and could be used in treating some connective diseases. They are not without side effects especially when used without regard to age, gender, diseases and their severity, comorbidity, and idiosyncrasies. This is more likely to occur when dispensed by unqualified persons to selves or others. Consequences of inappropriate use include various morbidities and in some instances death. This is a report of a middle-aged man with several risk factors for cardiovascular disease, who on the side had chronic osteomyelitis. Wound swab grew organisms sensitive to levofloxacin, and he had the drug prescribed to him by the attending orthopedic surgeon. With reduction in discharge to the point that he no longer bound his foot in bandage, he went on using the drug beyond the duration of prescription without reverting to his orthopedic surgeon until he developed sudden onset palpitation and shortness of breath. With this was an unusual tachyarrhythmia which defied initial measures. This prompted further review of his drug history when he admitted to taking levofloxacin for up to 3 months. Suspecting it to be the culprit, he was advised to discontinue it. With this, his symptoms started to abate, alongside gradual improvement in electrocardiograms till eventual normalization. This report is made to highlight the possibility that some antibiotics have the propensity to induce arrhythmias that can be very serious especially in cardiovascular disease-burdened patients. Such patients then go into heart failure and it becomes difficult to tell which came first, the arrhythmia or the heart failure. Resolving the order of onset assists in proper management. As a result, it is being recommended that patients with unexplained arrhythmias with or without heart failure should have their drug histories evaluated. Uncontrolled prescription and use of antibiotics should also be discouraged.

  8. Scleral necrosis in congenital erythropoietic porphyria: A case report and review of the literature.

    Science.gov (United States)

    Agarwal, Shweta; Majumder, Parthopratim Dutta; Srinivasan, Bhaskar; Iyer, Geetha

    2015-01-01

    A 28-year-old presented with complaints of severe pain and redness in the left eye since 2 weeks. He had similar complaints in the right eye 2 years back for which he had undergone a scleral patch graft. Best corrected visual acuity was 20/20 in both eyes. The right had a well vascularized scleral graft and rest of the anterior segment was normal. The left eye had inferior conjunctival congestion with an area of the scleral melt with uveal show just temporal to the limbus in the interpalbebral area. The cornea was clear and anterior chamber was quiet in the left eye. Applanation tonometry and fundus evaluation were normal in both eyes. Physical examination revealed hyperpigmented skin lesion, hypertrichosis and absorption of distal phalanges. Laboratory, ocular and physical findings confirmed the diagnosis of congenital erythropoietic porphyria. He was on oral steroids 40 mg/day since 2 weeks and topical antibiotics and lubricants. He was advised to continue the same and was taken up for scleral patch graft with fibrin glue in the left eye. Postoperatively he was continued on topical and oral steroids and lubricants.3 weeks later the left eye had stabilized however patient came with a melt in the right eye. Since it was an early melt, we went ahead with cyanoacrylate glue and bandage contact lens in the right eye and started him on topical steroids for the right eye also. Three months later both the eyes were stable, and the patient was gradually tapered off the steroids. PMID:26903733

  9. Ketamine attenuates osteoarthritis of the knee via modulation of inflammatory responses in a rabbit model.

    Science.gov (United States)

    Lu, Wei; Wang, Lin; Wo, Chunxin; Yao, Jing

    2016-06-01

    The aim of the present study was to investigate the efficacy of ketamine in attenuating osteoarthritis (OA) and modulating the expression of inflammatory mediators. A rabbit OA model was established by knee immobilization using plaster bandages. After six weeks, rabbits were randomly allocated into four groups (n=6/group): Normal saline, Ket60, Ket100, and Ket200 and twice a week for four weeks the rabbits received an intra‑articular injection of saline, or 60, 100 or 200 µmol/l ketamine, respectively. One week after the final injection, samples of synovial membrane, synovial fluid and articular cartilage were isolated. The pathological changes were assessed by general observation, hematoxylin and eosin staining and Alcian blue/periodic‑acid Schiff staining. Cartilage pathology was assessed using Mankin's scoring system. Tumor necrosis factor (TNF)‑α and interleukin (IL)‑10 levels in the synovial fluid were measured by enzyme‑linked immunosorbent assays. The nuclear factor (NF)‑κB p65 subunit expression level in cartilage samples was determined by immunohistochemistry. OA was characterized by morphological changes in the articular surface, cartilage lesions, infiltration of inflammatory cells and a significantly increased Mankin's score. Elevated TNF‑α and reduced IL-10 levels in the synovial fluid, along with increased p65 expression levels in the cartilage were observed in OA rabbits. Intra‑articular injection of ketamine ameliorated the pathological characteristics of OA, reduced the Mankin's score, decreased TNF‑α and NF‑κB p65 expression levels, and increased the level of IL‑10 expression in a dose-dependent manner. Thus is was demonstrated that Ketamine suppresses the inflammatory response in OA by modulating inflammatory mediator expression levels in a rabbit model of OA. PMID:27109206

  10. Development of an improved dosimetry system for the workers at the Mayak Production Association

    International Nuclear Information System (INIS)

    Databases are being created that contain verified and updated dosimetry and worker history information for workers at the Mayak Production Association. many workers had significant external and internal exposures, particularly during the early years (1948--1952) of operation. These dosimetric and worker history data are to be used in companion epidemiology studies of stochastic and deterministic effects. The database contains both external and internal dose information and is being constructed from other databases that include radiochemical analyses of tissues, bioassay data, air sampling data, while body counting data, and occupational and worker histories. The procedures, models, methods, and operational uncertainties will be documented and included in the database, technical reports, and publications. The cohort of the stochastic epidemiological study is expected to include about 19,000 persons while the cohort for the deterministic epidemiological study is expected to include about 600 persons. For external dosimetry, workplace gamma, beta, and neutron doses are being reconstructed. The models used for this incorporate issues such as known isotopes, composition, shielding, further analysis of film bandage sensitivities, and records of direct measurements. Organ doses from external exposures are also being calculated. Methods for calculating dose uncertainties are being developed. For internal dosimetry, the organ doses have been calculated using the established FIB-1 biokinetic model. A new biokinetic model is being developed that includes more information of the solubility and biokinetics of the different chemical forms and particulate sizes of plutonium that were in the workplace. In addition, updated worker histories will be sued to estimate doses to some workers where direct measurements were not made. A rigorous quality control procedure is being implemented to ensure that the correct dosimetry data is entering the various databases being used by the

  11. Are compression corsets beneficial for the treatment of breast cancer-related lymphedema? New opportunities in physiotherapy treatment – a preliminary report

    Directory of Open Access Journals (Sweden)

    Hansdorfer-Korzon R

    2016-04-01

    Full Text Available Rita Hansdorfer-Korzon,1 Jacek Teodorczyk,2 Agnieszka Gruszecka,3 Piotr Lass2,4 1Department of Physiotherapy, 2Department of Nuclear Medicine, 3Department of Informatics and Statistics, 4Department of Molecular Spectroscopy, Institute of Experimental Physics, Gdansk, Poland Introduction: Treatment of secondary lymphedema still remains an important medical issue. Treatment response is characterized by periodic remission rather than complete recovery. Compression methods currently used as part of complete decongestive therapy vary considerably in efficacy. Manual drainage, bandaging, and compression pumps are ineffective in everyday practice. Positive results have increasingly been reported where compression garments have been used as part of the treatment. This pilot study demonstrates a beneficial effect following the use of compression corsets in the treatment of edema in breast cancer-related lymphedema (BCRL. Material: A total of 35 women with BCRL were enrolled. Of these, 29 patients completed the study. Methods: Ultrasound (B-mode was used to evaluate lymphedema in the side of the chest after mastectomy. This test was performed three times at a specific site on the operated side and symmetrically on the opposite side. Subsequently, patients were fit with an appropriate compression corset. The data were then statistically analyzed. Conclusion: After the surgical treatment of breast cancer, lymphatic fluid reservoirs may form at the side of the chest. The use of carefully selected compression corsets is an effective treatment for BCRL. Corsets are an important item, which we recommend should be included in compression clothing sets. We anticipate this finding will form the foundation for further work on the use of modern compression garments for the treatment of BCRL as well as contribute to the limited number of published reports that exist on the subject. Keywords: lymphedema, breast cancer, physical therapy

  12. “Inscrutable Intelligence”: The Case against Plastic Surgery in the Works of Jean Stafford and Sylvia Plath

    Directory of Open Access Journals (Sweden)

    Mercè Cuenca

    2009-06-01

    Full Text Available Jean Stafford’s short story “The Interior Castle” (1946 and Sylvia Plath’s “Face Lift” and “The Plaster”, written in the early 1960s but published posthumously in Crossing the Water (1971, dwell on a theme which is rarely tackled in Postwar American literature: plastic surgery. Using a markedly mnemonic tone, both authors trace in detail the passive submission of female bodies to male (reconstruction. While the history of women in early Cold War America is usually associated with the patriarchal mystifying of housewifery, the myth of ideal, domestic femininity was also intimately related to bodily beauty. The demand for physical “perfection” which resulted from constructing women as, primarily, objects of male desire was mirrored in popular magazines, such as Ladies’ Home Journal, which endorsed women’s seeking medical aid to model themselves into “ideal” sexual mates (Meyerowitz in Meyerowitz ed., 244. Women’s submission to the notion that they should use any means necessary to become aesthetic objects to be appraised by men was thus represented as desirable. In this paper, I shall trace how both Stafford and Plath adopted a confessional style of writing in the abovementioned pieces in order to denounce the cultural construction of women as passive bodies to be moulded at will, instead of as active, thinking subjects. I shall argue that by reproducing the recollections and thoughts of the women being stitched, sewn and bandaged in their pieces, both authors articulated an alternative protofeminist aesthetics based on the beauty of what Stafford described as “inscrutable intelligence”.

  13. A CLINICAL STUDY OF BENIGN LESIONS OF PINNA

    Directory of Open Access Journals (Sweden)

    Srirangaprasad

    2016-02-01

    Full Text Available BACKGROUND AND OBJECTIVES To study the clinical aspects of benign lesions of pinna and to evaluate aetiopathological factors, prevalence and management options. METHODS The study included 115 patients during the period from January 2013 to December 2013. The selection criteria included patients presenting with swellings of pinna which included keloids, seromas, sebaceous cyst, preauricular sinus, haemangioma, dermoid and neurofibroma. A detailed clinical history regarding onset, predisposing factors and associated conditions was documented and analysed. RESULTS Of total 115 cases in our study, 66 cases (57% presented with keloid followed by 33 cases (29% of pseudocyst of auricle, sebaceous cyst were seen in 10 cases, i.e. 9% and only 1 case of Neurofibroma, Haemangioma and Dermoid was diagnosed (<1%; 94 percent of patients presenting with Keloid were females; 88% of them had unilateral and just 12% had bilateral disease. Trauma was the factor in causation of pseudocyst of auricle in 11 cases (34%, diabetes also was seen in 3 cases (9%. Of all 33 cases of pseudocyst of auricle, 27 cases (82% were managed by window procedure and 6 cases (18% were managed with aspiration. CONCLUSION Trauma is the most important factor in causation of number of benign lesions of pinna. Other factors being high ear piercing through the cartilage. Diabetes mellitus plays a significant role and should be controlled simultaneously. Wide bore needle aspiration can be done for some of the cases of seroma patients who have recurrence and other cases can be managed by window procedure. Other lesions like keloid, sebaceous cyst, haemangioma and dermoid can be managed by complete surgical excision. A firm pressure bandage should be applied in most of the cases after surgery. Neurofibroma can be managed conservatively.

  14. Pre-hospital Emergency Care in 107 Cases of Severe Trauma Patients in Emergency Department%严重创伤患者107例的院前急救护理

    Institute of Scientific and Technical Information of China (English)

    谭雯; 黄严

    2012-01-01

    Objective To explore and improve the measures of pre-hospital emergency care of patients with severe trauma. Methods We retrospectively analyzed the situation and measures of pre-hospital emergency care of 107 patients with severe trauma in our hospital from January 2008 to December 2011. Results Through the rapid and effective pre-hospital emergency care concerning bandaging,hemostasis,fixation and respiration maintenance,our pre-hospital rescue rate reached 98. 13%. Conclusion Professional emergency care team,right measures for emergency care and rational allocation of pre-hospital care resources can effectively improve the survival rate of pre-hospital emergency care.%目的 探讨和完善严重创伤患者的院前急救护理措施.方法 回顾性分析解放军第202医院急诊科2008年1月至2011年12月间107例严重创伤患者的院前急救状况和护理措施.结果 经过及时有效的包扎、止血、固定、维持呼吸等院前急救处理,本组患者院前抢救成功率达到98.13%.结论 强化的急救护理专业队伍建设、采取正确的急救护理措施、合理配置院前急救资源,能有效提高严重创伤患者院前急救的成功率.

  15. Bilateral Epithelial Defects after Laser in situ Keratomileusis. Clinical Features, Management and Outcome

    Directory of Open Access Journals (Sweden)

    Rao Srinivas

    2005-03-01

    Full Text Available PURPOSE: To describe the preoperative characteristics, intraoperative details, management, and postoperative in patients with bilateral epithelial defects after laser in situ keratomileusis (LASIK. METHODS: Retrospective non-comparative case series. RESULTS: Six patients with bilateral epithelial defects after LAISK were part of a cohort of 605 patients undergoing bilateral LASIK at our center from December 2001 to April 2003. The mean age of the patients (5M:1F was 28.5 7.9 years, and the average pretreatment myopic spherical equivalent (SE refraction was 7.3 0.7 D (-4, -12.25D. An epithelial flap was present in 6 eyes and an epithelial defect with a mean diameter of 3 mm (2mm, 6mm was seen in 6 eyes. In four patients the epithelial disturbance was bilaterally similar. All defects occurred in the inferior cornea and the epithelial flaps had the hinge positioned superiorly. None of the patients had ocular or systemic risk factors that could have resulted in this complication. A bandage contact lens was used in 6 eyes. At last follow-up of 5.5 9.5 months (0.25, 21 months, unaided visual acuity was 6/9 or better in 10 eyes. Best spectacle-corrected visual acuity (BSCVA was maintained in 8 eyes, while 4 eyes lost one line of BSCVA. Recurrent corneal erosions were not reported in the follow-up period. CONCLUSIONS: These patients represent a hitherto unrecognised group of individuals who appear to have a subclinical weakness of adhesion of the corneal epithelium to the underlying structures, which is not evident on clinical examination. This results in bilateral epithelial disturbances after LASIK. Appropriate management results in satisfactory clinical outcomes. Other options for treatment of the fellow eye of such patients include the use of a different microkeratome, release of suction during the reverse pass of the Hansatome microkeratome, and photorefractive keratectomy if the refractive error is low.

  16. Major overhaul of bucket-wheel excavator 255 in the Inden opencast mine; Grundinstandsetzung Schaufelradbagger 255 im Tagebau Inden

    Energy Technology Data Exchange (ETDEWEB)

    Pachurka, Frank F. [RWE Power AG, Frechen (Germany). Technikzentrum Tagebaue

    2011-05-15

    The result of the project, carried out in-house merely with internal staff for the first time (responsibility for project, planning, engineering, fabrication and assembly), was excellent. There was no notifiable accident. In total, only two entries were made in the bandage book, all specified overhaul quality requirements were met and the cost budget and time schedule of the overall project were adhered to. A high level of occupational safety on the construction site was achieved by regulated site coordination supported by the mine's technical department for occupational safety, weekly site meetings focusing on occupational safety, regular occupational safety notices at the construction site and constant inspections of the assembly yard by authorities and executives. Everyone involved displayed a high degree of awareness of occupational safety. In-depth and detailed planning ensured that all roles, responsibilities, costs and the scope of services were clearly defined at an early stage of the project. Right from the start, the project team included persons responsible for the implementation of assembly, enabling purposeful instructions to be integrated into assembly engineering straight away. This procedure promoted the early specification of important technical conditions and, consequentially, allowed the assembly processes to be optimized during implementation. Accurate internal accounting management permitted the cost development and the assembly progress to be monitored in near real-time, so that deviations could be detected and countermeasures initiated in good time. To sum up, the opencast mining division of RWE Power has successfully launched its scheme of optimizing third-party maintenance services. (orig.)

  17. Animal Bite Management Practices: Study at Three Municipal Corporation Hospitals of Ahmedabad

    Directory of Open Access Journals (Sweden)

    Vyas Sheetal, Gupta Kinnari, Bhatt Gneyaa, Tiwari Hemant

    2010-12-01

    Full Text Available Context: Rabies is a deadly Zoonotic disease most often transmitted to humans through a dog bite. Most of these deaths could be prevented through post-exposure prophylaxis (PEP, including immediate wound washing, rabies immunoglobulin administration and vaccination. Aims: To study attitude and pre-treatment practices among the study population. Methods: Cross sectional study was carried out by conducting exit interview of 100 cases of animal bite each from three hospitals run by Ahmedabad Municipal Corporation. Observations: Total 300 cases of animal bites were studied in the present study. Most common biting animal was dog as 97.33% cases gave history of dog bite. Almost half of the cases belonged to age group less than 20 years with mean age of 19+ 20.2 years and male to female ratio was 3:1. Right lower limb was the most common (45.7% biting site and majority (59% had category III bites. Immediate pre-treatment of wound was practiced by 72% of cases before visiting hospitals however only 5.7% had gone for immediate washing of wound with soap and water. The local applications at the site of bite were tobacco snuff, red chilli, turmeric, and miscellaneous things like Garlic, Jaggery, Kerosene, Lime, Bandage, Soframycine, Ghee, Wheat flour etc. which were practiced by 66% of cases. The average time interval between bite and visiting the hospital was 32 hours. Conclusions: With the availability of safe and effective tissue culture vaccines prevention of rabies is virtually assured by immediate and appropriate post exposure treatment. There is need for creating awareness in public and medical community about proper wound management, judicious use of anti-rabies serum and use of modern tissue culture vaccine after animal bite.

  18. The Theatre of Cruelty: Dehumanization, Objectification & Abu Ghraib

    Directory of Open Access Journals (Sweden)

    Christiana Spens

    2014-09-01

    Full Text Available A clumsy pyramid of kneeling men, naked apart from the hoods over their heads, with a smiling, fair-headed woman and a grinning man with a moustache, wearing green cleaning gloves; a slight woman with a blank expression and a man on the floor, on a limp leash; a hooded, robed figure, standing on a box with his arms outstretched and a pose similar to the crucifixion, with sinister wires behind him, and otherwise blank surroundings.  A row of more hooded, naked men, forced to do sexual acts as a female prison guard (Lynndie England, tanned and wearing various shades of khaki, grins and does a thumbs up sign, pointing at him, her cigarette tilted and her expression not altogether different from Bonnie in 'Bonnie and Clyde. 'A man in uniform and a black beanie hat, sitting on an Iraqi prisoner. Another pyramid of naked detainees, with a man and women behind them, smiling arm in arm, as if they are standing by a caught wild boar or large fish, or a well-organised barbeque. The moustached man (Charles Graner, again smiling and giving a thumbs up sign, this time over a corpse, whose bloody eyes have been bandaged. A naked prisoner covering his ears, as several dogs bark at him, and soldiers watch on. Another prisoner chained to a bed-frame, with some underpants covering his face.  These infamous scenes, shown in the Abu Ghraib photographs, shocked many people, and the perpetrators of the torture depicted were condemned by the relevant authorities. They transformed from clandestine mementos of hidden violence to records of an international scandal and evidence of serious crime. Their meaning changed depending on who saw them, how they were interpreted, what reactions they provoked, and the rulings of the courts regarding the people involved. They went from being private victory shots, to an international public relations disaster, to evidence of breaking of the Geneva Convention.

  19. 美宝创疡贴治疗糖尿病足病案举隅%Medical Cases about Treatment of Diabetic Foot with MEBO Dressing

    Institute of Scientific and Technical Information of China (English)

    黄淑琛; 刘作东

    2015-01-01

    目的:观察、探讨创疡贴治疗糖尿病足的临床疗效。方法对本院收治的2例糖尿病足患者,在调节血糖、控制感染等基础治疗的同时,创面外用创疡贴包扎治疗,每天换药1次,观察创面愈合效果。结果2例患者创面均于治疗15 d后基本愈合,未遗留明显瘢痕。结论创疡贴可改善糖尿病足溃疡创面血液循环,促进创面愈合,疗效显著,值得临床推广应用。%Objective To observe and explore the curative effect of MEBO dressing on diabetic foot. Methods On the basis of foundation treatments such as blood sugar adjustment and infection control, two patients with diabetic foot were treated topically with bandage of MEBO dressings on the wounds, changing the dressing once a day and observing the healing effect. Results The wounds of two patients healed on the whole in 15 days without visible scarring. Conclusion Application of MEBO dressing can improve the blood circulation of diabetic foot wound of ulcer and accelerate wound heal⁃ing, having significant effect and being worthy of clinical promotion and application.

  20. The analysis of modifying effect of gold, silver and iron citrates on embryotoxicity of lead acetate in experiment

    Directory of Open Access Journals (Sweden)

    Shatornaya V.F.

    2014-03-01

    Full Text Available Background. Metals and their nanoforms are widely used in modern medicine and veterinary as antimicrobial bandage and films in surgery (silver and also as an agent for targeted delivery of medicines in oncology (gold. At the same time their impact on embryogenesis and reproductive system is still poorly understood. Objective. The purpose of this experimental work was to investigate the possible modification effect of iron, gold and silver citrates on toxicity of low doses of lead acetate on reproductive function and embryogenesis of rats. Methods. 40 female rats were subdivided into 5 groups: 1st – administration of lead acetate; 2nd – lead acetate + gold citrate; 3rd – lead acetate + silver citrate; 4th – lead acetate + iron citrate; 5th – control. Solutions were administered to pregnant rats through a catheter once a day, daily from the 1st to the 19th days of pregnancy. Results. Introduction of ultra-low doses of lead acetate to pregnant female rats caused embryotoxicity; it resulted in significant decrease in the number of alive fetuses (17% and corpora lutea in ovaries. The combined administration of low doses of lead acetate + metal citrates resulted in the increased number of corpora lutea of pregnancy and percentage of alive fetuses, due to a decrease in general and pre-implantation embryonic mortality compared with the 1st experimental group at almost the same weight of fetuses. Conclusion. Results of the experiment have shown that the administration of gold, iron and silver citrates in combination with lead acetate prevents the negative impact of the latter on the reproductive system and on the processes of embryonic development. Citation: Shatornaya VF, Kaplunenko VG, Chekman IS, Garets VI, Beletskaya EN, Nefedova EA, Onul NM. [The analysis of modifying effect of gold, silver and iron citrates on embryotoxicity of lead acetate in experiment]. Morphologia. 2014;8(1:99-103. Russian.

  1. TO STUDY THE AWARENESS OF HEALTH CARE PERSONNEL INVOLVED IN BIO-MEDICAL WASTE MANAGEMENT IN NEW GOVERNMENT GENERAL HOSPITAL AT VIJAYAWADA, ANDHRA PRADESH

    Directory of Open Access Journals (Sweden)

    Lalith

    2014-03-01

    Full Text Available BACKGROUND: The recent developments in healthcare units are precisely made for the prevention and protection of community health. Sophisticated instruments have come into existence in various operations for disease treatment. Such improvement and advances in scientific knowledge has resulted in per capita per patient generation of wastes in health care units. Waste generated in the process of health care are composed of variety of wastes including hypodermic needles, scalpels, blades, surgical cotton, gloves, bandages, discarded medicine, body fluids, human tissues and organs, chemicals etc., other wastes generated in healthcare settings include radioactive wastes, mercury containing instruments, PVC plastics etc., so the awareness of personnel involved in the management of biomedical waste is important. AIM: To assess the waste handling and treatment system of hospital bio-medical solid waste and its mandatory compliance with regulatory notifications for bio-medical waste (BMW management rules 1998, under Environment Protection Act (EPA 1986, Ministry of Environment & Forest, Government of India at Government General Hospital (GGH, Vijayawada, Andhra Pradesh. SETTINGS AND DESIGN: This cross sectional study was conducted in GGH at Vijayawada, Andhra Pradesh. MATERIAL AND METHODS: 75 study subjects selected were personnel involved in management of hospital solid waste observed for one month and frequency tables, percentages, and proportions were used as statistical applications. STATISTICAL ANALYSIS: Analysis was done using MS – Excel software. RESULTS AND CONCLUSIONS: Out of gross total quantity of BMW generated in entire GGH, Vijayawada 74% of it is general waste. Knowledge levels regarding storage of BMW was more among class IV employees, were as awareness in differentiation of infectious and non-infectious waste was more among staff nurses.

