WorldWideScience

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. Inkjet printed wireless smart bandage

    KAUST Repository

    Farooqui, Muhammad Fahad

    2016-12-19

    Chronic wounds affect millions of patients around the world and requires a major portion of health care budget for treatment. In this article, we present an unprecedented low cost continuous wireless monitoring system, realized through inkjet printing on a standard bandage strip, which can send early warnings as well as record long term wound progression data. The smart bandage can communicate upto a distance of 60 m when worn on the body.

  3. Towards gecko-feet-inspired bandages.

    Science.gov (United States)

    Yanik, Mehmet Fatih

    2009-01-01

    A novel bandage inspired by gecko feet might one day be used during emergencies and internal surgeries. The bandage uses a combination of nanofabricated structures, biodegradable materials and adhesive surface chemistry that allows adhesion onto even wet, moving tissue.

  4. ECM-Chitosan Bandage for Tissue Repair

    Science.gov (United States)

    Lauto, Antonio; Longo, Leonardo

    2010-05-01

    Extracellular matrices (ECMs) are currently applied in reconstructive surgery to enhance wound healing and tissue remodelling. Sutures and staples are usually employed to stabilize ECM on tissue although they may damage the matrix structure. In this investigation, a novel biocompatible bandage was developed to implant ECM on tissue without sutures. An adhesive film, based on chitosan, was integrated with small intestine submucosa (SIS) in a single bandage strip. This bandage was bonded to sheep small intestine upon laser irradiation of the chitosan film (P = 0.12 W, Fluence = 46±1 J/cm2) to assess tissue adhesion strength. Thermocouples were used to estimate temperatures under SIS during laser irradiation. The bandage successfully bonded to intestine achieving a shear stress of 9.6±1.6 kPa(n = 15). During laser irradiation, the temperature increased modestly to 31±2 0C(n = 14) beneath the ECM portion of the bandage. The SIS-chitosan bandage bonded effectively to tissue without sutures and preserved the ECM structure avoiding irreversible thermal denaturation of imbedded bioactive proteins.

  5. Knitted Bandages for Animal Care and Their Production Technology

    OpenAIRE

    Okss, A; Bernikova, I; Oksa, J; Ilgažs, A

    2013-01-01

    A new type of knitted bandages for wound cover for animals is proposed. Properties of different knitted stitches are compared and tested to provide good elasticity and breathability of bandage and the possibility to cut any necessary length and openings in it. The Technology of the production of the proposed bandages is developed.

  6. Mathematical modeling to predict the sub-bandage pressure on a conical limb for multi-layer bandaging.

    Science.gov (United States)

    Sikka, M P; Ghosh, S; Mukhopadhyay, A

    2016-09-01

    The effectiveness of the compression treatment by a medical compression bandage is dependent on the pressure generated at the interface between the bandage and the skin. This pressure is called interface pressure or sub-bandage pressure. The performance of a bandage depends upon the level of interface pressure applied by the bandage and the sustenance of this pressure over time. The interface pressure exerted by the bandage depends on several other factors like limb shape or size, application technique, physical and structural properties of the bandage, physical activities taken by the patient, etc. The current understanding of how bandages apply pressure to a limb is based on the Law of Laplace, which states that tension in the walls of a container is dependent on both the pressure of the container's content and its radius. This concept was translated mathematically into equation relating pressure to tension and radius by Thomas. In addition, a modified equation was generated by multiplying the model with a constant that represents the number of bandage layers in order to use the model to estimate the pressure applied by multi-layer bandages. This simple multiplication adjustment was questioned by researchers. They had doubts about the model validity and whether it can be used to predict the sub-bandage pressure applied by pressure garments. One of the questions that were raised regarding the bandage thickness affecting the sub-bandage pressure has been recently explored by Al Khaburi where he used the thin and thick cylinder shell theory to study the effect of Multi Component Bandage's (MCB) thickness on the sub-bandage pressure. The model by Al Khaburi and the earlier models developed for pressure prediction are all based on calculations considering the cylindrical limb shapes although the human limb normally is wider at the calf and reduces in circumference towards the ankle. So in our approach, the bandage is assumed to take a conical shape during application

  7. 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.

  8. Neuromuscular Bandage: Neurophysiological Effects and the Role of Fascias

    Directory of Open Access Journals (Sweden)

    Ximena María Villota Chicaíza

    2014-05-01

    Full Text Available During the last years, neuromuscular bandage, a therapeutic application created in 1979 by doctor Kenzo Kase has been introduced in the management of many disorders of the musculo-skeletal system and even more so in the treatment of neurological disorders; This therapeutic tool which consists of a self adhesive elastic bandage allows recovery of the injured party without diminishing its bodily function. According to the existing literature on the physiological effects of this therapeutic application in the body, you could say that there is consensus. However in this article the author wants to highlight the significant although little highlighted role played by the fas¬cias on the therapeutic effects of neuromuscular bandage, analyzing from a reflective perspective the analgesic, neuromechanical and circulatory effects, as fundamental effects of neuromuscular bandage and fascias in the same function, trying to bring a global understanding on the way they relate to all connective tissues, aspects that are of great importance for the proper evaluation of alterations and prescription of neuromuscular 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. 21 CFR 880.5240 - Medical adhesive tape and adhesive bandage.

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Medical adhesive tape and adhesive bandage. 880... Personal Use Therapeutic Devices § 880.5240 Medical adhesive tape and adhesive bandage. (a) Identification. A medical adhesive tape or adhesive bandage is a device intended for medical purposes that...

  11. Treatment of postcatheterization femoral arteriovenous fistulas with simple prolonged bandaging

    Institute of Scientific and Technical Information of China (English)

    ZHOU Tao; LIU Zhen-jiang; ZHOU Sheng-hua; SHEN Xiang-qian; LIU Qi-ming; FANG Zhen-fei; HU Xin-qun; LI Jiang; L(U) Xiao-lin

    2007-01-01

    Background The methods for the treatment of postcatheterization femoral arteriovenous fistulas (AVF-s) - simple observation, ultrasound guided compression, covered stents implantation and coil embolization have poor outcome.Surgery is the standard method for treatment of femoral AVFs, but it is a traumatic operation. In this study, we report the results of the treatment of postcatheterization femoral AVFs by simple prolonged compressing bandage.Methods To treat iatrogenic femoral AVFs caused by transfemoral catheterization, prolonged binding with elastic or common bandage was applied in 16 cases. Catheterization was performed in 7 cases for radiofrequency current catheter ablation, in 4 for occlusion of congenital heart disease, in 3 for percutaneous coronary intervention, in 1 for coronary angiography and in 1 for right heart catheterization.Results All iatrogenic femoral AVFs were healed after simple binding with elastic or common bandage for 4-46 days (mean (15±10) days). During the period of binding, local skins ulceration occurred at puncture site in two cases and femoral vein thrombus was found in one patient. During 6-24 months (mean (11.8±3.6) months) followup with colour Doppler ultrasonography, no recurrent arteriovenous shunting or other complications were observed.Conclusion The results suggest that simple prolonged bandaging for postcatheterization femoral AVFs is an effective and economical procedure.

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

    Science.gov (United States)

    Simpson, John T [Clinton, TN; D'Urso, Brian R [Pittsburgh, PA

    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.

  13. 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

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

    DEFF Research Database (Denmark)

    Andersen, Lasse; Husted, Henrik; Otte, Niels Kristian Stahl Kri;

    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...... with compression bandage than in those with non-compression bandage and with a similar low use of oxycodone. Mean hospital stay was similar (2.8 days and 3.3 days, respectively). INTERPRETATION: A compression bandage is recommended to improve analgesia after high-volume local infiltration analgesia in total knee...... arthroplasty Udgivelsesdato: 2008/12...

  15. 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.

  16. 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

  17. A wearable stimulation bandage for electrotherapy studies in a rat ischemic wound model.

    Science.gov (United States)

    Howe, Daniel S; Dunning, Jeremy L; Henzel, Mary K; Graebert, Jennifer K; Bogie, Kath M

    2011-01-01

    The clinical efficacy of electro-therapy in the treatment of chronic wounds is currently debated, and a in-vivo evaluation of stimulation parameters will provide the statistical evidence needed to direct clinical guidelines. A low-cost, wearable electrical stimulation bandage has been developed for use with an established rat ischemic wound model. The bandage consists of a user-programmable stimulator PCB and a plastic bandage with two hydrogel electrodes. The battery-powered bandage may be used for up to seven days between dressing changes, and the stimulator may be reused. The microcontroller-based stimulator uses a boost converter circuit to generate pulses up to 90 V from a 3 V coin cell battery. Consistent operation of the boost converter over the wide input and output voltage ranges is achieved using voltage feedforward and soft-start techniques implemented in firmware. The bandages are laser-cut to shape, and electrical traces are applied using stencils and conductive nickel paint. Both the PCB and electrical traces are encapsulated to protect the animal. The device has been successfully demonstrated using the rat ischemic wound model for a period of seven days, and clinical experiments are ongoing.

  18. 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.

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

    Science.gov (United States)

    Farooqui, Muhammad Fahad; Shamim, Atif

    2016-06-01

    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.

  20. 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.

  1. 75 FR 59695 - Foreign-Trade Zone 169-Manatee County, Florida; Extension of Subzone; Aso LLC (Adhesive Bandage...

    Science.gov (United States)

    2010-09-28

    ... (Adhesive Bandage Manufacturing); Sarasota County, FL An application has been submitted to the Foreign-Trade... strips per year) was approved by the Board in 2000 for the manufacture of adhesive bandages under FTZ... has at times instead used various duty suspension provisions on adhesive tape. Aso is now...

  2. 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.

  3. Early treatment of trans-tibial amputees: retrospective analysis of early fitting and elastic bandaging

    NARCIS (Netherlands)

    Velzen, van A.D.; Nederhand, M.J.; Emmelot, C.H.; IJzerman, M.J.

    2005-01-01

    This study investigates the effects of early fitting in trans-tibial amputees. The assumption is that compared to elastic bandaging, the use of a rigid dressing in early fitting will result in quicker wound healing and earlier ambulation. A retrospective file search was carried out in three differen

  4. Sustained wound healing activity of curcumin loaded oleic acid based polymeric bandage in a rat model.

    Science.gov (United States)

    Mohanty, Chandana; Das, Manasi; Sahoo, Sanjeeb K

    2012-10-01

    Wound healing is an intricate multistage process that includes inflammation, cell proliferation, matrix deposition and remodeling phases. It is often associated with oxidative stress and consequent prolonged inflammation, resulting in impaired wound healing. Curcumin has been reported to improve wound healing in different animal models. In order to increase the efficacy of curcumin in the healing arena a curcumin loaded oleic acid based polymeric (COP) bandage was formulated. The in vivo wound healing potency was compared with void bandage and control (cotton gauze treatment) in a rat model. Biochemical parameters and histological analysis revealed increased wound reduction and enhanced cell proliferation in COP bandage treated groups due to its efficient free radical scavenging properties. Comparative acceleration in wound healing was due to early implementation of fibroblasts and its differentiation (increased level of α-smooth muscle actin). Western blotting and semiquantitative PCR analysis clearly indicate that COP bandage can efficiently quench free radicals leading to reduced antioxidative enzyme activity. Further evidence at mRNA and protein level indicates that our system is potent enough to reduce the inflammatory response mediated by the NFκB pathway during wound healing. With this background, we anticipate that such a versatile approach may seed new arena for topical wound healing in the near future.

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

    Directory of Open Access Journals (Sweden)

    Emilyn Borba da Silva

    2015-11-01

    Full Text Available 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 methods and techniques are used by occupational therapists in the rehabilitation of these individuals, such as the application of functional bandages, which are elastic bandages used in muscle and joint injuries. This research aimed to identify possible changes in occupational performance after the use of functional bandages in individuals suffering from hemiplegia as a consequence of stroke. It is a longitudinal, descriptive, exploratory study of quantitative approach on pre- and post-occupational therapy intervention. The results showed that taping contributed to increased range of motion and evolution of components and areas of occupational performance. We conclude that functional bandage is an important tool to be used as an adjuvant in occupational therapy in order to obtain positive results in the rehabilitation of hemiplegic patients affected by stroke.

  6. 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.

  7. Superhydrophobic, diatomaceous earth comprising bandages and method of making the same

    Energy Technology Data Exchange (ETDEWEB)

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

    2017-01-10

    A bandage comprising a substrate having a first surface with a plurality of superhydrophobic particles attached to the first surface. The plurality of superhydrophobic particles can be porous diatomaceous earth particles having a hydrophobic layer conforming to the surfaces of the DE particles, where the hydrophobic layer is bound to the DE particles. The plurality of attached superhydrophobic particles can render the first surface superhydrophobic, while a second surface opposite the first surface can be hydrophilic or hydrophobic. The substrate can be breathable in order to maintain skin health for the tissue underlying the bandage. The substrate can be selected from porous films, apertured films, textiles, nonwoven materials, impregnated composites thereof, and combinations thereof.

  8. 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.

  9. 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.

  10. The role of Esmarch bandage and percutaneous cannulated cancellous screws in tibial condylar fracture

    Directory of Open Access Journals (Sweden)

    Shete Kiran

    2006-01-01

    Full Text Available Background : Proximal tibial fractures involving the condyles are often a matter of debate with regards to surgical management. The purpose of this study was to evaluate the efficacy of using closed reduction with an eschmarch bandage, gentle hammering, and use of percutaneous cannulated cancellous screws for fixation and buttressing the fracture, as a treatment modality for specific tibial condyle fractures. Methods : We evaluated 90 closed upper end tibia fractures, Schatzker types I, III, and IV, treated with closed reduction using an esmarch bandage and minimally invasive percutaneus fixation with cannulated cancellous screws. Results : We achieved excellent results in 33.3% of the cases, good result in 50%, a fair result in 13.3 %, and a poor result in 3.3 % cases. Conclusion : This minimally invasive modality of treatment of upper end tibia fractures gives satisfactory results. The use of esmarch bandage and gentle hammering to help achieve acceptable reduction has the advantage of being relatively simple and easily reproducible, without the use of any expensive extra medical equipment. The percutaneous fixation with cancellous screws has minimal morbidity. Thus, this is a good modality of treatment of tibial condlyle fractures of Schatzker types I, III and IV.

  11. 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.

  12. Twenty-four hours or 10 days? A prospective randomised controlled trial in children comparing head bandages following pinnaplasty.

    Science.gov (United States)

    Ramkumar, S; Narayanan, V; Laing, J H E

    2006-01-01

    The perceived benefits of bandaging for 10 days following pinnaplasty have been questioned by previous studies. The problems arising from these dressings are many [Powell BWEM. The value of head dressings in the postoperative management of the prominent ear. Br J Plast Surg 1989;42:692-4. Bartley J. How long should ears be bandaged after otoplasty? J Laryngol Otol 1998;112:531-2. Wong MC, Sylaidis P. Head dressings for pinnaplasty: a tradition not supported by evidence. Br J Plast Surg 2001;54:81-2], including their slippage [Powell BWEM. The value of head dressings in the postoperative management of the prominent ear. Br J Plast Surg 1989;42:692-4. Bradbury ET, Hewison J, Timmons MJ. Psychological and social outcome of prominent ear correction in children. Br J Plast Surg 1992;45:97-100. Jeffery SLA. Complications following correction of prominent ears: an audit review of 122 cases. Br J Plast Surg 1999;52:588-90]. Eighty children were recruited into a prospective randomised controlled trial comparing the use of a head bandage for only 24 h with a standard practise of a 10-day head bandage. A preoperative measurement of the lateral ear projection (LEP) was made. The outcome measures recorded during the two planned postoperative visits at 10 days (visit 1) and 2 months (visit 2) were: patient satisfaction score, LEP, complications and any unscheduled hospital visits associated with the surgery. There was no significant difference in LEP and patient satisfaction between the two groups at both the scheduled postoperative visits. Differences between the groups in the number of unscheduled visits (p=0.21) did not reach statistical significance. The findings indicate that it is safe and effective to use head bandage for only 24 h following surgical correction of prominent ears. This study shows no benefit from the application of a formal head bandage for any longer than 1 day.

  13. Non-invasive Transdermal Two-dimensional Mapping of Cutaneous Oxygenation with Rapid-drying Liquid Bandage

    Science.gov (United States)

    2014-10-01

    porphyrin protein scaffolds for sensing O2.,” J. Am. Chem. Soc. 132(16), 5582–5583 (2010). 19. C. Wu, B. Bull, K. Christensen, and J. McNeill...transparent, polymeric liquid bandage material, the sensor #217203 - $15.00 USD Received 22 Jul 2014; revised 5 Sep 2014; accepted 5 Sep 2014; published 1

  14. Emergency Victim Care. A Training Manual for Emergency Medical Technicians. Module 6. Bleeding Control, Wounds and Bandaging, Shock. Revised.

    Science.gov (United States)

    Ohio State Dept. of Education, Columbus. Div. of Vocational Education.

    This student manual, the sixth in a set of 14 modules, is designed to train emergency medical technicians (EMTs) in Ohio. The module contains three sections covering the following course content: control of bleeding, caring for wounds and bandaging various body parts, and caring for shock victims. Each section contains objectives, an introduction,…

  15. Recognition and Emergency Care of Wounds: Bleeding Control and Bandaging. First Responder Training, Lesson Plan No. 1.

    Science.gov (United States)

    Upton, Robert

    Designed for a 40-hour course in first-responder medical training, this lesson plan teaches students how to control bleeding and bandage wounds. This lesson includes discussions on skin, the circulatory system, and blood; describes seven types of wounds; and explains four bleeding control methods. The lesson plan begins with information on the…

  16. Influence of the structure of ceftazidime on obtaining biologically active cellulosic bandage

    Directory of Open Access Journals (Sweden)

    Rodić-Grabovac Branka B.

    2017-01-01

    Full Text Available Biologically active fibers as drug carriers have improved characteristics in comparison with conventional medical therapies. Cellulosic fibers as hydrophilic and biocompatible, nontoxic and eco-friendly make a good polymer matrix for obtaining biologically active fibers. Current investigations in this area show that the features of these fibers depend on the type of carrier as well as the drug structure. Loading drugs on the fiber carrier is accomplished by ionic bonding between ionized drugs and the groups fixed on the fiber (by ion exchange or loosely adsorption on the fiber through hydrophobic interactions. These interactions can be achieved between hydrophobic parts of the drug and the fiber carrier or among the hydrophobic drugs bonded on the fiber. Prevailing mechanism of ionized drug bonding on the carrier is ionic, although different hydrophobic interactions can contribute the drug loading to varying degrees. In this paper oxidized cellulose (OC with different carboxylic group content is obtained by selective oxidation and used for chemical bonding of antibiotic ceftazidime. In its structure this antibiotic has aminothiazole ring and pyridine ring in the side chains of cephem nucleus. Ceftazidime has two carboxylic groups and also great number of electron donors and acceptors. Due to these groups and structures ceftazidime is able to form multiple chemical bonds i. e. interactions with oxidized cellulosic bandage. The bonding was performed in antibiotic water solution concentration of c=3,4∙10-3 mol/L at room temperature (22 ± 1°C, while desorption was performed in physiological solution. The amounts of bonded and released antibiotic were determined spectrophotometrically in UV range. Maximum amount of bound drug (0,0243 mg/g was obtained during the sorption on the oxidized bandage with 2,276 mmol/g COOH and the maximum amount of released drug was 0,0238 mmol/g. Antimicrobial activity of the samples with bonded ceftazidime was tested

  17. The use of pressure immobilization bandages in the first aid management of cubozoan envenomings.

    Science.gov (United States)

    Seymour, Jamie; Carrette, Teresa; Cullen, Paul; Little, Mark; Mulcahy, Richard F; Pereira, Peter L

    2002-10-01

    This study is aimed to evaluate whether the application of pressure results in additional release of venom from naturally discharged, vinegar soaked nematocysts of the box jellyfish Chironex fleckeri. The results show that large quantities of venom are expressed with the application of pressures similar to that applied by compression immobilization bandages. The volume of venom expressed by this pressure was similar to the quantity expressed upon initial natural discharge of the nematocysts. The current recommended practice of applying PIB to cubozoan stings might worsen the envenomation. As the existing data now show that PIB may be detrimental to victims envenomed by cubozoans, we suggest that the current practice of the use of PIB in cubozoan envenomings be discarded until there is direct experimental evidence to support its use.

  18. 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.

  19. 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.

  20. New drug-eluting lenses to be applied as bandages after keratoprosthesis implantation.

    Science.gov (United States)

    Carreira, A S; Ferreira, P; Ribeiro, M P; Correia, T R; Coutinho, P; Correia, I J; Gil, M H

    2014-12-30

    Corneal tissue is the most commonly transplanted tissue worldwide. This work aimed to develop a new drug-eluting contact lens that may be used as a bandage after keratoprosthesis. During this work, films were produced using poly(vinyl alcohol) (PVA) and chitosan (CS) crosslinked with glyoxal (GL). Vancomycin chlorhydrate (VA) was impregnated in these systems by soaking. Attenuated total reflectance - Fourier transform infrared spectroscopy was used to confirm crosslinking. The cytotoxic and drug release profile, hydrophilicity, thermal and biodegradation as well as swelling capacity of the samples were assessed through in vitro studies. PVA and PVA/CS films were obtained by crosslinking with GL. The films were transparent, flexible with smooth surfaces, hydrophilic and able to load and release vancomycin for more than 8h. Biodegradation in artificial lachrymal fluid (ALF) with lysozyme at 37°C showed that mass loss was higher for the samples containing CS. Also, the samples prepared with CS showed the formation of pores which were visualized by SEM. All samples revealed a biocompatible character after 24h in contact with cornea endothelial cells. As a general conclusion it was possible to determine that the 70PVA/30CS film showed to combine the necessary features to prepare vancomycin-eluting contact lenses to prevent inflammation after corneal substitution.

  1. An ultra-low power (ULP) bandage-type ECG sensor for efficient cardiac disease management.

    Science.gov (United States)

    Shin, Kunsoo; Park, G G; Kim, J P; Lee, T H; Ko, B H; Kim, Y H

    2013-01-01

    This paper proposed an ultra-low power bandage-type ECG sensor (the size: 76 × 34 × 3 (mm(3)) and the power consumption: 1 mW) which allows for a continuous and real-time monitoring of a user's ECG signals over 24h during daily activities. For its compact size and lower power consumption, we designed the analog front-end, the SRP (Samsung Reconfigurable Processor) based DSP of 30 uW/MHz, and the ULP wireless RF of 1 nJ/bit. Also, to tackle motion artifacts(MA), a MA monitoring technique based on the HCP (Half-cell Potential) is proposed which resulted in the high correlation between the MA and the HCP, the correlation coefficient of 0.75 ± 0.18. To assess its feasibility and validity as a wearable health monitor, we performed the comparison of two ECG signals recorded form it and a conventional Holter device. As a result, the performance of the former is a little lower as compared with the latter, although showing no statistical significant difference (the quality of the signal: 94.3% vs 99.4%; the accuracy of arrhythmia detection: 93.7% vs 98.7%). With those results, it has been confirmed that it can be used as a wearable health monitor due to its comfortability, its long operation lifetime and the good quality of the measured ECG signal.

  2. 带固定新生儿鼻塞CPAP管道的小改良%A nursing study of neonates nasal CPAP fixed with bandage

    Institute of Scientific and Technical Information of China (English)

    谭维玉; 谢庆玲; 李柳青; 唐晓燕; 孙艺; 韦玉华

    2011-01-01

    Objective:To observe the effect of neonates nasal CPAP fixed with bandage. Methods:The 75 neonates' nasal CPAP were fixed with bandage. Results:The neonates' nasal CPAP were fixed well, the presure of CPAP is steady. Conclusion: The method of neonates nasal CPAP fixed with bandage well worked and provided operation . It is worthwhile for clinical use.%目的:探讨绷带固定新生儿鼻塞CPAP管道的效果.方法:对75例新生儿鼻塞CPAP管道用绷带固定.结果:管道固定效果好,压力稳定.结论:绷带固定新生儿鼻塞CPAP管道获得较好效果,操作简便,值得临床上推广.