  2. Developmental plasticity of endocrine disorders in obesity model primed by early weaning in dams.

    Science.gov (United States)

    Lima, N S; Moura, E G; Franco, J G; Pinheiro, C R; Pazos-Moura, C C; Cabanelas, A; Carlos, A S; Nascimento-Saba, C C; de Oliveira, E; Lisboa, P C

    2013-01-01

    Early weaning is associated with changes in the developmental plasticity. Here, we studied the adipocytes morphology, adipokines expression or content in adipose tissue as well as adrenal and thyroid function of neonate and adult offspring primed by early weaning. After birth, lactating rats were divided into 2 groups: EW (early weaning)--dams were wrapped with a bandage to block access to milk during the last 3 days of lactation, and Control--dams whose pups had free access to milk throughout lactation (21 days). At postnatal day (PN) 21, EW pups had lower visceral and subcutaneous adipocyte area (-67.7% and -62%, respectively), body fat mass (-26%), and leptin expression in visceral adipocyte (-64%) but higher leptin expression in subcutaneous adipocyte (2.9-fold increase). Adrenal evaluations were normal, but neonate EW pups presented lower serum T3 (-55%) and TSH (-44%). At PN 180, EW offspring showed higher food intake, higher body fat mass (+21.6%), visceral and subcutaneous adipocyte area (both 3-fold increase), higher leptin (+95%) and ADRβ3 (2-fold increase) content in visceral adipose tissue, and higher adiponectin expression in subcutaneous adipose tissue (+47%) but lower in visceral adipose tissue (-40%). Adult EW offspring presented higher adrenal catecholamine content (+31%), but no changes in serum corticosterone or thyroid status. Thus, early weaning primed for hypothyroidism at weaning, which can be associated with the adipocyte hypertrophy at adulthood. The marked changes in catecholamine adrenal content and visceral adipocyte ADRB3 are generally found in obesity, contributing to the development of other cardiovascular and metabolic disturbances. PMID:22948547

  3. The effect of skin thermistor fixation method on weighted mean skin temperature

    International Nuclear Information System (INIS)

    The purpose of this study was to investigate the effect of three different skin thermistor attachment methods on weighted mean skin temperature (WMTsk) at three different ambient temperatures (∼24 °C (TEMP); ∼30 °C (WARM); ∼35 °C (HOT)) compared to uncovered thermistors. Eleven, non-acclimated, volunteers completed three 5 min bouts of submaximal cycling (∼70 W mechanical work)—one at each environmental condition in sequential order (TEMP, WARM, HOT). One thermistor was fixed to the sternal notch whilst four skin thermistors were spaced at 3 cm intervals on each of the sites on the limbs as per the formula of Ramanathan (1964 J. Appl. Physiol. 19 531–3). Each thermistor was either held against the skin uncovered (UC) or attached with surgical acrylic film dressing (T); surgical acrylic film dressing and hypoallergenic surgical tape (TT) or surgical acrylic film dressing, hypoallergenic surgical tape and surgical bandage (TTC). The WMTsk calculated was significantly lower in UC compared to T, TT and TTC (p < 0.001, d = 0.46), in T compared to TT and TTC (p < 0.001, d = 0.33) and in TT compared to TTC (p < 0.001; d = 0.25). The mean differences (across the three temperatures) were + 0.27 ±0.34 °C, + 0.52 ± 0.35 °C and + 0.82 ± 0.34 °C for T, TT and TTC, respectively. The results demonstrate that the method of skin thermistor attachment can result in the significant over-estimation of weighted mean skin temperature

  4. The nose, paranasal sinuses and nasopharynx

    International Nuclear Information System (INIS)

    The production of radiographs of a good standard is the first essential in the examination of the sinuses, and this requires a constant attention to detail which is best achieved by a continuing close collaboration between the radiologist and the radiographer. Before examination patients must be asked to remove dentures, hair pins, zip fasteners, earrings and other similar adornments. After surgery or head injury, casualty officer and nurses must be encouraged to remove bandages so that dressings can be taken off before examination to remove artefactual shadows. The timing of sinus radiographs in relation to a possible early pregnancy is irrelevant, but in the case of a known pregnancy it is a sensible general principle for the radiologist to discuss the clinical problem with the doctor involved before the examination is carried out. Whenever possible a specialized unit such as a Lysholm table should be used since it allows accurate replication of positioning and unvarying focus-film distances with a moving grid. If a machine of this type is not available a long cone covering 15 cm at a distance of 65 cm can be used. Fast screen-film combinations should be used and standard exposures for particular views established for each machine. Rare earth screens have some advantages in reducing radiation dosage to the eyes, particularly during tomography. Automatic film processing is preferable to hand processing whenever possible because of the reproducibility of film densities in properly maintained machines. It is essential to use small diaphragms and tight coning to the area of interest because of the loss of detail caused by secondary radiation, and the appearance of the film can be further improved by a metal mask placed next to the cassette

  5. Investigation of the effect of deprivation on the burden and management of venous leg ulcers: a cohort study using the THIN database.

    Directory of Open Access Journals (Sweden)

    Emily S Petherick

    Full Text Available BACKGROUND: There has been limited examination of the contribution of socio-economic factors to the development of leg ulcers, despite the social patterning of many underlying risk factors. No previous studies were found that examined social patterns in the quality of treatment received by patients with leg ulcers. METHODS: Using The Health Improvement Network (THIN database we identified a cohort of over 14000 patients with a diagnosis of venous leg ulceration, prospectively recorded between the years 2001 and 2006, with linked area-level socio-economic information (Townsend deprivation quintile. We assessed socio-economic differences in the incidence and prevalence of leg ulcers using negative binomial regression. Socio-economic differences in two key areas of guideline recommended leg ulcer management, arterial Doppler assessment and compression bandaging, were assessed using multilevel regression. RESULTS: The risk of incident venous leg ulceration increased for patients living in areas of higher deprivation, even after adjustment for known risk factors age and gender. Overall reported rates of Doppler assessment and provision of compression therapy were low, with less than sixteen per cent of patients having a database record of receiving these recommended diagnostic and treatment options. Patients diagnosed with incident venous leg ulcers living in the most deprived areas were less likely to receive the recommended Doppler-aided assessment for peripheral vascular disease than patients living in the least deprived areas (odds ratio 0.43, 95% confidence interval 0.24-0.78. Documented provision of compression therapy did not vary with deprivation. CONCLUSIONS: A socio-economic gradient in venous leg ulcer disease was observed. The overall rates of people with venous leg ulcers who were documented as receiving guideline recommended care (2001-2006 were low. Reported use of Doppler ultrasound assessment was negatively associated with socio

  6. Pharmacological Approaches That Slow Lymphatic Flow As a Snakebite First Aid

    Science.gov (United States)

    van Helden, Dirk F.; Thomas, Paul A.; Dosen, Peter J.; Imtiaz, Mohammad S.; Laver, Derek R.; Isbister, Geoffrey K.

    2014-01-01

    Background This study examines the use of topical pharmacological agents as a snakebite first aid where slowing venom reaching the circulation prevents systemic toxicity. It is based on the fact that toxin molecules in most snake venoms are large molecules and generally first enter and traverse the lymphatic system before accessing the circulation. It follows on from a previous study where it was shown that topical application of a nitric oxide donor slowed lymph flow to a similar extent in humans and rats as well as increased the time to respiratory arrest for subcutaneous injection of an elapid venom (Pseudonaja textilis, Ptx; Eastern brown snake) into the hind feet of anaesthetized rats. Methodology/Principal Findings The effects of topical application of the L-type Ca2+ channel antagonist nifedipine and the local anesthetic lignocaine in inhibiting lymph flow and protecting against envenomation was examined in an anaesthetized rat model. The agents significantly increased dye-measured lymph transit times by 500% and 390% compared to controls and increased the time to respiratory arrest to foot injection of a lethal dose of Ptx venom by 60% and 40% respectively. The study also examined the effect of Ptx venom dose over the lethal range of 0.4 to 1.5 mg/kg finding a negative linear relationship between increase in venom dose and time to respiratory arrest. Conclusions/Significance The findings suggest that a range of agents that inhibit lymphatic flow could potentially be used as an adjunct treatment to pressure bandaging with immobilization (PBI) in snakebite first aid. This is important given that PBI (a snakebite first aid recommended by the Australian National Health and Medical research Council) is often incorrectly applied. The use of a local anesthetic would have the added advantage of reducing pain. PMID:24587472

  7. Pharmacological approaches that slow lymphatic flow as a snakebite first aid.

    Directory of Open Access Journals (Sweden)

    Dirk F van Helden

    2014-02-01

    Full Text Available BACKGROUND: This study examines the use of topical pharmacological agents as a snakebite first aid where slowing venom reaching the circulation prevents systemic toxicity. It is based on the fact that toxin molecules in most snake venoms are large molecules and generally first enter and traverse the lymphatic system before accessing the circulation. It follows on from a previous study where it was shown that topical application of a nitric oxide donor slowed lymph flow to a similar extent in humans and rats as well as increased the time to respiratory arrest for subcutaneous injection of an elapid venom (Pseudonaja textilis, Ptx; Eastern brown snake into the hind feet of anaesthetized rats. METHODOLOGY/PRINCIPAL FINDINGS: The effects of topical application of the L-type Ca(2+ channel antagonist nifedipine and the local anesthetic lignocaine in inhibiting lymph flow and protecting against envenomation was examined in an anaesthetized rat model. The agents significantly increased dye-measured lymph transit times by 500% and 390% compared to controls and increased the time to respiratory arrest to foot injection of a lethal dose of Ptx venom by 60% and 40% respectively. The study also examined the effect of Ptx venom dose over the lethal range of 0.4 to 1.5 mg/kg finding a negative linear relationship between increase in venom dose and time to respiratory arrest. CONCLUSIONS/SIGNIFICANCE: The findings suggest that a range of agents that inhibit lymphatic flow could potentially be used as an adjunct treatment to pressure bandaging with immobilization (PBI in snakebite first aid. This is important given that PBI (a snakebite first aid recommended by the Australian National Health and Medical research Council is often incorrectly applied. The use of a local anesthetic would have the added advantage of reducing pain.

  8. 肱骨髁部骨折金属植入物内固定的力学分析%Mechanical analysis of metal implants for the treatment of humeral condylar fractures

    Institute of Scientific and Technical Information of China (English)

    杨家德; 陈桂荣; 张有文

    2013-01-01

    fixation and antecubital “8” bandage wrapping fixation through elbow rear single incision approach. The downstream fracture was treated withanatomic reduction and cross Kirschner wire fixation. Antecubital “8” bandage wrapping fixation was performed after operation. RESULTS AND CONCLUSION: Al the 32 patients were fol owed-up for 10-28 months, average, in 14 months, and the fracture was healed at 4-7 weeks. According to the Flynn assessment standards, excel ent in 19 patients, good in 11 patients, average in 2 patients, and the excel ent and good rate was 93.75%. The posterior approach of elbow ful y revealed the fracture site, easy for anatomic reduction and easy for Kirschner wire to accurate dril into the fracture site and fixation. And the antecubital “8” bandage wrapping fixation after operation can help to obtain the better efficacy. Due to the mechanics characteristics of humeral condylar fracture, the metal implants treatment should be performed in accordance with the patient’s actual condition, for example, the humeral condylar comminuted fracture should be treated with cross Kirschner wire fixation and the smal condylar fracture should be treated with plate internal fixation.

  9. 翼状胬肉术后角膜接触镜的应用%Application of corneal contact lens after pterygium surgery

    Institute of Scientific and Technical Information of China (English)

    吴杰; 王敏; 尹曦

    2014-01-01

    randomly divided into 2 groups: corneal contact lens group and control group, each group of 50 cases (64 eyes). Corneal contact lens group at the end of the operation ocular surface wear a bandage contact lens, postoperative 3D removed the bandage contact lens, control group on postoperative day bandaging the eye, two groups of patients were treated with antibiotic eye drops and promote corneal wound repair eye drops, observation of postoperative patients with corneal wound healing and eye irritation. Comparison of postoperative 2h, 6h, 24h, 48h, 72h2 groups of patients with postoperative pain degree, 3D corneal epithelium fluorescein staining of corneal epithelial defect area difference score and the occurrence of complications, and observe. Results: the patients pain score were significantly lower than the control group (P<0.01); postoperative 3D corneal epithelium fluorescein staining score differences between the control group and the observation group had no statistical significance (P=0.135); there was significant difference between the patients in the observation group corneal epithelial defect area, corneal epithelial healing time and other index the control group (P=0.041); folowed up for 2~6 months, 4% patients in the observation group the recurrence rate after surgery in the control group, the recurrence rate was 10%, the rate of recurrence in patients with comparison of difference between the two groups was statisticaly significant (X2=4.392, P<0.05); the two groups had no infection, graft healing adverse, conjunctival cyst complications. Conclusion: corneal contact lens can accelerate corneal wound repair after excision of pterygium after pterygium excision, aleviate pain reaction, promote healing of corneal epithelium, and can improve the work efficiency of the medical staff, and is worthy of popularization and application of clinicians.

  10. Technologies for sectional trenchless repair of water discharge pipelines Технологии местного бестраншейного ремонта водоотводящих трубопроводов

    Directory of Open Access Journals (Sweden)

    Orlov Vladimir Aleksandrovich

    2013-07-01

    Full Text Available The article represents an overview and analysis of trenchless technologies used to provide for the leak resistance and strength of dilapidated sections of pipelines made of ceramics, cast iron, asbestos cement and other materials. Sectional pipeline repair technologies, considered by the authors, include those for the repair of loose joints of straight sections of pipelines and loose joints in the points of connection to secondary pipelines. Technologies analyzed by the authors also include those applied for the restoration of pipe shell cracks. Organic resins and bandages are to be used as repair materials.Besides, the authors provide detailed descriptions of the composition and properties of pumping resins injected into pipe cracks to restore the structural strength of pipelines and to assure their further reliable operation.Moreover, the authors assess the basic strengths of the bandage technology, including its low cost, low time consumption, and suitability to various types of pipeline damages (depressurization of joints, cracks, leaks, etc.. Besides, this method does not require any excavations, trenches, hoists or other machines.In particular, sections of underground pipelines, having diameters of 150 – 180 mm, may be repaired by specialized repair robots. Robots may be equipped with special-purpose devices, including cutter heads, bandage application heads, and color motion cameras. Besides, sectional repair of pipelines, having the diameter of up to 600 mm, may be performed using robots produced by Hachler Umwelttechnik, which are particularly efficient if the repair work is needed to be performed in the points of pipeline branching.The choice of specific pipeline repair methods and substantiation of their application are mainly driven by (1 the post-cleaning condition of a pipeline, (2 the findings of the telediagnostics, (3 options for arrangement and use of specialized machinery on location, and (4 feasibility of the pipeline

  11. Surgical treatment of varicose vein using the tumescent technique of local anesthesia

    Directory of Open Access Journals (Sweden)

    Bjelanović Zoran

    2011-01-01

    Full Text Available Background/Aim. Tumescent local anesthesia (TLA is a technique for local and regional anesthesia of the skin and the subcutaneous tissue, using infiltration of large amounts of a diluted solution of local anesthetic. This technique is applied in plastic surgery, liposuction as well as in dermatology for the entire series of dermatocosmetic procedures. The purpose of this study was to determine efficiency of surgical treatment of varicose vein using TLA as an alternative method to a conventional treatment for varicose vein. Methods. Seventy-two patients with varicose vein were enrolled in the study. All of them were operated on applying TLA, from April 2008 to November 2009. TLA solution consisted of local anesthetics was used. TLA solutions used were: 1% prilocaine-chloride with adrenaline supplement, and 2% lidocaine-chloride and adrenaline in concentration of 0.1%-0.4%. Results. Out of 72 patients, we stripped great saphenous vein from 60 patient and did varicectomy as well as ligation of insufficiently perforating veins. In 12 patients we did partial varicectomy and ligation of perforating veins. There were not any patients with the need for continued surgery, as well as bringing patient to the general anesthesia due to pain during the surgery. One patient came for postoperative opening wound in the groin, one for infection of the wound and one for the formation of seroma in the groin. There were not any allergic reactions or systemic complications in the operations as well as postoperative period. Postoperatively, all the patients were treated with compressive elastic bandage during the period of 6 weeks as well as anticoagulation prophylaxis in the duration of 5 days. Conclusion. Surgery of varicose veins with implementation of TLA is easy and safe method with very low percentage of complications and unwanted effects. It is a good alternative method to classic surgery of varicose veins. The economic aspect is a very important component

  12. Recurrent nontuberculous mycobacterial endophthalmitis: a diagnostic conundrum

    Directory of Open Access Journals (Sweden)

    Venkateswaran N

    2014-05-01

    Full Text Available Nandini Venkateswaran,1 Gabrielle Yeaney,2 Mina Chung,3,4 Holly B Hindman3,41University of Rochester School of Medicine and Dentistry, University of Rochester, 2Department of Pathology and Laboratory Medicine, 3Flaum Eye Institute, 4Center for Visual Science, University of Rochester School of Medicine and Dentistry, Rochester, NY, USAObjective: To report a case of recurrent nontuberculous mycobacterial endophthalmitis in the context of neurotrophic keratopathy secondary to herpes zoster ophthalmicus that had an atypical presentation and complex course, and highlights the challenges of causative organism identification and therapeutic interventions in this condition.Methods: A retrospective chart review was conducted to determine the visual outcomes of the patient.Results: A 68-year-old pseudophakic male with long-standing neurotrophic keratopathy and perforated descemetocele managed with cyanoacrylate glue and a contact bandage lens in the left eye, began experiencing recurrent episodes of endophthalmitis after undergoing a penetrating keratoplasty. Several therapeutic procedures including an anterior chamber washout, two pars plana vitrectomies, explantation of the posterior chamber intraocular lens and capsular bag, and multiple intravitreal antimicrobial injections, were performed to which he has ultimately responded favorably, with no signs of infection to date and stable visual acuity. The causative organism of his recurrent infections was initially identified as Mycobacterium abscessus through biochemical testing and 16S ribosomal ribonucleic acid gene sequencing; however, repeat polymerase chain reaction (PCR and sequencing of the 65 kDa heat shock protein (hsp65 gene for experimental purposes confirmed the accurate identification of the organism to be Mycobacterium chelonae. Given the greater reliability of PCR and sequencing of the hsp65 gene over traditional biochemical tests and culture techniques, M. chelonae was likely the

  13. Biomechanical assays amniotic membrane preserved in glycerol correlating with optical coherence tomography (OCT) and thermal gravimetric analysis (TG)

    Energy Technology Data Exchange (ETDEWEB)

    Soares, Fernando Augusto N.; Santin, Stefany P.; Martino Junior, Antonio C.; Machado, Luci Diva B.; Freitas, Anderson Z.; Mathor, Monica B., E-mail: fernandonevessoares@yahoo.com.br [Instituto de Pesquisas Energetias Nucleares (IPEN/CNEN-SP), Sao Paulo, SP (Brazil)

    2013-07-01

    Amnion or amniotic membranes (AM) are interchangeable terms used in the literature being internal part of the fetal membranes, non-vascular and multicellular tissue. The amnion has been widely used as a graft ophthalmic surgical as well as carrier substrate stem cell tissue equivalent for ocular surface reconstruction. The AM reduces scar formation and inflammation on the ocular surface, promotes epithelization also been used as a biological bandage covering the wound or burns, reducing dehydration and allowing regeneration of these areas. The amnion has usually 0.02 to 0.5 mm thick and consists of five subsequent layers: epithelium, basement membrane, compact layer, fibroblast layer and spongy layer. The mechanical strength from the membrane structure as well as the elasticity are factors attractive to the use of amnion as a surgical graft. Higher levels of rigidity and strength may improve the graft resistance necessary to resist the stress induced during growth of the new tissue formed. The amniotic membrane is obtained at elective caesarean section and subsequently, under sterile conditions, sectioned and separated from chorion and placenta, and free blood clots. The serological tests are done at the time of collection of tissue and 6 months after delivery to confirm the results. There are different methods for storing MA in tissue banks as fresh, high concentrations of glycerol, among others. The use of fresh membrane has some limitations due to the need to rapid use and high risk of contamination, however the amniotic membrane in glycerol has antiviral and antibacterial property which is dependent on the concentration, time and temperature. The AM used in transplants must be sterile to prevent the transmission of any disease. Although sterilization by radiation is an effective procedure, it can interfere on the membrane structure. Thus, verification of potential changes caused by ionizing radiation in amnion was made using the tensile test by calculating the

  14. Capsaicin on the viability of random-pattern skin flaps in rats Capsaicina na viabilidade de retalhos isquêmicos randômicos em ratos

    Directory of Open Access Journals (Sweden)

    Gustavo Roberto de Godoy

    2010-10-01

    Full Text Available PURPOSE: To evaluate the effects of capsaicin on the viability of ischemic random-pattern skin flaps in rats. METHODS:Forty EPM1-Wistar rats were randomized into two groups of 20 animals each, the capsaicin group and the control group. A random-pattern skin flap measuring 10 x 4cm was raised and a plastic barrier was placed between the flap and the donor site. After the surgical procedure, the control group was treated with an inert vehicle in the form of a cream applied uniformly to a rayon bandage which, in turn, was applied to the surface of the skin flap. The capsaicin group was treated in the same way, but in this case capsaicin was added to the cream. This procedure was repeated for two consecutive days. RESULTS: There was a significantly smaller amount of flap necrosis in the capsaicin group (35.07% than in the control group (44.75% (p=0.035. CONCLUSION:Topical administration of capsaicin improved the viability of ischemic random-pattern skin flaps in rats.OBJETIVO: Avaliar os efeitos da capsaicina na viabilidade de retalhos isquêmicos randômicos em ratos. MÉTODOS: Quarenta ratos EPM1-Wistar foram distribuídos ao acaso em dois grupos de 20 animais cada, um grupo capsaicina e um grupo controle. Um retalho isquêmico randômico medindo 10 x 4cm foi elevado e uma barreira plástica foi colocada entre o retalho e a área doadora. Após o procedimento cirúrgico, o grupo controle foi tratado com um veículo inerte sob a forma creme aplicado uniformemente sobre uma atadura de rayon, que, por sua vez, foi aplicada à superfície do retalho. O grupo capsaicina foi tratado da mesma forma, porém a capsaicina foi adicionada ao creme. Este procedimento foi repetido por dois dias consecutivos. RESULTADOS: Houve uma quantidade significativamente menor da necrose do retalho no grupo capsaicina (35,07% comparado ao grupo controle (44,75% (p=0,035. CONCLUSÃO: A administração tópica da capsaicina melhorou a viabilidade de retalhos isquêmicos rand

  15. 阴茎脱套矫治术治疗隐匿阴茎的临床观察%Clinical observation of foreskin - deglove for correction of concealed penis

    Institute of Scientific and Technical Information of China (English)

    郭荣利; 疏仁义; 董平; 张启旺

    2011-01-01

    Objective To explore a simple and effective method in treatment of concealed penis. So the complications can be decreased. Methods 33 consecutive patients ( range 3 to23 years) with concealed penis were treated using foreskin - deglove, the thicken aponeurosis on the penile dorsi was separated and dissected. Fixing the skin of penis root at this level to bilateral tunica albuginea were done to the vast majority of the patients. Reposition of degloved prepuce was operated. Penis bandaged after surgery. Results After operation penis shaft retraction occurred in one patients( 3% ) who shaft- fix procedure was not performed and who was obese , and was corrected by later refixation. All patients were satisfied with the appearance of the penis after plastic surgery. Prepuce edema obvious occurred in 3 cases and recovered after 3 ~ 4 months. Conclusion Our method is easy to design and perform to correct concealed penis with satisfactory effect and less complications. It provides a good cosmetic appearance and seems to be applicable in all concealaled penis with de? cient penile shaft skin.%目的 探讨矫治隐匿阴茎简单有效并减少并发症的方法.方法 对隐匿阴茎患者33例(年龄为3~23岁),采用阴茎脱套,切除变性的肉膜组织,30例(占90%)行阴茎根部皮肤与海绵体白膜的固定.将原来脱套的阴茎皮肤矫型复位,术后加压包扎.结果 1例因肥胖儿未行固定引起术后阴茎回缩,再次手术治愈;其余所有病例疗效均满意.3例患儿术后发生较重的包皮水肿,3~4月内均恢复正常.结论 阴茎脱套矫治术对隐匿阴茎疗效满意,且操作简单、安全,并发症少;也适用于包皮不充足的隐匿阴茎.

  16. 手法淋巴引流治疗乳腺癌术后上肢淋巴水肿%Manual Lymph Drainage for the Treatment of Upper Limb Lymphedema after Breast Cancer Treatment

    Institute of Scientific and Technical Information of China (English)

    陈佳佳; 汪立; 于子优; 韩凌华; 罗毅; 刘宁飞

    2015-01-01

    目的:探讨运用手法淋巴引流(Manual Lymph Drainage,MLD)治疗乳腺癌术后上肢淋巴水肿的疗效。方法2008年至2012年,101例乳腺癌术后上肢淋巴水肿患者按治疗前患肢与健肢的周径(d)差值分3组:A组(d5 cm)。3组患者均进行1个疗程(15 d)的淋巴水肿综合消肿治疗(Complex Deconges-tive Therapy,CDT):手法淋巴引流+低弹性绷带包扎。通过检测引流前后健患侧的组织水分和肢体周径,计算水分比率与周径比率,同时调查患者对手法引流及绷带使用情况的主观感受,以观察并评价患者对治疗的适应性和接受度。组织水分采用多频生物电阻人体成分分析仪进行检测。结果101例患者经CDT治疗后,患肢组织水分和肢体周径均呈显著下降(PB组>A组(P5 cm). After 1 course (15 days) of complex decongestive therapy (CDT):MLD+low elastic bandage, changes of limb circumference and tissue edema were measured and the differences between edema and non-edema arms after treatment were compared to evaluate edema reduction. Subjective feelings of each patient were recorded. Tissue edema were measured with multiple-frequency bioelectrical impedance analysis. Results After CDT treatment, significant reduction in circumference of the edematous limbs ( Pgroup B>group A (P<0.01). All patients were satisfied with the treatment. Conclusion Complex decongestive therapy is effective in treating lymphedema and improving physical appearance of the limb. The patients with more initial circumferential difference get better results in MLD.

  17. Human parathyroid hormone-(1-38) restores cancellous bone to the immobilized, osteopenic proximal tibial metaphysis in rats

    Science.gov (United States)

    Ma, Y. F.; Jee, W. S.; Ke, H. Z.; Lin, B. Y.; Liang, X. G.; Li, M.; Yamamoto, N.

    1995-01-01

    The purpose of this study was to determine if human parathyroid hormone-(1-38) (hPTH(1-38)) can restore cancellous bone mass to the established osteopenic, immobilized proximal tibial metaphyses of female rats. The right hindlimbs of 6-month-old female Sprague-Dawley rats were immobilized by bandaging the right hindlimbs to the abdomen. After 30 days of right hindlimb immobilization, the rats were subcutaneously injected with 200 micrograms hPTH(1-38)/kg/day for 15 days (short-term treatment) or 75 days (longer-term treatment). Static bone histomorphometry was performed on the primary spongiosa, and both static and dynamic histomorphometry were performed on the secondary spongiosa of the right proximal tibial metaphyses. Immobilization for 30 days without treatment decreased trabecular bone area, number, and thickness in both primary and secondary spongiosa, and induced an increase in eroded perimeter and a decrease in tissue referent-bone formation rate in the secondary spongiosa. These changes reached a new steady state thereafter. Treatment with 200 micrograms hPTH(1-38)/kg/day for 15 days, beginning 30 days after immobilization, significantly increased trabecular bone area, thickness, and number in both primary and secondary spongiosa despite continuous immobilization when compared with controls. The short-term PTH treatment (15 days) significantly increased labeling perimeter, mineral apposition rate, and tissue referent-bone formation rate in the secondary spongiosa and stimulated longitudinal bone growth as compared with the controls. Longer PTH treatment (75 days) further increased trabecular bone area, thickness, and number as compared with controls and groups given short-term PTH treatment (15 days). The bone formation indices in the secondary spongiosa of the longer-term treated rats were lower than those of the short-term treated group, but they were still higher than those of controls. Our findings indicate that PTH treatment stimulates cancellous bone

  18. Highly flexible self-powered sensors based on printed circuit board technology for human motion detection and gesture recognition.

    Science.gov (United States)

    Fuh, Yiin-Kuen; Ho, Hsi-Chun

    2016-03-01

    In this paper, we demonstrate a new integration of printed circuit board (PCB) technology-based self-powered sensors (PSSs) and direct-write, near-field electrospinning (NFES) with polyvinylidene fluoride (PVDF) micro/nano fibers (MNFs) as source materials. Integration with PCB technology is highly desirable for affordable mass production. In addition, we systematically investigate the effects of electrodes with intervals in the range of 0.15 mm to 0.40 mm on the resultant PSS output voltage and current. The results show that at a strain of 0.5% and 5 Hz, a PSS with a gap interval 0.15 mm produces a maximum output voltage of 3 V and a maximum output current of 220 nA. Under the same dimensional constraints, the MNFs are massively connected in series (via accumulation of continuous MNFs across the gaps ) and in parallel (via accumulation of parallel MNFs on the same gap) simultaneously. Finally, encapsulation in a flexible polymer with different interval electrodes demonstrated that electrical superposition can be realized by connecting MNFs collectively and effectively in serial/parallel patterns to achieve a high current and high voltage output, respectively. Further improvement in PSSs based on the effect of cooperativity was experimentally realized by rolling-up the device into a cylindrical shape, resulting in a 130% increase in power output due to the cooperative effect. We assembled the piezoelectric MNF sensors on gloves, bandages and stockings to fabricate devices that can detect different types of human motion, including finger motion and various flexing and extensions of an ankle. The firmly glued PSSs were tested on the glove and ankle respectively to detect and harvest the various movements and the output voltage was recorded as ∼1.5 V under jumping movement (one PSS) and ∼4.5 V for the clenched fist with five fingers bent concurrently (five PSSs). This research shows that piezoelectric MNFs not only have a huge impact on harvesting various external

  19. 自体骨髓干细胞移植治疗胫骨骨折骨不连%Autologous bone-marrow stem-cell transplantation for nonunion of tibia fracture

    Institute of Scientific and Technical Information of China (English)

    王玉龙; 王明贵; 贺小兵; 王海; 饶瑞强; 姬彦辉

    2014-01-01

    Objective To investigate the effect of the percutaneous autologous bone marrow stem cell transplantation for the treatment of nonunion of tibial fracture. Methods From 2007 to 2011,the data of 11 patients with tibial nonunion who received autologous bone marrow stem cell transplantation was analyzed retrospectively. Taking bone marrow,examine,isolation,cultivation and expansion marrow mesenchymal stem cells( MSCs) ,and then marrow needle was inserted into the site of the nonunion under the X-ray,the MSCs were injected into the site of nonunion. Compression bandage was applied after operation. X-rays following-up were reviewed. Results All 11 patients were followed up from 4~27 months,with average of 13 months,X-ray showed:fracture healed well,no adverse events happen. Conclusion Satisfactory out-come can be obtained by percutaneous autologous bone marrow stem cell transplantation in treatment of tibial nonunion. Clinical application value is high,especially to patients who had suffered from severe skin and soft tissue injury with keloids healed.%目的:探讨经皮自体骨髓干细胞移植治疗胫骨骨折骨不连的疗效。方法回顾2007年至2011年采用自体骨髓干细胞移植治疗胫骨骨折骨不连患者11例。抽取自身骨髓,送检、分离及培养扩增骨髓间充质干细胞( MSCs)后,在X线透视下用一枚骨穿针经皮刺入骨不连部位注射,术后加压包扎,随访复查X线片。结果11例全部获得随访,随访时间为4~27个月,平均13个月,X线片显示骨折愈合良好,未见不良事件的发生。结论经皮自体骨髓干细胞移植治疗胫骨骨折骨不连疗效满意,尤其是对于合并有严重皮肤软组织损伤瘢痕愈合者有临床应用价值。

  20. Experimental study on new self and mutual-aiding occlusive dressing for wound

    Institute of Scientific and Technical Information of China (English)

    Liang Xiangdang; Chen Wen; Sun Geng; Liu Shiluan; Cai Hongfei; Zhou Lin

    2014-01-01

    Background Self and mutual-aiding occlusive dressing is a novel method to treat with the wounds in special circumstances.This study aims to prepare a new antimicrobial adhesive for the dressing and evaluate the application effects of the adhesive.Methods The main component of the new antimicrobial adhesive was 5% triclosan / cyanoacrylate (CA) antimicrobial adhesive.The adhesive was modified with carboxylic multi-walled carbon nanotubes (MWCNTs-COOH),multi-walled carbon nanotubes (MWCNTs),hydrophobic nano-silica,nitrile rubber,epoxy resin and polymethyl methacrylate (PMMA) respectively.The bond strength,toughness and viscosity of the modified adhesive in different concentrations were examined to select the optimal modifying material and the best ratio to prepare the new antimicrobial adhesive according to the results.After that,the antimicrobial property of the new antimicrobial adhesive was tested by filter paper method.At last,we disposed the injury models in rats using the new antimicrobial adhesive to examine the application effects.Results In individual tests,the bond strength modification performance of 0.064% MWCNTS-COOH is the best,the bond strength is (14.71±1.48) Mpa.8% nano-silica shows the best toughness modification performance,the Tg is (1.10±0.24)℃.The viscosity modification performance of 8% nano-silica is the best,the viscosity is (15 536.68±28.4) cP.However,consolidating three test results,6% nano-silica / antimicrobial adhesive has the balanced bond strength,toughness and viscosity.Its bond strength is (14.03±1.92) Mpa,the Tg is (3.60±0.68)℃,and the viscosity is (5 278.87±31.68) cP.The inhibition zone diameter of 6% nano-silica / antimicrobial adhesive and antimicrobial adhesive group in Day 5 is (28.61±0.91) mm versus (28.24±2.69) mm (P >0.05).In animal studies,both in blood routine test and pathological section,6% nano-silica / antimicrobial adhesive group shows lower white blood cells count than gauze bandage group

  1. Functional treatment versus plaster for simple elbow dislocations (FuncSiE: a randomized trial

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    Verleisdonk Egbert JMM

    2010-11-01

    Full Text Available Abstract Background Elbow dislocations can be classified as simple or complex. Simple dislocations are characterized by the absence of fractures, while complex dislocations are associated with fractures. After reduction of a simple dislocation, treatment options include immobilization in a static plaster for different periods of time or so-called functional treatment. Functional treatment is characterized by early active motion within the limits of pain with or without the use of a sling or hinged brace. Theoretically, functional treatment should prevent stiffness without introducing increased joint instability. The primary aim of this randomized controlled trial is to compare early functional treatment versus plaster immobilization following simple dislocations of the elbow. Methods/Design The design of the study will be a multicenter randomized controlled trial of 100 patients who have sustained a simple elbow dislocation. After reduction of the dislocation, patients are randomized between a pressure bandage for 5-7 days and early functional treatment or a plaster in 90 degrees flexion, neutral position for pro-supination for a period of three weeks. In the functional group, treatment is started with early active motion within the limits of pain. Function, pain, and radiographic recovery will be evaluated at regular intervals over the subsequent 12 months. The primary outcome measure is the Quick Disabilities of the Arm, Shoulder, and Hand score. The secondary outcome measures are the Mayo Elbow Performance Index, Oxford elbow score, pain level at both sides, range of motion of the elbow joint at both sides, rate of secondary interventions and complication rates in both groups (secondary dislocation, instability, relaxation, health-related quality of life (Short-Form 36 and EuroQol-5D, radiographic appearance of the elbow joint (degenerative changes and heterotopic ossifications, costs, and cost-effectiveness. Discussion The successful

  2. 脂肪抽吸联合乳晕切口腺体切除治疗青春期男性乳房肥大症%Treatment of gynecomastia with a combined method of liposuction and direction areolar incision

    Institute of Scientific and Technical Information of China (English)

    洪帆; 黄岩; 汪丽玲; 修志夫; 王彪

    2012-01-01

    Objective To explore the clinical curative effect of combined liposuction and direction areolar incision on gynecomastia. Methods Fourty-three patients,aged 14-36 years,were involved in this study,including fat type (n=15) and mixed fat and gland type (n =28).The hypertrophic mammary tissues were incised through a small incision (1.0-1.5 cm) after the tumescent liposuction.And tumescent liposuction technique was used again to make sure of the transition-layer more smooth.The incision was in compression bandage after surgery area and stitches taken out after 7 days.Results All the patients with gynecomastia were treated.The nipple-areola complex were all alive.The scar of incision was not obvious.Follow-up was done for 3 years,showing that configuration of the breasts was good.Conclusions The surgical procedure is simply,less haemorrhage and quick recovery,with good aesthetic effects,which deserves wide application.%目的 探讨脂肪抽吸联合乳晕切口腺体切除治疗青春期男性乳房肥大症的临床疗效.方法 43例男性乳房肥大患者,年龄14~36岁,脂肪型15例,脂肪、腺体混合型28例.均先采用肿胀麻醉乳晕小切口脂肪抽吸术,吸除大部分脂肪后,延长切口至1.0~1 5 cm,切除乳晕下及乳晕周围乳核区乳腺组织,再次通过抽吸调整过渡区的平滑整齐,术后加压包扎,7d拆线.结果 术后无1例发生乳头乳晕坏死,切口瘢痕不明显.最长随访时间3年,乳房外形良好,未见复发.结论 脂肪抽吸联合乳晕切口腺体切除法治疗男性乳房肥大,具有操作简易、出血少、康复快、美学效果佳等优点,值得临床推广.

  3. Estimating the Clinical Outcomes and Cost Differences Between Standard Care With and Without Cadexomer Iodine in the Management of Chronic Venous Leg Ulcers Using a Markov Model.

    Science.gov (United States)

    Nherera, Leo M; Woodmansey, Emma; Trueman, Paul; Gibbons, Garry W

    2016-06-01

    Chronic venous leg ulcers (VLUs) affect up to 1% of the adult population in the developed world and present a significant financial and resource burden to health care systems. Cadexomer iodine (CI) is an antimicrobial dressing indicated for use in chronic exuding wounds. The aim of this study was to estimate the cost utility of using CI + standard care (SC) - ie, high compression multicomponent bandaging including debridement - compared with SC alone in the management of chronic (>6 months' duration) VLUs from a payer's perspective. A Markov model was constructed to evaluate the cost and clinical benefits (healing and decreased infection rates) of the 2 treatment modalities over a 1-year period using data from 4 randomized, controlled clinical studies (RCTs) included in a recent Cochrane review and cost data from a recently published economic evaluation of VLUs. Costs were calculated using 2014 United States dollars; wound outcomes in- cluded complete healing in 212 patients reported in the Cochrane meta-analysis and quality-adjusted life years (QALYs), with utility values obtained from 200 patients with VLUs calculated using standard gamble. Treatment with CI over 1 year was $7,259 compared to $7,901 for SC. This resulted in a cost savings of $643/patient in favor of CI compared with SC. More patients treated with CI (61%) had their wounds healed compared to 54% treated with SC. Furthermore, patients treated with CI+SC experienced 6 additional ulcer-free weeks compared to persons treated with SC alone (ie, 25 ulcer- free weeks compared to 19 ulcer-free weeks, respectively). Overall, CI resulted in 0.03 more QALYs (ie, 0.86 QALYs compared to 0.83 for SC). The use of CI in addition to SC compared to SC alone over 52 weeks resulted in more wounds healed and more QALYs along with a decrease of overall costs The results of this study suggest CI is cost effective com- pared to SC alone in the management of patients with chronic VLUs. Prospective, controlled clinical

  4. ACIDENTE OFÍDICO EM EQUINO PORTADOR DE BABESIOSE CLÍNICA RELATO DE CASO

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    Joel de Souza Montello Neto

    2015-12-01

    Full Text Available One horse, snakebite victim and carrier of Babesia caballi, was met with intense dermal hemorrhage in the medial region of the fore and hindlimbs, face, jugular groove and ventral thorax and abdomen, and swelling in the area between the kneecap and the pastern of the left hind limb. Was made support medicine, dressing and bandage on site identified as snake-bite site. The next day, there was a marked decrease in packed cell volume, where it was decided to blood transfusion; After 12 hours the packed cell volume level is 14%, and it increased gradually, reaching 26% in the sixth day of hospitalization. The next day, there was a marked decrease in packed cell volume, where it was decided to blood transfusion; After 12 hours the hematocrit level is 14%, and it increased gradually, reaching 26% in the sixth day of hospitalization. The animal was discharged after 27 days of hospitalization. We conclude that clinical babesiosis was an enhancer factor in anemia in patients. The Synergy hemolytic action of hemoparasite as well as vascular toxic action the venom aggravate circulatory disease of the patient. Um equino vitima de acidente ofídico e portador de Babesia caballi foi atendido apresentando hemorragia dérmica intensa na região medial dos membros torácicos e pélvicos, face, sulco jugular e região ventral do tórax e abdômen, e edema na região compreendida entre a rótula e a quartela do membro pélvico esquerdo. Foi feito medicamento de suporte, curativo e bandagem no local identificado como sítio da picada. No dia seguinte, observou-se diminuição acentuada do volume globular, onde optou-se pela realização de transfusão sanguínea; decorridas 12 horas o volume globular encontrava-se em 14%, e apresentou aumento gradativo, chegando a 26% no sexto dia de internação. O animal obteve alta após 27 dias de internação. Concluímos que a babesiose clínica foi um fator intensificador na anemia apresentada pelo paciente. A sinergia da a

  5. Comparison of efficacy of the intermittent pneumatic compression with a high- and low-pressure application in reducing the lower limbs phlebolymphedema

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    Taradaj J

    2015-10-01

    Full Text Available Jakub Taradaj,1 Joanna Rosińczuk,2 Robert Dymarek,2 Tomasz Halski,3 Winfried Schneider4 1Department of Physiotherapy Basics, Academy School of Physical Education in Katowice, Katowice, 2Department of Nervous System Diseases, University of Medicine in Wroclaw, Wroclaw, 3Institute of Physiotherapy, Public Higher Medical Professional School in Opole, Opole, Poland; 4Lymphology Center in Bad Berleburg, Bad Berleburg, Germany Introduction: The primary lymphedema and chronic venous insufficiency present an important medical problem, and effective physical therapeutic methods to treat this problem are still at the search phase. The aim of this study was to compare the efficacy of intermittent pneumatic compression (IPC of a high- or low-pressure level in the treatment of primary phlebolymphedema of the lower limbs.Methods: The study included 81 patients with chronic venous insufficiency and primary lymphedema of the lower limbs. Group A consisted of 28 patients who underwent a monthly antiedematous therapy including a manual lymphatic drainage, multilayer bandaging, and IPC with the output pressure of 120 mmHg. Group B consisted of 27 patients who underwent the same basic treatment as group A and IPC with the output pressure of 60 mmHg. Group C (control consisted of 26 patients who underwent only a basic treatment – without IPC.Results: After completion of the study, it was found that the greatest reduction of edema occurred in patients who underwent treatment with a pressure of 120 mmHg. The comparison of percentage reduction of edema showed a statistically significant advantage of the group A over groups B and C, both for the changes in the right (P=0.01 and the left limb (P=0.01. Results in patients undergoing intermittent compression of the lower pressure (60 mmHg were similar to those obtained in the control group.Conclusion: The IPC with the pressure of 120 mmHg inside the chambers effectively helps to reduce a phlebolymphedema

  6. 乳房再造和胸壁修复同时应用血管化的淋巴移植修复治疗乳腺癌术后上肢淋巴水肿%Breast reconstruction and treatment of mastectomy related upper limb lymphedema with lymphatic TRAM/DIEP

    Institute of Scientific and Technical Information of China (English)

    穆兰花; 孙晶晶; 宣立学; 荣永婴; 郑立平; 汤鹏; 钟晓捷; 吴煌福; 邹天宁; 杨庄青; Corrine Becker; 张寒; 陈茹; 辛敏强; 栾杰; 穆大力; 刘春军; 吉恺; 扈杰杰

    2013-01-01

    Objective To introduce the key points about the transplantation of lymphatic transverse rectus abdominis myocu-taneous/deep inferior epigastric perforator(TRAM/DIEP) and evaluate the therapeutic effect of lymphatic TRAM/DIEP to treat mastectomy related upper limb lymphedema. Methods Ten patients of postoperative lymphedema after breast cancer surgery from Jan. 2008 to Mar. 2011 were enrolled in this study. All the patients suffered from unilateral upper-limb lymphedema accepted abdominal transplantation of lymphatic TRAM/DIEP. Results All flaps worked well. One case with breast reconstruction was found to have delayed cure of breast cuts. All the patients felt the pain and swellings of edematous upper limbs relieved. Conclusion To apply the transplantation of lymphatic TRAM/DIEP to treat mastectomy related upper limb lymphedema, accompanied by using elastic bandages as an auxiliary post-operative treatment is considered to be an effective method to restore the breast configuration and upper limb function.%目的 探讨腹部皮瓣携带血管化淋巴游离移植的要点,评价乳腺癌术后胸壁修复、乳房再造同时行淋巴移植治疗上肢淋巴水肿的手术效果.方法 对2008年1月至2011年3月收治的10例乳腺癌术后上肢淋巴水肿的患者进行回顾性分析.所有患者均为单侧上肢淋巴水肿.在乳腺癌术后行胸壁修复、乳房再造的同时采用腹部皮瓣携带血管化淋巴游离移植治疗上肢淋巴水肿.结果 所有患者的皮瓣成活良好,1例患者出现了胸壁切口延迟愈合.所有患者均自觉患肢疼痛及肿胀程度缓解.结论 应用腹部皮瓣携带血管化淋巴游离移植行乳腺癌术后胸壁修复、乳房再造的同时治疗上肢淋巴水肿,术后配合弹力绷带等辅助治疗,是对乳腺癌术后乳房形态及上肢功能双重修复的有效方法.

  7. Pattern and management of sports injuries presented by Lagos state athletes at the 16th National Sports Festival (KADA games 2009 in Nigeria

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    Owoeye Oluwatoyosi BA

    2010-01-01

    Full Text Available Abstract Background There is a dearth of information on the epidemiology of sports injuries in Nigeria. The study was aimed at documenting sports injuries sustained by Lagos state athletes during the 16th National Sports Festival (KADA Games 2009. It was also aimed at providing information on treatments offered to injured athletes. Methods The study was carried out at Amadu Bello Stadium Complex, sporting arena of the Murtala Square and the team Lagos mini clinic. Participants were accredited Lagos state athletes who at one point in time during the games required treatment from any of the members of the medical team. Demographic data of athletes, type of injuries, body parts injured and treatment modalities used were documented and analysed using descriptive statistics. Results Within the period of the games, a total of 140 sports injuries were documented from 132 athletes with an approximate male to female ratio of 2:1 and age ranging from 15-38 years. Most of the injuries reported by the athletes were "minor" injuries. Muscle strain was the most common type of injury (31.4% followed by ligament sprains (22.9%. The lower extremities were the most injured body region accounting for 50% of all injuries. Over 60% of injuries presented by the athletes were from basketball, cricket, hockey, rugby and baseball. Cryotherapy was the most frequently used treatment modality, followed by bandaging and massage with anti-inflammatory gels. Conclusion Establishing injury prevention programmes directed at the lower extremities may help reduce the risk of injuries to the lower extremities. Since cryotherapy was the most used treatment modality, it is suggested that it should be made abundantly available to the medical team preferably in forms of portable cold sprays for easy transportation and application during the games. It is also important that physiotherapists form the core of the medical team since they are trained to apply most of these treatment

  8. Autologous bone marrow mesenchymal stromal cells for regeneration of injured equine ligaments and tendons: a clinical report.