  3. 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

  4. [Computer-aided method and rapid prototyping for the personalized fabrication of a silicone bandage digital prosthesis].

    Science.gov (United States)

    Ventura Ferreira, Nuno; Leal, Nuno; Correia Sá, Inês; Reis, Ana; Marques, Marisa

    2014-01-01

    The fabrication of digital prostheses has acquired growing importance not only for the possibility for the patient to overcome psychosocial trauma but also to promote grip functionality. An application method of three dimensional-computer-aided design technologies for the production of passive prostheses is presented by means of a fifth finger amputee clinical case following bilateral hand replantation.Three-dimensional-computerized tomography was used for the collection of anthropometric images of the hands. Computer-aided design techniques were used to develop the digital file-based prosthesis from the reconstruction images by inversion and superimposing the contra-lateral finger images. The rapid prototyping manufacturing method was used for the production of a silicone bandage prosthesis prototype. This approach replaces the traditional manual method by a virtual method that is basis for the optimization of a high speed, accurate and innovative process.

  5. A new option in the treatment of skin tears for the institutionalized resident: formulated 2-octylcyanoacrylate topical bandage.

    Science.gov (United States)

    Milne, Catherine T; Corbett, Lisa Q

    2005-01-01

    Skin tears are a common phenomenon in elderly institutionalized adults (EIAs). Incidence ranges from 0.92 to 2.5 per person/year. Little supportive literature exists regarding optimal treatment with many regimens reported. A convenience sample of 20 patients with Payne-Martin Category II and III skin tears of less than 8 hours' duration were prospectively evaluated with the use of a formulated 2-octylcyanoacrylate topical bandage. Patients were followed weekly until the tear healed. Complete healing occurred with 1 application of 2-OTB in 90% (18/20) of study subjects; 5% (n = 1) reported transient mild pain (less than 15 seconds), and 90% (n = 19) reported no pain. There were no incidents of cellulitis or infection. Shower and bathing routines were not interrupted. Cost averaged less than $1 per application. Clinician time averaged 1.5 minutes per application. Clinicians reported high satisfaction because repeated dressing changes were eliminated.

  6. Cost-effectiveness of compression technologies for evidence-informed leg ulcer care: results from the Canadian Bandaging Trial

    Directory of Open Access Journals (Sweden)

    Pham Ba'

    2012-10-01

    Full Text Available Abstract Background Venous leg ulcers, affecting approximately 1% of the population, are costly to manage due to poor healing and high recurrence rates. We evaluated an evidence-informed leg ulcer care protocol with two frequently used high compression systems: ‘four-layer bandage’ (4LB and ‘short-stretch bandage’ (SSB. Methods We conducted a cost-effectiveness analysis using individual patient data from the Canadian Bandaging Trial, a publicly funded, pragmatic, randomized trial evaluating high compression therapy with 4LB (n = 215 and SSB (n = 209 for community care of venous leg ulcers. We estimated costs (in 2009–2010 Canadian dollars from the societal perspective and used a time horizon corresponding to each trial participant’s first year. Results Relative to SSB, 4LB was associated with an average 15 ulcer-free days gained, although the 95% confidence interval [−32, 21 days] crossed zero, indicating no treatment difference; an average health benefit of 0.009 QALYs gained [−0.019, 0.037] and overall, an average cost increase of $420 [$235, $739] (due to twice as many 4LB bandages used; or equivalently, a cost of $46,667 per QALY gained. If decision makers are willing to pay from $50,000 to $100,000 per QALY, the probability of 4LB being more cost effective increased from 51% to 63%. Conclusions Our findings differ from the emerging clinical and economic evidence that supports high compression therapy with 4LB, and therefore suggest another perspective on high compression practice, namely when delivered by trained registered nurses using an evidence-informed protocol, both 4LB and SSB systems offer comparable effectiveness and value for money. Trial registration ClinicalTrials.gov Identifier: NCT00202267

  7. 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.

  8. 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.

  9. Clinical Application of Lower Limbs Venography under Compression by Elastic Bandage%弹性绷带加压下肢静脉造影的应用体会

    Institute of Scientific and Technical Information of China (English)

    许少睿; 苏浩波; 楼文胜

    2012-01-01

    目的 评估使用弹性绷带加压包裹压迫下肢曲张静脉后行下肢静脉造影的临床应用价值.方法 对66例重度下肢静脉曲张患者,先后使用止血带束扎踝上浅静脉和弹性绷带包裹压迫下肢浅静脉曲张部位,再进行顺行性下肢深静脉的造影.结果 造影结果 显示,使用止血带束扎浅静脉后进行顺行造影中,52例深静脉显示欠佳;再使用弹性绷带包裹压迫后顺行造影,深静脉显影清晰40例,深静脉显示欠佳12例.结论 在重度下肢静脉曲张患者中,使用弹性绷带加压包裹压迫下肢曲张静脉部位后进行下肢顺行静脉造影,有助于下肢深静脉显示.%Objective To investigate the value and advantage of elastic bandage compressing varicose veins in lower limbs venography. Methods In 66 patients with severe varicose veins, antegrade venography was performed with a tournignet banding above the ankle at first, and with both tourniquet banding above the ankle and elastic bandage wrapped compressing the varicose vein again. Results The imaging results of 52 cases of deep vein who used tourniquet banding superficial vein and received antegrade venography were poor, while the imaging results of 40 cases who used compression elastic bandage and received antegrade venography were good, 12 cases were still poor. Conclusion In patients with severe varicose veins, using elastic bandage wrapped compression varicose vein parts of the lower limbs venography is conductive to the display of deep vein of lower limbs.

  10. 拇外翻截骨矫形绷带外固定的疗效%Efficacy of the external bandage fixation for corrective osteotomy surgery of hallux valgus

    Institute of Scientific and Technical Information of China (English)

    高战鳌; 张云; 赵思桥; 马顺前

    2016-01-01

    目的:分析微创截骨矫形后绷带外固定拇外翻治疗的效果。方法对519例(961足)拇外翻患者微创截骨矫形术后采用“8”字绷带缠绕外固定。结果患者均获得随访,时间3~36个月。截骨均愈合,时间为12~20周。无骨折不愈合或假关节形成者。结论绷带外固定可以达到维持复位后的固定要求,使骨折愈合;与传统固定方法比较该方法具有方便、灵活、痛苦小且可早期功能锻炼等优点,值得在一些特殊部位骨折固定中应用。%Objective To analyze the efficacy of the external bandage fixation for corrective osteotomy surgery of hal-lux valgus. Methods All the 519 patients (961 feet) were carried out minimally invasive corrective osteotomy sur-gery, twining the incision with bandage as “8” shape for external fixation. Results All the patients had been fol-lowed-up from 3 months to 36 months and the fracture were healed within the time of 12~20 weeks, no fracture non-union or pseudoarthrosis was found. Conclusions The way of external bandage fixation can meet the requirements of maintaining restoration, make the fracture heal up. Comparing with the traditional way of fixation, the advantages of convenience, agility, less pain and early functional exercises are obvious in this way, so it′s worth to popularize and apply in fracture fixation of some special body parts.

  11. Application of fibrin glue with bandage contact lens in pterygium surgery%纤维蛋白胶联合绷带型角膜接触镜在翼状胬肉切除术中的应用

    Institute of Scientific and Technical Information of China (English)

    刘伟; 张映萍; 谢梅芬; 刘妍

    2014-01-01

    目的:探讨应用纤维蛋白胶联合绷带型角膜接触镜减轻翼状胬肉切除联合自体角膜缘干细胞移植术后疼痛的效果。  方法:对52例72眼行翼状胬肉切除联合自体角膜缘干细胞移植手术治疗的初发性翼状胬肉患者,随机分为试验组(纤维蛋白胶联合绷带型角膜接触镜组)28例38眼和对照组(缝线组)24例34眼。试验组及对照组给予常规20 g/L利多卡因浸润麻醉后进行翼状胬肉切除联合自体角膜缘干细胞移植术。试验组采用黏合剂将植片与植床进行粘贴,对照组采用10-0缝线缝合植片与植床。术毕,试验组角膜表面放置角膜接触镜,对照组不配戴角膜接触镜。主要术后观察患者的术后1,2,3,5,7 d疼痛评分。术后随访6mo,观察植床与植片的匹配程度及感染、复发、植片愈合不良、结膜下囊肿等并发症情况。  结果:试验组患者疼痛程度评分均较对照组显著降低(均为P=0.000)。观察期内,两组植床与植片均成功固定于巩膜表面,并全部成活,同时两组患者均未发生感染、复发、植片愈合不良、结膜下囊肿等并发症。  结论:联合运用纤维蛋白胶黏合剂粘及角膜接触镜,可明显减轻翼状胬肉术后的疼痛反应。%AIM:To explore the efficacy of fibrin glue with bandage contact lens for pain relief after pterygium surgery performed with limbal autograft transplantation. METHODS:A prospective clinical trial was carried out in 52 patients ( 72 eyes ) operated for primary nasal pterygium. All patients were randomly divided into the fibrin glue with bandage contact lens group ( experimental group, 28 cases, 38 eyes ) and suture group ( control group, 24 cases, 34 eyes) . Autologous limbal graft taken from the superotemporal limbus was used to cover the sclera after pterygium excision under local anesthesia with 20g/L lidocaine. In experimental group, the transplant was attached to the sclera with

  12. Application of fibrin glue with bandage contact lens in recurrent pterygium surgery%纤维蛋白胶联合绷带型角膜接触镜在复发性翼状胬肉手术中应用

    Institute of Scientific and Technical Information of China (English)

    蔡卫国; 王秀春; 陈伟芳; 郑通美

    2016-01-01

    Objective To explore the clinical efficacy of fibrin glue with bandage contact lens for recurrent pteryg -ium surgery.Methods The study included 63 eyes of 60 recurrent pterygium patients who underwent pterygium excision combined with limbal stem cell conjunctival autograft transplantation from 2013 to 2015 in our hospital .Patients were ran-domly divided into experimental group (A) where bandage contact lens and fibrin glue were used and control group (B) where bandage contact lens and suture method were used .Surgery duration , ocular symptoms , healing time , recurrence rate and adverse reactions were evaluated .Results Our results showed that surgery duration , ocular symptoms , healing time, recurrence rate and adverse reaction are all better in patients who received fibrin glue and bandage contact lens . Conclusions Fibrin glue with bandage contact lens is a safe and effective treatment for recurrent pterygium .%目的探讨纤维蛋白胶联合绷带型角膜接触镜应用于复发性翼状胬肉手术的临床效果。方法对2013~2015年期间我院复发性翼状胬肉60例(63只眼)行翼状胬肉切除联合带自体角膜缘干细胞的结膜移植术,随机分为试验组( A)应用纤维蛋白胶联合绷带型角膜接触镜、对照组( B)应用缝线法联合绷带型角膜接触镜,观察手术时间、术后眼部症状、愈合、复发率、不良反应,评价其临床疗效。结果2组间比较手术时间、术后眼部症状、愈合、复发率及不良反应A组均优于B组。结论对于复发性翼状胬肉,应用纤维蛋白胶联合绷带型角膜接触镜手术时间、术后症状、愈合、复发率、不良反应更优,具有广泛的临床实用价值。

  13. 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.

  14. A clinical study of bandage soft contact lenses used as in Astigmatism%绷带型软性角膜接触镜对外伤性散光的应用研究

    Institute of Scientific and Technical Information of China (English)

    姜海峰; 张旭永; 姜慧君; 姜丽君

    2015-01-01

    目的 评价角膜穿通伤术后的患者配戴绷带型软性角膜接触镜对术后存在的角膜散光矫正的疗效.方法 对2014~2015年间入院行角膜穿通伤术后的患者54例54只眼,根据随机分为对照组(22例22只眼)和观察组(32例32只眼),观察组术后第二天即配戴绷带型软性角膜接触镜,持续21天,两组分别于术后第1天、第2天、第3天、第7天、第15天、30天、45天检查术眼裸眼视力(UC-VA)、最佳矫正视力(BCVA)、术后角膜散光及散光轴偏离情况.不同时间点的测量数据采用重复测量数据的方差分析,组间采用LSD检验.结果 对照组在术后各随访时间点的UCVA为平均(0.61±0.21,63)%≥0.5,41% ≥0.8,BCVA平均为(0.71 ±0.23,72)%≥0.5,60% ≥0.8.前15天角膜散光平均(3.64±1.34)D,30天散光平均(3.25±1.52)D,45天散光平均(2.87±1.43)D,散光轴位偏离为(3.65±1.79)°观察组在术后各随访时间点的UCVA平均为(0.73±0.25,85)%≥0.5,68%≥0.8,BC-VA平均为0.83±0.27,93%≥0.5,84% ≥0.8.前15天角膜散光平均(3.02±1.62)D,30天散光平均(2.37±1.63)D,45天散光平均(1.87±1.72)D,散光轴位偏离为(3.76±1.32)°.观察组散光均低于对照组,两组差异有统计学意义(P <0.001).结论 绷带型软性角膜接触镜对预防角膜穿通伤造成的散光及降低散光度数有有效、安全、简便的作用.%Objective To evaluate the effect of comeal penetrating injured patients who wear bandage soft contact lens for the therapy of postoperative corneal astigmatism correction.Methods Randomly divided the patients admitted corneal penetrating injury operation (54 cases 54 eye) between 2014 to 2015 into control group (22 cases 22 eye) and observation group (32 cases 32 eye),observation group wear bandages soft corneal contact lens second day after operation,continued for 21 days,two groups respectively check operation naked eye vision (UCVA),and best correction vision (BCVA

  15. Experiment Study on Influence of Vacuum Sealing Drainage on Compression Bandage of Full-thickness Skin Grafting%负压封闭引流装置用于全厚皮移植术后加压固定

    Institute of Scientific and Technical Information of China (English)

    罗江蓉; 刘勇; 岑瑛

    2011-01-01

    Objective To explore the influence of vacuum sealing drainage (VSD) on compression bandage of full-thickness skin grafting. Methods A model of full-thickness skin grafting in 2 operation zones was established in the two sides of spinal column of 24 New Zealand white rabbits. The wounds were deal with by VSD (group A) and conventional suture and compression bandage (group B) randomly. About 3, 5, and 7 days after operation, the assessment of the center and edge area (suture area) of skin grafting was performed by a single observer blinded to the randomization. The survival rate was calculated. Samples were selected from skin grafting and observed under a light microscope after HE staining. The expression of vascular endothelial growth factor (VEGF) was detected by immunohistochemistry method. Results The assessment of the edge area of skin grafting in group A was significantly better than that in group B (P0. 05). HE staining showed that in the edge area of skin grafting, the cell layer and structure were better in group A than that in group B, the difference in the center area was not significant (P>0. 05). Immunohistochemistry method showed that in the edge area of skin grafting, integrated optical density of VEGF was significantly higher in group A than in group B (P0. 05). Conclusions VSD utilized on compression bandage of full-thickness skin grafting can significantly improve the qualitative appearance of grafting, promote wound healing and vascularization. VSD may possibly reduce scar hyperplasia.%目的 探讨封闭负压引流(vacuum sealing drainage,VSD)装置用于全厚皮移植术后加压固定对全厚皮片移植成活的影响.方法 新西兰大白兔24只,在脊柱两侧2个术区建立全厚皮片移植模型.每只兔2个术区分别采用VSD(A组)、传统缝合打包加压包扎(B组),做自身对照.第3、5、7天各随机处死8只兔,观察皮片成活情况,做移植皮片中央及边缘(指打包固定的缝

  16. 丙纶乳胶丝交织自黏运动绷带基布弹性回复率计算模型%Elastic recovery rate calculation model of interwoven sport bandage fabric by PP and rubber latex thread

    Institute of Scientific and Technical Information of China (English)

    李玉鹏; 王其; 刘昌杰; 郭超群

    2016-01-01

    PP and rubber latex thread interwoven sport bandage fabrics were taken as the research object,the effect of weft yarn and pillar stitch were ignored,and an elastic recovery rate model was established and the calculation formula was gotten based on revision of the model. The amended calculation model can be used to calculate and predict the elastic recovery rate of this kind of sport bandage fabrics, with the deviation of less than 0.3% .%以丙纶乳胶丝交织自黏运动绷带基布为研究对象,忽略丙纶纬纱及编链线圈对绷带基布回弹性的影响,建立运动绷带基布弹性回复率计算模型,通过修正得到其弹性回复率计算式。修正后计算模型的偏差百分率小于0.3%,可用于此类运动绷带基布弹性回复率的实际计算和预测。

  17. Method of manufacturing fibrous hemostatic bandages

    Science.gov (United States)

    Larsen, Gustavo; Spretz, Ruben; Velarde-Ortiz, Raffet

    2012-09-04

    A method of manufacturing a sturdy and pliable fibrous hemostatic dressing by making fibers that maximally expose surface area per unit weight of active ingredients as a means for aiding in the clot forming process and as a means of minimizing waste of active ingredients. The method uses a rotating object to spin off a liquid biocompatible fiber precursor, which is added at its center. Fibers formed then deposit on a collector located at a distance from the rotating object creating a fiber layer on the collector. An electrical potential difference is maintained between the rotating disk and the collector. Then, a liquid procoagulation species is introduced at the center of the rotating disk such that it spins off the rotating disk and coats the fibers.

  18. 应用高透氧性角膜接触镜在准分子激光角膜切削术后的病原学分析%Study of bacterial contamination associated with bandage contact lenses after photorefractive keratectomy

    Institute of Scientific and Technical Information of China (English)

    艾辉; 窦晓燕; 樊冰; 林宝虹; 李卓成

    2015-01-01

    Objective To evaluate the occurrence rate and agents of the bacterial contamination of bandage contact lenses after photorefractive keratectomy(PRK) .Methods In a prospective study ,50 patients (100 eyes) underwent PRK .Conjunctival sac se‐creta were placed onto chocolate agar before PRK .All patients accepted bandage contact lenses and anti‐inflammatory drug therapy . Contact lenses and conjunctival sac secreta were placed onto chocolate agar after PRK .Corrected visual acuity ,intraocular pressure and corneal thickness were compared in the 2 groups .Results Among 100 pieces of cornea contact lens ,3 pieces (3% ) were tested positive for bacteria detection and bacteria were staphylococcus epidermis .All conjunctival sac secreta of preoperative and postoper‐ative were not detected bacteria ,postoperative eye infection was not found .Between the positive and negative groups ,tear secretion , may be related to cultivate positive correlation .Conclusion Bacterial contamination is possible when using bandage contact lenses after PRK ,specially for patients with less tear secretion .%目的:针对准分子激光屈光性角膜切削术(PRK )后所使用的绷带式高透氧性角膜接触镜的病原学进行分析。方法对接受PRK手术的50例(100只眼)患者,手术前取结膜囊分泌物进行细菌学培养。术后给予术眼配戴高透氧性绷带式角膜接触镜,术后第6~8天摘除角膜接触镜,将角膜接触镜进行细菌学检测,并同时再次取结膜囊分泌物进行细菌学培养。并将接触镜培养阳性的患者与培养阴性的患者分组对比,分析两组间矫正视力、眼压、角膜厚度等相关影响因素的差异性。结果100片角膜接触镜中,3片(3%)细菌学检测结果呈阳性,均为表皮葡萄球菌。所有患者术前、术后结膜囊均未监测到细菌,术后均未见眼部感染表现。阳性组和阴性组间,泪液分泌量存在差异,可能与培

  19. Clinical trial of anterior stromal puncture and bandage contact lens in treating patients with recurrent epithelial defects%角膜浅基质针刺术联合绷带镜治疗复发性角膜上皮糜烂

    Institute of Scientific and Technical Information of China (English)

    李晓静; 李建南

    2013-01-01

    AIM: To assess the safety and efficacy of combination therapy using anterior stromal puncture ( ASP ) and bandage contact lens for recurrent epithelial defects. METHODS:ASP was used as a treatment for 23 eyes of 22 outpatients with recurrent epithelial defects. At the mean time, they wore bandage contact lens and used eyedrops.All patients report foreign-body sensation, blepharospasm, tearing and photophobia in the morning or evening, some with visual impairment. ASP was performed on every patient with a self-made 41/2 needle under surface anesthesia.The patients worn contact lens after the surgery.We observed symptoms of foreign-body sensation, photophobia, vision , epithelial and stromal scar healing at 3d; 1,2,4,8,12wk.The average follow-up period was 3 months, range 4wk-10mo. RESULTS: Twenty -two eyes became completely asymptomatic and 19 eyes (83%) were once cured. CONCLUSION:ASP with bandage contact lens turns out to be an effective, convenient, economical and repeatable therapeutic option for patients with recurrent epithelial defects, which can control the severe foreign -body sensation quickly.%目的:探讨角膜浅基质针刺( anterior stromal puncture , ASP)联合绷带式隐形眼镜针对角膜上皮反复糜烂治疗的有效性和安全性。  方法:复发性角膜上皮糜烂的门诊患者22例23眼,最初均采用保守药物治疗无效或反复后,采用角膜浅基质针刺联合配戴绷带式隐形眼镜治疗。治疗前所有患者均表现晨起或晚间异物感、流泪、眼睑痉挛、畏光,部分伴有轻度视力下降。表面麻醉后,在裂隙灯下,用4号半针头制成截囊针形状,尖端长0.3mm,垂直穿过疏松的上皮和前弹力层行角膜浅基质多点针刺,术毕配戴月抛式绷带式隐形眼镜。在治疗后3 d;1,2,4,8,12 wk共6个时间点观察患者异物感、视力、畏光、上皮愈合情况及基质瘢痕情况。平均随访3 mo。  结果:患者22

  20. A comparative study on the effect of stretch stockings and 3M elastic bandage on prevention of deep vein thrombosis in patients with fracture of lower limb after operation%3M自粘弹性绷带与弹力袜预防下肢骨折术后患者深静脉血栓的效果比较

    Institute of Scientific and Technical Information of China (English)

    姜雪晶; 顾群

    2013-01-01

    Objective To explore the effect of stretch stockings and 3M elastic bandage on prevention of deep vein thrombosis in patients with fracture of lower hmb after operation.Methods During the period from January 2011 to December 2012,108 patients were divided into two groups according their sex and age.The control group was treated by the stretch stockings and routine nursing,while the experimental group was treated by 3M elastic bandage and routine nursing.The incidence of deep vein thrombosis and the average of hospital days were compared and analyzed between two groups after fracture.Results No lower limbs necrosis and pulmonary embolism happened in all patients.The average of hospital days were (31.0 ± 2.7) d in the control group,and longer than (22.0 ±3.1) d in the experimental group,and the difference was statistically significant (t =3.68,P =0.012).The incidence of deep vein thrombosis was 20.3% (11 cases) in the control group,and 5.5% (3 cases) in the experimental group,and the differences were statistically significant (x2 =3.68,5.25,respectively; P =0.012,0.042,respectively).Conclusions Compared with the traditional method using stretch stockings,the new method using 3M elastic bandage can decrease the incidence of deep vein thrombosis and reduce the average of hospital days in patients with fracture.Its clinical application is worth promoting.%目的 对比研究3M弹性绷带与弹力袜对预防下肢骨折术后深静脉血栓发生情况的影响.方法 选取2011年1月到2012年12月的108例下肢骨折患者按年龄、性别配对分为两组,对照组是常规护理加弹力袜护理(54例),干预组是常规护理加3M弹力袜护理组(54例),比较两组护理方法在骨折后深静脉血栓的发生率和平均住院天数.结果 两组均无肢体坏死及肺栓塞发生,对照组的平均住院日为(31.02.7)d,干预组的平均住院日为(22.03.1)d,干预组组的住院日明显缩短,两组比较,差异有统计学意义(t=3.68,P=0

  1. Effects of Figure of"8"Word Bandage in Ankle and Foot Joint on Gait of Hemiplegic Stroke Patients%踝足关节“8”字绷带对脑卒中后偏瘫患者步态的影响

    Institute of Scientific and Technical Information of China (English)

    范华桥; 李娟娟; 李冬; 张瑞丽

    2013-01-01

    目的:研究“8”字绷带对偏瘫患者步态的影响。方法:将56例脑卒中偏瘫患者随机分为观察组28例和对照组28目的:研究“8”字绷带对偏瘫患者步态的影响。方法:将56例脑卒中偏瘫患者随机分为观察组28例和对照组28例,对照组患者采用运动再学习、Bobath技术为主的康复训练,观察组每日采用与对照组相同的训练方法,并在步行训练时使用弹力绷带20分钟。2组患者均于治疗前、后采用改良的Barthel指数(modified Barthel index,MBI)、Holden步行功能分级、10m最大步行速度分别评定患者的日常生活能力、步行功能、最大步行速度,同时采取足印法、摄像分析法对受试者进步态分析。结果:观察组患者使用“8”字绷带后,静止时踝关节背屈角度明显改善,由之前的平均-8.91±6.11°增至5.23±4.11°,足外翻角度平均由-15.22±5.12°增至2.52±2.34°。步行周期中摆动相踝关节背屈角度明显提高,触地初期踝关节背屈足跟着地。跨步长、步速明显提高,其中跨步长由0.47±0.18m增加至0.59±0.12m,步速由0.61±0.1,3m/s增加至0.78±0.08m/s。治疗后,2组患者Barthel指数、Holden步行功能分级、10m最大步行速度较组内治疗前有显著改善,差异有统计学意义(P<0.05)。治疗后观察组各项指标改善情况均显著优于对照组,差异有统计学意义(P<0.05)。结论:“8”字绷带可以明显改善偏瘫患者踝足关节下垂、内翻的程度从而改善步态及步行能力。%Objective:To research the influence of the “8”word bandage to the gait of Hemiplegia patients .Methods:56 cases of stroke hemiplegia patients were randomly divided into the observation group and the control group in 28 cases with 28 cases.Control group were treated by movement and learning ,Bobath technology primarily rehabilitation training .The

  2. The application of elastic pasting bandage for puncture point errhysis after peripherally inserted central catheter using seldinger technique with beside ultrasound%弹力粘贴绷带在超声引导下塞丁格技术PICC置管后穿刺点渗血中的应用

    Institute of Scientific and Technical Information of China (English)

    胡华琼; 刘爱华

    2016-01-01

    Objective:To discuss the effective hemostasis method for puncture point errhysis after peripherally inserted central catheter using Seldinger tech-nique with beside ultrasound to avoid the dismantled side limb swelling and improve patients′comfort. Methods:Sity successful cases of patients under PICC with seldinger technique the beside ultrasound were randomly divided into observation group and control group. On the basis of conventional fixation,for ob-servation group the catheter-inserting nurses used elastic pasting bandage to compress on the puncture fixed point for hemostasis for 2 hours,while for the comparison group the nurse put one bag of 500 ml liquid at the puncture point for 30 minutes with traditional approach. Then compare two groups of patients for their hemostatic effect and blood vascular complications. Results:The puncture point hemostatic effect of observation group was better than that of control group (P<0. 05),the vascular complication subcutaneous ecchymosis occurrence rate of the observation group was lower than that of the control group (P<0. 05). Conclusion:Elastic pasting bandages can effectively prevent puncture point errhysis after PICC using Seldinger technique with beside ultra-sound so as to reduce the complications and improve patients′comfort.%目的::探讨超声引导下塞丁格技术PICC置管后穿刺点渗血的有效止血方法,避免拆除侧肢体肿胀,并提高患者舒适度。方法:将60例超声引导下塞丁格技术PICC置管成功患者随机等分为观察组和对照组。在常规固定的基础上,观察组由置管护士采用弹力粘贴绷带加压固定穿刺点止血2 h,而对照组则用传统方法将1袋500 ml液体置于穿刺点处30 min。比较两组患者止血效果及血管并发症发生情况。结果:观察组穿刺点止血效果优于对照组(P<0.05),观察组患者血管并发症中皮下瘀斑发生率低于对照组(P<0.05)。结论:弹力粘贴绷带可有效防止超

  3. 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.

  4. The clinical applications and ef fects of bandage contact lens in fornix-based-flap trabeculectomy in Glaucoma%角膜绷带镜在结膜瓣以穹窿为基底的小梁切除术中的临床效果观察

    Institute of Scientific and Technical Information of China (English)

    陈霄雅; 张雪翎; 李威; 苗培建; 李春建; 王怀洲; 王宁利

    2015-01-01

    P>0.05)。术前患者的泪膜破裂时间为(9.46±3.78)s,术后为(7.33±4.82)s,差异无统计学意义(t=1.87,P>0.05)。术前患者的泪河高度为(0.24±0.56)mm,术后为(0.48±0.28)mm,差异有统计学意义(t=2.98,P<0.05)。术前患者的眼红分析值为(1.2±0.87),术后为(2.8±0.46),差异无统计学意义(t=1.26,P>0.05)。术前角膜染色阳性者5例(8只眼),占21.05%;角膜染色阴性者27例(30只眼),占78.95%。术后7 d角膜染色阳性者5例(5只眼),占13.16%;角膜染色阴性者32例(33只眼),占86.84%,差异无统计学意义(χ2=0.84,P>0.05)。角膜绷带镜配戴不稳脱落者1例(1只眼),眼部有异物感的患者2例(3只眼)。治疗中无显著缺氧、角膜水肿及继发感染等并发症发生。结论角膜绷带镜在结膜瓣以穹窿为基底的小梁切除术中的治疗是安全、有效的,特别在缓解眼部异物感、促进角膜上皮修复及结膜切口愈合方面有显著效果。%Objective To observe the corneal bandage lens in conjunctival fornix to trabecular resection in the basal indications , timing and methods and clinical effect , to assess the value of corneal bandage treatment in glaucoma in the mirror .Methods The clinical data of 32 patients (38 eyes ) with glaucoma were collected from September 2015 to March 2015 in Xuzhou First People′s Hospital in Jiangsu Province,and the clinical data were retrospectively analyzed.In patients with conjunctival fornix trabecular resection immediately after basal corneal bandage mirror ,after 7-14 d removed the bandage contact lens .Slit lamp microscope and fluorescein staining of the patients , record the symptoms , patients with index and conjunctival incision healing ,corneal bandage evaluation of the safety and efficacy of mirror .Preoperative and postoperative 7 d patient comfort and ocular surface comprehensive

  5. 医用胶联合自粘弹力绷带在45例面部除皱术中的应用体会%Medical Adhesive and Self-adhesive Elastic Bandage Application in Analysis of 45 Patients with Facial Wrinkles

    Institute of Scientific and Technical Information of China (English)

    蔡海燕; 黄文春

    2014-01-01

    Objective To investigate the clinical ef ect of medical glue union cohesive clastic bandage (CEB) after facial wrinkle surgery. Methods Patients were randomly assigned to 2 even groups: the Regular group and the control group .In the regular group ,the wounds were sutured and treated by common dressing;In the control group,the wounds were treated by medical glue union CEB .Comparisin was made between the 2 groups. Results In the regular group,the incidence of postoperative hematoma was 15.5%, the postoperative treatment (5.1 ±1.6) times, and healing time was ( 9.5 ±3.4) days; In the control group,the incidence of postoperative hematoma was 2.5%, the postoperative treatment (2.2±0.6) times, and healing time was( 6.5±1.1) days. Conclusion Use of medical glue union CEB after facial wrinkle surgery may reduce hematoma and scar formation, shorten the healing time and the treatent times .%目的:探讨面颞部除皱术后包扎护理方法。方法门诊面颞部除皱术常规组采用缝合加纱布绷带包扎,对照组采用医用胶粘合联合弹力绷带包扎,两组相比较。结果采用缝合加纱布绷带包扎患者术后血肿发生率15.5%,术后换药次数(5.1±1.6)次,愈合时间(9.5±3.4)d。自粘弹力绷带包扎患者术后血肿发生率2.5%,术后换药次数(2.2±0.6)次,愈合时间(6.5±1.1)d。结论采用医用胶粘合联合弹力绷带包可减少血肿发生,缩短愈合时间及换药次数,无明显瘢痕发生,是一种较好的面颞部除皱术后处理方法。

  6. New Developments in Smart Bandage Technologies for Wound Diagnostics.

    Science.gov (United States)

    McLister, Anna; McHugh, Jolene; Cundell, Jill; Davis, James

    2016-07-01

    The pH of wound fluid has long been recognized as an important diagnostic for assessing wound condition, but as yet there are few technological options available to the clinician. The availability of sensors that can measure wound pH, either in the clinic or at home could significantly improve clinical outcome - particularly in the early identification of complications such as infection. New material designs and electrochemical research strategies that are being targeted at wound diagnostics are identified and a critical overview of emerging research that could be pivotal in setting the direction for future devices is provided.

  7. 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.

  8. 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

  9. Strength of bandage and coupling fiberglass pipe fittings

    OpenAIRE

    Верещака, Сергей Михайлович; Данильцев, Виктор Владимирович

    2015-01-01

    В работе предложена экспериментальная теоретическая методика расчета на прочность бандажных и муфтовых соединений стеклопластиковых труб. Рассмотрены три варианта бандажных соединений, имеющих конструктивные отличия. В первом классическом варианте толщина труб в месте их стыка принимается постоянной. Во втором варианте принимается соединение в ус, когда толщина трубы линейно уменьшается с внешней стороны к торцам соединяемых труб. Второй вариант бандажного соединения оказался больше рациональ...

  10. 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

  11. 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

  12. 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

  13. 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.

  14. 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.

  15. 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...

  16. 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

    2013-01-01

    criteria were animals that had one ventral midline coeliotomy and had survived at least 10 days after surgery. Horses were categorised into 2 groups:no-stent group and stent group. The following data were collected for each case: age, sex, weight, heart rate, packed cell volume, primary lesion, performance...... associated with the outcome measure 'wound infection' vs. 'no wound infection' were analysed using a generalised linear mixed model for logistic regression with surgeon as a random effect. Results: The inclusion criteria were met in 130 horses: 55 were assigned to the no-stent group and 75 to the stent group....... In the no-stent group, 12 (21.8%) horses developed incisional infections, whereas only 2 horses (2.7%) in the stent group had incisional infections. In the stent group, no incisional infections were observed during the last 20 months of the study. Statistical analysis showed that only the effect of the use...

  17. Chiropractic manipulative therapy combined with Kinesio Tape™ versus elastic bandage in treatment of chronic lower back pain

    OpenAIRE

    2014-01-01

    M.Tech. (Chiropractic) Chronic lower back pain (LBP) is considered as one of the most prevalent conditions in our society with 70-85% of the population experiencing pain at some point in their lives and 80% having recurrent episodes. The majority of chronic LBP is treated with conservative care, with spinal manipulation being a treatment modality shown to be beneficial resulting in restoration of normal ranges of movement, decrease of muscle spasm and there is an overall biomechanical chan...

  18. Changing Dimensions of Alginate Bandage Fibers When Exposed to Water and 0.9% NaCl

    Science.gov (United States)

    We examined the changing dimensions of alginate dressings (curasorb, algisite, sorbsan, kaltostat) as well as CM-cotton-print cloth when exposed to water or 0.9% NaCl for times varying from one to several minutes post-exposure to 8 hours and one week at room temperature. Alginate fibers all swelled ...

  19. Reduced liver cell death using an alginate scaffold bandage: a novel approach for liver reconstruction after extended partial hepatectomy.

    Science.gov (United States)

    Shteyer, Eyal; Ben Ya'acov, Ami; Zolotaryova, Lidia; Sinai, Avital; Lichtenstein, Yoav; Pappo, Orit; Kryukov, Olga; Elkayam, Tsiona; Cohen, Smadar; Ilan, Yaron

    2014-07-01

    Extended partial hepatectomy may be needed in cases of large hepatic mass, and can lead to fulminant hepatic failure. Macroporous alginate scaffold is a biocompatible matrix which promotes the growth, differentiation and long-term hepatocellular function of primary hepatocytes in vitro. Our aim was to explore the ability of implanted macroporous alginate scaffolds to protect liver remnants from acute hepatic failure after extended partial hepatectomy. An 87% partial hepatectomy (PH) was performed on C57BL/6 mice to compare non-treated mice to mice in which alginate or collagen scaffolds were implanted after PH. Mice were scarified 3, 6, 24 and 48 h and 6 days following scaffold implantation and the extent of liver injury and repair was examined. Alginate scaffolds significantly increased animal survival to 60% vs. 10% in non-treated and collagen-treated mice (log rank=0.001). Mice with implanted alginate scaffolds manifested normal and prolonged aspartate aminotransferases and alanine aminotransferases serum levels as compared with the 2- to 20-fold increase in control groups (Palginate-scaffold-treated mice 48 h after hepatectomy. Incorporation of BrdU-positive cells was 30% higher in the alginate-scaffold-treated group, compared with non-treated mice. Serum IL-6 levels were significantly decreased 3h post PH. Biotin-alginate scaffolds were quickly well integrated within the liver tissue. Collectively, implanted alginate scaffolds support liver remnants after extended partial hepatectomy, thus eliminating liver injury and leading to enhanced animal survival after extended partial hepatectomy.

  20. 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.

  1. 组织工程生物绷带及敷料在创伤修复领域中的应用%Application of biological bandage and dressing in wound healing

    Institute of Scientific and Technical Information of China (English)

    刘静

    2011-01-01

    BACKGROUND: Medical dressings as covering of the wound can replace damaged skin and play a temporary barrier function in the process of wound healing, and avoid or control wound infection to provide a conductive environment for wound healing. How to fixed quickly, stop bleeding effectively, and reduce or prevent the adverse effect of injured limb blood circulation after hemostasis, the acceleration of wound healing and the reduction of pain is an urgent problem of trauma critical care medicine.OBJECTIVE: To introduce the application status and research progress of medical biological dressings in the field of wound healing, and reveal its development prospect to provide theoretical basis for the application of medical biological dressings in the progress of wound healing.METHODS: The articles concerning medical biological dressings were retrieved in CNKI database and PubMed database from January 1998 to December 2008, using the key words of "medical dressing, biological material, chitosan, hydrogel, tissue engineering" in Chinese or "medical dressing, biological material, chitosan, hydrogel, tissue engineering" in English in the title and abstract. The content of articles related with wound healing and literatures recently published or published in authoritative magazines from the same field were selected. Totally 146 literatures were primarily selected (Chinese 107, English 39),according to inclusion criteria, 38 documents of which were involved for summarization.RESULTS AND CONCLUSION: The medical dressings of the current clinical use and research were divided into natural material and synthetic macromolecule, inorganic material and composite according to the materials. Moreover, the problems of dressing products in the quality control were discussed, the further direction of dressing products was prospected, and a theoretical basis for research and development of dressing products were provided.%背景:医用敷料作为伤口处的覆盖物,在伤口愈合过程中,可以替代受损的皮肤起到暂时性屏障作用,避免或控制伤口感染,提供有利于创面愈合的环境.如何既能快速固定、有效止血,又可以减轻或避免止血后对伤肢血循环造成的不利影响,加快伤口愈合、减轻伤痛是创伤急救医学亟待解决的难题.目的:文章综述了医用生物敷料在创伤修复领域中的应用现状及研究进展,揭示其发展前景,为其在创伤修复过程中的应用提供理论基础.方法:应用计算机检索CNKI和PubMed数据库中1998-01/2008-12关于医用生物敷料的文章,在标题和摘要中以"医用敷料;生物材料,壳聚糖,水凝胶,组织工程"或"medical dressing,chitosan"为检索词进行检索.选择文章内容与创伤修复相关,同一领域文献则选择近期发表或发表在权威杂志文章.初检得到146篇文献,中文107篇,英文39篇,根据纳入标准选择38篇文章进行综述. 结果与结论:就目前临床使用及研究的医用敷料,根据其所用的材料将其分成了天然材料和合成高分子,无机材料和复合材料,并对敷料类产品质量控制中出现的问题进行了讨论,展望了敷料类产品的未来发展方向.为医用敷料类产品的研发提供理论依据.

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

    DEFF Research Database (Denmark)

    Brorson, Stig

    2009-01-01

    Fractures of the humerus have challenged medical practitioners since the beginning of recorded medical history. In the earliest known surgical text, The Edwin Smith Papyrus (copied circa 1600 BC), three cases of humeral fractures were described. Reduction by traction followed by bandaging with li...... of written sources points toward a multifaceted approach to the diagnosis, reduction, and bandaging of humeral fracture in Ancient Egypt, Greece, and Rome......., and multifragmented fractures. In Late Antiquity, complications from powerful traction or tight bandaging were described by Paul of Aegina (circa AD 625-690). Illustrations from sixteenth and seventeenth century surgical texts are included to show the ancient methods of reduction and bandaging. The richness...

  3. EPCiR prototype

    DEFF Research Database (Denmark)

    2003-01-01

    A prototype of a residential pervasive computing platform based on OSGi involving among other a mock-up of an health care bandage.......A prototype of a residential pervasive computing platform based on OSGi involving among other a mock-up of an health care bandage....

  4. Exsanguination of lower limbs in healthy male subjects

    DEFF Research Database (Denmark)

    Blond, Lars; Kirketerp-Møller, Klaus; Sonne-Holm, Stig

    2002-01-01

    Gamma camera technique was used to assess the effectiveness of various exsanguination methods in 12 healthy male volunteers given an autologous injection of 99mTc-labeled erythrocytes. The methods used included elevation alone, Esmarch bandage, gauze bandage, and the Pomidor roll-cuff. The median...

  5. 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.

  6. Technological Improvement of Casting Bandage Construction of Water-Cooling Beam and Column in Walking-Beam Type Heating Furnace%步进梁式加热炉水冷梁柱浇注包扎施工技术改进

    Institute of Scientific and Technical Information of China (English)

    彭杰斌

    2009-01-01

    步进梁式加热炉水冷梁柱浇注包扎施工是筑炉重点和难点.从浇注包扎施工的模具着手改进施_T技术,以提高浇注包扎施工的质量,降低施工难度,并降低施工成本.

  7. Treatment of 3 patients with tendon rupture of quadriceps femoris after internal fixation with tension bandage in "8" shape for patellar fracture%髌骨"8"字张力带内固定术后并发股四头肌肌腱断裂3例

    Institute of Scientific and Technical Information of China (English)

    黄健林; 何晖

    2007-01-01

    @@ 自1999年以来采用"8"字张力带内固定术治疗髌骨骨折325例,其中有3例术后发生股四头肌肌腱断裂.男2例,女1例.年龄分别为35、38及23岁.2例粉碎性骨折,1例横断骨折.

  8. Local Legends of Medicine: Janelle Goetcheus, M.D.

    Science.gov (United States)

    ... t notice it," shrugged Donnie McGee as the nurse cut through the bandages covering his frost-bitten ... Eleanor Holmes Norton, Member of Congress from the District of Columbia, who describes her as a "skilled ...

  9. Dutch evidence-based guidelines for amputation and prosthetics of the lower extremity : Amputation surgery and postoperative management. Part 1

    NARCIS (Netherlands)

    Geertzen, Jan; van der Linde, Harmen; Rosenbrand, Kitty; Conradi, Marcel; Deckers, Jos; Koning, Jan; Rietman, Hans S.; van der Schaaf, Dick; van der Ploeg, Rein; Schapendonk, Johannes; Schrier, Ernst; Duijzentkunst, Rob Smit; Spruit-van Eijk, Monica; Versteegen, Gerbrig; Voesten, Harrie

    2015-01-01

    Background: Surgeons still use a range of criteria to determine whether amputation is indicated. In addition, there is considerable debate regarding immediate postoperative management, especially concerning the use of immediate/delayed fitting' versus conservative elastic bandaging. Objectives: To p

  10. MRSA (For Parents)

    Science.gov (United States)

    ... with a bandage. Don't share razors, towels, uniforms, or other items that come into contact with ... family member to another (or among students at school), or if two or more family members have ...

  11. NONWOVEN TEXTILES WITH MEDICAL DESTINATION ROMANIAN PRODUCTION

    OpenAIRE

    BULACU Romulus; FARIMA Daniela; BARBU Ionel; FARIMA Madalina; CIOCOIU Mihai

    2015-01-01

    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, a...

  12. 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.

  13. Experimental study on efficacy of compression systems with a high static stiffness index for treatment of venous ulcer patients

    Directory of Open Access Journals (Sweden)

    Anneke Andriessen

    2013-03-01

    Full Text Available The experimental study measured interface pressure and static stiffness index of four different compression systems in fifty-two healthy volunteers. For the study interface pressure (3 cm ø probe was placed at the anatomical B1 point was recorded on application of the compression systems every 15 min for 4 h, in supine, standing, while sitting and during walking. For this purpose a portable Kikuhime (Harada Corp., Osaka, Japan device was used. Further static stiffness index (SSI was calculated. The evaluated systems were: short stretch bandage system (SSB Rosidal sys (Lohmann & Rauscher, Rengsdorf, Germany, multi-layer bandaging (LSB Profore (Smith & Nephew, Hull, UK, varistretch bandage (VSB Proguide (Smith & Nephew and tubular compression (CS Rosidal mobil (Lohmann & Rauscher. The mean interface pressure of SSB, LSB and VSB was significantly higher (P<0.05 in each position measured over 4 h, compared to CS. In supine VSB showed high-pressure levels, up to 60 mmHg, which remained high. The other systems had more tolerable levels of about 30 mmHg. Interface pressure exerted on limbs is an indicator of their clinical effect. The experimental study results showed different patterns of interface pressure and SSI, which may enable clinicians to predict the frequency of bandage application, supporting an adequate and safe choice of bandage system.

  14. A meta-analysis of the effectiveness and safety of kinesiology taping in the management of cancer-related lymphoedema.

    Science.gov (United States)

    Gatt, M; Willis, S; Leuschner, S

    2016-05-11

    Patients with cancer-related lymphoedema (CRL) commonly refuse treatment with bandaging or hosiery because of hot and humid weather conditions. This review aims to determine the effectiveness and safety of kinesiotaping (KT) in the management of CRL compared to compression bandaging or hosiery. A systematic search of the literature was conducted until July 2015. The primary outcomes were reduction in body part volume or circumference and adverse effects of the interventions. The secondary outcomes were subjective experience of the treatment, severity of lymphoedema-related symptoms and patients' quality of life (QoL). Six randomised controlled trials (RCTs) were included in this review. Five were included in the meta-analysis of the primary outcome limb volume (n = 203, KTn = 91, compression n = 112). It revealed no significant difference between the interventions [WMD -205.33 mL CI (-454.69 to 44.04) P = 0.11]. An increased risk of skin complications with KT was reported in five studies affecting between 10% and 21% of patients. Where lymphoedema-related symptoms were reported KT was found to be superior to compression. Paradoxically, patients receiving bandaging reported a higher QoL. KT was not found to be more comfortable than bandaging. KT should only be used with great caution where bandaging cannot be used.