    Science.gov (United States)

    Renzi, S; Riccò, S; Dotti, S; Sesso, L; Grolli, S; Cornali, M; Carlin, S; Patruno, M; Cinotti, S; Ferrari, M

    2013-08-01

    The use of Mesenchymal Stromal Cells (MSCs) in orthopedic practice has recently and rapidly acquired an important role. Therapies based on the use of MSCs for the treatment of acute injuries as well as chronic inflammatory disorders are gradually becoming clinical routine. These cells have demonstrated intriguing therapeutic potentialities (i.e.: inflammation control, tissue regeneration and pathological scar prevention), that have been taken into consideration for use in both human and veterinary medicine. In particular, horses represent high performance athletes considered models for human pathologies since musculo-skeletal disorders frequently occur in this species. In the past, repair of tendon injures were performed by different methods. In particular, clinical therapy was based on ice application, bandage, box rest and controlled exercise. An alternative approach consisted on the use of corticosteroid (inflammation reduction) and other drugs (sodium hyaluronate, polysulphated glycosaminoglycans, beta aminoproprionitrile fumarate). Furthermore, surgical treatments like accessory ligament desmotomy, local irritation by line firing or pin firing were commonly used. More recently ultrasound, laser therapy, electromagnetic field therapy have been considered. Unfortunately, they did not allow complete tissue healing and quite often animals did not regain competitiveness. In order to minimize this inconvenience, the use of MSCs has been introduced as an alternative to the traditional approach since it represents a potential tool to improve tissue regeneration. Aim of this study was to evaluate the capability of MSCs to improve the functional outcome of horses affected by tendonitis and desmitis. Thirty-three breed and activity-matched horses affected by tendonitis or desmitis, were included in clinical trial scored for lesions and subdivided into two groups. Group 1 animals were treated with autologous MSCs, associated with platelet rich plasma (group 1). Bone

  9. Bleeding and first-year mortality following hip fracture surgery and preoperative use of low-dose acetylsalicylic acid: an observational cohort study

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    Apelqvist Anna

    2011-11-01

    Full Text Available Abstract Background Hip fracture is associated with high mortality. Cardiovascular disease and other comorbidities requiring long-term anticoagulant medication are common in these mostly elderly patients. The objective of our observational cohort study of patients undergoing surgery for hip fracture was to study the association between preoperative use of low-dose acetylsalicylic acid (LdAA and intraoperative blood loss, blood transfusion and first-year all-cause mortality. Methods An observational cohort study was conducted on patients with hip fracture (cervical requiring hemiarthroplasty or pertrochanteric or subtrochanteric requiring internal fixation participating in a randomized trial that found lack of efficacy of a compression bandage in reducing postoperative bleeding. The participants were 255 patients (≥50 years of whom 118 (46% were using LdAA (defined as ≤320 mg daily preoperatively. Bleeding variables in patients with and without LdAA treatment at time of fracture were measured and blood transfusions given were compared using logistic regression. The association between first-year mortality and preoperative use of LdAA was analyzed with Cox regression adjusting for age, sex, type of fracture, baseline renal dysfunction and baseline cardiovascular and/or cerebrovascular disease. Results Blood transfusions were given postoperatively to 74 (62.7% LdAA-treated and 76 (54% non-treated patients; the adjusted odds ratio was 1.8 (95% CI 1.04 to 3.3. First-year mortality was significantly higher in LdAA-treated patients; the adjusted hazard ratio (HR was 2.35 (95% CI 1.23 to 4.49. The mortality was also higher with baseline cardiovascular and/or cerebrovascular disease, adjusted HR 2.78 (95% CI 1.31 to 5.88. Patients treated with LdAA preoperatively were significantly more likely to suffer thromboembolic events (5.7% vs. 0.7%, P = 0.03. Conclusions In patients with hip fracture (cervical treated with hemiarthroplasty or pertrochanteric

  10. Highly flexible self-powered sensors based on printed circuit board technology for human motion detection and gesture recognition

    Science.gov (United States)

    Fuh, Yiin-Kuen; Ho, Hsi-Chun

    2016-03-01

    In this paper, we demonstrate a new integration of printed circuit board (PCB) technology-based self-powered sensors (PSSs) and direct-write, near-field electrospinning (NFES) with polyvinylidene fluoride (PVDF) micro/nano fibers (MNFs) as source materials. Integration with PCB technology is highly desirable for affordable mass production. In addition, we systematically investigate the effects of electrodes with intervals in the range of 0.15 mm to 0.40 mm on the resultant PSS output voltage and current. The results show that at a strain of 0.5% and 5 Hz, a PSS with a gap interval 0.15 mm produces a maximum output voltage of 3 V and a maximum output current of 220 nA. Under the same dimensional constraints, the MNFs are massively connected in series (via accumulation of continuous MNFs across the gaps ) and in parallel (via accumulation of parallel MNFs on the same gap) simultaneously. Finally, encapsulation in a flexible polymer with different interval electrodes demonstrated that electrical superposition can be realized by connecting MNFs collectively and effectively in serial/parallel patterns to achieve a high current and high voltage output, respectively. Further improvement in PSSs based on the effect of cooperativity was experimentally realized by rolling-up the device into a cylindrical shape, resulting in a 130% increase in power output due to the cooperative effect. We assembled the piezoelectric MNF sensors on gloves, bandages and stockings to fabricate devices that can detect different types of human motion, including finger motion and various flexing and extensions of an ankle. The firmly glued PSSs were tested on the glove and ankle respectively to detect and harvest the various movements and the output voltage was recorded as ∼1.5 V under jumping movement (one PSS) and ∼4.5 V for the clenched fist with five fingers bent concurrently (five PSSs). This research shows that piezoelectric MNFs not only have a huge impact on harvesting various external

  11. Biomechanical assays amniotic membrane preserved in glycerol correlating with optical coherence tomography (OCT) and thermal gravimetric analysis (TG)

    International Nuclear Information System (INIS)

    Amnion or amniotic membranes (AM) are interchangeable terms used in the literature being internal part of the fetal membranes, non-vascular and multicellular tissue. The amnion has been widely used as a graft ophthalmic surgical as well as carrier substrate stem cell tissue equivalent for ocular surface reconstruction. The AM reduces scar formation and inflammation on the ocular surface, promotes epithelization also been used as a biological bandage covering the wound or burns, reducing dehydration and allowing regeneration of these areas. The amnion has usually 0.02 to 0.5 mm thick and consists of five subsequent layers: epithelium, basement membrane, compact layer, fibroblast layer and spongy layer. The mechanical strength from the membrane structure as well as the elasticity are factors attractive to the use of amnion as a surgical graft. Higher levels of rigidity and strength may improve the graft resistance necessary to resist the stress induced during growth of the new tissue formed. The amniotic membrane is obtained at elective caesarean section and subsequently, under sterile conditions, sectioned and separated from chorion and placenta, and free blood clots. The serological tests are done at the time of collection of tissue and 6 months after delivery to confirm the results. There are different methods for storing MA in tissue banks as fresh, high concentrations of glycerol, among others. The use of fresh membrane has some limitations due to the need to rapid use and high risk of contamination, however the amniotic membrane in glycerol has antiviral and antibacterial property which is dependent on the concentration, time and temperature. The AM used in transplants must be sterile to prevent the transmission of any disease. Although sterilization by radiation is an effective procedure, it can interfere on the membrane structure. Thus, verification of potential changes caused by ionizing radiation in amnion was made using the tensile test by calculating the

  12. INTRA MEDULLARY FIXATION OF SUB TROCHANTERIC FRACTURERS WITH LONG PROXIMAL FEMORAL NAIL & STAINLESS STEEL WIRE FIXATION: A STUDY

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    Sree Krishna

    2015-01-01

    Full Text Available INTRODUCTION: The objective of this study was to prospectively evaluate the clinical outcome of traumatic subtrochanteric fractures fixed with long proximal femoral nail (PFN & Stainless s te e l wire banding Fixation with particular emphasis on our experience of surgical techniques. Materials and Methods: We reviewed the results of 49 consecutive patients who had undergone intramedullary fixation specifically with a long PFN with S.S wire banding fixation for traumatic subtrochanteric fractures in our hospital during a 2 - year period from January 2013 to December 2014. The average age of the patients was 53 years. Clinical and radiographic analyses were performed when follow - up was made at 6 weeks, 12 weeks, 6 months, 1 year and 2 years. Results: All the 49 traumatic subtro chanteric fractures healed uneventfully except 1 case of delayed union. Walking and squatting ability was completely restored in every case at follow - up examination 6 months postoperatively. Among them, 32 fractures were successfully reduced with traction on a fracture table under fluoroscopy & cerclage wiring or bandage with S.S wire of various diameters (1.6, 1.8 etcthrough a small incision near the fragment to be fixed. The average operative time was 70 minutes (range, 45 to 120. Seventeen Seinsheimer type II fractures were left unlocked distally, and static distal interlocking with 1 bolt was carried out in the other 31 cases. No complications such as cutout or breakage of the implants were encountered. Conclusions: The objective of this study was to evaluate the clinical and radiological outcome of traumatic subtrochanteric fractures with trochanteric exten sion treated with long proximal femoral locking nail (PFNL & S.S wire. This study suggests that long PFN is a reliable implant for subtrochanteric fractures, leading to high rate of bone union and minimal soft tissue damage. Intramedullary fixation has bi ological and biomechanical advantages, but the operation

  13. Treatment of acute lateral ankle ligament rupture in the athlete. Conservative versus surgical treatment.

    Science.gov (United States)

    Lynch, S A; Renström, P A

    1999-01-01

    Acute lateral ankle ligament sprains are common in young athletes (15 to 35 years of age). Diagnostic and treatment protocols vary. Therapies range from cast immobilisation or acute surgical repair to functional rehabilitation. The lateral ligament complex includes 3 capsular ligaments: the anterior tibiofibular (ATFL), calcaneofibular (CFL) and posterior talofibular (PTFL) ligaments. Injuries typically occur during plantar flexion and inversion; the ATFL is most commonly torn. The CFL and the PTFL can also be injured and, after severe inversion, subtalar joint ligaments are also affected. Commonly, an athlete with a lateral ankle ligament sprain reports having 'rolled over' the outside of their ankle. The entire ankle and foot must be examined to ensure there are no other injuries. Clinical stability tests for ligamentous disruption include the anterior drawer test of ATFL function and inversion tilt test of both ATFL and CFL function. Radiographs may rule out treatable fractures in severe injuries or when pain or tenderness are not associated with lateral ligaments. Stress radiographs do not affect treatment. Ankle sprains are classified from grades I to III (mild, moderate or severe). Grade I and II injuries recover quickly with nonoperative management. A non-operative 'functional treatment' programme includes immediate use of RICE (rest, ice, compression, elevation), a short period of immobilisation and protection with a tape or bandage, and early range of motion, weight-bearing and neuromuscular training exercises. Proprioceptive training on a tilt board after 3 to 4 weeks helps improve balance and neuromuscular control of the ankle. Treatment for grade III injuries is more controversial. A comprehensive literature evaluation and meta-analysis showed that early functional treatment provided the fastest recovery of ankle mobility and earliest return to work and physical activity without affecting late mechanical stability. Functional treatment was complication

  14. 10 Cases of Nursing Experience of Dexamethasone Injection Treatment of Venous Catheterization Skin Allergy%地塞米松注射液治疗静脉置管皮肤过敏10例护理体会

    Institute of Scientific and Technical Information of China (English)

    高凌云

    2014-01-01

    Objective:To explore the deep venous catheter in PICC or al ergic reaction to the skin care ef ect of dexamethasone injection. Methods: from 2012 October to 2013 September in our hospital in 10 cases of local skin al ergy patients using dexamethasone injection coated and strengthen. The papula, blister patients: general y do not use alcohol wipe can be used for the first time, saline local sebum clean, with 0.5% iodophor disinfectant to be dried, coated with dexamethasone injection, to avoid the at ention of bubble film, IV3000 film can be pruned, increase the bandage times, general 2-3 day. Results: the use of dexamethasone, patients with a local al ergic skin, obviously relieve among papules, erythema, cure. No cases of lead to extubation due to local skin al ergic reaction. Conclusion: Dexamethasone Injection in the treatment of catheter after the skin has a good curative ef ect, is worth the clinical promotion.%目的:探讨地塞米松注射液在PICC或深静脉置管局部皮肤过敏护理效果。方法选取2012年10月~2013年9月我院对10例置管局部皮肤过敏患者使用地塞米松注射液外涂并加强换药。对丘疹、水疱患者:一般不使用酒精首次擦拭,可选用生理盐水进行局部皮脂清洁,再用0.5%碘伏常规消毒待干,外涂地塞米松注射液,贴膜时注意避开水泡,可修剪IV3000贴膜,增加换药次数,一般1次/2~3d。结果使用地塞米松后,患者局部过敏皮肤风疹团、丘疹明显缓解,红斑消退,达到治愈。无1例因局部皮肤过敏反应导致拔管。结论地塞米松注射液治疗置管后皮肤过敏有较好的疗效,值得临床推广。

  15. Comparison of single-step reverse transepithelial all-surface laser ablation (ASLA to alcohol-assisted photorefractive keratectomy

    Directory of Open Access Journals (Sweden)

    Aslanides IM

    2012-06-01

    Full Text Available Ioannis M Aslanides,1 Sara Padroni,1 Samuel Arba Mosquera,2 Antonis Ioannides,1 Achyut Mukherjee11Emmetropia Mediterranean Eye Institute, Heraklion, Crete, Greece; 2Schwind eye-tech-solutions GmbH, Kleinostheim, GermanyPurpose: To evaluate postoperative pain, corneal epithelial healing, development of corneal haze, refractive outcomes, and corneal aberrations in a novel one-step, modified transepithelial photorefractive keratectomy (PRK, termed All-surface laser ablation (ASLA, compared to conventional, alcohol-assisted PRK.Materials and methods: Sixty eyes of 30 myopic patients were prospectively recruited to a randomized fellow eye study. Patients underwent conventional alcohol-assisted PRK in one eye (control group and ASLA-modified transepithelial PRK in the other (30 eyes in each treatment arm. Primary endpoints were postoperative pain and haze scores at 1 day, 3 days, 1 week, and 1, 3, 6, and 12 months. Secondary endpoints included visual acuity at 1, 3, 6, and 12 months, corneal aberrations at 3, 6, and 12 months, and early and late onset haze. Refractive predictability, safety, and efficacy of the two methods were considered.Results: The average age of the cohort was 29 years (standard deviation [SD]: 9; range: 18–46, and the average spherical equivalent refractive error was -4.18 diopters (SD: 1.9. At 3 days after surgery, the average pain score was 64% lower in the ASLA group (P < 0.0005. At this point, 96% of ASLA eyes had no epithelial defect, whereas 43% in the alcohol-assisted group did not achieve complete epithelial healing, and required replacement of bandage contact lens. The haze level was consistently lower in the ASLA group at all time points from 1 to 6 months.Conclusion: This study shows that the ASLA technique may have a future role in refractive surgery, due to the fact that it offers faster epithelial healing, lower pain scores, and significantly less haze formation.Keywords: cornea, ASLA, PRK, alcohol

  16. Diagnosis and treatment outcome of mycotic keratitis at a tertiary eye care center in eastern india

    Directory of Open Access Journals (Sweden)

    Rautaraya Bibhudutta

    2011-12-01

    Full Text Available Abstract Background Mycotic keratitis is an important cause of corneal blindness world over including India. Geographical location and climate are known to influence the profile of fungal diseases. While there are several reports on mycotic keratitis from southern India, comprehensive clinico-microbiological reports from eastern India are few. The reported prevalence of mycotic keratitis are 36.7%,36.3%,25.6%,7.3% in southern, western, north- eastern and northern India respectively. This study reports the epidemiological characteristics, microbiological diagnosis and treatment outcome of mycotic keratitis at a tertiary eye care center in eastern India. Methods A retrospective review of medical and microbiology records was done for all patients with laboratory proven fungal keratitis. Results Between July 2006 and December 2009, 997 patients were clinically diagnosed as microbial keratitis. While no organisms were found in 25.4% (253/997 corneal samples, 23.4% (233/997 were bacterial, 26.4% (264/997 were fungal (45 cases mixed with bacteria, 1.4% (14/997 were Acanthamoeba with or without bacteria and 23.4% (233/997 were microsporidial with or without bacteria. Two hundred fifteen of 264 (81.4%, 215/264 samples grew fungus in culture while 49 corneal scrapings were positive for fungal elements only in direct microscopy. Clinical diagnosis of fungal keratitis was made in 186 of 264 (70.5% cases. The microscopic detection of fungal elements was achieved by 10% potassium hydroxide with 0.1% calcoflour white stain in 94.8%(238/251 cases. Aspergillus species (27.9%, 60/215 and Fusarium species (23.2%, 50/215 were the major fungal isolates. Concomitant bacterial infection was seen in 45 (17.1%, 45/264 cases of mycotic keratitis. Clinical outcome of healed scar was achieved in 94 (35.6%, 94/264 cases. Fifty two patients (19.7%, 52/264 required therapeutic PK, 9 (3.4%, 9/264 went for evisceration, 18.9% (50/264 received glue application with bandage

  17. 美宝创疡贴治疗糖尿病足的疗效体会%Experience in the Therapeutic Effect of MEBO Dressing on Diabetic Foot

    Institute of Scientific and Technical Information of China (English)

    张树芸

    2015-01-01

    目的:总结、探讨创疡贴治疗早期糖尿病足溃疡创面的临床疗效。方法2009年1月至2013年5月收治的21例早期糖尿病足患者,除给予调控血糖、控制感染、营养支持等全身治疗外,创面采用创疡贴包扎治疗,每日换药1~2次,观察创面愈合时间和愈合效果。结果21例早期糖尿病足患者创面全部愈合,愈合时间为6~22 d,愈后均无明显瘢痕增生。结论创疡贴治疗早期糖尿病足溃疡创面,可缓解疼痛,预防感染,促进创面愈合,值得临床推广应用。%Objective Summarize and study the curative effect of MEBO dressing on the wounds of early stage di⁃abetic foot. Methods In addition to the systemic treatment of blood control, infection control and nutritional support, 21 patients with early stage diabetic foot admitted from January of 2009 to May of 2013 were topically given MEBO dressing. bandage treatment on the wounds with 1-2 dressing change per day. Wound healing time and effect were observed. Results All wounds of 21 patients with early stage diabetic foot healed with the healing time of 6 -22 d, no obvious hypertrophic scars were observed. Conclusion The application of MEBO dressing on early stage diabetic foot wound could alleviate pain, prevent infection and promote healing, being worthy of clinical promotion and application.

  18. The clinical efficacy observation of fluoroscopy-guided foam sclerotherapy with lauromacrogol for varicose veins of the lower extremities

    International Nuclear Information System (INIS)

    Objective: To assess the clinical efficacy of foam sclerotherapy with lauromacrogol for varicose veins of the lower extremities. Methods: During the period from February to July 2011, we retrospectively analyzed 20 patients with varicose veins of the lower extremities, who were treated with lauromacrogol foam sclerosing agent injected directly at varicose veins, and in 5 extremities injected at the great saphenous vein (GSV) through a catheter at the same time. Elastic bandages were applied at the site of the injected varicosities after the therapy. The clogging of the varicose veins, the improvement of the clinical symptoms and the adverse reaction were observed. Results: Lauromacrogol foam sclerosing agent was successfully injected under the guidance of fluoroscopy in 20 patients with 28 affected extremities. The average volume of foam sclerosing agent in each affected extremity was 7.8 ml. All patients presented self limiting minor complications, including swelling and pain, which was obviously alleviated by the externally applied Mucopolysaccharide Polysulfate Cream. Two patients presented cough that was relieved after inhaling oxygen. Most of treated varicosities demonstrated pigmentation after the first week, which gradually disappeared after the four-month use of vitamin E capsule. A second foam sclerotherapy was carried out for 3 affected extremities of 3 patients two months after the first therapy. Two cases of leg venous ulcer were healed within a few weeks. All patients could walk immediately with no deep vein thrombosis, pulmonary embolism, anaphylaxis, or transient visual disturbance. Obvious abnormal varicose veins as well as the soreness and fatigue of the lower extremities disappeared in all patients at the 10th-month follow-up. The grading of the disease was significantly improved by the treatment (Z=5.103, P<0.01). Conclusions: The efficacy of lauromacrogol foam sclerosing agent in the treatment of varicose veins of the lower extremities is

  19. Differential nanoreprotoxicity of silver nanoparticles in male somatic cells and spermatogonial stem cells

    Directory of Open Access Journals (Sweden)

    Zhang XF

    2015-02-01

    Full Text Available Xi-Feng Zhang,* Yun-Jung Choi,* Jae Woong Han, Eunsu Kim, Jung Hyun Park, Sangiliyandi Gurunathan, Jin-Hoi Kim Department of Animal Biotechnology, Konkuk University, Seoul, South Korea *These authors contributed equally to this work Background: Silver nanoparticles (AgNPs possess unique physical, chemical, and biological properties. AgNPs have been increasingly used as anticancer, antiangiogenic, and antibacterial agents for the treatment of bacterial infections in open wounds as well as in ointments, bandages, and wound dressings. The present study aimed to investigate the effects of two different sizes of AgNPs (10 nm and 20 nm in male somatic Leydig (TM3 and Sertoli (TM4 cells and spermatogonial stem cells (SSCs. Methods: Here, we demonstrate a green and simple method for the synthesis of AgNPs using Bacillus cereus culture supernatants. The synthesized AgNPs were characterized using ultraviolet and visible absorption spectroscopy, X-ray diffraction, Fourier transform infrared spectroscopy, and transmission electron microscopy (TEM. The toxicity of the synthesized AgNPs was evaluated by the effects on cell viability, metabolic activity, oxidative stress, apoptosis, and expression of genes encoding steroidogenic and tight junction proteins. Results: AgNPs inhibited the viability and proliferation of TM3 and TM4 cells in a dose- and size-dependent manner by damaging cell membranes and inducing the generation of reactive oxygen species, which in turn affected SSC growth on TM3 and TM4 as feeder cells. Small AgNPs (10 nm were more cytotoxic than medium-sized nanoparticles (20 nm. TEM revealed the presence of AgNPs in the cell cytoplasm and nucleus, and detected mitochondrial damage and enhanced formation of autosomes and autolysosomes in the AgNP-treated cells. Flow cytometry analysis using Annexin V/propidium iodide staining showed massive cell death by apoptosis or necrosis. Real-time polymerase chain reaction and western blot analyses

  20. Initial results of shoulder MRI in external rotation after primary shoulder dislocation and after immobilization in external rotation; Initiale Ergebnisse der Schulter-MRT in Aussenrotation bei primaerer Schulterluxation und nach Ruhigstellung in Aussenrotation

    Energy Technology Data Exchange (ETDEWEB)

    Pennekamp, W.; Nicolas, V. [Klinikum Bergmannsheil, Bochum Univ. (Germany). Inst. fuer diagnostische unter interventionelle Radiologie und Nuklearmedizin; Gekle, C.; Seybold, D. [Klinikum Bergmannsheil, Bochum Univ. (Germany). Chirurgische Klinik

    2006-04-15

    Purpose: A change in the strategy for treating primary anterior traumatic dislocation of the shoulder has occurred. To date, brief fixation of internal rotation via a Gilchrist bandage has been used. Depending on the patient's age, a redislocation is seen in up to 90% of cases. This is due to healing of the internally rotated labrum-ligament tear in an incorrect position. In the case of external rotation of the humerus, better repositioning of the labrum ligament complex is achieved. Using MRI of the shoulder in external rotation, the extent of the improved labrum-ligament adjustment can be documented, and the indication of immobilization of the shoulder in external rotation can be derived. The aim of this investigation is to describe the degree of position changing of the labrum-ligament tear in internal and external rotation. Materials and Methods: 10 patients (9 male, 1 female, mean age 30.4 years, range 15-43 years) with a primary anterior dislocation of the shoulder without hyper laxity of the contra lateral side and labrum-ligament lesion substantiated by MRI were investigated using a standard shoulder MRI protocol (PD-TSE axial fs, PD-TSE coronar fs, T2-TSE sagittal, T1-TSE coronar) by an axial PD-TSE sequence in internal and external rotation. The dislocation and separation of the anterior labrum-ligament complex were measured. The shoulders were immobilized in 10 external rotation for 3 weeks. After 6 weeks a shoulder MRI in internal rotation was performed. Results: In all patients there was a significantly better position of the labrum-ligament complex of the inferior rim in external rotation, because of the tension of the ventral capsule and the subscapular muscle. In the initial investigation, the separation of the labrum-ligament complex in internal rotation was 0.44{+-}0.27 mm and the dislocation was 0.45{+-}0.33 mm. In external rotation the separation was 0.01{+-}0.19 mm and the dislocation was -0.08{+-}0.28 mm. After 6 weeks of immobilization

  1. As intervenções do enfermeiro e as complicações em sala de recuperação pós-anestésica Las intervenciones del enfermero y las complicaciones en la sala de recuperación postanestésica Nurse interventions and the complications in the post-anesthesia recovery room

    Directory of Open Access Journals (Sweden)

    Débora Cristina Silva Popov

    2009-12-01

    oxigenoterapia; hipotensión: hidratación, exámenes complementares y observación; hipertensión: observación; tremor: manta térmica, transfusión sanguínea; náuseas/vómitos: rutina, medicación y sondaje vesical de alivio; hemorragia: rutina, medicación y curativos; hipoxemia: rutina y oxigenoterapia; hipotermia: rutina, manta térmica y medicación. El dolor, náuseas/vómitos, agitación y hemorragia obtuvieron relación estadísticamente significativa con el enfermero fijo en SRPA.The objective of this study was to identify the prevalent complications in the post-anesthesia recovery room (PARR, and correlate nurses' work hours with the complications. The sample consisted of 400 records of patients older than 18 years, who had major and medium surgical procedures, admitted at the PARR unit, with a stay of at least one hour. The prevalent complications were pain and hypothermia. The following complications showed a statistically significant relationship with the nursing intervention: pain: routine, oxygen therapy, medication and bandages; agitation/anxiety: routine and oxygen therapy; hypotension: hydration, complementary exams, and observation; hypertension: observation; tremor: mat heater, blood transfusion; nausea/vomiting: routine, medication and urinary catheterization; bleeding: routine, medication and bandages; hypoxemia: routine and oxygen therapy; hypothermia: routine, mat heater, and medication. Pain, nausea/vomiting, agitation and bleeding showed a statistically significant relationship with the PARR nurse.