  15. Lymphedema of the arm after surgery for breast cancer: new physiotherapy.

    Science.gov (United States)

    Marcos, A L; El Gaaied, A B Ammar; Ayed, F B; Hassen, S B; Zervoudis, S; Navrozoglou, I; Pechlivani, F; Iatrakis, G

    2012-01-01

    Secondary lymphedema of the upper limb is a complication which can be found in patients who have undergone surgical breast cancer treatment with an axillary dissection. Lymphedema following breast cancer treatment remains a long-term disabling complication which cannot be treated in a decisive and radical manner. The objective of the treatment is to limit complications, to try to preserve the remaining lymphatic system and to develop new anastomosis. It consists of a specific decongestive physiotherapy, which may include a specific lymphatic drainage and skin mobilization, reducing bandages including Mobiderm (Thuasne), and sub-bandage muscular exercises. However variations in the therapy have been recorded by different teams. Our experience in treating lymphedema in Tunisia takes into consideration the epidemiological, climatic, cultural and socio-economic conditions of the country. The difference in our treatment compared to what is being advocated elsewhere essentially consists of the no muscular exercise while wearing a bandage. This is compensated for by daily domestic activities, by prolonging the first two phases of treatment (the intensive phase and the stabilization phase), and by the use of the hydro gel dressing Hydrosob (Hartmann) to prevent blisters induced by the pressure imposed by Mobiderm studs of the bandage on the skin, and also by the superimposition of two types of Mobiderm bandages (small and large blocks).

  16. 48 CFR 3025.7002-1 - Restrictions.

    Science.gov (United States)

    2010-10-01

    ... in the United States: (a) Commercial or non-commercial items—(1) Clothing and the materials and... equipment (such as fieldpacks), textile marine equipment, parachutes or bandages. (b) Non-commercial items— (1) Cotton and other natural fiber products. (2) Woven silk or woven silk blends. (3) Spun silk...

  17. 21 CFR 890.3025 - Prosthetic and orthotic accessory.

    Science.gov (United States)

    2010-04-01

    ... intended for medical purposes to support, protect, or aid in the use of a cast, orthosis (brace), or prosthesis. Examples of prosthetic and orthotic accessories include the following: A pelvic support band and belt, a cast shoe, a cast bandage, a limb cover, a prosthesis alignment device, a postsurgical pylon,...

  18. Surgical treatment of a large congenital cavernous hemangioma on the thorax of a foal

    DEFF Research Database (Denmark)

    Jacobsen, Stine; Christophersen, Mogens Teken; Tnibar, Aziz;

    2016-01-01

    A 3-day-old male foal was presented with a fluctuant 25 × 15 cm mass on the thorax. The mass had increased in size since birth. The mass did not respond to conservative treatment consisting of aspiration of serohaemorrhagic contents and compression bandages, and it was therefore surgically remove...

  19. 7 CFR 58.429 - Washing machine.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 3 2010-01-01 2010-01-01 false Washing machine. 58.429 Section 58.429 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Standards....429 Washing machine. When used, the washing machine for cheese cloths and bandages shall be...

  20. Phase change material for thermotherapy of Buruli ulcer: modelling as an aid to implementation.

    Science.gov (United States)

    Braxmeier, S; Hellmann, M; Beck, A; Umboock, A; Pluschke, G; Junghanss, T; Weinlaeder, H

    2009-01-01

    A mathematical model was developed and validated to predict the thermal behaviour of a heat application device based on a phase change material (pcm) for the heat treatment of Mycobacterium ulcerans infection (Buruli ulcer). The thermal model allows the prediction of skin surface temperatures and an optimization of the amount of pcm with respect to discharge time. A first prototype of such a pcm bandage was manufactured and used in a proof-of-principal trial in Cameroon. The experimental data were analysed and yielded no difference in thermoregulatory response between people living in hot or moderate climate. Short-term maximum skin surface temperatures of 42 degrees C are tolerable; the pcm bandage keeps the skin surface temperature above 40 degrees C for about four to five hours. This makes such pcm bandages an ideal device for the heat treatment of Buruli ulcer. The pcm bandage is easy to apply, cheap, and thus is well suited for use in low-resource countries.

  1. 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);...

  2. 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.

  3. 9 CFR 590.560 - Health and hygiene of personnel.

    Science.gov (United States)

    2010-01-01

    ... 9 Animals and Animal Products 2 2010-01-01 2010-01-01 false Health and hygiene of personnel. 590..., Processing, and Facility Requirements § 590.560 Health and hygiene of personnel. (a) Personnel facilities... wearing cloth bandages on hands shall be permitted to come in contact with eggs in any form or...

  4. Experience of Soviet Medicine in a Great Patriotic War 1941-1945. Part 2 (Opyt Sovetskoy Meditsimy v Velikoy Otechestvennoy Voyne 1941-1945),

    Science.gov (United States)

    1981-04-15

    gyFsuu tandage (A. P. Avtsyn). in the significant Fart of the cases the onset cf secondary arthritis was connected uith the disseminaticr of infecticn...follow on foot to the nearest stages of evacuation. If the prisaily superimposed bandage lay/rested well. complaints on the Fart of casualty were absent

  5. Graphene-based Nanoelectronics

    Science.gov (United States)

    2013-02-01

    automated drug delivery (e.g., insulin), or be incorporated within “smart bandages,” which could accelerate healing of wounds. Many of the military... nanotubes , or stacked into 3-D graphite (1). ....................................................................................................1 Figure...D) nanotubes , or stacked into 3-D graphite. Figure 1. Graphene is a 2-D building material for graphitic materials of all other dimensionalities

  6. FAQs on leg ulcer care.

    Science.gov (United States)

    Anderson, Irene; King, Brenda; Knight, Susan; Keynes, Milton

    In a webchat on leg ulcer management issues, hosted by Nursing Times, participants raised three key areas of care: the role of healthcare assistants in compression bandaging; reporting and investigating damage caused by compression therapy; and recommendations for dressings to be used under compression. This article discusses each of these in turn.

  7. 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.

  8. 46 CFR 160.041-4 - Contents.

    Science.gov (United States)

    2010-10-01

    ... splinters or foreign bodies. Don't dig. Ophthalmic ointment Apply in space formed by pulling lower eyelid... 8 in twenty-four hours. Bandage compress, 4″ and 2″ Apply as a dressing over wound. DON'T touch part... appear. Compress, adhesive, 1″ Apply as dressing over small wounds. DON'T touch part that comes...

  9. Mountain Warfare and Other Lofty Problems: Foreign Perspectives on High-Altitude Combat

    Science.gov (United States)

    2011-01-01

    Considerations be done before the patient is moved. The spleen , liver and kidneys are the most likely organs to rupture and bleed internally from a fall. A...towelettes Ten gauze pads, 10x10mm Ten Band-Aids Two Steri-strips, 13mmx100mm Two Steri-strips, 6x75mm One pair bandage scissors Ten ammonia inhalents One

  10. Tape blisters after hip surgery: can they be eliminated completely?

    Science.gov (United States)

    Koval, Kenneth J; Egol, Kenneth A; Hiebert, Rudi; Spratt, Kevin F

    2007-05-01

    It was recently reported that use of a perforated, stretchable cloth tape instead of silk tape reduced the incidenc of postoperative blisters around the hip from 41% to 10%. The present prospective randomized study was conducted to determine whether use of spica bandage (vs the cloth tape) could further reduce or eliminate the incidence of these blisters. Patients were randomized to 2 treatmen groups: perforated, stretchable cloth tape (Hypafix; Smit & Nephew, Memphis, Tenn) and elastic spica bandage tha was started at the lower thigh and was extended aroun the hip and abdomen. After surgery, cloth tape or spic bandage was applied over the postoperative dressing, with care taken not to produce skin tension. At the first dressing change, presence or absence of blisters was recorded, along with their number, size, location, and type. All subsequent dressing changes were done much as they wer at surgery, using the assigned type of dressing. Presence or absence of blisters was recorded at each subsequent dressing change. Two hundred ninety-four patients (300 hips) were enrolled. Twenty-two (7.33%) of the 300 hips developed a blister. Risk for developing a blister was 10% with the cloth tape versus 4.67% with the elastic spica bandage (P blister formation than dressing type.

  11. Bobby Few

    Directory of Open Access Journals (Sweden)

    James A. Emanuel

    2009-06-01

    Full Text Available  “I love you ALL.” Pain--from his bandaged thumb--said this,then music, his kiss. “My piano aches.”Voiced, old wounds made him look thintill his J-A-AZ jumped in.Copyright © 2008 by James A. Emanuel. All rights reserved.

  12. 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.

  13. Elastic or inelastic compression in patients with leg ulcer and restricted mobility?

    Directory of Open Access Journals (Sweden)

    Giovanni Mosti

    2013-11-01

    Full Text Available In patients with leg ulcer and restricted mobility, compression with elastic material is often preferred based on the concept that it is more effective as it exerts a sustained higher resting pressure while inelastic material is believed to exert a very low resting pressure and to work only during movement. The aim of this study is to demonstrate that elastic and inelastic material can exert similar pressure at rest and that inelastic material can produce a much higher pressure during sitting and light exercise in ulcer patients with restricted mobility. In 30 patients (12 men, 18 women mean age 76.3±9.1 years, range 63-80 with leg ulcers and severely reduced mobility we applied consecutively elastic and inelastic bandages with the same resting pressure of 40 mmHg. Pressure changes were measured while the patient was sitting and standing and during active and passive muscle contractions. The pressure differences between standing and supine and sitting and supine position were calculated as well as between muscle systole and diastole during active and passive contractions. Starting with the same resting pressure inelastic bandages produce significantly higher pressure peaks in the sitting and standing position and during the muscular systole both during active and passive exercise compared to elastic bandages (P<0.001. The results show that inelastic bandages, applied with the same pressure as elastic bandages at rest, will exert much higher pressures even during minimal or passively induced muscle contractions. The concept that elastic compression should be used in patients with reduced mobility needs to be reconsidered.

  14. Delivery of Compression Therapy for Venous Leg Ulcers

    DEFF Research Database (Denmark)

    Zarchi, Kian; Jemec, Gregor B E

    2014-01-01

    adequate subbandage pressure when treating patients with venous leg ulcers and the factors that predict the ability to achieve optimal pressure. DESIGN, SETTING, AND PARTICIPANTS: We performed a cross-sectional study from March 1, 2011, through March 31, 2012, in home care centers in 2 Danish......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...

  15. 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.

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

    Energy Technology Data Exchange (ETDEWEB)

    Phair, Jolene; Joshi, Mayank; Benson, John; McDonald, Damian; Davis, James, E-mail: james.davis@ulster.ac.uk

    2014-02-14

    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.

  17. 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.

  18. Processing ambiguous Spanish se in a minimal chain.

    Science.gov (United States)

    Meseguer, Enrique; Acuña-Fariña, Carlos; Carreiras, Manuel

    2009-04-01

    The recovery of pieces of information that are not linguistically expressed is a constant feature of the process of language comprehension. In the processing literature, such missing information is generally referred to as "gaps". Usually, one resolves gaps by finding "fillers" in either the sentence or the context. For instance, in Peter seemed to be upset, Peter is really the subject of being upset but appears as surface subject of seems. Sometimes constituents move, leaving gaps behind. Various Romance languages such as Spanish or Italian have a grammatical particle se/si, which, as it is extremely ambiguous, licenses different sorts of gaps. In Spanish, se can encode at least reflexive, impersonal, and passive meanings. In an eye-tracking experiment we contrast reflexive structures containing postverbal subjects with impersonal structures with no subjects (GAP se vendó apresuradamente el corredor/"the runner bandaged himself hurriedly" vs. GAP se vendó apresuradamente al corridor/"(someone) bandaged the runner hurriedly"). In a second manipulation we contrast the presence of an extra argument with se-passives (GAP se vendó el tobillo el corredor/"the runner bandaged his ankle" vs. GAP se vendó el tobillo al corridor/"the runner's ankle was bandaged"). Our comparisons involve contrasting standard transitive structures with nonstandard word order (postverbal subject and a preverbal subject gap) against inherently complex and less habitual structures such as impersonals (with no subject) or se-passives (with subjects in canonical object position). We evaluate the minimal chain principle (de Vincenzi, 1991), according to which displacement is costly because it entails complex (derivational) "chains" that must be undone before phrasal packaging can commence. We show the minimal chain principle to be essentially correct when contrasting more complex but more frequent structures with less complex but less frequent structures. A noteworthy feature of this research

  19. Modulation of Polymorphonuclear Neutrophil Response to N-formyl-l-methionyl-l-leucyl-l-phenylalanine

    Science.gov (United States)

    1988-11-10

    to the scapular crests. The skin was closed with 4/0 chromic gut placed in a continuous subcuticular suture pattern and bandaged. These procedures...Clin. Immun. and Immunopath., 15:525, 1980. 16. Gray, G.D., Ohlmann, G.M., Morton. D.R. and Schaaub, R.G., Feline Polymorphonuclear Leukocytes Respond...Mature Human Neutrophil and Eosinophil Function, Surface Receptor Expression and Survival. J. Clin. Invest., 78:1220, 1986. Gasson, J .C., Weisbart

  20. [Use of plasma technology in treatment of patients with pyo-inflammatory diseases of soft tissues].

    Science.gov (United States)

    Khasanov, A G; Nikmatsianov, S S; Nurtdinov, M A; Bakiev, I M; Men'shikov, A M; Shaĭbakov, D G

    2007-01-01

    The authors substantiated the method of treatment of pyo-inflammatory diseases based on experiments in white rats, using plasma flow at different stages of the process. The plasma technology was used in the clinic in 130 patients that allowed shortening the period of preparing the wounds to operative treatment and reducing the period of hospital stay from 15.3 to 9.2 days, improving results of treatment by 20% and saving on expensive bandaging materials and medicines.

  1. Applications for alliform carbon

    Energy Technology Data Exchange (ETDEWEB)

    Gogotsi, Yury; Mochalin, Vadym; McDonough, IV, John Kenneth; Simon, Patrice; Taberna, Pierre Louis

    2017-02-21

    This invention relates to novel applications for alliform carbon, useful in conductors and energy storage devices, including electrical double layer capacitor devices and articles incorporating such conductors and devices. Said alliform carbon particles are in the range of 2 to about 20 percent by weight, relative to the weight of the entire electrode. Said novel applications include supercapacitors and associated electrode devices, batteries, bandages and wound healing, and thin-film devices, including display devices.

  2. Arthroscopy-Assisted Closed Reduction and Percutaneous Nail Fixation of Unstable Ankle Fractures: Description of a Minimally Invasive Procedure

    OpenAIRE

    Kong, Christopher; Kolla, Lee; Wing, Kevin; Younger, Alastair S.E.

    2014-01-01

    When one is surgically managing an unstable ankle fracture, anatomic reduction of the syndesmosis is typically accomplished using an open surgical approach. We propose an arthroscopically assisted technique that restores normal anatomy while using a percutaneously placed intramedullary nail to fix the fibula. The patient is positioned supine, and the ankle is placed under traction by use of a tensor bandage. Standard anteromedial and anterolateral arthroscopy portals are used. The joint is ex...

  3. 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.

  4. 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.

  5. System-level design of an RFID sweat electrolyte sensor patch.

    Science.gov (United States)

    Rose, Daniel P; Ratterman, M; Griffin, Daniel K; Hou, Linlin; Kelley-Loughnane, Nancy; Naik, Rajesh K; Hagen, Joshua A; Papautsky, I; Heikenfeld, Jason

    2014-01-01

    Wearable digital health devices are dominantly found in rigid form factors such as bracelets and pucks. An adhesive 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 mM ionic solutes in sweat, and surface temperature, as read by an Android smart-phone app (in-vitro tests).

  6. Wound healing activity of the inflorescence of Typha elephantina (Cattail).

    Science.gov (United States)

    Panda, Vandana; Thakur, Tejas

    2014-03-01

    Methanolic extracts of Typha elephantina inflorescence (TE) and its bandage were screened for wound healing by incision and excision wound models in Wistar rats. In the incision wound model, incision wounds were topically treated with TE gel (2.0% [w/w], 3.0% [w/w], and 5.0% [w/w]), Typha elephantina inflorescence bandage, and the reference standard 5.0% w/w povidone iodine for a period of 10 days. When the wounds healed thoroughly, sutures were removed on the 8th postwounding day, and the tensile strength of the skin was measured on the 10th day. In the excision wound model, excision wounds were treated with TE gel (3.0% [w/w] and 5.0% [w/w]), inflorescence bandage, and 5.0% w/w povidone iodine till the wounds completely healed. Epithelization time, wound contraction, hydroxyproline and hexosamine content of the scab, and ascorbic acid and malondialdehyde content of the plasma were determined in this model. In the incision wound model, high tensile strength of the skin of the healed wound was observed in rats treated with the TE gels and the inflorescence bandage when compared with wounded control rats. The increase in tensile strength indicates a promotion of collagen fibers and a firm knitting of the disrupted wound surfaces by collagen. In the excision wound model, higher rate of wound contraction, decreased period of epithelization, elevated hydroxyproline, hexosamine, and ascorbic acid levels, and a significant decrease in malondialdehyde content was observed in treated groups when compared with the wounded control animals. It may be concluded that the inflorescence of Typha elephantina possesses a potent wound healing activity, which may be due to an underlying antioxidant mechanism.

  7. Army Ground Risk-Management Publication, Countermeasure, Volume 19 No, 6. June 1998.

    Science.gov (United States)

    1998-06-01

    for the 21st century. Better risk management programs will strengthen those areas even more. However, that loss of hard cash is not the only...sterile gauze, adhesive tape, scissors, an elastic bandage to wrap a large wound, acetaminophen , a thermometer, medicated ointments, tweezers, calamine...everything else. The range lit up with streaking tracers. The ball ammo hissed and pinged as they shot downrange. You could hear the rounds ricocheting

  8. 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...... may trigger increased lamellar body secretion resulting in recovery of the damaged intercellular lipid laminar structure. Otherwise, little investigation on mechanisms exists....

  9. 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.

  10. 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...

  11. [Study of the stability of current plaster substitutes].

    Science.gov (United States)

    Wruhs, O

    1986-06-01

    In connection with company independent test series the clinically required usefulness of four different modern plaster substitutes were examined. A comparison of breakage resistance, deformation and relation of price versus stability of plaster bandages were considered. The advantage of using these materials, especially in case of prolonged cast immobilization, is-despite of higher financial costs - more appropriate because of lower weight, increased durability and hygienical comfort for the patients.

  12. 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.

  13. Rehabilitation of the Burned Hand

    Science.gov (United States)

    2009-01-01

    13 Mallet and swan-neck deformities Thermal injury to the terminal slip of the extensor tendon can result in loss of DIP joint extension or mallet...deformity. Injury to the terminal slip can be a result of direct thermal injury or tendon ischemia induced as the injured tendon is compressed between...elastic bandage or self-adherent wrap may be necessary. Cotton socks over the splint may prevent the child from removing the splint. Contact burns

  14. Neuromuscular dressing effects: a literature review

    OpenAIRE

    Calero Saa, Pedro Antonio; Cañón Martínez, Gustavo Adolfo

    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 bandag...

  15. Netra darpanamu - A Unique book on eye diseases.

    Science.gov (United States)

    Prasad, Goli Penchala

    2007-10-01

    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 eye diseases.

  16. [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).

  17. [From memories about war].

    Science.gov (United States)

    Spivak, B A

    2010-04-01

    The article presents publication of memories of a military physician Spivak B.A., finished the First Kiev medical institute in 1941. The author held rank: from August 1941--chief of sanitary service of a separated battalion, April 1942-June 1945--chief of operation-bandaging unit of 246 SMSB SD. After war served in military treatment institutes on ranks of surgical profile, finished the military service in the rank of chief of surgical unit of Kovel garrison hospital in 1964.

  18. 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.

  19. Swimmer syndrome in a Devon rex kitten and an English bulldog puppy.

    Science.gov (United States)

    Verhoeven, G; de Rooster, H; Risselada, M; Wiemer, P; Scheire, L; van Bree, H

    2006-10-01

    A three-week-old Devon rex kitten and a four-week-old English bulldog puppy were presented with "swimmer syndrome". The owners consulted several veterinarians who suggested euthanasia as the only possible solution for this condition. Physiotherapy in the puppy, and physiotherapy and bandaging in the kitten led to the resolution of the clinical signs and resulted in normal ambulation after several weeks. The authors concluded that intensive physiotherapy and dedication of the owner can lead to success.

  20. Green nanotechnology: a short cut to beneficiation of natural fibers.

    Science.gov (United States)

    Fahmy, Tamer Y A; Mobarak, Fardous

    2011-01-01

    For the first time worldwide, it is shown that our novel nanocomposite produced from natural fibers vaccinated with glucose--by fully green nanotechnology--possesses surprising reactivity towards urea. Magic super absorbent carbamated nanocomposite cotton fabrics having remarkable distinguished properties were obtained in few minutes. It is well established that carbamates possess antibacterial effects. The produced magic nanocomposite fabrics, we discovered for the first time worldwide, find their use as woven or nonwoven hygienic pads, bandages or paper nanocomposites.

  1. 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.

  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. 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.

  4. Stiffness of compression devices

    Directory of Open Access Journals (Sweden)

    Giovanni Mosti

    2013-03-01

    Full Text Available This issue of Veins and Lymphatics collects papers coming from the International Compression Club (ICC Meeting on Stiffness of Compression Devices, which took place in Vienna on May 2012. Several studies have demonstrated that the stiffness of compression products plays a major role for their hemodynamic efficacy. According to the European Committee for Standardization (CEN, stiffness is defined as the pressure increase produced by medical compression hosiery (MCH per 1 cm of increase in leg circumference.1 In other words stiffness could be defined as the ability of the bandage/stockings to oppose the muscle expansion during contraction.

  5. [New methods of treatment applied in the hospital of Sochi during the Great Patriotic War].

    Science.gov (United States)

    Artiukhov, S A

    2013-05-01

    During the Great Patriotic War 1941-1945 Sochi was turned into the largest hospital base in the south of the USSR. All told, 335 thousand wonded and seriously ill soldiers were treated in the hospitals of Sochi. During the war physicians applied many new, including, early unknown medical methods of treatment. Poor provision with medical equipment, instruments, bandages and medicines was made up for using of local resources. Adoption of new treatment methods based on the use of local medicines allowed the Sochi's physicians to save many lives during the war.

  6. 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.)

  7. [Hippocrates' treatise physician].

    Science.gov (United States)

    Frøland, Anders

    2005-01-01

    This small treatise does not appear to have been published in Danish in its entirety. It gives a vivid picture of the physician in ancient Greece. The well known first chapter describes the attitudes and attributes of the doctor. It goes on discussing in some detail how the light should be in the surgery, the instruments to be used, the preparations of bandages and drugs, and the use of cupping instruments. The author stresses both the needs of the patient and the necessity of the physician's dignity and integrity.

  8. 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.

  9. Breast cancer-related lymphoedema: risk factors and treatment.

    Science.gov (United States)

    Harmer, Victoria

    Lymphoedema is a condition where there is an obstruction of the flow of lymph, partnered with a swelling of the limb. Within the breast cancer arena lymphoedema can occur in the arm where the cancer was/is. The various approaches to treating lymphoedema include skin care, elevation of the affected arm, the use of compression hosiery, multi-layer bandaging, massage (manual lymphatic drainage), or even surgery. This article will discuss the treatments for lymphoedema along with relevant evidence and illustrate current practice.

  10. 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.