  2. 脱细胞真皮基质预防Frey综合征的系统评价%Efficacy and Safety of Acellular Dermal Matrix in Preventing Frey Syndrome:A Systematic Review

    Institute of Scientific and Technical Information of China (English)

    曾宪涛; 郭毅; 夏凌云; 黄伟; 冷卫东; 刘东艳

    2011-01-01

    syndrome, and the difference in both subjective and objective was significant between the two groups after the therapy (RR=0.11, 95%CI 0.06 to 0.18, P<0.01; RR=0.14, 95%CI 0.10 to 0.19, P<0.01). The rate of temporary facial nerve paralysis was lower than that of the control group but the difference was not significant (OR=0.78, 95%CI 0.37 to 1.66,P=0.53). The incidens of both seroma and mucocele were higher than that of the control group but the difference was not significant(OR=2.63, 95%CI 0.09 to 79.25, P=0.58) and they could be alleviated by placing drainage tube and partialpressure bandage. The incidence rate of salivary fistula was lower than that of the control group and the difference was significant (OR=0.24, 95%CI 0.08 to 0.69, P=0.009). Condusion The result of this system review shows that, the ADM caneffectively and safely reduce the incidence of Frey syndrome. To perform preoperative hypersensitivity check for iodine or iodophors, to conduct rapid frozen section for defining the character of tumor, to fix the ADM stably, to place vacuumdrainage and to make partial pressure bandage are suggested.

  3. Observation of the Clinical Effect on Acute Ankle Sprain Treated with Shu-jin Huoxue Decoction%舒筋活血汤治疗急性踝关节扭伤临床效果观察

    Institute of Scientific and Technical Information of China (English)

    党芙蓉; 张晓娜

    2015-01-01

    目的:分析舒筋活血汤治疗急性踝关节扭伤的临床疗效。方法选取2011年1月至2013年1月98例急性踝关节扭伤患者,随机分为两组。对照组48例予以局部冷敷和绷带固定,试验组在对照组治疗的基础上,加用舒筋活血汤口服。比较治疗前和治疗2周后两组患者的中医主要症状、疼痛视觉模拟标尺法评分(VAS 评分)、Takakura 功能评分和踝关节扭伤症状(ASI)积分。比较治疗2周后两组患者的临床总有效率。结果治疗前和治疗2周后两组病例关节疼痛、活动障碍、关节肿胀、关节红热和关节压痛评分较本组治疗前显著降低( P ﹤0.05);治疗2周后试验组的关节疼痛、活动障碍、关节肿胀、关节红热和关节压痛评分较对照组治疗后显著降低(P ﹤0.05)。治疗2周后两组病例的 VAS 疼痛评分和 ASI 评分较治疗前显著降低(P ﹤0.05),Takakura 功能评分较治疗前显著升高(P ﹤0.05);治疗2周后试验组的 VAS 疼痛评分和 ASI 评分较对照组治疗后显著降低( P ﹤0.05),Takakura 功能评分显著升高(P ﹤0.05)。试验组治疗2周后的总有效率显著高于对照组(P ﹤0.05)。结论在传统冷敷和绷带固定基础上,加用舒筋活血汤,可有效缓解急性踝关节扭伤患者的临床症状,改善其生活质量。%Objective To analyze the clinical efficacy of shujin huoxue decoction on acute ankle sprain. Methods Ninety - eight patients of acute ankle sprain were collected from January 2011 to January 2013 and were randomized into two groups. In the control group,48 cases were treated with local cold com-press and bandage fixation. In the trial group,on the basis of the treatment as the control group,shujin huoxue decoction was added for oral administration. TCM main symptoms,VAS score,Takakura function score and ankle sprain index(ASI)were compared before and 2 weeks after treatment in two

  4. Clinical Observation of Spontaneous Breathing under General Anesthesia in Retinal Surgery%眼底手术中全身麻醉保留自主呼吸的临床观察

    Institute of Scientific and Technical Information of China (English)

    纪存良; 李天佐; 孙永兴; 郭玉良

    2014-01-01

    Objective: To observe clinical effects of spontaneous breathing reserved in retinal surgery under general anesthesia. Methods: Retinal surgery 260 cases, 172 cases of male, female 88 cases, aged 18 to 79 years, mean (48±14) years of age. Divided into control breathing intubation group (group A) and spontaneous respiration LMA group (group B). 130 cases of each. A group of patients given propofol, fentanyl and vecuronium drugs, controlled breathing intubation under general anesthesia. Group B received vecuronium, propofol, dexmedetomidine hydrochloride, tramadol ,succinylcholine chloride and lfexible LMA intubated during general anesthesia with spontaneous breathing, which be changed to manual ventilation if necessary(PETCO2>50mmHg). Two groups of patients were given retrobulbar nerve block and inhalation of 2.5%~3.5% sevolfurane, which deactivated in postoperative bandaging head or ten minutes before the bandaging. Patients' blood pressure, oxygen saturation, heart rate,respiration and so on were recorded at the relevant time points during anesthesia, the hemodynamic and respiratory parameters observed, as well as the quality of postoperative recovery, incidence of adverse reactions, etc.Results:Blood pressure and heart rate of group A elevated during endotracheal intubation and extubation while heart rate in group B slowed down while or 15min after intubation, the difference was significant (P0.05), PETCO2 slightly higher in group B than that of group A(P<0.05);Group B was superior to group A as far as extubation time and recovery time after surgery was concerned(P<0.05); Perioperative complications in group B was signiifcantly lower than that in group A (P<0.05).Conclusions:Adult retinal surgery under general anesthesia with spontaneous breathing can effectively reduce the incidence of perioperative complications in patients with rapid recovery, recovery time is short, it is safe and reliable.%目的:观察眼底手术中全身麻醉保留自主呼吸的临

  5. 生蜂蜜在感染创面上植皮术中的应用报告%Application of raw honey to dermatoplasty on infected wound surface

    Institute of Scientific and Technical Information of China (English)

    王震; 王尔义

    2015-01-01

    目的::探讨生蜂蜜在感染创面上植皮术中的应用效果和临床意义。方法:取市售无污染的生蜂蜜(未经高温的),将无菌纱布块用生蜂蜜浸泡待用。首先将伤口创面清创消毒后,将少许生蜂蜜直接涂在创面上,然后将已取下的大腿皮片,常规点状植皮,最后用已经作好的蜂蜜纱布块敷盖绷带加压包扎。每天在有分泌物的创面上滴入庆大霉素液2次,5~6天更换敷料,可根据伤情配合全身应用抗菌素治疗。结果:16例全部1次成活,2例少部分经2次植皮全部成活。一般5天植皮已近愈合。结论:在临床上应用生蜂蜜在感染创面植皮取得了很好的疗效。而且此方法简便,有利于在基层推广。%Objectives:To probe into the outcomes and clinical significance of applying raw honey to the dermatoplasty on infected wound surface. Methods:Prepared pollution-free raw honey ( without being processed with high temperature) bought from the market and soaked the sterile gauze piece into the raw honey for standby application. At first, after debridement and disinfection of the wound surface, a little raw honey was directly applied onto the wound surface and then conventional punctiform skin graft, with the skin flap excised from the thigh, was conducted. Finally, the wound was covered with the ready honey gauze piece and banded with pressure bandaging. Every day two drops of gentamicin solution were dripped onto the wound surface with secreta and the dressing was changed every 5 to 6 days. Systemic antibiotic treatment could be adopted based on specific circumstances of the wound. Results:16 cases of grafted skin survived at the first attempt and 2 cases survived after a second attempt. Generally the wound would nearly heal 5 days following the dermatoplasty. Conclusion:The application of raw honey to the dermatoplasty on infected wound surface could have achieved desirable curative effect. Besides, the method might be easy

  6. Elbow interposition arthroplasty in children and adolescents: long-term follow-up.

    Science.gov (United States)

    Fernandez-Palazzi, Federico; Rodriguez, Janeth; Oliver, Guillermo

    2008-04-01

    A long-term follow-up was made of 12 elbows operated upon between 1971 and 1986, with more than 20 years' follow-up, in nine males and three females, age at the time of surgery between 10 and 19 years . Eight right and four left elbows were involved, and there were three aetiological causes. Seven cases were sequelae of elbow fractures, of which five were supracondylar and two were of the olecranon. There were four cases of juvenile rheumatoid arthritis and one was post-osteomyelitis. The surgical technique involved a modification made by Vainio of MacAusland's technique (wider resection of the osseous ends and total covering of the bloody surfaces) [5, 9]. After extirpating the tissue blocking the joint, we proceeded to remodel the distal humerus in a wide V shape, the proximal end of the ulnar and, if necessary, the radial head. The proximal end of the ulna was sectioned transversely. All surgery was carried out sub-periosteally. Then, an interposition material was placed in one piece and sutured over the distal humerus and cut ends of the ulna and radius. The articular ends were brought together, and the capsule was closed using equidistant stitching, as is the skin. A small compression bandage was applied, and the arm was immobilised with a collar and cuff sling, with the forearm flexed to slightly less than a right angle. In ten cases, the interposition material was fascia lata grafts; in one case, skin graft and in one case, Gelfoam graft. Early rehabilitation began when post-operative pain allowed. Follow-up ranged from 25 to 32 years. Pre-surgical movement ranged between 90 degrees and 120 degrees of flexion and 30 degrees and 90 degrees of extension. Post-operative range varied between 90 degrees and 150 degrees of flexion. The five cases of full pre-operative ankylosis achieved between 90 degrees and 150 degrees of flexion and between 0 degrees and 70 degrees of extension. The total range of motion at the latest follow-up varied from 35 degrees to 150

  7. Different observations of skin and soft tissue defect repair with seawater immersion after infection%海水浸泡感染后皮肤软组织缺损修复的差异性观察

    Institute of Scientific and Technical Information of China (English)

    洪建明; 刘敏; 胡学峰

    2013-01-01

    [目的]观察海水浸泡感染后人工材料置入皮肤软组织缺损的修复研究.[方法]取狗左右桡骨中段截骨制成开放性皮肤软组织及骨缺损动物模型,随机分成二组,实验组海水浸泡伤口2h,对照组开放伤口自然暴露2h,感染后3d分别给予伤口清创并置人人工骨,每组各12只,创面共24例,并以玻璃纤维石膏绷带固定,术后12周观察各组动物皮肤、软组织愈合及材料移动情况,并行统计学分析.[结果]a:术后12周实验组皮肤及软组织愈合差于对照组,P<0.05,有统计学意义;b:术后12周实验组与对照组材料移动情况无明显差别,P>0.05,无统计学意义.[结论]海水浸泡感染后动物皮肤及软组织愈合差于自然暴露感染动物,海水浸泡与自然暴露材料稳定性一样差.%[Objective] To research artificial materials for skin soft tissue defect repair with seawater immersion after infection.[Methods] We took osteotomies of the middle bilateral radius of a dog,which was an animal model used to study open skin soft tissue and bone defects.The animals were randomly divided into the following 2 groups:1) The experimental group (wounds were treated with seawater immersion for 2 hours) ; 2) The control group (open wounds were treated with natural exposure for 2 hours).Three days after infection,the wounds were debrided and inserted into an artificial bone.Each group included 12 animals (24 wound cases).The wounds were fixed with a glass fiber plaster bandage,and we observed the skin,soft tissue healing,and material movement of each animal 12 weeks after surgery.A chi-square test was used to compare groups.[Results] Twelve weeks after surgery,the healing of skin and soft tissue was significantly poorer in the experimental group than in the control group (U =39.50,P < 0.05).In regard to the material movement,there were no significant difference between the experimental and control groups.[Conclusion] Skin and soft tissue healing

  8. Lipólisis láser y liposucción en ginecomastia: retracción cutánea eficaz y segura Laser-assisted lipolysis for gynecomastia: safe and effective skin retraction

    Directory of Open Access Journals (Sweden)

    Mario Trelles

    2013-02-01

    Full Text Available OBJETIVO: Valorar la eficacia de la lipólisis-láser para corregir el volumen, flacidez y excedente cutáneo sin escisión. MÉTODOS: Prospectivamente, en 32 pacientes con ginecomastia, bajo anestesia tumescente y sedación se realizó lipólisis con láser de diodo 980nm, 15W en emisión continua, 8kJ a 12kJ de energía por mama. Externamente se utilizó aire frío para protección de la piel. Después se utilizó lipoaspiración convencional. No se emplearon drenajes pero si vendaje compresivo. Los pacientes evaluaron los resultados en una escala visual analógica. Dos médicos evaluaron los resultados por fotografías de antes y seis meses después, y midieron las areolas y contorno torácico. RESULTADOS: Veintitrés pacientes consideraron los resultados como Muy Bueno, siete Bueno y dos Regular. La retracción cutánea en la areola fue notable un mes después de la intervención y fue máxima a los seis meses. La valoración de los médicos fue 26 Muy Bueno, cinco Bueno y un Regular. No existieron quemaduras, isquemia, ni lesiones en areolas o pezón. CONCLUSIÓN: La liposucción asistida por láser es eficaz y de ejecución sencilla, poco traumática y permite una temprana reintegración a las actividades.OBJECTIVES: To evaluate efficacy of laser lipolysis in the treatment of gynecomastia to correct breast volume, flaccidity and excess skin without its excision. METHODS: Prospectively, 32 patients with gynecomastia under tumescent anaesthesia and sedation underwent laser lipolysis with 980nm diode laser, 15W continuous emission and 8 to 12 kJ energy per breast. Externally cold air was used to protect the skin. No drainages were used but a compressive bandage. Patients evaluated results on a VAS scale. Two doctors evaluated results comparing before and 6 month after photographs and also measured the areola and chest diameter. RESULTS: Twenty three patients considered results as Very Good, 7 Good and 2 Fair Cutaneous retraction of the areola

  9. Catching the Light - The Entwined History of Light and Mind

    Science.gov (United States)

    Zajonc, Arthur

    1995-04-01

    In 1910, the surgeons Moreau and LePrince wrote about their successful operation on an eight-year-old boy who had been blind since birth because of cataracts. When the boy's eyes were healed they removed the bandages and, waving a hand in front of the child's physically perfect eyes, asked him what he saw. "I don't know," was his only reply. What he saw was only a varying brightness in front of him. However, when allowed to touch the hand as it began to move, he cried out in a voice of triumph, "It's moving!" He could feel it move, but he still needed laboriously to learn to see it move. Light and eyes were not enough to grant him sight. How, then, do we see? What's the difference between seeing and perception? What is light? From ancient times to the present, from philosophers to quantum physicists, nothing has so perplexed, so fascinated, so captivated the mind as the elusive definition of light. In Catching the Light , Arthur Zajonc takes us on an epic journey into history, tracing how humans have endeavored to understand the phenomenon of light. Blending mythology, religion, science, literature, and painting, Zajonc reveals in poetic detail the human struggle to identify the vital connection between the outer light of nature and the inner light of the human spirit. He explains the curiousness of the Greeks' blue and green "color blindness": Odysseus gazing longingly at the "wine-dark sea"; the use of chloros (green) as the color of honey in Homer's Odessey ; and Euripides' use of the color green to describe the hue of tears and blood. He demonstrates the complexity of perception through the work of Paul Cézanne--the artist standing on the bank of a river, painting the same scene over and over again, the motifs multiplying before his eyes. And Zajonc goes on to show how our quest for an understanding of light, as well as the conclusions we draw, reveals as much about the nature of our own psyche as it does about the nature of light itself. For the ancient

  10. A Prospective, Descriptive Study to Assess the Clinical Benefits of Using Calendula officinalis Hydroglycolic Extract for the Topical Treatment of Diabetic Foot Ulcers.

    Science.gov (United States)

    Buzzi, Marcelo; de Freitas, Franciele; Winter, Marcos

    2016-03-01

    Diabetic foot ulcers (DFUs) have a significant impact on patient quality of life. A prospective, descriptive pilot study was conducted between May 2012 and December 2013 through the dermatology outpatient unit in a Brazilian hospital to evaluate the clinical benefits of using Calendula officinalis hydroglycolic extract in the treatment of DFUs. Patients diagnosed with a stable neuropathic ulcer of >3 months' duration; ranging in size from 0.5-40 cm(2); without osteomyelitis, gangrene, bone exposure, cancer, or deep tissue infection; ages 18-90 years; with adequate glycemic control and no history of an allergy to C. officinalis were enrolled. Patients provided demographic and diabetes-related information and were evaluated biweekly for 30 weeks or until healing (ie, full epithelialization with no wound drainage). DFUs were measured and clinically examined for microbiological flora and presence of odor, tissue type (eg, granulation, fibrin sloth, necrosis), exudate, and retraction rate using planimetry images. Patients' blood tests and neuropathic pain assessment (the latter by clinician-directed questionnaire) were performed at baseline and the end of treatment; pain also was assessed during dressing changes using a 10-point rating scale. Patients' ulcers were treated twice daily with C. officinalis hydroglycolic extract spray solution and covered with saline-moistened, sterile, nonadherent gauze and bandages followed by foot offloading with adequate protective footwear. Patients received their first treatment in the clinic then performed care at home. From a potential population of 109 patients, 25 did not meet the inclusion criteria. Of the remaining 84 participants enrolled, 43 withdrew before study completion; cited reasons included lost to follow-up (16), medical judgment (2), failure to attend >3 scheduled visits (17), protocol violation (5), and death (3). Forty-one (41) - 17 women, average age 62 years (range 44-82 years), average glycemic level 153 mg

  11. Clinical Analysis of Pressure Sore Dressing Way of Different Interventions%不同换药方式干预压疮的临床疗效分析

    Institute of Scientific and Technical Information of China (English)

    宋安秀

    2015-01-01

    目的 探讨压疮患者的护理与治疗在临床应用的新方法. 方法 将2012年5月~2013年6月入院的20例压疮患者设为对照组,采用雷夫诺尔纱条外敷于疮面,无菌纱布包扎固定,进行压疮常规护理;将2013年7月~2014年10月入院的24例压疮患者设为观察组,在压疮常规护理与治疗的基础上采用疮面面罩氧疗,联合润烧伤膏、人体表皮重组细胞生长因子进行治疗. 结果 干预组总有效率为95.8%,对照组总有效率为80.0%,干预组显著好于对照组(P<0.05). 对照组平均愈合时间:Ⅰ期30天,Ⅱ期70天,Ⅲ期135天,IV期172 天愈合. 干预组平均愈合:Ⅰ期7天,Ⅱ期15天,Ⅲ期38天,Ⅳ期52天愈合. 干预组愈合时间显著短于对照组,差异有非常显著性意义( P<0.01 ). 结论 压疮创面的积极护理及联合用药能提高患者压疮的治愈率并缩短愈合时间.%Objective To evaluate the clinical application of a new method of pressure ulcers in patient care and treatment.Methods May 2012~June 2013 admitted 20 cases of pressure ulcers in patients as control group , using Ralph Noel gauze topical wound surface , sterile gauze bandage fixed , pressure-sore routine care;the 2013 7 months to October 2014 admitted 24 cases of patients with pressure sores observation group , the use of oxygen masks wound in rou-tine care and treatment of pressure sores on the basis of joint lip burn ointment , recombinant human epidermal growth factor treatment.Results The total effective rate in Intervention group was 95.8%, the total effective rate in the control group was 80.0%,the intervention group was significantly better than the control group (P<0.05).In the control group, the average healing time:Ⅰperiod of 30 days,Ⅱof 70 days,Ⅲof 135 days, IV of 172 days to heal.In the interven-tion group, the average healing:Ⅰof seven days,Ⅱperiod of 15 days, periodⅢ38 days, the periodⅣ52 days heal-ing.The intervention group healing time was

  12. Operieren und Lehren [Operating and Teaching

    Directory of Open Access Journals (Sweden)

    Brauer, Robert B.

    2006-05-01

    Full Text Available [english] According to the legal regulations of medical education (10/01/2003 in Germany students have to pass at least one week of surgical training in a block practical. We show the 12-months-experience with this new educational model in our surgery department. All practical lessons have been organized in a three-weeks-block practical for 75 students. Alternating with other specialties the block practical takes part four times a year for a total of 300 students. In the first week, the so-called skills-training week, medical students are trained in techniques of skin-suturing and hand-sewn enteral anastomoses, osteosynthesis, wound dressings and plaster bandage in newly designed seminars. These practical techniques are applied in the second and third week, the so-called tutor-coaching weeks. Students randomly rotate through all available wards, clinics and operating rooms on a day-by-day basis. After completion of the block practical students have the opportunity to evaluate every single teaching session through online marks. Apart from the organization 95% of the students rated the first week with practical seminars with highest marks. The daily rotation through the different clinics has been well accepted by the students. It has to be emphasized that the students felt much more welcome and taken seriously in the new educational model of the block practical than in former surgery courses. [german] Kurzdarstellung: Die Umsetzung der neuen Approbationsordnung (1.10.2003 für Ärzte erforderte eine erhebliche Umstellung der Studierendenausbildung. An einer chirurgischen Universitätsklinik wurde der gesamte praktische Unterricht in ein dreiwöchiges Blockpraktikum, bestehend aus Skilltraining und Tutorcoaching integriert. Vorgestellt werden die Erfahrungen mit den veränderten Lehrformen in den letzten 12 Monaten. Zusammenfassung: In der neuen Approbationsordnung (1.10.2003 wurde für das Fach Chirurgie die Durchführung eines mindestens einw

  13. 乳腺癌术后血清肿形成的相关危险因素分析%Risk factors analysis of seroma formation after breast cancer surgery

    Institute of Scientific and Technical Information of China (English)

    张宇飞; 宗逊; 张茂红; 王峰; 宗光全; 刘仁民; 徐琳

    2012-01-01

    Objective: To analyse the risk factors of seroma formation after breast cancer surgery. Methods: A retrospective study of 276 female breast cancer patients who underwent surgical therapy. The demographic data and clinical information were extracted from case records. Seroma formation was studied in relation to age, tumor size, lymph node involvement, type of surgery, preoperative chemotherapy, surgical instrument, use of pressure bandages, and duration of drainage. The multiple logistic regression analysis was performed to estimate odds ratios. Results: There are 22 cases underwent radical mastectomy and 198 cases modified radical mastectomy, the remaining 56 cases received breast preservation surgery. Seroma occurred in 98 (35.5%) of patients, an association of postoperative seroma formation was noted with radical mastectomy and modified radical mastectomy (OR is 2.83 and 3.97 respectivly, P<0.05). No other factor studied was found to significantly effect the seroma formation after breast cancer surgery. Conclusion; The findings suggest that the type of surgery is a predicting factor for seroma formation in breast cancer patients.%目的:探讨乳腺癌术后血清肿形成的相关危险因素.方法:对276例女性乳腺癌手术患者进行回顾性分析.对可能与血清肿形成有关的年龄、肿瘤大小、腋窝淋巴结转移、手术方式、手术器械、术前辅助化疗、弹力绷带的应用、腋窝引流时间等8项危险因素进行卡方检验及多因素Logistic回归分析.结果:276例患者行保乳术56例,根治术22例,改良根治术198例.术后并发血清肿98例(35.5%);根治术和改良根治术同血清肿的高发生率具有显著相关性,OR值分别为2.83和3.97,P<0.05.其他研究因素与乳腺癌术后血清肿的高发率无明显相关性.结论:手术方式是乳腺癌术后血清肿形成的危险因素,同保乳术比较,根治术和改良根治术增加了乳癌术后血清肿形成的危险性.

  14. Enzymatic wound debridement; role of papaya in the management of post cesarean gaped wounds

    International Nuclear Information System (INIS)

    Background: Enzymatic wound debridement is an emerging concept in facilitating the wound healing process. Papaya has de-sloughing, antibacterial and wound healing properties. It has been used in African countries since centuries for different medicinal pur-poses. Apart from anecdotal reports and few studies on chronic ulcers and burns, no planned studies are available to support its action in postoperative wound infection.Objectives: To compare efficacy and safety of papaya dressing with conventional wound dressing with povidone iodine in post cesarean section gaped wounds. Setting: Gynecology Unit 3, Sir Ganga Ram Hospital Lahore - Pakistan, over a period of six months(June 2012 to Nov 2012). Study Design: Randomized, quasi experimental stu-dy. Materials and Methods: The study sample included 60 patients with post cesarean section gaped wounds. The sample was divided into two groups; thirty patients as Group A or the study group received Papaya dressing and rest of thirty patients as Group B or the control group received Povidone iodine dressing. Wounds were thoroughly washed with saline and then mashed unripe papaya was spread over the whole area of wound in the study group and povidone iodine in the control group. Wounds were covered with sterile bandage for at least 48 hours in study group and 24 hours in the control group. The process was repeated till a clean base of wound with healthy granulation tis-sue was achieved suitable for secondary suture. The efficacy parameters studied were the duration of time needed to develop healthy granulation tissue and total duration of hospital stay which were compared bet-ween the two groups. Safety factors studied were the adverse effects of medications used in the study. Results: Out of 1200 cesarean sections done during study period, sixty (5%) were gaped in the post-operative period. Out of 60, 55 (90%) were emergency and only 5 (10%) were elective cesarean sections. All the sixty patients with postoperative gaped

  15. Curative effect analysis of artificial skin membrane combined with eschar grinding in the treatment of deep Ⅱ degree burn%人工皮膜联合磨痂术治疗深Ⅱ度烧伤的疗效探析

    Institute of Scientific and Technical Information of China (English)

    赵锋; 钞东明; 谌煜; 王建军

    2015-01-01

    目的:探讨人工皮膜联合磨痂术治疗深Ⅱ度烧伤的临床价值,为临床实施有效的干预措施提供可靠的理论依据。方法:将我院在2010年9月至2014年9月期间收诊的深Ⅱ度烧伤患者82名平均分成实验组和对照组。实验组(41例)采用人工皮膜联合磨痂术治疗,对照组(41例)采用传统包扎疗法。观察2组患者创面愈合时间、愈合创面色素沉着深浅以及瘢痕严重程度,同时比较2组患者 IL-6和 IL-8的动态变化。结果:实验组创面愈合时间明显短于对照组;愈合创面色素沉着以及瘢痕增生情况也均优于对照组;而 IL-6、IL-8均低于对照组。结论:人工皮膜联合磨痂术治疗深Ⅱ度烧伤的疗效显著,能缩短创面愈合时间,提升愈合质量,而且有助于降低创面感染风险,值得临床推广应用。%Objective To investigate the artificial skin membrane combined eschar grinding in the treatment of deep Ⅱde-gree burn, in order to provide reliable theory basis for carrying out effective intervention measures. Methods 82 deep Ⅱdegree burn patients who hospitalized in our hospital from September 2010 to September 2014 were divided into experimental group and control group. The experimental group (41 cases) was treated with the treatment of artificial joint grinding scab skin mem-brane, the control group (41 cases) was cured with traditional bandaging therapy. Observe two groups patients with wound heal-ing time, wound pigmentation depth and hypertrophic scar, at the same time to compare patients IL-6 and the dynamic changes of the IL-8. Results The wound healing time of experimental group was significantly shorter than the control group; wound pigmentation depth and hypertrophic scar also were markedly better than control group; IL-6 and IL-8 of experimental group patients were lower than control group. Conclusion Artificial skin membrane combined eschar grinding Ⅱ deep has remark

  16. Ankle ligament injuries

    Directory of Open Access Journals (Sweden)

    Per A.F.H. Renström

    1998-06-01

    Full Text Available Acute ankle ligament sprains are common injuries. The majority of these occur during athletic participation in the 15 to 35 year age range. Despite the frequency of the injury, diagnostic and treatment protocols have varied greatly. Lateral ligament complex injuries are by far the most common of the ankle sprains. Lateral ligament injuries typically occur during plantar flexion and inversion, which is the position of maximum stress on the anterotalofibular liagment (ATFL. For this reason, the ATFL is the most commonly torn ligament during an inversion injury. In more severe inversion injuries the calcaneofibular (CFL, posterotalofibular (PTFL and subtalar ligament can also be injured. Most acute lateral ankle ligament injuries recover quickly with nonoperative management. The treatment program, called "functional treatment," includes application of the RICE principle (rest, ice, compression, and elevation immediately after the injury, a short period of immobilization and protection with an elastic or inelastic tape or bandage, and early motion exercises followed by early weight bearing and neuromuscular ankle training. Proprioceptive training with a tilt board is commenced as soon as possible, usually after 3 to 4 weeks. The purpose is to improve the balance and neuromuscular control of the ankle. Sequelae after ankle ligament injuries are very common. As much as 10% to 30% of patients with a lateral ligament injury may have chronic symptoms. Symptoms usually include persistent synovitis or tendinitis, ankle stiffness, swelling, and pain, muscle weakness, and frequent giving-way. A well designed physical therapy program with peroneal strengthening and proprioceptive training, along with bracing and/or taping can alleviate instability problems in most patients. For cases of chronic instability that are refractory to bracing and external support, surgical treatment can be explored. If the chronic instability is associated with subtalar instability

  17. 20. German materials flow congress; 20. Deutscher Materialfluss-Kongress

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2011-07-01

    . Dombracht); (15) Directly integrated: Storage automation and production connection with SAP EWM/MFS - saturn petfood rises logistical processes on a new quality level (R. Luedecke); (16) An efficient integration of KEP and hazardous material in terms of the delivery process in SAP - How the utilization of a packing dialogue with KEP linking and hazardous material linking directly may function in SAP without using external systems (F. Abel); (17) An optimized and integrated logistics solution with SAP LES at Stabilo International (R. Hackenberg); (18) Monitoring and managing of emissions for the optimization of supply chains and logistics (J. Demmer); Strategies and status of implementation of Green Warehousing (H. Augustin); (19) Calculation of emissions and possibilities of the control in a global logistic network for textiles (O. Kruse); (20) New European regulations in the storage technology - What does that mean for the operator and planner? (W. Manz); (21) Cellular intralogistics - nothing but multi-shuttles in future? (M. ten Hompel); (22) Optimization of industrial truck wheels with plastics bandage by means of experimental and numerical analysis - Enhancement of the lifetime of wheels and rolls consisting of polyurethane (M. Manthey); (23) New out of old, retrofitting of a logistics centre without operational disruption (G. Falke); (24) Epochal development of FTS (G. Ullrich).

  18. Efeitos da terapia física descongestiva na cicatrização de úlceras venosas Efectos de la terapia física descongestiva en la cicatrización de úlceras venosas Effects of the decongestive physiotherapy in the healing of venous ulcers

    Directory of Open Access Journals (Sweden)

    Roberta Azoubel

    2010-12-01

    los individuos.The objective of this study was to verify the effects of the decongestive physiotherapy (DP in the healing of venous ulcers. It is an interventionist, and almost experimental, study with the participation of 20 clients who were divided into 2 groups: the control group (n=10 and the intervention group (n=10. Clients from the first group were only treated with conventional dressing and those in the second group were treated with conventional dressing and decongestive physiotherapy (association of techniques: manual lymph drainage, compressive bandaging, elevation of the lower limbs, myolymphokinetic exercises and skin care. Both groups were treated during six months. The clients submitted to DP presented significant reduction of the edema and the pain, besides an improvement in the healing process. Results allowed to verify that the decongestive therapy stimulated the healing process of venous ulcers, improving the quality of life of the subjects.

  19. A review of the safety of cold pasteurization through irradiation

    International Nuclear Information System (INIS)

    of which have found that more radiolytic products are created when toasting bread or barbecuing steak than when applying low-dose irradiation.Several US government agencies have studied irradiation from an overall public safety standpoint - transport of materials and protection of plant workers. These tests and other independent research have concluded that workers and communities with food irradiation plants face no inherent risks of radioactive contamination either from the transport of materials or process of irradiation.An extensive review of science related to microbiological safety indicates that irradiation is an effective solution to the problem of microbial contamination. Under good manufacturing practices assuring proper handling of the product, irradiation eliminates harmful bacteria that can cause lethal food poisoning and food spoilage. Irradiation is endorsed as a food safety process by independent health organizations and regulatory agencies around the world.In spite of these conclusions, food irradiation is only being conducted on a commercial scale in a limited number of countries. However, there are more than 40 irradiation plants in operation today in the USA, all of which are dedicated to sterilization of certain industrial products and medical supplies like implants, intravenous fluids, instruments, gloves, bandages, gowns, sutures and drugs. There is only one commercial food irradiation plant operating in the USA.The slow growth of food irradiation processing in this country is attributable to several factors related to consumer perceptions. Studies and newspaper articles make note of the fact that many of the arguments used against food irradiation are very similar to those used against pasteurization when it was introduced as a milk processing method 100 years ago. Anti-irradiation groups today have been effective at generating negative publicity against producers and retailers who have considered producing or selling irradiated foods. To some

  20. Application of Follicular Unit transplantation in repairing hair loss%单位毛囊移植在毛发缺损修复中的应用

    Institute of Scientific and Technical Information of China (English)

    董晓宏; 吕毅; 马晓东

    2012-01-01

    Objective Our objective is to explore the methods and effects of application of Follicular Unit transplantation in repairing hair loss. Methods During the operation, we cut the dominant donor site of occipital scalp and converted into follicular unit grafts containing 1 to 4 hairs with tumescence anesthetic. And then, all the follicular units grafts prepared for transplantation were stored into 4 ℃ chilled saline solution. After tumescence anesthetic or field nerve block, we began to transplant using 18 to 21 gauge needles and micro-forceps by stick-and-place technique in different angles and orientations. Last, we protect the recipient site with pressure bandage. Results From 2005 to 2010, 11 cases with different kinds of hair loss were repaired by follicular unit transplantation. The hair survival is good in 11 cases which were followed up 6 months to 1 year after operation. The appearance of recipient site is nearly the same to natural and donor site scar is not notable. Conclusion The hair appearance after operation is close to the natural. Follicular unit transplantation is a superior method contrast to traditional methods in hair loss repairing.%目的:探讨使用单位毛囊移植修复毛发缺损的方法及效果.方法:取枕部的优势供区毛发按需要将其分割为含有1~4根毛发的毛囊单位,存于4℃的冰盐水中待用;受区使用局部肿胀麻醉加神经阻滞麻醉,然后用18~21号gauge注射器针头按不同受区毛发分布的角度及方向进行刺孔,在显微镊子配合下以插秧的方法将备好的毛囊单位植入受区,弹力绷带加压包扎固定.结果:2005 ~2010年,笔者使用单位毛囊移植修复各种毛发缺损患者11例,术后随访6个月~1年,毛发成活良好,修复后的毛发外观自然,供区瘢痕不明显.结论:单位毛囊移植在毛发缺损修复后毛发的外观接近自然毛发分布特征,供区瘢痕不明显,是修复毛发缺损的一种好方法.

  1. Problemas com a mama puerperal revelados por mães soropositivas Problemas puerperales en las mamas de madres seropositivas Problems with the puerperal breast revealed by HIV-infected mothers

    Directory of Open Access Journals (Sweden)

    Márcia Maria Tavares Machado

    2010-03-01

    ampliar estrategias para minimizar los problemas emocionales derivados del no amamantar, así como para la incomodidad de la mama puerperal.Given the recommendation not to breastfeed their infants, HIV-positive women may experience breast problems. The aim of the study was to gain knowledge regarding breast health as revealed by HIV+ women before the non-breast-feeding. This qualitative study was performed with 15 mothers with HIV/ AIDS in Fortaleza, Brazil. Recorded interviews were transcribed and analyzed. The mothers revealed problems with their breasts following childbirth, such as engorgement and pain in the breasts. They revealed that they received instruction in the course of prenatal care not to breastfeed; however, there was no further instruction or care in the postpartum period. The use of lactation inhibitors and bandaging (binding of the breast were reduced. Health professionals should adopt appropriate measures to guide HIV- positive parturient women. Health services need to broaden strategies to minimize the current emotional problems resulting from non-breast-feeding, as well as the discomfort in the puerperal breast.

  2. Persistent hypotony after primary trabeculectomy with mitomycin C Hipotonia persistente depois de trabeculectomia primária com mitomicina C

    Directory of Open Access Journals (Sweden)

    Viviane R.F. Guedes

    2000-06-01

    Full Text Available Purpose: To describe the clinical findings and treatment modalities of persistent hypotony following primary trabeculectomy with mitomycin C. Methods: We retrospectively analyzed 9 eyes with persistent hypotony, which was defined as intraocular pressure less than or equal to 5 mmHg for more than 2 months. Results: Mean hypotony duration was 7.4 months (standard deviation (SD ± 6.7 months, range 2 to 23 months. Associated findings included choroidal detachment (2 eyes and maculopathy (5 eyes. All patients who developed maculopathy were relatively young (mean age = 37 years old, SD ± 16, range 18 to 79 years. Treatments included bandaged contact lens, autologous blood injection, phacoemulsification, resuturing of the scleral flap, scleral patch graft, and Simmons' shell. After treatment, intraocular pressure (IOP raised in all patients (mean final IOP = 11.1 mmHg, SD ± 3.5. On the first day of hypotony, the mean IOP was 3 mmHg (SD ±1.7. At the last follow up, visual acuity (VA was unchanged in 3 eyes, worsened in 2 eyes (by 2 Snellen lines, and improved (by 1 to 4 Snellen lines in 4 eyes. Of those eyes whose VA improved, 3 had undergone phacoemulsification. Conclusion: Hypotony after trabeculectomy with mitomycin C can be reversed with possible improvement in vision.Objetivo: Descrever os achados clínicos e as modalidades de tratamento da hipotonia persistente após trabeculectomia primária com mitomicina C. Método: Foram retrospectivamente analisados 9 olhos com hipotonia persistente, a qual foi definida como pressão intra-ocular igual ou menor que 5 mmHg por mais que 2 meses. Resultado: Tempo médio de duração da hipotonia foi de 7.4 meses, desvio padrão ± 6.7 meses. Complicações associadas à hipotonia incluíram descolamento de coróide (2 olhos, maculopatia (5 olhos. Todos os pacientes que desen-volveram maculopatia eram relativamente novos (idade media de 37 anos, desvio padrão ±16. Tratamentos incluíram lente de contato

  3. Uso de terapias alternativas en la cicatrización de úlceras de etiología venosa: La cromoterapia Colour therapy in venous ulcers healing: chromoteraphy

    Directory of Open Access Journals (Sweden)

    Sandra Alexandre Lozano

    2012-12-01

    clinically shown to attain an ulcer healing rate of 80% after twelve weeks' treatment. It is the most effective currently existing treatment. Several studies have shown colour therapy to aid wound healing. Among other effects, it stimulates the blood supply to the wound bed and encourages oxygenation, at the same time inhibiting the growth of anaerobic bacteria. On the strength of the above, we propose the use of colour therapy in treating venous ulcers, as additional treatment to standard therapy, when standard therapy is ineffective or when a patient cannot tolerate multilayer bandaging due to pain.

  4. Ecoescleroterapia com microespuma em varizes tronculares primárias Microfoam ultrasound-guided sclerotherapy in primary trunk varicose veins

    Directory of Open Access Journals (Sweden)

    Marcondes Figueiredo

    2006-09-01

    Full Text Available OBJETIVO: Avaliar o tratamento de varizes tronculares primárias por ecoescleroterapia com microespuma. MÉTODOS: A amostra foi constituída de 25 membros de seis pacientes do sexo masculino e 19 do sexo feminino, com incompetência das veias safenas magna (21 membros ou parva (quatro membros. Eles foram avaliados de acordo com a classificação clínica, etiológica, anatômica e fisiopatológica (CEAP e classificados nos graus C³ (10 membros, C4 (seis membros, C5 (cinco membros e C6 (quatro membros. A microespuma (5 ml, preparada pela mistura de 1 ml de polidocanol a 3% e 5 ml de ar, era injetada na veia do paciente, em posição de Trendelenburg, com monitoração por ultra-sonografia com Doppler colorido. Os membros eram enfaixados com atadura inelástica por 3 dias; depois disso, os pacientes usavam meias elásticas, 30-40 mmHg, 3/4 ou 7/8, durante 3 meses. A eficiência do tratamento foi avaliada pelo escore clínico da classificação CEAP para dor, edema e claudicação e pelas alterações ultra-sonográficas 12 meses depois. Os escores clínicos antes e depois do tratamento foram comparados pelo teste de Wilcoxon. RESULTADOS: Houve diminuição significante nos escores clínicos (P OBJECTIVE: To evaluate the treatment of primary trunk varicose veins by microfoam ultrasound-guided sclerotherapy. METHODS: The sample was composed of 25 members of six male and 19 female patients, with incompetence of great saphenous vein (21 and short saphenous vein (4. Patients were assessed according to the clinical, etiologic, anatomical and pathophysiological (CEAP classification and divided into degrees C³ (10, C4 (6, C5 (5 and C6 (4. With the patients in the Trendelenburg position, microfoam (5 ml, prepared by mixture of 1 ml polidocanol at 3% and 5 ml of air, was injected in their vein and monitored by color-flow Doppler ultrasonography. The members were then swaddled with inelastic bandage for 3 days; afterward, the patients used 30-40 mmHg, 3

  5. Application of accelerators in industry, medicine and for environmental research in Almaty Institute of Nuclear Physics

    International Nuclear Information System (INIS)

    Full text: The Institute of Nuclear Physics in Almaty is the only Kazakhstan institution with a significant activity at the national level in the field of physics of accelerators, their application and associated technology. Three accelerators of different type are being used in the Institute: high power electron beam accelerator, isochronous cyclotron and heavy ion electrostatic tandem. Electron beam accelerator ELV-4 - This high power machine is only electron beam irradiation facility of industrial scale in the Republic. It was produced by Budker Institute of Nuclear Physics, Novosibirsk, Russia and installed in Almaty in 1991 for development of radiation technology in Kazakhstan. The accelerator generates electron beams of following parameters: Energy range (MeV) 1.0-1.5; Max. beam power (kW) 40; Max. beam current (mA) 40. The machine is equipped with beam scanning system, extraction device with output window 980x75 mm2 and chain conveyer for irradiated material supply. Tn the time being the accelerator is regularly used for radiation cross-linking technology and for sterilization. Cross-linking technology is the base of high quality roof material production for building industry. Raw ethylene-propylene rubber mixture is rolled as strip of 50 m length, 1 m width, 1 mm thickness and then irradiated by dose of about 120 kGy. The final product is waterproof flexible material, very stable in hard atmospheric conditions and non sensitive to sun UV radiation. Sterilization of medical materials and items is not traditional application of such low energy installations but due to uniqueness of this accelerator in Kazakhstan and high actuality of the task for the Republic this technology was developed in INP. Hermetically packed items (medical cotton , bandages, syringes, surgical gloves, small plastic bottles) with thickness less than penetration range of 1.5 MeV electrons are put at the conveyer as mono-layer and irradiated by sterilizing dose of 25 kGy. Isochronous

  6. Dor para não ter dor: aplicação de anestésico tópico Dolor para no tener dolor: aplicación de anestésico tópico Pain not to have pain: application of topical anesthetic

    Directory of Open Access Journals (Sweden)

    Luís Manuel da Cunha Batalha

    2011-12-01

    EMLA® cream application in terms of pain in children during removal of the protective dressing and the venipuncture ( VP. A prospective, randomized and controlled clinical study was performed with 142 children aged 4-14 years attending the outpatient department for medical specialties and subspecialties of a pediatric hospital, and in need of VP. Of the three techniques used, technique C (using a teat and an elastic bandage was considered painless, whereas the standard technique was the most painful (p<0.05. The three techniques were effective in preventing pain in VP. Children, parents and nurses were unanimous in their preference for technique C. It was concluded that technique C is easy and quick to apply, cost-effective and painless for the child, and that it is also the one preferred by parents and nurses. Thus, its use is recommended in this age group.