  11. Swimmer syndrome affecting an entire litter of kittens

    Directory of Open Access Journals (Sweden)

    D.J. Cardilli

    2013-06-01

    Full Text Available Swimmer syndrome is a developmental abnormality characterized by a delay in the ability to walk and move about and is manifested in newborns between 15 and 20 days of age. These animals exhibit constant coxofemoral articulation abduction, and their pelvic limbs move caudally and laterally. This case reports a litter of three crossbreeds kittens (26 days old with swimmer syndrome. Each animal was treated with physical therapy and shackle bandages that kept their pelvic limbs bent and close to the body. After seven days, all of the animals exhibited normal ambulation, indicating that this treatment had a curative effect on the kittens.

  12. Topical therapy in atopic dermatitis in children

    Directory of Open Access Journals (Sweden)

    Dharshini Sathishkumar

    2016-01-01

    Full Text Available Atopic dermatitis (AD is a common, chronic childhood skin disorder caused by complex genetic, immunological, and environmental interactions. It significantly impairs quality of life for both child and family. Treatment is complex and must be tailored to the individual taking into account personal, social, and emotional factors, as well as disease severity. This review covers the management of AD in children with topical treatments, focusing on: education and empowerment of patients and caregivers, avoidance of trigger factors, repair and maintenance of the skin barrier by correct use of emollients, control of inflammation with topical corticosteroids and calcineurin inhibitors, minimizing infection, and the use of bandages and body suits.

  13. 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.

  14. Acanthamoeba keratitis after photorefractive keratectomy.

    Science.gov (United States)

    Kaldawy, Roger M; Sutphin, John E; Wagoner, Michael D

    2002-02-01

    A 37-year-old women developed severe suppurative keratitis immediately after having photorefractive keratectomy in her left eye. The keratitis was unresponsive to intensive topical antibiotic agents and topical and systemic steroids. Although the differential diagnosis included nonmicrobial and fungal keratitis, the clinical course and confocal microscopy suggested, and subsequent histopathologic examination confirmed, a diagnosis of Acanthamoeba keratitis. The amebic contamination probably resulted from exposure of the deepithelialized cornea to contaminated freshwater in a northern Wisconsin marsh. This case emphasizes the importance of encouraging patients with epithelial defects and bandage soft contact lenses to avoid exposure to contaminated freshwater until reepithelialization is complete.

  15. [Conditions for the survival of combat casualties in overseas operations: procedure and experience from the Afghan out-of-hospital theater].

    Science.gov (United States)

    Palmier, Bruno

    2012-01-01

    Recent conflicts have led the French Army Health Service to specify the setting condition for the survival of combat casualties in overseas operations. The majority of them are victims of explosion injuries, and an early and effective control of bleeding is the primary means of improving survival. A procedure called "Combat Rescue" is taught. This chronological procedure favours external haemostasis and led to specific equipment, in particular a tourniquet and a haemostatic bandage of high efficiency. It is applied in recent years on the Afghan out-of-hospital theatre. A very front medical presence, which is systematic during evacuations, is a feature of the French Army Health Service operations support.

  16. 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.

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

    Science.gov (United States)

    Rampy, B Alan; Glassy, Eric F

    2015-06-01

    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.

  18. New electronic habit reminder for the management of thumb-sucking habit

    Directory of Open Access Journals (Sweden)

    Srinath Krishnappa

    2016-01-01

    Full Text Available Methods for intervention of nonnutritive sucking habits include counseling, positive reinforcement, calendar with rewards, adhesive bandage, bitter nail polish, long sleeves, and appliance therapy. All these methods have been reported in the literature with variable success rates. We present a case of an 8-year-old child with thumb-sucking habit successfully managed in a short period of 5 months by a new electronic habit reminder, an extraoral appliance which was designed to overcome the disadvantages associated with intraoral appliances.

  19. Interface pressure and stiffness of various elastic stockings during posture changes and exercise.

    Science.gov (United States)

    Hirai, Masafumi; Iwata, Hirohide; Ishibashi, Hiroyuki; Ota, Takashi; Nakamura, Hisako

    2008-01-01

    The importance of measuring interface pressure and stiffness to characterize the elastic properties of materials has been stressed with regard to elastic stockings and elastic bandages. The objective of this study was to compare the pressure profiles of nine different elastic stockings and to quantify the effects of posture changes and exercise on compression. Using a pressure transducer (Air Pack Type Analyzer), the interface pressure associated with nine different elastic stockings was measured at level B1 during supine resting, standing, and exercise. The elastic stockings examined could be divided into two categories according to extensibility: short stretch ( 105% extensibility). Short-stretch stockings include thick round-knitted stockings, firm round-knitted stockings, and flat-knitted stockings. Short-stretch stockings showed a higher peak working pressure and a larger pressure amplitude during exercise than long-stretch stockings. Short-stretch stockings can be expected to have more pronounced benefits for augmenting muscle pumping in the same way as short-stretch bandages. In selecting suitable elastic stockings for patients, the stiffness should be taken into account in addition to interface pressure.

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

    Energy Technology Data Exchange (ETDEWEB)

    Svetlichnyi, Valery; Shabalina, Anastasiia, E-mail: shabalinaav@gmail.com; Lapin, Ivan; Goncharova, Daria; Nemoykina, Anna

    2016-05-30

    Highlights: • ZnO nanoparticles obtained by pulsed laser ablation exhibit antibacterial activity. • H{sub 2}O{sub 2} and Zn{sup 2+} are not responsible for antibacterial activity of obtained zinc oxide. • Nano-ZnO/cotton fabric composite is a promising material for antibacterial bandage. - Abstract: 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.

  1. 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.

  2. 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.

  3. Organic chemistry of balms used in the preparation of pharaonic meat mummies

    Science.gov (United States)

    Clark, Katherine A.; Ikram, Salima; Evershed, Richard P.

    2013-01-01

    The funeral preparations for ancient Egyptian dead were extensive. Tomb walls were often elaborately painted and inscribed with scenes and objects deemed desirable for the afterlife. Votive objects, furniture, clothing, jewelry, and importantly, food including bread, cereals, fruit, jars of wine, beer, oil, meat, and poultry were included in the burial goods. An intriguing feature of the meat and poultry produced for the deceased from the highest levels of Egyptian society was that they were mummified to ensure their preservation. However, little is known about the way they were prepared, such as whether balms were used, and if they were used, how they compared with those applied to human and animal mummies? We present herein the results of lipid biomarker and stable carbon isotope investigations of tissues, bandaging, and organic balms associated with a variety of meat mummies that reveal that treatments ranged from simple desiccation and wrapping in bandages to, in the case of the tomb of Yuya and Tjuia (18th Dynasty, 1386–1349 BC), a balm associated with a beef rib mummy containing a high abundance of Pistacia resin and, thus, more sophisticated than the balms found on many contemporaneous human mummies. PMID:24248384

  4. 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.

    2016-01-01

    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 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

  5. Use of cervical collar in temporomandibular dislocation.

    Science.gov (United States)

    Jaisani, Mehul R; Pradhan, Leeza; Sagtani, Alok

    2015-06-01

    Dislocation of the temporomandibular joint represents 3 % of all reported dislocated joints. In the last 3 decades many cases of TMJ dislocation have been reported with a wide variety of treatment options ranging from non-surgical conservative approaches to open joint procedures. The question remains whether one method is superior to the others. Conservative treatments are still the option in this part of the continent due to financial constraints and as well as due to availability of skilled manpower. A variety of conservative techniques have been described for reducing dislocations, all of which require 10-14 days of immobilization of the jaw post reduction so as to prevent further episodes of dislocation. Immobilization of the jaw can be done in the form of barrel bandage, barton bandage, head chin cap or maxillomandibular fixation using arch bars. We suggest the use of a cervical collar as a form of post reduction immobilization technique to overcome the inherent disadvantages of conventional forms of immobilization techniques.

  6. The clinical effects of Kinesio® Tex taping: A systematic review.

    Science.gov (United States)

    Morris, D; Jones, D; Ryan, H; Ryan, C G

    2013-05-01

    Kinesio(®) Tex tape (KTT) is used in a variety of clinical settings. The purpose of this study was to investigate the effect of KTT from randomized controlled trials (RCTs) in the management of clinical conditions. A systematic literature search of CINAHL; MEDLINE; OVID; AMED; SCIENCE DIRECT; PEDRO; www.internurse.com; SPORT DISCUS; BRITISH NURSING INDEX; www.kinesiotaping.co.uk; www.kinesiotaping.com; COCHRANE CENTRAL REGISTER OF CLINICAL TRIALS; and PROQUEST was performed up to April 2012. The risk of bias and quality of evidence grading was performed using the Cochrane collaboration methodology. Eight RCTs met the full inclusion/exclusion criteria. Six of these included patients with musculoskeletal conditions; one included patients with breast-cancer-related lymphedema; and one included stroke patients with muscle spasticity. Six studies included a sham or usual care tape/bandage group. There was limited to moderate evidence that KTT is no more clinically effective than sham or usual care tape/bandage. There was limited evidence from one moderate quality RCT that KTT in conjunction with physiotherapy was clinically beneficial for plantar fasciitis related pain in the short term; however, there are serious questions around the internal validity of this RCT. There currently exists insufficient evidence to support the use of KTT over other modalities in clinical practice.

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

    Science.gov (United States)

    Taradaj, Jakub; Halski, Tomasz; Zduńczyk, Małgorzata; Rajfur, Joanna; Pasternok, Małgorzata; Chmielewska, Daria; Piecha, Magdalena; Kwaśna, Krystyna; Skrzypulec-Plinta, Violetta

    2014-03-01

    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.

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

    Science.gov (United States)

    Halski, Tomasz; Zduńczyk, Małgorzata; Rajfur, Joanna; Pasternok, Małgorzata; Chmielewska, Daria; Piecha, Magdalena; Kwaśna, Krystyna; Skrzypulec-Plinta, Violetta

    2014-01-01

    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. PMID:26327833

  9. 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.

  10. NONWOVEN TEXTILES WITH MEDICAL DESTINATION ROMANIAN PRODUCTION

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    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.

  11. Role of the autologous mesenchymal stem cells compared with platelet rich plasma on cicatrization of cutaneous wounds in diabetic mice

    Directory of Open Access Journals (Sweden)

    Napoleão M. Argolo Neto

    Full Text Available Abstract: Chronic cutaneous lesions affect 15% of diabetic human patients and represent a risk 15 to 46 times larger of limb amputations compared to people with normal glycemia. It is assumed that half of these amputations could be prevented by early treatment of wounds, for example, with proper cell therapy. Objectives: In this study, the action of the autologous transplant of mesenchymal stem-cells (MSC was evaluated compared to the treatment with autologous platelet rich plasma (PRP in the cicatrization of cutaneous lesions induced in diabetic mice. These animals were previously treated with streptozootocin to induce diabetes mellitus and round wounds of 1.5cm in diameter were created in the posterior region. Diameters of the wounds and healing time were evaluated during 30 days and the results were submitted to variance analysis and Tukey's test average. It was noticed that the animals treated with MSC presented a more accelerated cicatrization of the cutaneous lesion than the animals treated with PRP. However, the treatment with PRP presented better results than just the daily asepsis of the lesions with saline or covering them with semi-permeable bandage. Besides, the use of semi-permeable bandage kept the cutaneous lesions of diabetic mice did not interfere negatively with cicatrization, proved to be harmless to use, but kept the cutaneous lesions more hydrated than the ones exposed to the environment.

  12. Observation Clinical Effect of Dismiss Clearing and Bind up Circumcision in Children%小儿免拆线免包扎包皮环切术临床效果观察

    Institute of Scientific and Technical Information of China (English)

    仲华维; 张志江; 努尔; 郑虹

    2016-01-01

    目的:评价小儿包皮环切术免拆线、免包扎疗法的临床价值。方法治疗组采用包皮环切术,免拆线免包扎方法,对照组采用传统包皮环切术。结果治疗组术后无需拆线及去除包扎敷料而痛苦少,术后出血、水肿与对照组无明显差别。结论小儿包皮环切术免拆线、免包扎疗法痛苦少、费用低、易被患儿接受,疗效确切。%Objective To evaluation clinical effect of dismiss clearing and bind up circumcision in children.Methods The treatment group using circumcision from the stitches from bandaging methods, the control group used traditional circumcision. Results The treatment groups were less painful without suture removal and removal of wound dressings, postoperative bleeding, edema and no signiifcant difference in the control group.Conclusion Circumcision suture removal, bandaging less pain-free, low cost, easy to be received, and effective, and at the grass-roots promotion.

  13. Temporary prosthetic fitting for below-knee amputation.

    Science.gov (United States)

    Ozyalcin, H; Sesli, E

    1989-08-01

    The problems encountered in fitting and using the permanent below-knee prosthesis in developing countries are the high price of the prosthesis, inadequate fitting and lack of proper rehabilitation. In Turkey, the preferred treatment of the stump post-operatively is by the soft dressing method with bandaging for maturation and shrinkage. Generally, the application of the permanent prosthesis is in the sixth month post-operatively. Since in patellar-tendon-bearing (PTB) sockets, stumps have to withstand high pressures in limited areas, the PTB socket can only tolerate small volume changes in the stump. For this reason bandaging over a long period may be insufficient for adequate stump shrinkage and amputees will need another below-knee prosthesis, which most of them cannot afford after only a few weeks use. In the authors' clinic, 19 amputees were fitted with simple, effective and inexpensive temporary prostheses following either conventional immediate post-operative dressing or the soft dressing method. The temporary prosthesis is worn for two months. It produces fast stump shrinkage, helps maturation and permits ambulatory discharge even in bilateral amputees. For economical reasons, only eight of nineteen patients were fitted with permanent prostheses, all wearing them successfully without the necessity of further rehabilitation.

  14. 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.

  15. 颅脑外伤术后头部固定装置的研制%Research and Development of a Head Fixation Device for Post-Operative Patients with Cranio-Cerebral Trauma

    Institute of Scientific and Technical Information of China (English)

    王学建

    2015-01-01

    针对颅脑外伤术(尤其是枕部手术)后头部切口不易保护、包扎易松动、易致切口污染等问题,本文研制了一款神经外科头部固定装置,该装置主要由头部包扎部分及可拆卸保护装置等结构构成,具有包扎牢固、舒适、切口保护等功能,可解决头部外伤术后包扎的问题。临床实际应用证实其具有省时、方便、实用、舒适等效果,值得临床推广。%In view of the issues occurring after cranio-cerebral trauma surgeries, especially occipital surgeries, including difficulty in incision protection, loose dressing, and incision pollution, a kind of neurosurgery head ifxation device was researched and developed, which mainly consisted of the head bandage and removable protection structure. With the functions of steady and comfortable bandage as well as incision protection, the device was intended to solve the problem of incision protection after head trauma surgeries. Clinical application proved its time-saving, easy-to-use, practical and comfortable features, deserving wider clinical promotion.

  16. Distribution, Complications, and Outcome of Footpad Injuries in Pet and Military Working Dogs.

    Science.gov (United States)

    Hansen, Lane A; Hazenfield, Kurt M; Olea-Popelka, Francisco; Smeak, Dan D

    2015-01-01

    This study reports the findings of 120 traumatic pad injuries in pet and military dogs. Most dogs (68%) presented with a laceration to a thoracic limb footpad, and one-third of dogs were middle-aged castrated males. Metacarpal pads were most commonly injured. Short-term complications were noted in 27% of dogs. No long-term complications were identified. No disability from pad injury was present at the completion of healing. Concurrent injuries to adjacent structures were uncommon and did not affect outcome. Dogs with full-thickness pad lacerations were at greater risk for major short-term complications compared to dogs with partial-thickness pad lacerations (odds ratio, 7.27; P = .001). Military working dogs with full-thickness pad lacerations were at greater risk for major short-term complications than pet dogs with a similar injury. When major complications developed in dogs with full-thickness pad injuries, time to final healing was significantly longer (by a median of 12 days). The partial-thickness pad lesions healed uneventfully regardless of whether they were bandaged, surgically repaired, or left to heal by second intention. Suture repair and bandaging of full-thickness lesions could not be shown to either decrease the risk for complications or improve healing. Future work should focus on establishing standards for footpad treatment to reduce complications.

  17. Effects of Panax ginseng-containing herbal plasters on compressed intervertebral discs in an in vivo rat tail model

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    Chow Daniel H K

    2013-02-01

    Full Text Available Abstract Background Tienchi (Panax notoginseng has been used in conservative treatments for back pain as a major ingredient of many herbal medicines. This study aims to investigate the effects of a herbal medicine containing tienchi on compressed intervertebral discs in rats. Methods Using an in vivo rat tail model, intervertebral disc compression was simulated in the caudal 8–9 discs of 25 rats by continuous static compression (11 N for 2 weeks. An herbal medicine plaster (in which the major ingredient was tienchi was externally applied to the compressed disc (n=9 for three weeks, and held in place by an adhesive bandage, in animals in the Chinese Medicine (CM group. The effect of the bandage was evaluated in a separate placebo group (n=9, while no intervention with unrestricted motion was provided to rats in an additional control group (n=7. Disc structural properties were quantified by in vivo disc height measurement and in vitro morphological analysis. Results Disc height decreased after the application of compression (P P = 0.006 and placebo (P = 0.003 groups, but was maintained in the CM group (P = 0.494. No obvious differences in disc morphology were observed among the three groups (P = 0.896. Conclusion The tienchi-containing herbal plaster had no significant effect on the morphology of compressed discs, but maintained disc height in rats.

  18. 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.

  19. 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.

  20. 微孔引流在皮下修剪术治疗腋臭中的作用%Performance of drainage through micropores in the treatment of axillary osmidrosis with subcutaneous trimming

    Institute of Scientific and Technical Information of China (English)

    戴叶芹; 许爱娥

    2015-01-01

    Objective To evaluate the performance of drainage through micropores in the treatment of axillary osmidrosis with subcutaneous trimming.Methods Forty-eight patients with axillary osmidrosis were enrolled in this study,and treated by subcutaneous trimming.After removal of apocrine sweat glands and hair follicles,a scalpel was used to cut several micropores (measuring 3 mm in length) along dermal ridges in skin flaps.Then,drainage was carried out through the micropores.Subsequently,the incisions were sewed up with 3-0 sutures followed by compression bandaging with elastic bandages.Dressings were changed and incisions were examined at 24 hours after operation,and bandages were taken off and skin flap viability was evaluated at 10 days.All the patients were followed for 3 months.Results After treatment,sweating was decreased and axillary odor disappeared in all the patients with a return to normal social activities.No obvious scar formed.Conclusion Drainage through micropores performs well in the treatment of axillary osmidrosis with subcutaneous trimming.%目的 探讨微孔引流在皮下修剪术治疗腋臭中的作用.方法 48例腋臭患者采用皮下修剪术治疗腋臭,去除大汗腺及毛囊后在皮瓣上用尖刀片沿皮纹戳数个长约3 mm的微孔进行引流,闭合切口后用弹力绷带包扎压迫手术区敷料.术后24 h换药观察伤口,10d拆绷带并观察皮瓣成活情况,术后3个月随访.结果 48例患者术后腋部汗臭均消失,出汗减少,社交正常.皮肤瘢痕不明显.结论 微孔引流可作为皮下修剪术治疗腋臭的有效引流方法.

  1. DIAGNOSTIC CRITERIA OF FLATFOOT AND WAYS OF REHABILITATION THERAPY IN CHILDREN

    Directory of Open Access Journals (Sweden)

    MUROD ZOKIRHODJAEV

    2011-08-01

    Full Text Available Computer, roentgenologic, myographic, podometric, biochemical studies in 1427 children from 1 to 14 years old in 182 cases revealed the flatfoot; it had a straight proportional dependence from age and sexual differences. Suggested differential diagnostic table allows in short time to mark out the level of flatfoot on the base of taken results. Being reflected in scores, taken results are summed up, and, by general total, the level of flatfoot is determined. Determination of oxiproline (collagen element in urine serves as the confirmation of involution connective tissue at flatfoot. According to age changes of connecting tissue, a complex of conservative treatment, including physiotherapeutic means, TPE, plaster of Paris bandage, balneologic treatments, wearing insoles in shoes, taking multivitamin drugs, are offered

  2. Toward flexible and wearable human-interactive health-monitoring devices.

    Science.gov (United States)

    Takei, Kuniharu; Honda, Wataru; Harada, Shingo; Arie, Takayuki; Akita, Seiji

    2015-03-11

    This Progress Report introduces flexible wearable health-monitoring devices that interact with a person by detecting from and stimulating the body. Interactive health-monitoring devices should be highly flexible and attach to the body without awareness like a bandage. This type of wearable health-monitoring device will realize a new class of electronics, which will be applicable not only to health monitoring, but also to other electrical devices. However, to realize wearable health-monitoring devices, many obstacles must be overcome to economically form the active electrical components on a flexible substrate using macroscale fabrication processes. In particular, health-monitoring sensors and curing functions need to be integrated. Here recent developments and advancements toward flexible health-monitoring devices are presented, including conceptual designs of human-interactive devices.

  3. 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.

  4. Coracoid fractures in wild birds: a comparison of surgical repair versus conservative treatment.

    Science.gov (United States)

    Scheelings, T Franciscus

    2014-12-01

    Medical records of wild bird admissions to the Australian Wildlife Health Centre at Healesville Sanctuary were analyzed for cases of unilateral coracoid fractures with known final outcomes. Forty-seven birds, comprising 13 species, fit these criteria. Of those birds, 18 were treated conservatively with analgesia and cage rest without coaptation bandaging, and 29 were treated with surgical correction of the fracture. Of the conservatively managed birds, 89% (16 of 18) were released back into the wild. Conversely, 34% (10 of 29) of the surgically managed birds were released. Treatment success for release differed significantly between treatment groups (P birds were not released. Given the high risks associated with surgical treatment and the high success rate of conservative management, cage rest without surgery appears prudent when managing coracoid injuries in birds.

  5. 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....

  6. From the roots of rhinology: the reconstruction of nasal injuries by Hippocrates.

    Science.gov (United States)

    Lascaratos, John G; Segas, John V; Trompoukis, Constantinos C; Assimakopoulos, Dimitrios A

    2003-02-01

    The goal of this report is to describe the therapeutic methods and surgical techniques used by Hippocrates (5th century BC) in the treatment of nasal injuries. We studied the original Greek texts of the (generally considered genuine) Hippocratic book Mochlicon and, especially, the analytical On Joints. We identified the treatments and techniques applied to the restoration of injured noses. We found that Hippocrates classified nasal injuries, from simple contusions of soft tissues to complicated fractures. Hippocrates provided detailed instructions for each case, from poultice application and bandaging to reconstruction and reshaping of the nasal bones in cases of fractures and deviation. Hippocrates' texts reflect the interest of the classical period in nasal injuries, a common enough accident in athletics. Hippocratic conservative and surgical management for each form of injury was adopted by later physicians and influenced European medicine.

  7. 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

  8. Thermoforming plastic in lead shield construction

    Energy Technology Data Exchange (ETDEWEB)

    Abrahams, M.E.; Chow, C.H.; Loyd, M.D. (Univ. of Texas Medical Branch, Galveston (USA))

    1989-09-01

    Radiation treatments using low energy X-rays or electrons frequently require a final field defining shield to be placed on the patient's skin. A custom made lead cut-out is used to provide a close fit to a particular patient's surface contours. We have developed a procedure which utilizes POLYFORM thermoplastic to obtain a negative mold of the patient instead of the traditional plaster bandage or dental impression gel. The Polyform is softened in warm water, molded carefully over the patient's surface, and is removed when set or hardened, usually within five minutes. Then lead sheet cut-outs can be formed within this negative. For shielding cut-outs requiring thicker lead sheet, a positive is made from dental stone using this Polyform negative. We have found this procedure to be neat, fast and comfortable for both patient and the dosimetrist.