  7. Radiation sterilization of some pharmaceutical preparations and medical products

    International Nuclear Information System (INIS)

    Full text: In connection with intensive development of pharmacology and medical techniques, use of the products contacting to blood, with the internal environment of an organism, with wound surface, with mucous membranes and skin there were high requirements to sterility of pharmaceutical preparations and medical products. Traditional methods of sterilization (heat treatment, gas processing and processing the ferry) have some restrictions in application, and not insufficient degree of sterilization required for pharmaceutical preparations and medical products. Thermal processing can lead to degradation of structure (medicine), mechanical changes and loss of medical properties. Besides, it is impossible to carry out sterilization of many pharmaceutical preparations by a method of heat treatment. Sterilization of products in packing is very complicated, because sterilization temperature of packing and a product is different. Gas processing is basically applied to sterilization of medical products (syringes, bandage, cotton wools, etc.). However, the degree of sterility is low, because of rather low ability and heterogeneity of sterilizing substance. Sterilization in packing represents special difficulty and demands additional charges related with delivery of the purified gas from abroad. Last years alongside with known technological methods of sterilization of medical products and pharmaceutical preparations radiating methods of processing have found wide application. Use of electronic bunches with the moderate energy and various isotopes became a basis for formation and development of a new direction in the medicine, called by 'radiation sterilization'. The radiation technology is highly harmless and economic, not polluting substance and surrounding space. Unlike the specified traditional methods, radiating processing of products by the isotope 60Co, radiating the gamma quantum, has unique opportunities - high penetrability in substance, providing uniformity of

  8. 湿润烧伤膏与磺胺嘧啶银治疗深度烧伤的临床疗效对比%Comparison of Clinical Effects of MEBO and Sulfadiazine Silver in Trea-ting Deep Burns

    Institute of Scientific and Technical Information of China (English)

    赵福安

    2014-01-01

    目的:对比观察湿润烧伤膏(MEBO)与磺胺嘧啶银(SD-Ag)治疗深Ⅱ度和Ⅲ度烧伤的临床疗效。方法将92例深Ⅱ度和Ⅲ度烧伤患者,随机分为治疗组和对照组,每组46例,治疗组采用湿润暴露疗法治疗,对照组应用磺胺嘧啶银药纱包扎治疗,对比两组患者疼痛率、感染率、手术率、瘢痕形成率及创面愈合时间。结果两组相比,治疗组疼痛发生率、瘢痕发生率、感染率及手术率均较对照组低, P<0�05,差异具有统计学意义;治疗组创面愈合时间明显比对照组短, P<0�05,差异具有统计学意义。结论湿润烧伤膏治疗深Ⅱ度和Ⅲ度烧伤创面具有止痛效果好、感染率低、创面愈合时间短、瘢痕形成少、无需手术等优点,是治疗深度烧伤创面的理想方法。%Objective To observe comparatively the clinical effects of MEBO and SD-Ag in treating burns of deepⅡ degree andⅢdegree. Methods The 92 patients with burns of deepⅡdegree andⅢdegree were randomly divided in-to Treatment Group and Control Group, 46 cases each. The Treatment Group is treated with exposed MEBOand Control Group with SD-Ag gauze bandaging. The ratesof pain, infection, surgery, scar formation and healing time of the wound were compared. Results The rates of pain, scar formation, infection and surgery in Treatment Group were all lower than that in Control Group, P<0�05, the difference is of statistical significance;the wound healing time in Treatment Group is obvious-ly shorter than that in Control Group, P<0�05, the difference is of statistical significance. Conclusion MEBO is satisfac-tory in treating burns of deep Ⅱ degree andⅢ degree in terms of good pain relief, low infection rate, short wound healing time, less scar formation and freedom of surgery, which is anideal method for treatment of deep burns.

  9. Clinical Observation of MEBO Combined with Early Functional Exercise in the Treatment of Burns and Scalds at Functional Sites%湿润烧伤膏联合早期功能锻炼治疗功能部位烧烫伤的临床观察

    Institute of Scientific and Technical Information of China (English)

    郑学勤; 常飞; 王淑文; 于丽琴

    2013-01-01

    Objective To observe the clinical curative effect of MEBO combined with early functional exercise in the treatment of burns and scalds at functional sites. Methods Forty-eight patients with burns and scalds were treated with MEBO externally and bandage therapy ( with dressing change every 6-8 hours) at the meantime of receiving anti-infection, anti-shock and nutritional support treatments. Meanwhile, the involved 88 functional sites were given early functional exerci-ses. The therapeutic effect was observed. Results All 48 cases were healed with a total effective rate of 100%. No com-plications such as local or systemic infection, high fever, severe malnutrition, scar formation, contracture malformation and dysfunction and etc. developed. During the follow-up of 3-6 months, no obvious scar hyperplasia, contracture or dysfunc-tion was observed. Conclusion MEBO combined with early functional exercise in the treatment of burns and scalds can not only promote wound healing, but also effectively prevent the occurrences of scar formation, contracture deformity and loss of function at functional sites.%  目的 观察湿润烧伤膏( MEBO)配合早期功能锻炼治疗功能部位烧烫伤的临床疗效。方法 对48例不同烧烫伤患者的88个功能部位,在给予抗感染、抗休克、营养支持等治疗的基础上,烧烫伤创面用MEBO涂抹、无菌纱布覆盖处理(每6 h~8 h换药1次),并早期进行功能部位的功能锻炼,观察疗效。结果 48例患者的创面全部愈合,总有效率为100%;所有患者均未出现全身或局部的严重感染、高热、营养不良、瘢痕形成、挛缩畸形、功能障碍等并发症,随访3~6个月,未见明显瘢痕增生、挛缩畸形及功能障碍。结论 湿润烧伤膏配合早期功能锻炼治疗烧烫伤,既可促进创面愈合,又可有效预防烧伤部位的瘢痕形成、挛缩畸形、功能丧失。

  10. 综合模拟人在灾害医学救援急救技能培训中的应用%Application of simulator first aid skills training in disaster medical rescue

    Institute of Scientific and Technical Information of China (English)

    马永达; 刘宿; 闫红; 陈力勇; 陈强; 胡弋; 彭霁

    2015-01-01

    急救技能是灾害医学救援过程中非常重要的救援手段,一些急救技能在平时的临床工作中应用较少,从而导致相关医务人员对这些技能的掌握不够熟练。采用综合模拟人的培训具有接近真实、可操作、可重复等特点和优势。培训方案以通气、止血、包扎、固定、搬运、基础生命支持六大基本技能为主,通过模拟真实灾害场景以及模拟病例编写,对受训者进行单个急救技能的针对性培训,以及多个急救技能的综合运用能力训练。培训效果评估中对受训者单个技能进行考核,以成绩优良为目标;在综合技能运用能力的考核中同时也注重急救小组的团队配合能力。通过这种应用综合模拟人的培训及评估,受训者能在短时间内最大程度掌握各种急救技能。%First aid skills are very important in the process of disaster medical rescue methods. Some first aid skills is rarely applied in clinical work at ordinary times, resulting in relevant medical personnel grasp of these skills being not enough skilled. This training method combined with the sim-ulator, has the characteristics and advantages of being close to the real, operational and repeatable. The main training program consists of 6 basic skills such as ventilation, hemostasis, bandaging, fixing, handling, basic life support. By simulating the real disaster scenario and simulation cases, we have targeted a single first aid skills training and multiple comprehensive ability training of first aid skills to trainees. To evaluate the training effect we have examined the individual skills of our trainees, with excellent performance as the goal, and in the comprehensive skills ability assessment we have paid attention to the emergency team's team cooperation ability. By the application of comprehensive simu-lation training and evaluation, the trainees can master all kinds of first aid skills in a short period of time.

  11. An ethnomedicinal survey and documentation of important medicinal folklore food phytonims of flora of Samahni valley, (Azad Kashmir) Pakistan.

    Science.gov (United States)

    Ishtiaq, Muhammad; Hanif, Wajahat; Khan, M A; Ashraf, M; Butt, Ansar M

    2007-07-01

    ; Veronica anthelmintica for bandage of broken bones and Withania coagulans is used to treat small pox. Many wild plants are eaten green and raw as salad, or in boiled form of soup as blood and intestine cleansing tonics. Moreover, some plants are spiritually recorded as sacred and used as ritual plant for good omens or against the evil eye and removal of giant. About 95 species of 38 families were recorded to be important part of phyto heritage of folk pharmacopoeia of Samahni valley. Among most frequent used families are Papilionaceae 9.47%, Solanaceae and Poaceae 8.42% each, Cucurbitaceae 7.36% and Brassicaceae and Rosaceae 6.31% each. Among the surveyed families used to treat various diseases, Solanaceae is at first rank with 9.74%, Brassicaceae 8.23% and Cucurbitaceae 7.39% subsequently. Most commonly used families with highest percentage of plants used as food medicines are Solanaceae (11.37%), Brassicaceae (8.38%) and Papilionaceae (7.18%) respectively. Most frequent plant parts used are; roots, leaves, seeds and flowers while popular forms of plants uses are decoction, poultice, infusions, soups and raw form as salad. Importance of ethnobotanical inventory constructed from ethnomedicinal uses and folklore phytonims of flora in perspectives of initiative for future phytochemical and pharmacological research on these taxa to develop and discover of new drugs is present and discussed. PMID:19070189

  12. Role of the tunisian central pharmacy in the import of radio-pharmaceutical products

    International Nuclear Information System (INIS)

    In Tunisia the centralized organization of the medicine sector has a strategic and economic importance. It presents particular characteristics concerning the importation and the control of drugs. Tcp has a monopoly on the importation of drugs for the country, which enters in the state policy for the control of drug purchasing costs, their availability in different region of the country and their guarantee and quality. The Tcp has a crucial role in the availability of drugs and in the holding safety stock and strategic reserve of the imported pharmaceutical products, either for the public or private sector. The Tcp has to stock up medicaments, chemical and pharmaceutical products, objects of bandages, instruments, accessory tools and other supplies necessary for the human and veterinary medicine. The Tcp packages any specialized or not medicament and all other products or supplies. The Tcp provides medicaments and products entering within the framework of its task to different health groups and hospitals. The Tcp provides distributors, laboratories and pharmacies over the country. In Tunisia the import of radioisotopes used in the medical domain is attributed to the Tcp. The objective is to centralize purchases and to guarantee: the security, the availability as well as the traceability. The Tcp supply radiopharmaceutical products for diagnostic and therapy purposes according to an authorization delivered annually by the National Center of Radiation Protection (NCRP). An authorization of removal used at the customs allows the clearance of products at the level of the air freights by the transit service of the Tcp. Regarding the evolution of purchases of radio-pharmaceutical products, their importation remained stable during the last three years. Indeed, it is approximately around 1MDT annually (954 121 DT in 2010, 939 956 in 2011 and 1047 967 in 2012). Sources of supply are divided between 4 suppliers: International IBA-CISBIO (49.9 pour cent), COVIDIEN EX (TYCO

  13. Resources collocation and management for medical relief in quake-stricken disaster region%灾害救援物资的配置与管理

    Institute of Scientific and Technical Information of China (English)

    王玲; 李明凤; 王晓红

    2008-01-01

    探讨灾害发生时救援物资的配置与管理.(1)外伤用物品:地震发生初期大量的外伤病员,需要的外伤用物品相对较多,如纱布、棉垫、绷带和各种规格夹板用于包扎止血以及清创缝合.(2)隔离防护物资:随着时间的延长,被救出来的灾区伤员伤口创面发生感染,消毒隔离所需要的防护物资相应增加,例如一次性隔离衣、床单、一次性治疗巾,避免交叉感染.(3)转运出诊箱:①为到机场接灾区来的伤员准备的物资;②为去灾区医院转运危重病员所准备的物资;③为将病员转至外省、空中转运所准备的物资.3种不同转运的出诊箱包含的药品都包括肾上腺素、阿托品、多巴胺、间腔胺等,在第2、3种出诊箱里还增加了吸痰器、心电监护仪、气管插管等.通过这次震灾救援,笔者建议今后在平时器材应该分为A、B、C类储备:A类为固定器材,包括各种小型设备、仪器等;B类为药材,包括急救药材、消毒药品、各系统疾病用药,根据保质期进行随时更换、清理;C类为消耗性器材,包括手术衣帽、注射器、纱布、绷带、针线等.B类与C类器材与A类固定装备进行随时组合,保证各项医疗操作技术顺利进行.%This in a survey of collocation and administration of medical supplies during Wenchuan earthquake. (1) Material utilized for trauma wound: in the early phase after Wenchuan earthquake, lots of trauma patients needed materials for hemostasis and debridement such as gauze,bandage and wooden plate. (2) Material for isolation and protective care: the wound began to be infected with the prolonged heeling, so isolation was needed and plenty of material was reqired for prevention of cross infection at this time, such as disposable isolation gowns. (3)First-aid boxes for transfer; material used for receiving patients from disaster areas at airport; material used for transfering patients from medical care units of disaster

  14. Clinical Observation and Treatment of Haze after Laser Epithelial Keratomileusis%准分子激光上皮下角膜磨镶术后角膜上皮下雾状混浊的临床观察及防治

    Institute of Scientific and Technical Information of China (English)

    罗航乐; 汤明芳; 张柳; 陆晓和; 张巍月

    2012-01-01

    目的 探讨准分子激光上皮瓣下角膜磨镶术(LASEK)后角膜上皮下雾状混浊(Haze)的形成原因及防治措施.方法 2004年2月-2011年12月期间采用LASEK治疗近视患者345例669只眼,屈光度-3.50~-13.5D,平均(-6.87±2.92)D;散光-0.50~-4.00D,平均(-1.83±1.32)D.根据患者术前屈光等效球镜度数分为:中度近视组(-3.50~-5.75D)120只眼,高度近视组(-6.00~-8.75D)288只眼,超高度近视组(-9.00~-13.50D)261只眼.应用综合措施防治Haze,术中用日夜配戴的高亲水性绷带型角膜接触镜覆盖保护角膜上皮瓣,术毕频点激素眼液4次,术后使用激素类联合非甾体类抗炎眼液及降眼压药、抗生素眼液;随访6~l2个月,观察术后Haze的发生率,并按Famtes(1990)标准分级,分析相关原因.结果 LASEK术后6个月时0.5级Haze发生率14.65%(98只眼),无1级Haze.各组0.5级Haze发生率分别为中度近视组2.5%(3只眼),高度近视组11.11%(32只眼),超高度近视组24.14%(63只眼).结论 LASEK术后Haze的发生与术眼的屈光度呈正比,与角膜上皮瓣的活性和完整性,术后紫外线照射等有关.术后采用激素类联合非甾体类抗炎眼液及降眼压药等综合防治措施,可减少、减轻Haze的发生,使LASEK技术更安全有效.%Objective To observe the forming of subepithelial Haze after laser epithelial keratomileusis (LASER), and to explore the related pathogenesis. Methods Between February 2004 and December 2011, 345 patients (669 eyes) underwent LASER. The mean spherical equivalent was (-6.87±2.92) D (ranged from -3.50 to -13.50 D), and the mean astigmatism was (-1.83±1.32) D (ranged from -0.50 to -4.00 D). There were 120 eyes in the middling myopia group (ranged from -3.50 to -5.75 D), 288 eyes in the high myopia group (ranged from -6.00 to -8.75 D), and 261 eyes in the super high myopia group (ranged from -9.00 to -13.50 D). A bandage contact lens that can be worn day and night was placed intrao

  15. Avaliação de técnicas fisioterapêuticas no tratamento do linfedema pós-cirurgia de mama em mulheres Evaluation of physiotherapeutic techniques for treating lymphedema following breast cancer surgery in women

    Directory of Open Access Journals (Sweden)

    MCCC Meirelles

    2006-12-01

    , 18 and 24 months after the lymphedema treatment. METHOD: The participants were attended at a specialized rehabilitation service. They underwent lymphedema treatment consisting of manual lymphatic drainage and functional compressive bandaging and received guidance regarding self-care, self-massage, elastic sleeve use and exercise. They were evaluated by means of limb volume measurement at the following times: thirty-six women after the intensive phase, twenty-two after six months, fifteen after twelve months, six after eighteen months and eleven after twenty-four months. Adherence to the self-care strategies and exercises was evaluated by means of a questionnaire. Statistical tests were used to seek correlations between lymphedema reduction and some factors such as age, schooling, lymphedema grade, type of surgery, etc. RESULTS: There was a reduction in lymphedema and this was maintained throughout the period analyzed. There was no correlation between lymphedema reduction and factors such as age, marital status, schooling, type of surgery, body mass index, lymphedema grade, radiotherapy, circumference, arterial hypertension or joint limitation. Moreover, most of the women did not adhere to the self-care strategies, arm exercises, self-massage and elastic sleeve use. CONCLUSION: It is important to conduct new studies, for systematic and controlled analysis of the role of this guidance in relation to lymphedema evolution following the intensive phase of treatment.

  16. CONSEQÜÊNCIAS DA LAMINECTOMIA DORSAL DO TIPO FUNKQUIST A EM CÃES NORMAIS CONSEQUENCES OF THE FUNKQUIST A DORSAL LAMINECTOMY, IN NORMAL DOGS

    Directory of Open Access Journals (Sweden)

    Eduardo Alberto Tudury

    2001-02-01

    supramedulary pad; suture of thoracolumbar fascia, subcutaneous and skin; and compressive bandage for seven days. Fourty-eight hours latter all the dogs (10 submitted to this technique showed loss of the postural reactions and paraparesis classified of moderated to serious. Hypalgesia was ascertained in five of them. Trying to discover the causes, was accomplished histologic studies of spinal cord collected 4 and 48 hours after the accomplishment of the laminectomies were conducted, however with modifications as: non-elevation of the vertebral bodies during the surgery and prevention of any type of compression spinal after the laminectomie. Examining these results was possible to conclude that the neurologic dysfunctions were originated from cord lesions caused for: elevation of the vertebral bodies during the laminectomy, possible damage of spinal vessels, destabilization of the spine and a somatory of compressive forces acting upon an uncovered spinal cord. At the necropsy of five dogs realized forty - five days latter were possible to verify: the permanence of the supraspinous ligament; that the fat grafts do not avoid the penetration of the fibrous tissue into the vertebral canal neither its adherency to the dura mater; notorious (p < 0.01 flattening of the vertebral canal and deformations of the spinal cords. With support on these results, isn't advise to furfill these surgery procedure in the thoracolumbar junction of dogs. The mantainement of the supraspinatus ligament do not perturb the realization of the laminectomy, minimize the occurrence of the aesthetics defects at the dorsal midline and can participate at the immediate postoperative cord compression.

  17. Wound healing under the effect of iodine cadexomer in rats Cicatrização de feridas sob efeito do cadexômero iodo em ratos

    Directory of Open Access Journals (Sweden)

    Ester Verônica Brustolin

    2012-12-01

    Full Text Available PURPOSE: To assess vthe action of iodine cadexomer in the healing process of surgical wounds in rats and if cytotoxicity occurs with the systemic absorption of iodine. METHODS: Thirty six Wistar rats were used and performed 53 wounds with surgical punch of 6 mm diameter on them. Two lesions were made diametrically opposed on groups with distilled water (GAD and sodium chloride (GCS; on the right lesions were used bandage with distilled water and on the left ones dressing with sodium chloride. In cadexomer iodine (GCI group, a punch injury was made only on the left side and the dressing was carried out with cadexomer iodine. The groups were divided in two sub-groups according to the day of death (7 and 14. Microscopically was used H&E staining, through which the inflammation could be observed and also the neovascularization. Staining with Masson trichrome studied fibrosis. TSH and free T4 were used for absorption recognition of iodine, and its toxic potential was performed before death with the animal anesthetized. RESULTS: Microscopic analysis showed more marked intensity of inflammation in group GAD, subgroup 14 days. Neovascularization showed be discrete in GCS sub-group 14 days. Fibrosis was more pronounced in the group GCI. Comparing the types of treatment, there was statistical significance between groups GCI and GCS (pOBJETIVO: Avaliar a ação do cadexômero iodo na cicatrização de feridas cirúrgicas em ratos e se ocorre citotoxicidade com a absorção sistêmica do iodo. MÉTODOS: Utilizou-se 36 ratos Wistar nos quais realizaram-se 53 feridas cirúrgicas com punch de 6 mm de diâmetro. Foram confeccionados duas lesões diametralmente opostas nos animais dos grupos água destilada (GAD e cloreto de sódio (GCS. Na lesão do lado direito foi utilizado curativo com água destilada e, na do esquerdo, curativo com cloreto de sódio. No grupo cadexômero iodo (GCI, foi feita apenas uma lesão com o punch no lado esquerdo e o curativo foi

  18. A experience for the diagnosis of simple comcealed penis and therapeutic effect of improved Devine operation%单纯性隐匿阴茎诊断与改良Devine矫正术治疗体会

    Institute of Scientific and Technical Information of China (English)

    南玉奎; 王乾; 胡晓刚; 闵立贵; 齐飞波

    2014-01-01

    Objectives To investigate the diagnosis of concealed penis,to observe the therapeutic effect of improved Devine operation.Methods Diagnosed as simple concealed penis in 58 cases were done the operation of improved Devine correction.The method ofthisoperation is to coronary sulcus ring incision below the foreskin,from shallow to deep fascia of penis penis root free degloving and fully resected dartos tissue between the body and the skin of penis dysplasia and fibrous band.Full extension the penis,In the skin of the penis and perineal skin continuation place and cut 5mm incision form 2,10 points,through this incision fixed albuginea and penile skin dermis.Results The mean operative time 40 minutes and the mean postoperative hospital stay 4 ~ 4.5 days.All patients penis revealed significant improvement and penis shape extending 2.0 ~ 2.5cmcompared with the preoperative,there are different degrees of foreskin edema after bandaged 3 ~4 days,the edema within the board and it will subsided in 2 ~4 weeks after operations.1 cases of skin edge was necrosis and became healing after two weeks of debridement dressing.Conclusions To strictly grasp the standard diagnosis of concealed penis,andthe keysof operation treatment areadequate penile degloving release,removal of the abnormal tissue and tunica albuginea penis root fixed.The Devine correction,with two fixed penis root under direct vision,has the characteristics of simple operation,reliable fixation point dear,small trauma,satisfactory appearance,itis an effective procedure for the treatment of simple concealed penis.%目的 探讨单纯性隐匿阴茎诊断方法,观察改良Devine矫正术治疗效果.方法 明确诊断为单纯性隐匿阴茎58例进行改良Devine矫正术.手术方法为冠状沟下方环形切开包皮,于阴茎深筋膜浅层向阴茎根部游离脱套,充分切除阴茎体与皮肤之间发育不良的肉膜组织以及纤维索带.充分伸直阴茎,于阴茎皮肤与会阴皮肤延续处,2

  19. A research on the method of axillary osmidrosis treatment using minimally invasive resection of apocrine sweat gland and thick skin flap in armpit wrinkle%腋窝微创切除大汗腺及全厚皮瓣法治疗腋臭

    Institute of Scientific and Technical Information of China (English)

    张郑; 张汝敏

    2012-01-01

    Objective To study the curative effect of axillary osmidrosis,that incision in armpit wrinkle,orthoptic cut off the gland to thick skin flap.Methods Collected double-sided axillary osmidrosis 163 patients,all of them accepted armpit wrinkle incision,the scope of surgical operation super the armpit hair distribute 1 cm,swelling anaesthesia,orthoptic cut off the armpit organization 5 mm under skin included apocrine sweat gland,kept the operation scope to vessel net flap under skin.Hematischesis thoroughly used a double pole electricity hemostasis,kept drainage after operation,bandaged in pressure,took out sutures after 9 days.The foul smell standard referenced the Tung-Chain standard of axillary osmidrosis curative effect evaluation.Results Three hundred and twenty armpits (98.16%,320/326) were cure,6 armpits (1.84%,6/326) were excellence.The armpit hair variety:obvious reduce 322 armpits (98.77%,322/326),general reduce 4 armpits (1.23%,4/326).Perspire condition:obvious reduce 324 armpits (99.39%,324/326),improve but no obvious reduce 2 armpits ( 0.61%,2/326).The average surgical operation recovery time was about 9 days.Complication:necrosis on the edge of the skin was 8 armpits,scar formation on the incision was 3 armpits,hematoma was 1 armpit,shoulder joint limitation of activity was 0 armpit.Conclusion The method of axillary osmidrosis treatment useing thick skin flap in armpit wrinkle,which has extermination foundation of anatomy and pathology,which can cause axillary osmidrosis,this operation is simple,curative effect is credible,the wound is small,complication is little etc,utmost matching the principle of orthopedic surgery,worthy of clinical application.%目的 探讨腋窝皱襞小切口直视切除大汗腺及全厚皮瓣法治疗腋臭的疗效.方法 收集双侧腋臭患者163例,均采用腋窝皱襞切口,手术范围超腋毛分布1 cm,肿胀麻醉,直视下剪除包含大汗腺的腋部皮下组织5mm左右,直至腋窝手术范围皮肤

  20. 腕关节镜治疗腕背侧腱鞘囊肿%Wrist Arthroscopy in the Treatment of Carpal Dorsal Ganglion

    Institute of Scientific and Technical Information of China (English)

    舒正华; 李钧; 丁潮琪; 王西迅; 陈波; 胡继超; 魏勇; 崔岩

    2015-01-01

    Objective To investigate the clinical value of arthroscopy in the treatment of dorsal carpal ganglion. Methods A total of 22 cases of dorsal carpal ganglion was treated from September 2009 to May 2013.With 4/5 or 6R portal access as arthroscopy vision, 1/2 portal access as working pathway, and 6U for outflow, the scapholunate interosseous ligament ( SLIL) was found and then the examination was carried out toward dorsal part till the reentry point of SLIL and dorsal carpal articular capsule. Pedicles of dorsal carpal ganglion were exposed, and the pedicles and part of articular capsules were removed by planer tools.The joint fluid was cleaned till the ganglion disappeared.Then absorbable sutures were used to close subcutaneous tissues.Pressure bandaging was given.After the operation, a supporter was used to fix the wrist for 3 weeks, during which massage and restorative exercise were conducted. Results Conversion to open surgery was required in 2 cases because the pedicles of dorsal carpal ganglion were not found in intraoperative arthroscopic examinations, including the cyst originated in the extensor tendon in 1 case and originated in the mediocarpal joint in 1 case.The remaining 20 cases underwent treatment under arthroscopy successfully.The patients were followed up for 6-14 months, with an average of 9.2 months.The wrists were normal in appearance and fully functional without obvious scars. Three cases developed recurrence, 1 of which was not given further intervention because the cyst was too tiny to be found at neutral position, and 2 of which were given open resections. Conclusions Although arthroscopic treatment of dorsal carpal ganglion has a relatively high equipment and technical requirements and has certain limitations on indications, the surgery is safe with few complications and good appearance.It can be used as a treatment option for some young women with strong cosmetic requirements.%目的:探讨关节镜治疗腕背侧腱鞘

  1. 1281 cases of totally thoracoscopic cardiac surgery for congenital heart diseases%全胸腔镜下先天性心脏病手术1281例

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    徐学增; 石广永; 陈亚武; 王永祥; 李凯; 俞世强

    2012-01-01

    .The ascending aorta was cross-clamped with long tailor-made forceps and the myocardium was protected by coronary perfusion with cold crystalloid (blood) cardioplegia.Results All the operations were completed successfully.The mean extracorporeal circulation and cross-clamping time were ( 42 ± 16 ) min and ( 21 ± 9 ) min respectively.Postoperative ventilation was withdrawn in(4.1 ± 1.5 ) h,and the patients were discharged from the hospital in(7.1 ± 1.4) d.35 of the patients had postoperative complications,including 16 cases of right pneumothorax (healed by thoracentesis),12 cases of subcutaneous emphysema ( healed by bandaged chest) and 7 cases of fat liquefaction of the incision at the right axillary( 3 cases) and groin(4 cases) ( delayed healing).No severe complications occurred in this series.UCG performed 4 - 8 days after the operation revealed no residual shunt.Follow-up up to 3 months to 9 years were available in 914 cases.During the period,the heart function was confirmed as level Ⅰ - Ⅱ.Conclusion Totally thoracoscopic cardiac surgery is feasible,safe,and minimal invasive for patients,resulting in quick recovery and good cosmetic outcomes.