  9. Thermoforming plastic in lead shield construction.

    Science.gov (United States)

    Abrahams, M E; Chow, C H; Loyd, M D

    1989-09-01

    Radiation treatments using low energy X-rays or electrons frequently require a final field defining shield to be placed on the patient's skin. A custom made lead cut-out is used to provide a close fit to a particular patient's surface contours. We have developed a procedure which utilizes POLYFORM thermoplastic to obtain a negative mold of the patient instead of the traditional plaster bandage or dental impression gel. The Polyform is softened in warm water, molded carefully over the patient's surface, and is removed when "set" or hardened, usually within five minutes. Then lead sheet cut-outs can be formed within this negative. For shielding cut-outs requiring thicker lead sheet, a positive is made from dental stone using this Polyform negative. We have found this procedure to be neat, fast and comfortable for both patient and the dosimetrist.

  10. 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.

  11. Multiarticular tophaceous gout with severe joint destruction: A pictorial overview with a twist

    Directory of Open Access Journals (Sweden)

    Shyam Verma

    2014-01-01

    Full Text Available Tophi are the visible dermatological signs of gout. A case of tophaceous gout in a middle-aged man with no other metabolic derangement is being presented with multiple tophi on the hands and feet overlying joints as well as on the fingers and toes. We thought it to be of educational value to demonstrate needle-like crystals of urate by polarizing microscopy. X-rays of hands and feet showed dramatic destructive changes. The patient presented with mottled hypopigmentation on anterior and posterior knees and dorsa of hands and feet where he applied hot "aankda" leaves and covered them with bandage resulting in irritant dermatitis with postinflammatory hypopigmentation. This proved to be a red herring in this case.

  12. 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

  13. 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.

  14. Role of prostaglandin E2 and leukotriene B4 in skin reaction induced by transdermal application of propranolol.

    Science.gov (United States)

    Kobayashi, I; Hosaka, K; Maruo, H; Saeki, Y; Kamiyama, M; Konno, C; Gemba, M

    2000-02-01

    Dermal application of propranolol (PRL) induced formation of erythema and edema, and pseudoeosinophil infiltration in epidermis and dermis at the application site in guinea pigs. We investigated the production of prostaglandin E2 (PGE2) and leukotriene B4 (LTB4) at the application site of PRL and the role of these inflammatory chemical mediators in the occurrence of the skin reactions. PGE2 was found to be produced at the application site slightly after the accumulation of PRL released from the adhesive bandage in the patch test, and the amount of PGE2 increased continuously, with a peak value obtained at 24 h after application. The time-course changes resembled those of delta a* value, the index of erythema formation determined by colorimetric measurement, and edema formation. The production of PGE2 by dermal application of PRL was suppressed by local pretreatment with dexamethasone or indomethacin. However, no notable production of LTB4 was observed at the application site of PRL.

  15. Transient superficial peroneal nerve palsy after anterior cruciate ligament reconstruction

    Directory of Open Access Journals (Sweden)

    Majed Alrowaili

    2016-06-01

    Full Text Available A 19-year-old male subject was diagnosed with medial meniscal, lateral meniscal and anterior cruciate ligament (ACL tear. The symptoms did not subside after 4 months of physical therapy, and he underwent arthroscopic partial medial and lateral meniscectomy and ACL reconstruction. Immediately after the patient woke up from general anesthesia, he started experience loss of sensation in the area of superficial peroneal nerve with inverted dorsiflexion of foot and ankle. Instantly, the bandage and knee brace was removed and a diagnosis of compartment syndrome was ruled out. After eight hours, post-operatively, the patient started receiving physiotherapy. He complained of numbness and tingling in the same area. After 24 h, post-operatively, the patient started to regain dorsiflexion and eversion gradually. Two days after the surgery, the patient exhibited complete recovery of neurological status.

  16. Transient Superficial Peroneal Nerve Palsy After Anterior Cruciate Ligament Reconstruction.

    Science.gov (United States)

    Alrowaili, Majed

    2016-04-26

    A 19-year-old male subject was diagnosed with medial meniscal, lateral meniscal and anterior cruciate ligament (ACL) tear. The symptoms did not subside after 4 months of physical therapy, and he underwent arthroscopic partial medial and lateral meniscectomy and ACL reconstruction. Immediately after the patient woke up from general anesthesia, he started experience loss of sensation in the area of superficial peroneal nerve with inverted dorsiflexion of foot and ankle. Instantly, the bandage and knee brace was removed and a diagnosis of compartment syndrome was ruled out. After eight hours, post-operatively, the patient started receiving physiotherapy. He complained of numbness and tingling in the same area. After 24 h, post-operatively, the patient started to regain dorsiflexion and eversion gradually. Two days after the surgery, the patient exhibited complete recovery of neurological status.

  17. 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.

  18. LASIK后角膜瓣皱褶和折叠的处理%Management of folds and striae in the cornea flap after laser in situ keratomileusis,

    Institute of Scientific and Technical Information of China (English)

    刘云川; 吴欣怡; 张丽; 马蓉; 崔迎春; 王洪娟

    2008-01-01

    目的 探讨准分子激光原位角膜磨镶术(laser in situ keratomileusis,LASIK)后早期角膜瓣皱褶和折叠的有效处理方法.方法 对LASIK术后11例角膜瓣皱褶的原因及处理进行回顾性分析.所有的患者需经手术重新复位,在显微镜下采用去离子水冲洗角膜瓣加戴角膜接触镜24 h.术后观察角膜瓣状况、屈光变化、裸眼视力和最佳矫正视力.结果 经过处理的所有患者裸眼视力均达到或超过术前最佳矫正视力.角膜透明,未见明显皱褶,角膜瓣位置正常,无上皮植入.结论 角膜瓣皱褶和折叠是LASIK术后较严重的并发症.早期诊断和正确快速的处理是获得最佳视力的关键.用去离子水重新复位角膜瓣并佩戴角膜接触镜治疗LASIK术后早期角膜瓣皱褶和折叠是安全简单有效的方法.%Objective To investigate the efficient treatment of cornea flap folds and striae after laser in situ keratomileusis (LASIK).To review the management and results of cases with severe flap wrinkling or dislodgment after LASIK.Methods Eleven patients with cornea flap folds and striae after LASIK are described.To make retrospective analysis of etiology and treatment in 11 cases who had cornea flap folds and striae after LASIK.Surgical repositioning of the flap was performed in all cases.Under the operating microscope the flap was refloated and hydrated with sterile deionized water for 2 minutes without stretching or ironing the flap.A bandage contact lens was then applied for 24 hours.Flap status,refractive changes,and final uncorrected and best corrected visual acuities were used to evaluate the outcome of flap repositioning.Results Relocation flap and bandage contact lens were used in such cases.Scraping epithelial and hydrating the cornea flap with sterile deionized water were used under operation.Twenty-four hours after treatment with sterile deionized water and a bandage contact lens,the cornea was smooth and wrinkle free.All patients

  19. [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.

  20. Near fatal envenomation from the funnel-web spider in an infant.

    Science.gov (United States)

    Browne, G J

    1997-08-01

    Children with significant envenomation require early first aid, resuscitation, and the administration of antivenom at the earliest possible time to survive. The case of a nine-month-old infant with life-threatening massive envenomation from the Sydney funnel-web spider (Atrax robustus) is presented. The infant was administered life-saving first aid (pressure immobilization bandage) and resuscitation measures prior to and during the administration of funnel-web-specific antivenom. The infant was discharged two days after the initial envenomation, without sequelae from the envenomation or antivenom. The survival of this infant is attributed to the immediate use of first aid, together with aggressive supportive measures and the administration of repeated doses of specific antivenom.

  1. 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

  2. Management of 1½ month old neglected talus neck fracture: A case report and review of literature

    Directory of Open Access Journals (Sweden)

    Dinesh R Kale

    2014-01-01

    Full Text Available Undisplaced talus neck fractures are uncommon and difficult to diagnose. We present a case of an 18-year-old female came with the complaints of pain and swelling in the foot following a fall from a bicycle 1½ months back. For the above complaints, she had consulted local doctors who had done X-rays of the foot and no diagnosis was made. She was treated conservatively with medications and compression bandage for swelling and the patient was allowed to walk. On presenting to us, X-ray of the foot was done and minimally displaced talus neck fracture was suspected. Magnetic resonance imaging of the foot was done and the diagnosis was confirmed. Patient was operated with percutaneous screw fixation following which below knee cast was given for 6 weeks followed by partial weight bearing. Patient returned to complete weight bearing and previous activity level without pain at the end of 3 months.

  3. Silver nanoparticle containing silk fibroin bionanotextiles

    Science.gov (United States)

    Calamak, Semih; Aksoy, Eda Ayse; Erdogdu, Ceren; Sagıroglu, Meral; Ulubayram, Kezban

    2015-02-01

    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.

  4. 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.

  5. 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.

  6. [A heroine for the Resistance: Anne-Mary, Jeanne Menut at Riom (1914-1944)].

    Science.gov (United States)

    Guyotjeannin, C

    1997-01-01

    Anne-Mary Lafaye was born on may 16th 1914 just before world war I. Her parents were teachers and helped her to go up one step of the social scale; in 1939 she became a pharmacist. Quite an ordinary life, but another world war came. She married Max Menut, early resistant worker, and she was more and more involved, providing the maquis with bandages and medicines. She had made the choice of her values, and time of abnegation came. She had to hide her identity under the name of Marinette. She sold her pharmacy in Riom, she entrusted her daughter to her mother's care, and she had to take care of wounded fighters. Rapidly she was denounced, arrested, tortured and savagely executed.

  7. Evidence-based measures to prevent central line-associated bloodstream infections: a systematic review

    Directory of Open Access Journals (Sweden)

    Daniele Cristina Perin

    Full Text Available ABSTRACT Objective: to identify evidence-based care to prevent CLABSI among adult patients hospitalized in ICUs. Method: systematic review conducted in the following databases: PubMed, Scopus, Cinahl, Web of Science, Lilacs, Bdenf and Cochrane Studies addressing care and maintenance of central venous catheters, published from January 2011 to July 2014 were searched. The 34 studies identified were organized in an instrument and assessed by using the classification provided by the Joanna Briggs Institute. Results: the studies presented care bundles including elements such as hand hygiene and maximal barrier precautions; multidimensional programs and strategies such as impregnated catheters and bandages and the involvement of facilities in and commitment of staff to preventing infections. Conclusions: care bundles coupled with education and the commitment of both staff and institutions is a strategy that can contribute to decreased rates of central line-associated bloodstream infections among adult patients hospitalized in intensive care units.

  8. Bruck syndrome: a case report

    Directory of Open Access Journals (Sweden)

    Дмитрий Степанович Буклаев

    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.

  9. 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.

  10. Clinicians' perspectives on the use of drug-eluting contact lenses for the treatment of glaucoma.

    Science.gov (United States)

    Taniguchi, Elise V; Kalout, Patricia; Pasquale, Louis R; Kohane, Daniel S; Ciolino, Joseph B

    2014-10-01

    Glaucoma is the leading cause of irreversible blindness worldwide. The perspective of clinicians who treat the disease is important and may ultimately dictate the adoption of new treatment modalities, such as drug-eluting contact lenses. Recent advances have enabled contact lenses to serve as a sustained-release drug-delivery platform capable of treating glaucoma. This review covers the medical treatment of glaucoma, suboptimal adherence rates to treatment, and factors that may influence the clinical applicability of drug-eluting contact lenses. Ophthalmologists who treat glaucoma were surveyed to determine their perspective on treatment adherence, bandage contact lens use and the use of a drug-eluting contact lens to treat glaucoma. Given the challenge of treating glaucoma and the clinical need for improved drug delivery, drug-eluting contact lenses appear to be a promising treatment option.

  11. PROSE treatment for lagophthalmos and exposure keratopathy.

    Science.gov (United States)

    Gire, Anisa; Kwok, Alan; Marx, Douglas P

    2013-01-01

    Prosthetic replacement of the ocular surface ecosystem is a treatment developed by the Boston Foundation for Sight that uses a Food and Drug Administration-approved prosthetic device for the treatment of severe ocular surface disease to improve vision and discomfort in addition to supporting the ocular surface. Facial nerve paralysis has multiple causes including trauma, surgery, tumor, stroke, and congenital lagophthalmos. Subsequent lagophthalmos leading to exposure keratitis has been treated with copious lubrication, tarsorrhapy, eyelid weights, chemodenervation to yield protective ptosis, and palpebral spring insertion. Each of these treatments, however, has limitations and potential complications. The prosthetic replacement of the ocular surface ecosystem device provides a liquid bandage to protect the cornea from eyelid interaction and dessication in addition to improving vision. This report describes 4 patients with exposure keratitis who were successfully treated with prosthetic replacement of the ocular surface ecosystem devices at 2 clinical sites.

  12. Fast-track hip and knee arthroplasty

    DEFF Research Database (Denmark)

    Husted, Henrik

    2012-01-01

    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...... thromboembolic complications in particular (V); feasibility studies showing excellent outcomes following fast-track bilateral simultaneous total knee arthroplasty (VI) and non-septic revision knee arthroplasty (VII); how acute pain relief in total hip arthroplasty is not enhanced by the use of local infiltration......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...

  13. 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...... 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 lymphedema among patients with breast cancer. METHODS/DESIGN: A randomized, single-blind, equivalence...... trial. A total of 160 breast cancer patients with arm lymphedema will be recruited from 3 hospitals and randomized into one of two treatment groups A: Complete Decongestive Therapy including manual drainage or B: Complete Decongestive Therapy without manual lymphatic drainage. The intervention period...

  14. Production and characterization of natural rubber-Ca/P blends for biomedical purposes.

    Science.gov (United States)

    Nascimento, R M; Faita, F L; Agostini, D L S; Job, A E; Guimarães, F E G; Bechtold, I H

    2014-06-01

    This study presents the development of natural rubber-Ca/P blends, as promising candidates for biomedical purposes. The specific objective was the incorporation of Ca/P into a natural rubber polymeric matrix. Ca/P crystalline phases were synthesized by the sol-gel method and the polymeric matrices were produced using natural rubber extracted from latex of the Hevea brasiliensis. The shape and size of natural rubber particles present in the NR membrane, as well as, the way the Ca/P powder grains aggregate in the polymeric matrix were investigated, giving information about the interactions between the Ca/P and the natural rubber particles. Confocal fluorescence scanning microscopy measurements allowed us to propose a structure where the Ca/P grains are surrounded by natural rubber particles. This structure may mediate Ca(2+) release for tissue regeneration. The system investigated may open new horizons for development of a bandage which provides the controlled-release of biomaterials.

  15. Double dislocation of finger interphalangeal joints.

    Science.gov (United States)

    Jahangiri, Saqib Aziz; Mestha, Prabhakar; McNally, Scarlett

    2012-10-22

    A 62-year-old, right-hand-dominant man who had dementia and lived in an Elderly Mentally Infirm (EMI) nursing home was admitted through Accident & Emergency (A&E) department following unwitnessed injury to the left little finger. His examination revealed a swollen and deformed left little finger with a laceration along the middle crease on the volar aspect and head of proximal phalanx visible through this. Distally sensations and capillary refill was normal. X-rays showed a double dislocation of both proximal and distal interphalangeal joints. The finger was reduced under ring block and the laceration was washed with saline in A&E. The patient was taken to the operation theatre next morning for wound exploration and wash-out±stabilistion of the finger under general anaesthesia. The wound was thoroughly washed out and closed with 4/0 interrupted nylon. The finger was immobilised with neighbour strapping and bandaged in flexion.

  16. Characterization of care for patients with wounds in Primary Care

    Directory of Open Access Journals (Sweden)

    Isabel Cristina Ramos Vieira Santos

    2014-10-01

    Full Text Available This study aimed to describe the treatment of patients with wounds in the Primary Health Care. A descriptive research with quantitative approach. Ninety-three Family Health Units of the city of Recife-PE, Brazil, were selected, and 112 nurses were interviewed from July to December 2011. The record book of bandages and procedures and the dressing form were used as an additional source of data. Frequencies, measures of central tendency and dispersion, prevalence and, for continuous variables, the analysis of variance were estimated. The prevalence of patients with wounds was 1.9% of the estimated covered population. Vascular ulcers accounted for 74.1% of the treated wounds. The dressing was predominantly performed by Nursing technicians, and the products available for this procedure did not match the current technological development.

  17. Thin film transistors for flexible electronics: contacts, dielectrics and semiconductors.

    Science.gov (United States)

    Quevedo-Lopez, M A; Wondmagegn, W T; Alshareef, H N; Ramirez-Bon, R; Gnade, B E

    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.

  18. Spontaneous corneal melting in pregnancy: a case report

    Directory of Open Access Journals (Sweden)

    Arya Sudesh K

    2007-11-01

    Full Text Available Abstract Background To report a case of spontaneous corneal melting in pregnancy. We reviewed the literature on corneal melting and the effect of pregnancy on cornea and collagen containing tissues. Case presentation A 29-year-old woman who underwent radial keratotomy in both eyes followed by trabeculectomy in her left eye developed corneal melting in the same eye, in her seventh month of pregnancy. Despite screening, no infectious or immune mediated condition could be identified. She was managed conservatively with cyanoacrylate glue, bandage contact lens, lubricants and antibiotics. Conclusion It may not always be possible to find the underlying cause of corneal melting but the more common underlying causes should be ruled out by proper investigations. Pregnancy with its host of hormonal changes could potentially have some effect on corneal collagen leading to corneal melting in compromised corneas.

  19. Muscular Pedicled Lateral Chest Composite Flap—A New Nonmicrosurgical Option for Forearm Salvage

    Directory of Open Access Journals (Sweden)

    Ichiro Shiokawa, MD

    2014-12-01

    Full Text Available Summary: Posttraumatic upper or lower limb salvage is still challenging. Under difficult situations in which only one vessel supplies the hand or foot, free microvascular reconstruction might damage not only the transferred tissue but also the terminal hand or foot. Two cases of incomplete amputation of the unilateral forearm with large radius bone and soft tissue loss were reconstructed using a newly-refined pedicled osteomyocutaneous flap including vascularized rib, lateral part of the latissimus dorsi muscle, and skin as a lateral chest flap. After insetting of the flap, the transferred limb is fixed with a soft bandage, and the flap is divided no less than 4 weeks after the first operation. The flap completely survived, and bone union between the rib and radius was observed. Although our treatment needed a two-stage procedure, safe and secure reconstruction with an appropriate amount of tissue for salvage was accomplished.

  20. 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...

  1. 医用聚氨酯材料的研究进展及发展方向%Research progress and development trend of medical polyurethane

    Institute of Scientific and Technical Information of China (English)

    王学敏

    2009-01-01

    综述了医用聚氨酯材料在人工心脏、人造血管、矫形绷带、粘合剂、人工皮肤、药物载体等领域的研究进展,指出今后医用聚氨酯材料的发展方向是可生物降解,具有形状记忆功能,可应用于组织工程,具有高生物相容性和抗菌性等.%An overview was given about the research progress in medical polyurethane for artificial hearts, artificial blood vessel,orthopedic bandage, adhesive, artificial skin and drug carrier.The development trends of medical polyurethane such as biodegradable polyurethane,polyurethane with shape memory function,high biocompatibility, antibacterial property,applying to tissue engineering and so on.

  2. Modelling the rate of change in a longitudinal study with missing data, adjusting for contact attempts.

    Science.gov (United States)

    Akacha, Mouna; Hutton, Jane L

    2011-05-10

    The Collaborative Ankle Support Trial (CAST) is a longitudinal trial of treatments for severe ankle sprains in which interest lies in the rate of improvement, the effectiveness of reminders and potentially informative missingness. A model is proposed for continuous longitudinal data with non-ignorable or informative missingness, taking into account the nature of attempts made to contact initial non-responders. The model combines a non-linear mixed model for the outcome model with logistic regression models for the reminder processes. A sensitivity analysis is used to contrast this model with the traditional selection model, where we adjust for missingness by modelling the missingness process. The conclusions that recovery is slower, and less satisfactory with age and more rapid with below knee cast than with a tubular bandage do not alter materially across all models investigated. The results also suggest that phone calls are most effective in retrieving questionnaires.

  3. [Australian method of first aid for European snake bites. Spreading its use in Italy].

    Science.gov (United States)

    Torregiani, F; Moretto, G; La Cavera, C

    1991-01-01

    Antiquated first-aid procedures, such as the incision and sucking of the wound and the application of a tourniquet, are still used in Italy consequent to the bite of vipers. The A. hope that such procedures will be finally abandoned, since they are ineffective, impractical, painful and can furthermore produce invalidating or disfiguring permanent outcomes. In this report they extensively describe Australian first-aid measures consequent to snakebites, constituted by a compressive bandage and by immobilization of the bitten limb by splinting. They hope therefore that the divulgation of this procedure in Italian will bring about, within a short period of time, its extensive use in Italy consequent to viper bites, as it is very effective, practical and easy to carry out.

  4. The use of cryotherapy after a total knee replacement: a literature review.

    Science.gov (United States)

    Markert, Summer E

    2011-01-01

    There is limited data and research on the effects of cryotherapy on total knee replacements. Eleven studies, including one meta-analysis, have been reviewed on the effects continuous cold flow therapy has on blood loss, pain, swelling, and range of motion of the operative knee versus an ice bag or the use of traditional narcotics. Six of the studies showed significantly lower pain scores in the cold compression group than in a control group, including epidural analgesia, Robert Jones bandage, narcotic administration, and crushed ice. Overall, most studies noted no difference in range of motion of the operative knee, a decrease in swelling, and a decrease in blood loss with the cold compression. Although the use of cryotherapy may not be a statistically effective modality, it may, however, provide benefits for patients undergoing a total knee replacement.

  5. On Application of the Polyethylene Pipe in Luxury Cruise Ship%PE 管在豪华游轮中的应用研究

    Institute of Scientific and Technical Information of China (English)

    陈经科; 许小伟; 徐列; 吴潇

    2013-01-01

    通过介绍某豪华游轮在管系施工中使用PE管的技术与方案,将其与传统的钢制管道施工方案进行对比,确定PE管道在船舶施工中的安装、连接和包扎方式,认为PE管道在船舶建造中具有明显优势,应用前景可观。%The technical scheme of applying polyethylene ( PE) pipe in the piping construction of a luxury cruise ship was introduced and compared with the traditional steel pipeline construction .The installation, connection and bandaging solutions of the PE pipe in ship construction were analyzed .The authors believe that PE pipeline will have more extensive application pros -pect in shipbuilding .

  6. 集约化重型拖拉机对土壤的影响及缓释措施%Effect of Power-Intensive Tractor on Soil and Relief Measure

    Institute of Scientific and Technical Information of China (English)

    Slus.,VV; Rusi.,AV

    2000-01-01

    集约化重型拖拉机的使用有利于发展农业生产,但由于拖位机轮胎对土壤的冲击,对土壤水分、通气性、肥力和植物生物活性条件等的不利影响,又反过来影响了作物的产量.推导了轮式拖拉机下土壤的应力公式,并进行了履带分散传导挤压实验,结果表明 ,拖拉机履带能够降低土内应力及对土壤的压实,从而减少了冬春小麦的产量损失.%Utilization of Power-intensive tractor is benificial to agricultural p roduction, but also produces a side-influence to the soil on moisture, ventilat ion, fertility and plant biological activity conditions, which turn back to impa ir the yield of the crops cultivated, due to the impact from tractor wheels on s oil. The expression of normal stress in soil under the tractor wheels was derive d and the experiments with bandage application for relieving the impact were con ducted. The results indicate that bandage application on tractor wheels leads to the decrease of normal stress in soil, compression on soil, etc. and the decrea se of yield losses for winter and spring wheat.