  2. 愤怒应激对衰老大鼠认知功能的影响及机制分析%Effect of Anger Stress on the Learning Behaviour and Mechanism Investigation in Aging Model Rats

    Institute of Scientific and Technical Information of China (English)

    赵君玫; 詹向红; 张娜; 杨雪; 李伟

    2012-01-01

    Objective: To investigate the effects and mechanism of anger stress on behavior and memory in the D-gal induced brain aging model rats. Method: Wistar rats were randomly divided into control group, anger model group, D-gal group, anger + D-gal group, and attack rats. The D-galgroup and anger + D-gal group were administered ip 1% D-gal physiological salinesolution ( PSS) 10 mL ·kg-1·d . The control group and anger model group were ip given the same volume of PSS for 6 weeks. From the third weeks, the anger model group and anger + D-gal group accepted the anger stimulation test for 4 weeks. Each rat in anger model group was placed into one cage and accepted the attack from the invade rat, the tail of invade rat was clamped by using haemostat packed with bandage, two rats bite each other 20 min per day. Morris water maze test was carried out in the 37 days. Six days later all rats were executed and the brain tissue was collected for measurement of superoxide disnvutase (SOD), malondialdehyde ( MDA ) , lipofuscin ( LPF) , meanwhile, pathological changes were observed on cerebral cortex and seahorse. Result: Compared with control group, the behavior and memory significantly decreased (P<0.05, P<0.01) , the brain tissue SOD activity wassignifieantly reduced (P <0.01) and MDA,LPF content were obviously increased (P <0. 01 ) in the anger model group, D-gal group and anger + D-gal group. Furthermore, pathological study showed that the cerebral cortex and seahorsein in the anger model group, D-gal group and anger + D-gal group appeared pathological changes compared with control group, the pathological changes in anger + D-gal group were most obvious. Conclusion: The anger stress has the negatively effects on behavior and memory in the D-gal induced brain aging model rats.%目的:研究愤怒应激对D-半乳糖(D-gal)诱导的脑老化模型大鼠认知功能的影响及机制.方法:将Wistar大鼠随机分成正常对照组、愤怒模型组、D-gal模型组愤怒+D-gal

  3. 高压氧防止创伤/失血性休克复苏后大鼠肠道缺血-再灌注损伤%Hyperbaric oxygen prevents intestinal ischemia-reperfusion injury in rats after resuscitation from traumatic/hemorrhagic shock

    Institute of Scientific and Technical Information of China (English)

    金立方; 王为成; 王钢

    2009-01-01

    falling upon from 20 cm height, causing the com-pound fracture of femur and crush injury of muscular tissue, then the damaged thigh was bandaged and fixed. At the same time, the blood was drawing out of fight carotid artery via cannula until the mean arterial was reduced to 30-35 mmHg within 5 minutes. The hypotension was kept constant for 60 minutes by additional drawing small amounts of blood as needed. After 60 minutes of hypotension, the rats were resuscitated by transfusing the shed blood over 5 minutes, followed by 4 -6 mL normal saline in 60 minutes to get the mean artery pressure maintained above 80 mmHg. The resuscitated rats were put into the hyperbaric chamber (10N-750, menoplace chamber, Ningho, China). The pressure inside the chamber was adjusted to 2.5 ATA and the oxygen concentration was higher than 95 %. The set pressure and oxygen concentration were maintained for 60 minutes. When the pressure within the chamber was decreased to 1 ATA, rots were taken out. The rats in one-HBOT group were given one HBO therapy immediately after resuscitation, and the rats in three-HBOT group were given one HBO therapy im-mediately after resuscitation with additional twice HBO therapy within 24 hours ((q 8 h). The one-way ANOVA and Pearson's bivariate methed were used for statistics. Results Twenty-four hours after resuscitation, the levels of lactate, induced nitric oxide synthase (iNOS), nitric oxide (NO), and tumor necrosis factor-α (TNF-α) in in-testinal tissue of rats in both HBOT groups were significantly lower than those in the rats of shock group without HBOT (P 0.05). Conclusions HBO decreases the production of inflammatory factors, inhibits the excessive inflammatory reaction to T/HS, and prevents the mucosal barrier of intestine from I/R injury after resuscitation from T/HS.

  4. 封闭式负压引流术治疗人工关节置换术后深部感染%CLINICAL EVALUATION OF VACUUM SEALING DRAINAGE FOR TREATMENT OF DEEP INFECTION AFTER HIP OR KNEE REPLACEMENT

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    徐栋梁; 朱琦; 何沛恒; 余世明; 胡俊勇; 刘建华; 李佛保; 谭本前; 李乔

    2011-01-01

    age of 62.5 years (range, 56-78 years). Infection occurred at 7 days to 1 year and 2 months (median, 14 days) after joint replacement surgery. The time from infection to admission was 8 days to 4 years and 6 months (median, 21 days). Purulent secretion with or without blood were observed in all patients; sinus formed in 5 cases; and unhealing of incision or drainage opening disunion were observed in 8 cases. The size of skin defect at secretion drainage or sinus opening site was 5 mm x 3 mm to 36 mm x 6 mm; the depth of drainage tunnel or sinus was 21-60 mm. The histopathological examination in 11 patients showed acute infection or chronic infection with acute onset in 10 cases, and tuberculosis in 1 case. In 6 cases of secretion culture, Staphylococcus aureus was isolated from 5 cases. After thorough debridement, wound irrigation was performed during the day and VSD during the night in 10 cases. VSD was merely performed in 3 cases. Results In 1 case after revision total hip arthroplasty, the wound bled profusely with VSD, then VSD stopped and associated with compression bandage, VSD proceeded again 3 days later with no heavy bleeding. All the patient were followed up 1 year to 4 years and 5 months (mean, 2 years and 11 months). Infection were controlled 7-75 days (mean, 43 days) after VSD in 10 cases. In these cases, prosthesis were reserved, no recurrent infection was observed, wound were healed, limb function were reserved. VSD was refused in 1 case because of hypersensitive of the pain at the vacuum site, infection control was failed and amputation at the thigh was proceeded. The effect was not evident in 1 case with tuberculosis infection, then the prosthesis was removed and arthrodesis was proceeded followed by complete union. In 1 case, infection was cured with VSD, recurrent infection happened after 9 months, antibiotic-impregnated cement spacer was used at end, and no recurrence was observed 1 year and 4 months later. Conclusion VSD combined with debridement

  5. Clinical effects of nano-silver burn dressings and silver sulfadiazine cream on treatment of deep Ⅱ degree burn wounds infections%纳米银烧伤敷料与磺胺嘧啶银乳膏治疗深Ⅱ度烧伤患者创面感染的研究

    Institute of Scientific and Technical Information of China (English)

    蒋瑞明; 张元海; 叶春江; 倪良方; 何勇

    2015-01-01

    OBJECTIVE To explore the clinical effects of conventional drug dressings such as nano‐silver burn dress‐ings and silver sulfadiazine cream on treatment of deep Ⅱ degree burn wounds infections so as to provide guidance for clinical diagnosis and treatment .METHODS A total of 90 thermal burns patients who were hospitalized from Jan 2012 to Dec 2014 were enrolled in the study ,with the total burn area varying from 5 .00% to 29 .00% of body surface area ,and they had different deep Ⅱ degree of limb burns .The subjects were randomly divided into the control group and the observation group ,with 45 cases in each .The control group was treated with silver sulfadi‐azine cream ,while the observation group was given nano‐silver burn dressings for conventional drug dressing ,and the wounds were treated with debridement ,rinsing ,bandaging ,and dressing once every two days .RESULTS Af‐ter the treatment for 2 weeks ,the CRP level of the observation group was (16 .28 ± 2 .95)mg/L ,the wound heal‐ing time (18 .94 ± 3 .75)days ,the pigmentation subsided time (43 .45 ± 8 .26) days ,significantly better than those of the control group (P<0 .05) .The positive rate of bacterial culture of the observation group was 8 .89% after the treatment for 1 week ,significantly lower than that of the control group ;the positive rate of bacterial culture of the observation group was 0 after the treatment for 2 weeks ,significantly lower than that of the control group (P<0 .01) .The excellent and good rate of cicatrices of the observation group was 93 .34% ,significantly higher than 77 .78% of the control group (P< 0 .01) .CONCLUSION Nano‐silver burn dressings can achieve significant clinical effect on treatment of deep Ⅱ degree burn wounds ,shorten the wound healing time ,facilitate the recover‐y ,and improve the prognosis .It is worthy to be promoted in the hospital .%目的:探讨纳米银烧伤敷料、磺胺嘧啶银乳膏常规换药治疗深Ⅱ度烧伤创面感

  6. Research the method of axillary osmidrosis treatment use filmy skin flap in armpit wrink%腋窝皱襞切口薄皮瓣法治疗腋臭的研究

    Institute of Scientific and Technical Information of China (English)

    张郑; 李亮

    2010-01-01

    Objective Study the curative effect of axillary osmidrosis treatment,that incision in armpit wrink, orthoptic cut off the gland to filmy skin flap. Methods Collect axillary osmidrosis patient 197 example in recent years, adoption armpit wrink 394 example, the scope of surgical operation super the armpit hair distribute 1 cm, swelling anaesthesia, orthoptic cut off the armpit organization 5 cm under skin include big gland, keep the operation scope to vessal net flap under skin. Hematischesis thoroughly use a double pole electricity hemostasis,keep dnge after operation,bandaging in pressure,sutures out after 7 d. Results The foul smell standard reference the Tung-Chain' standard of axillary osmidrosis curative effect evaluation. cure 387 armpit, accout of 97.97% ;show excellence 7 example, accout of 2.03%; invalid 0. The armpit hair varity: obvious reduc 368example,have 90.4%; general rduce 19 example, have 9.66%; not obvious reduce 0. Perspire condition:Obvious reduce 342 example,have 86.80%; not obvious Improvement 52 example,have 13.20% ;Have no variety 0. The surgical operation instauration time average about 7 days. Complication:necrosis on the edge of the skin is 8; scar formation on the incision is 3 example; hematoma is 1 example; the shoulder joint is limit accout of 0. Conclusion The method of axillary osmidrosis treatment use filmy skin flap in armpit wrink, it have exterimination foundation of anatomy and pathology, which can cause axillary osmidrosis, this operation is simple, curative effect is credibility, the wound is small, complication is little etc. utmost match the principle of orthopedic surgery, worthy of clinical application.%目的 探讨腋窝皱襞切口直视剪除大汗腺至薄皮瓣法治疗腋臭的疗效.方法 收集近年来腋臭患者197例,采用腋窝皱襞切口394个,手术范围超腋毛分布l cm,肿胀麻醉,直视下剪除包含大汗腺的腋部皮下组织5 mm左右,直至手术范围皮肤形成真皮下血管网皮瓣.

  7. Clinical observation on the recurrence and dry eye after primary pterygium excision combined with autologous conjunctival transplantation%原发性翼状胬肉切除联合自体结膜瓣移植术后复发 及术后出现干眼的临床观察

    Institute of Scientific and Technical Information of China (English)

    王皓璇; 李君; 朱剑

    2015-01-01

    the exposed sclera bed, then covered bandage for 2 days after surgery, removed conjunctival stitch 15 days postoperatively. Then observed the occurrence of dry eye according to subjective and objective symptoms and signs of dry eye examination and determined the postoperative recurrence after three months.Results:Ruddy graft began growing integration after 1 week, with no infection or rejection and abnormal phenomenon. 2 recurrent pterygium eyes of two cases of non-dry eye group were observed, the recurrence rate was 4.35% (2/46), one eye of one case began subjective and objective symptoms of dry eye after treatment. 5 recurrent pterygium eyes of five cases of dry eye group were confirmed, the recurrence rate was 11.1% (5/45), eight eyes of eight cases began subjective and objective symptoms of dry eye after treatment. There was not statisticaly significant (P = 0.26) in the recurrence rate, symptoms of dry eye after surgery was statisticaly significant (P <0.05) both non-dry eye group and dry eye group.Conclusions:There is no obvious correlation between recurrence and dry eye after primary pterygium excision combined with autologous transplantation, and the emergence of postoperative dry eye is related to preoperative ocular diseases.

  8. The treatment of the acute acromioclavicular joint dislocation with LARS artificial ligament:a preliminary report%应用LARS人工韧带治疗急性肩锁关节脱位的初步报告

    Institute of Scientific and Technical Information of China (English)

    陈爱民; 鹿楠; 叶添文; 杨鹏; 朱磊; 李菁

    2014-01-01

    artificial ligament was used to reconstruct the CC ligament.Surgeries of all the patients were performed under general anesthesia within 2 to 5 days after inj ury,and the operation time ranged from 60 to 90 minutes.After successful anesthesia,the patient lied on a beach chair position with the affected shoulder bolstered up.Attachment points of trapezoid ligament and conoid ligament are evaluated preoperatively through the length of clavicle among all the patients.The incision is made along the affected acromion and distal clavicle,curved downward to expose the clavicle and the tip of coracoid process.Find the ruptured CC ligament and then repair it with absorbable stiches by mattress-suture,leaving the reserved sutures unknotted.Then reconfirm the attachment point of CC ligament is on the location of coronal section,and if possible,the location can be identified by the exposure of CC ligament.Drill a hole separately with a diameter of 4.5 mm bit,and make sure that the drilling position is in the sagittal plane close to the front on the premise of intensity.Make the LARS artificial ligament pass through the root of coracoid with a drilling guide,and thread the two ends of ligament through the clavicular bone tunnel.After the confirmation of satisfactory reduction,tighten up the artificial ligament and fix the interference screws.Weave and knot the two sides of the ligament,suture with non-absorbent stitches and cut off the redundant part.Strain the absorbable suture on CC ligament and tie a knot.The routine anti-infection treatments were given and the affected arm was slung with scarf bandage.The patient was told to carry out functional activities of fingers and the forearm postoperatively.Active mobilization of the shoulder was initiated after 3 days and regular movements were in process without scarf bandage 3 weeks later.Such strenuous activities as physical exercise were forbidden within 3 months.Constant score and VAS score were adopted in clinical evaluation.Zanca view

  9. Functional and pathological changes of lung tissues after bullet wound of dog's hind legs%犬下肢创伤应激后肺脏组织的功能及病理学变化

    Institute of Scientific and Technical Information of China (English)

    许建阳; 王发强; 纪小龙; 刘庆安; 王美娥

    2005-01-01

    BACKGROUND: Knowing the pathological changes of the lungs after the wallop from the bullet wound helps to improve the method or mean of dealing with the wound or to reduce the damage to lung functions after the wound.OBJECTIVE: To probe into the functional and pathological changes of the lung tissues after bullet wound.DESIGN: Open experimental study of the animals.SETTING: Department of the Integrated Traditional Chinese and Western Medicine, General Hospital of the Chinese People's Armed Police Forces.MATERIALS: The experiment was completed from June 2003 to December 2003 at the General Hospital of the Armed Police Forces. Six healthy grown-up cross-bred dogs, half male and half female, weighing ( 16.3 ± 0.58 ) kg, aged (8 - 12) months old, were provided by the Experimental Animal Center of the Military Academy of Sciences of Chinese PLA. Animal Center's license No. Was SCXK(army)2002-001. The animals were fed with water and food with no restrictions in an environment in which the temperature was 22 to 23 ℃ and the humidity was 74% - 80%.METHODS: Grown-up healthy domestic dogs were shot at the thick muscular part of their left hind legs with a size 81 automatic rifles, 7.62 mm in caliber and bullet of type-560. Caution was taken to avoid damage to the major vessels and the bone tissues. The shooting distance was 5 meters. Immediate hemostasis and bandaging were performed after shooting. And 6 hours later, pathological examination of the lungs was carTied out.MAIN OUTCOME MEASURES: Pathological changes of the lungs.RESULTS: After the bullet wound, the main pathological manifestations of the lungs were detelectasis of the pulmonary alveoli and the decrease of air volume complicated with inflammatory alveoli infiltration, lung edema, obscure structure of pulmonary alveoli, passive congestion of the small blood vessels, etc.CONCLUSION: The lung wound was obvious after bullet wound and its mechanism was associated with stress, inflammatory reaction of the adjacent

  10. 骨囊肿的激素治疗效果评价%Results evaluation of hormone therapy of the bone cysts

    Institute of Scientific and Technical Information of China (English)

    刘文生; 牛晓辉; 邓志平; 李远; 鱼峰; 王涛; 杨发军

    2013-01-01

    愈。相对其它治疗方法,此方法操作简单,损伤小,可以作为治疗单纯骨囊肿的首选方法。%Objective To study and summarize the curative effects of intralesional injection of methylprednisolone for the treatment of the bone cysts in different parts of the body. Methods 33 patients with bone cysts of intact data were adopted from May 2007 to July 2012, who were treated with intracapsular injection of methylprednisolone. There were 23 males and 10 females, whose mean age was 12.3 years old ( range;5-28 years ). All patients were followed up for a mean period of 31.3 months ( range;3-53 months ). The lesions of 10 cases were situated in the proximal femur, 1 case in the shaft of femur, 1 case in the distal ifbula, 2 cases in the ilium and 19 cases in the proximal humerus. 11 patients with pathological fractures were immobilized for 1-2 months, who received treatment when the fractures were healed. Before the treatment, 4 patients who were treated with curettage and bone graft reoccurred postoperatively. 2 of them were treated with curettage, bone graft and internal ifxation with steel plates. Before the treatment, routine aspiration biopsy was performed on all the patients, and hormone therapy was carried out when bone cysts were conifrmed. Before the treatment, venous general anesthesia was used. Under the guide of“C”-arm, 2 medullo-puncture needles were introduced into both sides of the lesions to scrape the bone wall and destroy the cyst membrane. The lesions were repeatedly washed by normal saline, and contrast medium was injected. When the lesions were in good comditions, contrast medium would be rushed. The volume of 100-200 mg methylprednisolone was determined by the size of the cystic cavity. The puncture needle was pressed for 3 minutes to prevent the hormonal exudation and compress the wound bandage. Results 30 patients were injected with different amounts of hormones for a mean of 2.5 times ( range;2-4 times ), and the

  11. 肱骨近端严重骨折半肩关节置换术后护理与康复治疗%Nursing and rehabilitation after shoulder hemi-arthroplasty for severe proximal humeral fracture

    Institute of Scientific and Technical Information of China (English)

    孔祥燕

    2015-01-01

    effect.In this way,we can help the patients to make sufficient mental preparation and establish the confidence in rehabilitation.(2 )General nursing:After operation,we performed conventional nursing.Allow the patient to take horizontal position or low-scope lying position,use forearm suspension bandage to fix the affect limb at abduction 40°-50° and internal rotation 30°,namely,obliquely place the forearm of affected limb cushion nearby the affected side breast wall,so as to raise the affected limb and promote extinction of edema.It is necessary to keep close observation on the vital signs of the patients,paying attention to the skin temperature and color of affected limb as well as wound condition,and being alert on symptom expressions of neurovascular injury such as finger and affected limb skin numbness,cyanosis and swelling.Upon finding any abnormal circumstance,timely report the physician for treatment.(3)Nursing of the drainage tube:Unobstructed post-operative drainage is one of the keys to successful operation.It is necessary to properly fix the wound drainage tube and keep it unobstructed,prevent the drainage tube from compression,bending,blocking and falling,keep close observation on the color,flow and property of drainage liquid and accurately record the results.If a log of blood is continuously drained in short time,it is necessary to pay high attention to the existence of active hemorrhage or not. III. Rehabilitation exercise:According to the shoulder joint rehabilitation procedures established by Brown et al, in combination with the physical circumstances of the patients as well as the surgical characteristics, we established the post-operative rehabilitation protocol after shoulder hemi-arthroplasty.The post-operative rehabilitation exercise is divided into 3 stages,which are early stage, intermediate stage and late stage. We provided the instructions for the functional rehabilitation exercise in the whole process.First stage (1d-6 weeks post operation

  12. Nursing and rehabilitation after shoulder hemi-arthroplasty for severe proximal humeral fracture%肱骨近端严重骨折半肩关节置换术后护理与康复治疗

    Institute of Scientific and Technical Information of China (English)

    孔祥燕

    2015-01-01

    patients have been discharged from hospital,our department performed follow-up and instruction for functional exercise and rehabilitation with duration of 9 months on average.At each time of follow-up,our department made effect evaluation with reference to Neer scoring criterion,and 67 cases had recovered their shoulder joint functions with good effect. Now,our experiences in nursing and rehabilitation are introduced as follows.Method I.General materials:According to clinical diagnosis, 67 cases with closed comminuted proximal humeral fractures received shoulder hemi-arthroplasty,including 1 9 male cases and 48 female cases,aged at 52-90 years,with an average age of 73.06 years.Neer typing:29 cases with 3-part fracture,9 cases with 3-part fracture dislocation,23 cases with 4-part fractures and 6 cases with 4-part fracture dislocation.67 patients had basically normal pre-injury extremity functions and self-care ability of daily life,and were competent for routine work.II.Nursing:(1)Preoperative psychological nursing:Prior to operation,we introduced to the patients the importance of active rehabilitation exercise to the recovery of shoulder joint functions, and also emphasized the arduous and long-term course of rehabilitation training on shoulder joint. In general, rehabilitation exercise for 6-12 months is necessary to achieve obvious effect.In this way,we can help the patients to make sufficient mental preparation and establish the confidence in rehabilitation.(2 )General nursing:After operation,we performed conventional nursing.Allow the patient to take horizontal position or low-scope lying position,use forearm suspension bandage to fix the affect limb at abduction 40°-50° and internal rotation 30°,namely,obliquely place the forearm of affected limb cushion nearby the affected side breast wall,so as to raise the affected limb and promote extinction of edema.It is necessary to keep close observation on the vital signs of the patients,paying attention to the skin