  7. Chitosan Membrane as a New Wound Healing Agent on Chemical Wound Model

    Directory of Open Access Journals (Sweden)

    Yuliya A. Tkachenko

    2014-09-01

    Full Text Available Healing of skin defect of any etiology goes through several stages, which are completed or complete restoration of the lost cover, or the formation of scar tissue that covers the injury. Regeneration of the skin is depending on the type of injury, collateral damage, existing diseases such as diabetes, obesity, immune deficiency, including AIDS. At present, in the arsenal of physicians, there are a range of materials – from human skin to materials using tissue engineering technology. However, there is no universal bandage that meets the physician and patient efficacy and pharmaco-economic indicators. Therefore, the development of new materials for local treatment of skin lesions is relevant biomedical problem. The purpose of the work. Identify the characteristics of the regeneration process of the skin after a chemical burn when using chitosan membranes. We have conducted an experiment on 180 male laboratory rats of three age groups. All animals were simulated chemical burn in the interscapular region. The control animals received standard treatment of a series of chemical burns with sterile gauze bandages, which are changed daily. Experimental series of animals for the treatment of skin lesions using chitosan hydrogel, which was applied to the damaged areas with the replacement of film 1 per day. As a result, the application of chitosan dressings observed accelerated cleansing the wound necrosis in animals of young and adult ages and full wound epithelialization till 21 day of observation. Cytological examination showed decreased number of inflammatory cells at the wound surface and increase in the number of macrophages and fibroblasts. These changes had expressed age-related and more pronounced effect in animals of young and adult ages.

  8. 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.

  9. Some special treatment of skin avulsion for the elderly patients%老年患者中一些特殊皮肤撕脱伤的治疗体会

    Institute of Scientific and Technical Information of China (English)

    张志华; 王肃生; 梁刚; 冀航; 侯春

    2014-01-01

    目的:探讨老年患者中一些特殊皮肤撕脱伤的特点及治疗体会。方法回顾分析收治的22例特殊老年皮肤撕脱伤患者的诊治,撕脱皮肤均采用清创后原位缝合、加压包扎的治疗方法。结果21例患者中再植皮片全部或大部分成活,1例因感染导致皮片坏死,经清创后二次植皮愈合,经4个月至3年随访,回植皮肤弹性、感觉及活动度良好。结论因此类老年患者皮肤损伤存在撕脱层次浅、撕脱皮肤损伤不重的特点,采用清创后原位缝合、加压包扎的治疗可取得满意的效果。%Objective To investigate the characteristic and experience of special skin avulsion’s treatment with elderly patients. Methods According to 22 cases of special patients tearing for the diagnosis and treatment,avulsion skin are used after debridement suture in situ, pressurized bandaging treatment method. Results All the grafts or most survived,one cases caused a skin graft necrosis by infection, skin graft healing later. From 4 months to 3 years, feeling and activity are good after the replantation skin. Conclusion The features of elderly patients with shallow, less trauma, the clear suture and bandaging treatment can obtain satisfactory effect.

  10. 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.

  11. A comparative study on the two kinds of methods of nursing care of skin flap after modified radical mastectomy%乳腺癌改良根治术后两种皮瓣护理方法的对照研究

    Institute of Scientific and Technical Information of China (English)

    苏建薇; 叶翠玲; 梁清梅; 林栩雁; 黄伟钊

    2009-01-01

    Objective: To explore the impact of different methods of nursing care of skin flap on flap recovery and the pa-tients'comfort after modified radical mastectomy. Methods: 158 patients were randomly divided into control group (n=97) and experimental group (n=61). The traditional pressurized bandaging was used in control group and non -pressurized bandaging was applied in experimental group, comparing the amount of drainage, the days of extubation, subcutaneous fluid collection, skin flap necrosis, wound healing, degree of skin lesions and the scoring of patient's comfort of the first 3 days after modified radical mastectomy. Results: No significant differences were found in the comparison of the days of extubation, subcutaneous fluid col-lection, skin flap necrosis and phase Ⅰ wound healing between the two groups [P>0.05) ; however, the amount of drainage the first 3 days after operation was less in experimental group than that in control group (P0.05).但实验组术后前3 d的引流量明显少于对照组(P<0.01);患者术后24 h及72 h舒适度评分均明显高于对照组(P<0.01);术后术野以外皮肤红肿发生率明显低于对照组(P<0.01),皮肤水泡发生率低于对照组(P<0.05).结论:无加压的皮辩护理可取得与传统加压包扎相同的疗效,且具有操作简单、患者感觉舒适、便于观察等优点.

  12. 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

  13. 应用负压引流结合区域弹性加压包扎术预防腮腺术后涎瘘的临床研究%Use of negative pressure drainage combined with regional elastic compression dressing in preventing postoperative salivary fistula

    Institute of Scientific and Technical Information of China (English)

    董希银; 张文忠; 朱学芬; 杨雯君

    2016-01-01

    Objective To study the application value of negative pressure drainage in combination with regional elastic compression dressing in parotid gland operation, and to explore the factors related to salivary fistula after parotidectomy. Method 200 cases of pa⁃tients with benign parotid tumors who needed operation treatment were randomly divided into 2 groups:100 cases were treated with neg⁃ative pressure drainage combined with regional elastic compression dressing in the parotid gland area, and 100 cases were treated with traditional bandage. The incidence of postoperative salivary fistula, and the possible factors leading to salivary fistula during and after the operation were analyzed. Statistical analysis was made by SPSS16.0 software package. Results The incident of salivary fistula in the group using negative pressure drainage combined with regional elastic compression dressing ( 2%) was significantly lower than that in the group using traditional bandage ( 12%) , and salivary fistula could even be prevented in the former group. The difference between the two groups was significant (P<0.05). Conclusion The negative pressure drainage combined with regional elastic compression dressing is obviously better than the traditional bandage in preventing salivary fistula after parotidectomy. With less dressing time and a beautiful appearance, this method is also comfortable for the patients, which does not affect their eating, speaking and hearing, and makes no compression pain in the head and face. With good clinical application value, negative pressure drainage combined with re⁃gional elastic compression dressing is worthy of popularization.%目的:研究腮腺术区负压引流结合区域弹性加压包扎术在腮腺手术的应用价值,探讨腮腺术后涎瘘发生的相关因素。方法选择200例腮腺良性肿瘤需手术治疗的患者,随机分为100例腮腺术区负压引流去除后区域弹性加压包扎组和100例

  14. 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.

  15. 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

  16. 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.

  17. 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.

  18. Patchable, flexible heat-sensing hybrid ionic gate nanochannel modified with a wax-composite

    Science.gov (United States)

    Chun, Kyoung-Yong; Choi, Wook; Roh, Sung-Cheoul; Han, Chang-Soo

    2015-07-01

    Heat-driven ionic gate nanochannels have been recently demonstrated, which exploit temperature-responsive polymer brushes based on wettability. These heat-sensing artificial nanochannels operate in a broad temperature-response boundary and fixed liquid cell environment, thereby experiencing limited system operation in the flat and solid state. Here we have developed a patchable and flexible heat-sensing artificial ionic gate nanochannel, which can operate in the range of the human body temperature. A wax-elastic copolymer, coated onto a commercial nanopore membrane by a controlled-vacuum filtration method, was used for the construction of temperature-responsive nanopores. The robust and flexible nanochannel heat sensor, which is combined with an agarose gel electrolyte, can sustain reversible thermo-responsive ionic gating based on the volumetric work of the wax-composite layers in a selective temperature range. The ionic current is also effectively distinguished in the patchable bandage-type nanochannel for human heat-sensing.Heat-driven ionic gate nanochannels have been recently demonstrated, which exploit temperature-responsive polymer brushes based on wettability. These heat-sensing artificial nanochannels operate in a broad temperature-response boundary and fixed liquid cell environment, thereby experiencing limited system operation in the flat and solid state. Here we have developed a patchable and flexible heat-sensing artificial ionic gate nanochannel, which can operate in the range of the human body temperature. A wax-elastic copolymer, coated onto a commercial nanopore membrane by a controlled-vacuum filtration method, was used for the construction of temperature-responsive nanopores. The robust and flexible nanochannel heat sensor, which is combined with an agarose gel electrolyte, can sustain reversible thermo-responsive ionic gating based on the volumetric work of the wax-composite layers in a selective temperature range. The ionic current is also

  19. FILAR I AL LYMPHEDEMA LOWER LIMB DEBULKING 34 CASES

    Directory of Open Access Journals (Sweden)

    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

  20. Achieving a predictable 24-hour return to normal activities after breast augmentation: part I. Refining practices by using motion and time study principles.

    Science.gov (United States)

    Tebbetts, John B

    2002-01-01

    , lift their arms above their heads, lift normal-weight objects, and drive their car without any narcotic medications, drains, bandages, special bras, or other adjunctive treatments within 24 hours after their partial retropectoral breast augmentation. Applying motion and time study principles to analysis and refinement of surgeon and personnel actions and surgical techniques resulted in a substantial reduction in perioperative morbidity and a simpler, shorter 24-hour return to normal activities without intercostal blocks, narcotic pain medications, drains, bandages, or other adjunctive devices in 96 percent of 627 augmentation patients.

  1. 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

  2. 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

    Directory of Open Access Journals (Sweden)

    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

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

    Directory of Open Access Journals (Sweden)

    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

  4. Effect of Hydrocolloid Use for Total Knee Arthroplasty Surgery Tension Blisters%水胶体贴敷用于全膝关节置换术后张力性水泡的疗效观察

    Institute of Scientific and Technical Information of China (English)

    钟文

    2015-01-01

    Objective To explore the efifcacy of hydrocolloid patching care for the tension blisters after total knee arthroplasty. Methods 42 patients with tension blisters (2 cmbandage. The control group uses the conventional care after puncture blisters, then comparing the tension blisters healing effect between the two groups. Results The therapeutic effect of the experimental group was signiifcantly better than the control group. The difference was statistically signiifcant (P<0.05). Conclusion The care of hydrocolloid patching and pressurized elastic bandage ideal for tension blisters after total knee replacement, worthy of clinical application.%目的:探讨水胶体贴敷的护理方法用于全膝关节置换术后张力性水泡的疗效观察。方法随机将42例全膝关节置换术后第1天术口周围出现张力性水泡(2 cm<水泡<8 cm)的患者分成实验组21例和对照组21例,实验组采用水泡穿刺后水胶体贴敷棉垫加压弹力绷带包扎护理,对照组采用水泡穿刺后常规护理,比较两组张力性水泡愈合的效果。结果实验组的治疗效果明显优于对照组,差别有统计学意义(P<0.05)。结论水胶体贴敷棉垫加压弹力绷带包扎对全膝关节置换术后张力性水泡疗效理想,值得临床推广应用。

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

    Institute of Scientific and Technical Information of China (English)

    Jun Tian; Yu-Shun Chu; Jing Sun; Tie-Min Jiang

    2015-01-01

    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 maintain RA patency.

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

    Directory of Open Access Journals (Sweden)

    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.

  7. Granulomatous tattoo reaction and erythema nodosum in a young woman: common cause or coincidence?

    Science.gov (United States)

    Wollina, Uwe; Gruner, Monika; Schönlebe, Jaqueline

    2008-06-01

    Tattooing has become quite popular in Western countries. With the increasing prevalence, there is also an increased risk of adverse effects. We describe a 17-year-old female patient with a black and red-colored tattoo, who developed immediately after red tattooing general malaise with fever, nausea, and vomiting. A bullous reaction was temporarily seen within the red part of her tattoo. The reaction later shifted to a subacute dermatitis with bacterial superinfection. Two months later, she felt ill again. She developed painful tender nodules on the anterior aspect of both lower legs identified as erythema nodosum without sarcoidosis. Is this is a unique case of adverse reaction to tattoo pigments with a type I and a type IV reaction, or is this a coincidence? The treatment was initiated with systemic and topical corticosteroids and topical antibiotics combined with compression bandages for the legs. After 3 weeks of treatment, the erythema nodosum completely resolved and did not reappear during a 1-year follow-up. The treatment of the local reactions, however, was unsatisfactory without complete response. There is an indispensable need for regulation of tattoo pigments and tattooing to improve consumer safety.

  8. Can tissue dielectric constant measurement aid in differentiating lymphoedema from lipoedema in women with swollen legs?

    DEFF Research Database (Denmark)

    Birkballe, Susanne; Jensen, Maj-Britt Raaby; Noerregaard, S

    2014-01-01

    BACKGROUND: Distinguishing lymphoedema from lipoedema in women with swollen legs can be difficult. Local tissue water content can be quantified using tissue dielectric constant (TDC) measurements. OBJECTIVES: To examine whether TDC measurements can differentiate untreated lower extremity lymphoed......BACKGROUND: Distinguishing lymphoedema from lipoedema in women with swollen legs can be difficult. Local tissue water content can be quantified using tissue dielectric constant (TDC) measurements. OBJECTIVES: To examine whether TDC measurements can differentiate untreated lower extremity...... lymphoedema from lipoedema, and to test interobserver agreement. METHODS: Thirty-nine women participated in the study; 10 patients with lipoedema (LipP), nine patients with untreated lymphoedema (U-LP), 10 patients with lymphoedema treated with compression bandaging for ≥ 4 weeks (T-LP) and 10 healthy......-LP were significantly higher than those of T-LP, LipP and controls and may aid in differentiating lymphoedema from lipoedema. Interobserver agreement was high in ankle and lower-leg measurements but low in foot measurements....

  9. 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.

  10. [Equine exudative canker: an (auto-)immune disease?].

    Science.gov (United States)

    Jongbloets, A M C; Sloet van Oldruitenborgh-Oosterbaan, M M; Meeus, P J H M; Back, W

    2005-02-15

    Equine canker is a chronic, hyperplastic, exudative pododermatitis affecting one or more feet. Although many causes and treatments have been suggested, the cause of the disease is still unknown and most probably multifactorial. Local treatments include radical surgical debridement of the diseased hoof tissue and application of caustic substances, antibiotics, and pressure bandaging. Nevertheless, the number of recurrences is high (45%). This article presents a 3-year-old New Forest pony-cross mare in which all horny structures (frogs, coronets, spurs, chestnuts) of all feet were affected. Bacteriological and fungal cultures of the frogs were found negative for the pathogens tested. Papilloma virus was not found. Clinical findings raised the hypothesis that the non-specific hyperplastic inflammation of these horn-like structures might have been caused by an (auto-)immune reaction. On the basis of the clinical findings, the pony was treated with surgical debridement of the frogs of a diagonal pair of feet and oral administration of prednisolone (1 mg/kg sid). The frogs, coronets, spurs, and chestnuts of all four feet healed completely within 8 weeks, thus making an (auto-)immune reaction more likely. In conclusion, this case report raised the hypothesis that an aspecific, hyperplastic inflammation of all four feet ('equine canker') and other horny structures may be caused by an (auto-)immune reaction, and that corticosteroids (prednisolone 1 mg/kg sid per os) are effective as treatment.

  11. 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.

  12. [Surgical treatment of morbid obesity--gastric banding].

    Science.gov (United States)

    Kasalický, M; Fried, M; Pesková, M

    2001-01-01

    Approximately 16% of male and 20% of female of the age from 20 to 65 years are obese in the Czech Republic. The restrictive bariatric procedure of stomach--gastric banding (GB) is one of possibilities to cure the morbid obese patients after failure of conservative therapy. The ratio of complications (5-18%) after GB presenting in various papers is comparable with the ratio of complications (4-23%) in others bariatric procedures. From 1993 to 1999, 517 morbid obese patients (mean BMI 51.1) underwent laparoscopic nonadjustable gastric banding (LNGB) at 1st Surgical Department, Charles University Teaching Faculty Hospital in Prague. As the early complications (during hospitalization) offered swelling of the gastric mucous in the place of GB in 5.6% (n = 29), the oesophagitis, the gastritis or the gastric ulcer in 1.5% (n = 9) and perforation of the stomach wall in 0.6% (n = 3). As the late complications offered the bleeding from peptic ulcer in 0.4% (n = 2), sequential migration of gastric band through the stomach wall inside in 0.6% (n = 3) and the slippage of anterior stomach wall or the dilatation of the pouch above gastric bandage in 5.1% (n = 26). The serious complications in 6.3% (n = 32) claimed surgical procedures. Other complications in 7.5% (n = 39) have been treated conservatively. The 86% (n = 446) of obese patients after LNGB were without complications.

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

    Science.gov (United States)

    Oomen, Marijn; Herkert, Werner; Bayer, Dietmar; Kummeth, Peter; Nick, Wolfgang; Arndt, Tabea

    2012-11-01

    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.

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

    Directory of Open Access Journals (Sweden)

    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.

  15. ABSORBENCY CHARACTERISTICS OF PESHTAMALS: TRADITIONAL TURKISH WOVEN CLOTHES

    Directory of Open Access Journals (Sweden)

    KESKIN Reyhan

    2014-05-01

    Full Text Available Absorbency of textiles is defined as the ability of taking in a fluid in the manner of a sponge. Absorbency is required for comfort properties in so me clothes such as sportswear and underwear clothing, for drying properties in napkins, towels and bathrobes, for health concerns in some medical textiles such as bandages, gauze and absorbent cotton, and for cleaning properties in washclothes and mops. In this study five different fabric samples (three woven 100% cotton fabrics A, B and P respectively at plain, twill, and peshtamal weaving patterns and two 100% cotton terry towels T1 and T2 were tested. The absorbency properties of the samples were evaluated according to the droplet test, sinking time test and wicking height tests (pottasium chromate test. Peshtamal samples showed better absorbency results than plain and twill weaves and lower but close results to towel samples according to the droplet test, sinking time test and wicking height tests. The absorbency properties of peshtamals showed results close to towel samples. The void content of peshtamals is higher than plain and twill samples but closer and lower than towel samples. The good absorbency results of peshtamals might be due to the void content of peshtamals which is higher than plain and twill samples but closer and lower than towel samples. Peshtamals which are good in absorbency and light in weight might be used widespreadly in daily life for their high absorbency, and on travel for weight saving purposes.

  16. 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...

  17. 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

    Directory of Open Access Journals (Sweden)

    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.

  18. 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.

  19. Intrafascial hematoma of the musculus rectus abdominis as a complication after laparoscopic operations; Intrafasziale Haematome des Musculus rectus abdominis als Komplikation nach laparoskopischen Operationen

    Energy Technology Data Exchange (ETDEWEB)

    Pennekamp, W. [Radiologische Universitaetsklinik am St. Josef-Hospital, Bochum (Germany); Barbera, L. [Chirurgische Universitaetsklinik am St. Josef-Hospital, Bochum (Germany)

    1998-01-01

    We report on two patients with intrafascial hematoma of the musculus rectus abdominis following laparoscopic operations. One patient was operated on a stenosis of the common iliac artery for an aortofemoral bypass. The other patient was operated on an inguinal hernia. Only a CT scan of the abdomen led to the correct diagnosis, because the use of ultrasound was limited by pneumoperitoneum and bandages, and retroperitoneal bleeding could not be recognized. Computed tomography is a valid method for detecting this complication of laparoscopic surgery. (orig.) [Deutsch] Es wird ueber zwei Patienten berichtet, die nach einer laparoskopischen Operation ein intrafasziales Haematom des Musculus rectus abdominis entwickelten. Bei einem Patienten wurde laparoskopisch ein aortofemoraler Bypass bei hochgradiger A.-iliaca-communis-Stenose, bei dem anderen Patienten ein laparoskopischer Bruchlueckenverschluss bei einer Inguinalhernie durchgefuehrt. Erst die Computertomographie des Abdomens fuehrte in beiden Faellen zur richtigen Diagnose, da Ultraschall aufgrund des Pneumoperitoneous und der Verbandsmaterialien nur bedingt einsetzbar war und retroperitoneale Blutungsansteile nicht erkannt werden konnten. Der Stellenwert der Computertomographie zur Erkennung dieser Komplikation wird hervorgehoben. (orig.)

  20. 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.

  1. Prosthetic sockets stabilized by alternating areas of tissue compression and release.

    Science.gov (United States)

    Alley, Randall D; Williams, T Walley; Albuquerque, Matthew J; Altobelli, David E

    2011-01-01

    A prosthetist makes a conventional socket by wrapping plaster bandage around the residual limb and using the resulting shell to create a positive model. After he or she modifies the plaster, it is used to create a laminated socket. Such sockets are almost perfect cylinders that encapsulate the limb. The bone is centered in soft, compressible tissue that must move aside before the bone can push against the socket to transmit force or torque to the prosthesis. In a compression/release stabilized (CRS) socket, three or more longitudinal depressions compress and displace tissue between the socket wall and the bone to reduce lost motion when the bone is moved with respect to the socket. Release areas between depressions are opened to accommodate displaced tissue. Without these openings provided, the CRS socket will not function as intended. Often, the release areas of compression are the struts of a carbon-fiber frame, and the regions between struts are left open. A frame with openings may be modified by the prosthetist adding a thin membrane fully surrounding the limb but allowing the membrane and underlying tissue to enter the release openings. The membrane may contain electrodes, and it may constitute a roll-on liner that helps suspend the prosthesis. We introduce three socket designs: transradial, transfemoral, and transhumeral.

  2. Successful treatment of a radioulnar synostosis in a Mississippi kite (Ictinia mississippiensis).

    Science.gov (United States)

    Beaufrère, Hugues; Ammersbach, Mélanie; Nevarez, Javier; Heggem, Brittany; Tully, Thomas N

    2012-06-01

    A Mississippi kite (Ictinia mississippiensis) was presented to the Wildlife Hospital of Louisiana, School of Veterinary Medicine, Louisiana State University, for an inability to fly and was subsequently diagnosed with a minimally displaced, closed, simple, short oblique, diaphyseal fracture of the distal third of the right ulna. A figure-8 bandage was initially applied to the wing to stabilize the fracture. Over a 5-week period, the kite developed progressive reduction in wing extension, and serial radiographs revealed a bridging callus at the ulnar fracture site, as well as development of a radioulnar synostosis. To restore wing function and extension, surgical excision of the bony union between the radius and the ulna was performed, after which a polypropylene mesh implant was interposed between the 2 bones. Within 2 weeks after the surgical procedure, the kite had recovered normal wing extension and was able to fly without noticeable impairment. The bird was released 2 weeks after surgery. This case illustrates a common complication of external coaptation used as sole means of managing fractures of the avian ulna, radius, or both, which results from lack of interosseous soft tissue in the antebrachial area. On the basis of the successful outcome in this case, surgical excision of the interdiaphyseal callus and interposition of a polypropylene mesh could be a viable option for management of posttraumatic radioulnar synostosis in birds of prey.

  3. 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.

  4. 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.

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

    Directory of Open Access Journals (Sweden)

    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

  6. 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.

  7. The Diagnosis and Treatment of Fracture of Tibia and Fibula in a Cat%一例猫胫腓骨骨折的诊治

    Institute of Scientific and Technical Information of China (English)

    董海聚; 徐超; 刘芳; 邓立新; 董成

    2011-01-01

    After the fracture of the tibia and fibula of a cat, because the tibia and fibula of the cat is very small and proximal adhered to rich muscle, but there is little muscle in distal, if only using the internal fixation or external fixation, the results are not satisfactory. In this paper, the fracture of tibia and fibula of the cat was stabilized by using pin and wire and also strengthened on the outside with a splint bandage. Postoperative recovery was good. The aim of writing this paper is to hope to provide some references for the stabilization of the fracture of tibia and fibula of cats.%猫胫腓骨骨折发生后,由于猫胫腓骨很细,且近心端附着丰富的肌肉,而远心端很少,如果单纯采用外固定或内固定的治疗方法,效果往往不理想.文章就一例猫胫腓骨骨折采用髓内针和金属丝进行内固定后,又在外面用夹板进行外固定,术后恢复良好的病例来进行研究,希望能对猫胫腓骨骨折的治疗提供参考.

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

    Directory of Open Access Journals (Sweden)

    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.

  9. Harvesting the free fibular graft: A modified approach

    Directory of Open Access Journals (Sweden)

    Amitava Narayan Mukherjee

    2011-01-01

    Full Text Available Background: The conventional technique of free non-vascularized fibular grafting is attended with some amount of morbidity and a long scar. We report a technique with little interference to the surrounding soft tissues to harvest more than one-third of whole length fibula. Patients and Methods: Thirty four patients of average age 23.5 years (range 8 to 51 years having various pathologies like simple bone cysts (n=9, fibrous dysplasias (n=6, giant cell tumors (n=7, fracture non-union (n=10 and aneurysmal bone cysts (n=2 were taken up for the study. The fibula were harvested by two separate incisions, 1 cm each at proximal and distal extent of proposed donor site for taking out of graft after elevating the periosteum circumferentially using a periosteum stripper. Compression bandage and above knee plaster immobilization was applied to reduce the dead space collection . Results: The mean followup is 34 months. The patients were evaluated clinicoradiology. Thirty three patients showed good results. One patient had fair result due to delayed wound healing from hematoma which was treated surgically. Conclusion: The approach of harvesting fibula suggested by author reduces donor site morbidity and is safer than conventional approach.

  10. The place of Turkish Armed Forces in the history of Turkish drug industry: the historical development of military drug factory

    Directory of Open Access Journals (Sweden)

    Bilge Sozen sahne

    2015-04-01

    Full Text Available Military services have many contributions to the development of societies all over the world. In war and peace and also in emergencies, they continue to serve to their workers and civilian people. It is known that, Turkish Military Forces as one of the largest military forces in the world have the ability to provide health-care services. Firstly, in the Crimean War between 1853 and 1856, Gulhane Military Hospital in Istanbul began to produce medicine and bandages which are needs of the Turkish Army. Afterwards, in the First World War, the production of such needs continued in a storage Beylerbeyi Palace and in Konya. In 1928, these institutions were combined in Ankara the capital city of the Turkish Republic. The production continues in the pharmaceutical factory under the Ministry of National Defense. The historical evaluation of the military drug factory and its contribution to health services were examined in this study. [TAF Prev Med Bull 2015; 14(2.000: 171-176

  11. A Retrospective Review of Iatrogenic Skin and Soft Tissue Injuries

    Directory of Open Access Journals (Sweden)

    Tae Geun Lee

    2012-07-01

    Full Text Available Background Even though the quality of medical and surgical care has improved remarkablyover time, iatrogenic injuries that require surgical treatment including injuries caused by castand elastic bandage pressure, extravasation, and dopamine-induced ischemia still frequentlyoccur. The goal of this study was to estimate the incidence and analyze the distribution ofiatrogenic injuries referred to our department.Methods A retrospective clinical review was performed from April 2006 to November 2010. Intotal, 196 patients (116 females and 80 males were referred to the plastic surgery departmentfor the treatment of iatrogenic injuries. We analyzed the types and anatomic locations ofiatrogenic complications, along with therapeutic results.Results An extravasation injury (65 cases, 37.4% was the most common iatrogeniccomplication in our study sample, followed by splint-induced skin ulceration, dopamineinducednecrosis, prefabricated pneumatic walking brace-related wounds and elasticbandage-induced wounds. Among these, prefabricated pneumatic walking brace-relatedcomplication incidence increased the most during the 5-year study period.Conclusions The awareness of the very common iatrogenic complications and its causes mayallow physicians to reduce their occurrence and allow for earlier detection and referral to aplastic surgeon. We believe this is the first study to analyze iatrogenic complications referredto a plastic surgery department in a hospital unit.

  12. 警务急救课程实验教学设计%Experimental Teaching Design of Police First Aid

    Institute of Scientific and Technical Information of China (English)

    周鑫

    2013-01-01

    Police first aid experiments enable students to deepen their understanding of basic knowledge ,understand and master injury assessment and bleeding, bandaging, fixation, transport, cardiopulmonary resuscitation, ventilation and other basic first aid skills Through a combination of theory and practice,the stu-dents will be competent for rescue missions of self-help and mu-tual help in the public security police activities.%警务急救实验可使学生加深对课堂所学急救基本知识的理解,掌握现场伤情评估和止血、包扎、固定、转运、心肺复苏、通气等基本急救技能的操作方法,通过理论与实践相结合,将使公安专业学生在警务活动中胜任自救、救人的任务。

  13. [Traveling with small children].

    Science.gov (United States)

    Olivier, C

    1997-01-01

    Traveling with children especially in the tropics requires special planning. Contraindications are rare but care providers should obtain information about medical and transfusional facilities at the destination. Children should receive all vaccinations required for international travel and for specific countries, taking into account age, location, duration of stay, and purpose of trip. A first aid kit should be packed containing a thermometer, bandages, antiseptic agents, a total sunscreen preparation, a mosquito net, sterile compresses, tablets for water disinfection, and indispensable medications (antimalarial agents, antipyretics, oral rehydration solutions, antiemetics, and eye wash). The main indication for chemoprophylaxis is malaria. Chloroquine is recommended for most locations but proguanil may be necessary in areas of resistance. Special attention must be paid to skin care in infants: maintaining cleanliness, avoiding cuts insofar as possible, and treating any wounds. Clothing must be carefully laundered and adequate to prevent overexposure to sunlight and insect bites. Insect bites must also be prevented by applying repellents, using mosquito nets, and wearing insecticide-treated garments. Handwashing by people who prepare meals and by the children before eating is important to prevent food poisoning. Breast feeding is advisable for infants. Thorough cooking of meats, rinsing of fresh produce, drinking of bottled beverages, and sterilization of water are also important food safety measures. These precautions are usually adequate to allow safe travel with children.

  14. Provisional Matrix Deposition in Hemostasis and Venous Insufficiency: Tissue Preconditioning for Nonhealing Venous Ulcers

    Science.gov (United States)

    Parker, Tony J.; Broadbent, James A.; McGovern, Jacqui A.; Broszczak, Daniel A.; Parker, Christina N.; Upton, Zee

    2015-01-01

    Significance: Chronic wounds represent a major burden on global healthcare systems and reduce the quality of life of those affected. Significant advances have been made in our understanding of the biochemistry of wound healing progression. However, knowledge regarding the specific molecular processes influencing chronic wound formation and persistence remains limited. Recent Advances: Generally, healing of acute wounds begins with hemostasis and the deposition of a plasma-derived provisional matrix into the wound. The deposition of plasma matrix proteins is known to occur around the microvasculature of the lower limb as a result of venous insufficiency. This appears to alter limb cutaneous tissue physiology and consequently drives the tissue into a ‘preconditioned’ state that negatively influences the response to wounding. Critical Issues: Processes, such as oxygen and nutrient suppression, edema, inflammatory cell trapping/extravasation, diffuse inflammation, and tissue necrosis are thought to contribute to the advent of a chronic wound. Healing of the wound then becomes difficult in the context of an internally injured limb. Thus, interventions and therapies for promoting healing of the limb is a growing area of interest. For venous ulcers, treatment using compression bandaging encourages venous return and improves healing processes within the limb, critically however, once treatment concludes ulcers often reoccur. Future Directions: Improved understanding of the composition and role of pericapillary matrix deposits in facilitating internal limb injury and subsequent development of chronic wounds will be critical for informing and enhancing current best practice therapies and preventative action in the wound care field. PMID:25785239

  15. 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.

  16. 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.

  17. Antimicrobial peptides expressed in medicinal maggots of the blow fly Lucilia sericata show combinatorial activity against bacteria.

    Science.gov (United States)

    Pöppel, Anne-Kathrin; Vogel, Heiko; Wiesner, Jochen; Vilcinskas, Andreas

    2015-05-01

    The larvae of the common green bottle fly (Lucilia sericata) produce antibacterial secretions that have a therapeutic effect on chronic and nonhealing wounds. Recent developments in insect biotechnology have made it possible to use these larvae as a source of novel anti-infectives. Here, we report the application of next-generation RNA sequencing (RNA-Seq) to characterize the transcriptomes of the larval glands, crop, and gut, which contribute to the synthesis of antimicrobial peptides (AMPs) and proteins secreted into wounds. Our data confirm that L. sericata larvae have adapted in order to colonize microbially contaminated habitats, such as carrion and necrotic wounds, and are protected against infection by a diverse spectrum of AMPs. L. sericata AMPs include not only lucifensin and lucimycin but also novel attacins, cecropins, diptericins, proline-rich peptides, and sarcotoxins. We identified 47 genes encoding putative AMPs and produced 23 as synthetic analogs, among which some displayed activities against a broad spectrum of microbial pathogens, including Pseudomonas aeruginosa, Proteus vulgaris, and Enterococcus faecalis. Against Escherichia coli (Gram negative) and Micrococcus luteus (Gram positive), we found mostly additive effects but also synergistic activity when selected AMPs were tested in combination. The AMPs that are easy to synthesize are currently being produced in bulk to allow their evaluation as novel anti-infectives that can be formulated in hydrogels to produce therapeutic wound dressings and adhesive bandages.

  18. Innovative Solutions Shockproof Protection In Occupations Associated With An Increased Risk Of Injury

    Science.gov (United States)

    Denisov, O. V.; Buligin, Y. I.; Ponomarev, A. E.; Ponomareva, I. A.; Lebedeva, V. V.

    2017-01-01

    An important direction in the development of the shockproof devices for occupations associated with an increased risk of injury is reducing their overall size with the preservation the ability of energy absorption. The fixture protection of large joints, with the brace in the coils of an elastic-plastic material with shape memory effect, can effectively protect people from injury and can be used in the domain of occupational safety to reduce injuries by shocks or jolts. In innovative anti-shock device as elastic-plastic material applied equiatomic Titanium-Nickel alloy which has acceptable temperature phase transitions that is necessary to restore shape. As an experienced model first approximation was adopted shockproof device, having in its composition a bandage in coils of elastic-plastic material with shape memory effect and with electric contacts at the ends. This solution allows the punches to plastically deform with the absorption of the impact energy, and then recover the original shape, including at the expense of electric heating.

  19. [The war invalid laws of 1920 on support for disabled soldiers and their surviving relatives in the provinces of southern Jutland, and the disabled soldiers' board of Sønderborg].

    Science.gov (United States)

    Marckmann, A

    1999-01-01

    After the reunion between Denmark and Southern Jutland in 1920, the Danish state took over the obligations towards disabled soldiers and surviving relatives to dead soldiers from this province, serving in the German army during World War I. In 1920, the regulations were fixed by law, giving rise to Invalide-noevnet (disabled soldiers' board) in Sonderborg. The board dealt with altogether 6400 applications for invalidity pension and 4000 applications from surviving relatives. In Sonderborg an institution for disabled soldiers (Krigsinvalideskolen) was founded, including a hospital department and workshops for training and rehabilitation as well as production of bandages. A survey is given of these activities. The author next uncovers the story behind one of 9 names on a war memorial tablet, representing soldiers from the parish of Lebol, Sydals, who died in German war service during World War I. The medical record for this dead soldier is given and the family's fruitless efforts for 18 years to obtain pension are reported in details.

  20. 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.

  1. 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.

  2. Resin splint as a new conservative treatment for ingrown toenails.

    Science.gov (United States)

    Matsumoto, Kazuya; Hashimoto, Ichiro; Nakanishi, Hideki; Kubo, Yoshiaki; Murao, Kazutoshi; Arase, Seiji

    2010-08-01

    Several conservative as well as surgical methods are used for the treatment of ingrown toenails until date. The conservative methods are either based on nail splinting or on orthonyxia, but no methods employing both principles have been reported thus far. Moreover, surgical methods usually involve postoperative pain, prolonged wound healing and restricted activities of daily living. Therefore, considering the need of a simplified, non-invasive method, in this study, we applied a novel splint to treat patients with ingrown toenails and estimated the clinical efficacy as well as rate of recurrence following treatment. The splint is a plate made of resin that is attached to the lateral edge of the nail using a bandage. We studied 61 patients (19 men and 42 women; mean age 36 years), with an average application duration of 9.3 months and an average follow-up period of 10 months in all patients. All patients experienced pain relief within a week of splint application and a decrease in the degree of nail deformity. Moreover, follow-up revealed a recurrence rate of 8.2%. Therefore, we believe that this new device is an excellent conservative treatment method for patients with ingrown toenails.

  3. Nanocapsules: The Weapons for Novel Drug Delivery Systems

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    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.

  4. Surgical treatment of bumblefoot in a captive golden eagle (Aquila chrysaetos

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    Saeed Nazifi

    2012-03-01

    Full Text Available The golden eagle is one of the world's largest living birds. Footpad dermatitis, also known as plantar pododermatitis or bumblefoot, is a condition characterized by lesions due to contact with unhealthy "perching" conditions, such as plastic perches, sharp-cornered perches on the ventral footpad of birds. A young female golden eagle (Aquila chrysaetos in Fars province of Iran was presented to veterinary clinics of Shiraz University with clinical signs of lameness. The bird was examined clinically and a variety of complementary diagnostic procedures such as blood analysis, X-ray and bacteriological culture were performed. Then a surgical method was pick out for removing of scab, pus and necrotic tissues from abscess on the plantar aspect of bird's feet and healing the skin of area. After surgery, specific bandage, systemic antibiotics and vitamins were used. Corynebacterium, a gram negative bacterium, was isolated in the pus from the abscess. After the surgical operation, swelling in the digital pad reduced, the skin of pad healed and the signs of lameness vanished. To prevent developing bumblefoot, good bedding for proper "perching" conditions is necessary. Additionally, vitamin therapy to promote a healthy integument is advised.

  5. Surgical treatment of bumblefoot in a captive golden eagle (Aquila chrysaetos).

    Science.gov (United States)

    Poorbaghi, Seyedeh Leila; Javdani, Moosa; Nazifi, Saeed

    2012-01-01

    The golden eagle is one of the world's largest living birds. Footpad dermatitis, also known as plantar pododermatitis or bumblefoot, is a condition characterized by lesions due to contact with unhealthy "perching" conditions, such as plastic perches, sharp-cornered perches on the ventral footpad of birds. A young female golden eagle (Aquila chrysaetos) in Fars province of Iran was presented to veterinary clinics of Shiraz University with clinical signs of lameness. The bird was examined clinically and a variety of complementary diagnostic procedures such as blood analysis, X-ray and bacteriological culture were performed. Then a surgical method was pick out for removing of scab, pus and necrotic tissues from abscess on the plantar aspect of bird's feet and healing the skin of area. After surgery, specific bandage, systemic antibiotics and vitamins were used. Corynebacterium, a gram negative bacterium, was isolated in the pus from the abscess. After the surgical operation, swelling in the digital pad reduced, the skin of pad healed and the signs of lameness vanished. To prevent developing bumblefoot, good bedding for proper "perching" conditions is necessary. Additionally, vitamin therapy to promote a healthy integument is advised.

  6. Control Prosody using Multi-Agent System

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    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.

  7. Vendaje seguro y sencillo para los dedos Secure and simple dressing for digits

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    G. Curinga

    2010-03-01

    Full Text Available El vendaje de los dedos es un paso importante después de un traumatismo o de la cirugía de la mano. Debe proporcionar cubierta y protección, permitiendo el mayor movimiento posible para una rehabilitación postoperatoria precoz. Presentamos un método sencillo, rápido y económico para vendar dedos de forma unitaria después de traumatismos, cirugía u otros procedimientos, empleando una férula de aluminio y vendaje tubular, que permite además un buen rango de movimiento de todos los dedos.Digit dressing is an important step after trauma or surgery of the hand. It must provide covering and protection to the digit, leaving as much movement as possible allowing early postoperative rehabilitation. We introduce a simple, fast and cheap method to perform dressings in single digits after trauma, surgery or other procedures, using an aluminum applicator and a tubular bandage that let good mobility of fingers.

  8. The pathogenesis of Charcot osteoarthropathy: the role of the peripheral nervous system

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    Galstyan Gagik Radikovich

    2015-01-01

    Full Text Available Neuroosteoarthropathy is a rare, but devastating complication affecting patients with peripheral neuropathy. It is a progressive, destructive condition that is characterised by progressive bone and joint deterioration of the foot leading to permanent incapacity. Nowadays, diabetes mellitus is by far the most common etiology of CNO (Charcot neuro-osteoarthropathy, especially if it affects the foot or ankle.The cause of the condition is still controversial among experts. In particular, new data have emerged on the central role of RANK/RANKL/OPG in the pathogenesis of this complication, also known as Charcot foot. No pharmacological methods of therapy have proven effective to date. Very little progress has been made in treating this condition since the days of Jean-Martin Charcot. Today, the universally accepted treatment involves completely relieving pressure from the limb using a polymer retaining bandage. The aim of this review is to analyze research into the pathogenesis of CNO and our potential to better understand the nature of this condition.Particular attention is paid to modern concept of neuroosteopathology, according to which neuropathy is crucial to developing acute osseous pathology. Revealing new aspects of CNO pathogenesis can help extend therapeutic resources for treating this patient group.

  9. 380 kW synchronous machine with HTS rotor windings--development at Siemens and first test results

    Science.gov (United States)

    Nick, W.; Nerowski, G.; Neumüller, H.-W.; Frank, M.; van Hasselt, P.; Frauenhofer, J.; Steinmeyer, F.

    2002-08-01

    Applying HTS conductors in the rotor of synchronous machines allows the design of future motors or generators that are lighter, more compact and feature an improved coefficient of performance. To address these goals a project collaboration was installed within Siemens, including Automation & Drives, Large Drives as a leading supplier of electrical machines, Corporate Technology as a competence center for superconducting technology, and other partners. The main task of the project was to demonstrate the feasibility of basic concepts. The rotor was built from racetrack coils of Bi-2223 HTS tape conductor, these were assembled on a core and fixed by a bandage of glass-fibre composite. Rotor coil cooling is performed by thermal conduction, one end of the motor shaft is hollow to give access for the cooling system. Two cooling systems were designed and operated successfully: firstly an open circuit using cold gaseous helium from a storage vessel, but also a closed circuit system based on a cryogenerator. To take advantage of the increased rotor induction levels the stator winding was designed as an air gap winding. This was manufactured and fitted in a standard motor housing. After assembling of the whole system in a test facility with a DC machine load experiments have been started to prove the validity of our design, including operation with both cooling systems and driving the stator from the grid as well as by a power inverter.

  10. Risk factors for buruli ulcer: a case control study in Cameroon.

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    Régis Pouillot

    Full Text Available BACKGROUND: Buruli ulcer is an infectious disease involving the skin, caused by Mycobacterium ulcerans. This disease is associated with areas where the water is slow-flowing or stagnant. However, the exact mechanism of transmission of the bacillus and the development of the disease through human activities is unknown. METHODOLOGY/PRINCIPAL FINDINGS: A case-control study to identify Buruli ulcer risk factors in Cameroon compared case-patients with community-matched controls on one hand and family-matched controls on the other hand. Risk factors identified by the community-matched study (including 163 pairs were: having a low level of education, swamp wading, wearing short, lower-body clothing while farming, living near a cocoa plantation or woods, using adhesive bandages when hurt, and using mosquito coils. Protective factors were: using bed nets, washing clothes, and using leaves as traditional treatment or rubbing alcohol when hurt. The family-matched study (including 118 pairs corroborated the significance of education level, use of bed nets, and treatment with leaves. CONCLUSIONS/SIGNIFICANCE: Covering limbs during farming activities is confirmed as a protective factor guarding against Buruli ulcer disease, but newly identified factors including wound treatment and use of bed nets may provide new insight into the unknown mode of transmission of M. ulcerans or the development of the disease.

  11. 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.

  12. Historical Review: The U.S. Army Medical Belt for Front Line First Aid: A Well-Considered Design That Failed the Medical Department During the First World War.

    Science.gov (United States)

    Wever, Peter C; Korst, Mike B J M; Otte, Maarten

    2016-10-01

    In December 1913, a board of medical officers was appointed to adapt new U.S. Army equipment to the needs of the Hospital Corps. One of the improvements concerned substitution of the satchel-like Hospital Corps pouch used to carry first aid equipment. A waist belt with 10 pockets, known as the medical belt, was devised, and supplied with a tourniquet, adhesive plaster, safety pins, iodine swabs, sublimated gauze, individual dressing packets, gauze bandages, aromatic spirit of ammonia, and common pins. In addition, an ax carrier accommodating a hand ax, a canteen hanger, and a pouch to carry diagnosis tags and instruments were attached to the medical belt. In 1916, the medical belt was incorporated in the field supply tables in the Manual for the Medical Department. The next year, on April 6, 1917, the U.S. Congress declared war on Germany in reaction to sinking of American ships by German submarines. Although the medical belt had given satisfaction in preliminary trials, it did not withstand the test of war. In practice, the medical belt proved a source of dissatisfaction both as to the methods of packing and its contents, which were considered useless in modern warfare. Subsequently, discontinuance of the medical belt was recommended.

  13. Open drainage, intra-articular and systemic antibiotics in the treatment of septic arthritis/tenosynovitis in horses.

    Science.gov (United States)

    Schneider, R K; Bramlage, L R; Mecklenburg, L M; Moore, R M; Gabel, A A

    1992-11-01

    Open drainage was used to treat 26 horses with persistent or severe septic arthritis/tenosynovitis. Infected synovial structures were drained through a small (3 cm) arthrotomy incision that was left open and protected by a sterile bandage. Joint lavage was performed in all 26 horses. In addition to systemic antibiotics, 23 of these horses were also treated with intra-articular antibiotics; amikacin (17 horses), gentamycin (2 horses), cefazolin (2 horses), and 2 horses were injected at different times with gentamycin and amikacin. The infection was eliminated from the involved synovial structures in 25 of 26 horses; 24 survived and were released from the hospital. The arthrotomy incisions healed by granulation in 16 horses; in 9 horses the arthrotomy incision was sutured closed once the infection was eliminated. Seventeen horses returned to soundness and resumed athletic function. Open drainage was an effective method of achieving chronic drainage from a joint or tendon sheath. It is indicated in horses that have established intra-synovial infections or in horses that do not respond to joint lavage through needles.

  14. 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.

  15. Prevention of bilateral amputation in a non-concordant patient.

    Science.gov (United States)

    King, Jeanette

    As chronic wounds, venous leg ulcers (VLUs) are costly and impact significantly on a patient's quality of life. This case study focuses on the key considerations for wound management of bilateral venous leg ulcers in a 45-year-old mother who had undergone multiple admissions with sepsis secondary to the ulcers and whose life was considered at risk. The primary concern was to stabilise the patient, and then to determine the aetiology of the leg ulcers and develop a treatment plan. Kerraboot (Crawford Healthcare) was chosen to dress the wound initially as it is relatively quick and easy to apply while being atraumatic, manages exudate and facilitates autolytic debridement (Harvey, 2006). After 12 days debridement was complete and granulation tissue was observed to the skin surface level. At this time, the patient's condition had stabilised and the wound aetiology could then be determined. The ulcers were confirmed as venous and were subsequently managed with compression bandaging. They continued to heal, reducing in size by 60% after a further 3 months. By agreeing a highly individualised wound treatment plan with the patient that was tailored to both her needs and those of the wound, and by continually reviewing and revising this plan, bilateral amputation was avoided in this previously non-concordant patient.

  16. 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.

  17. A novel concept of pneumatic pump in the outpatient management of mixed leg ulceration: a pilot study

    Directory of Open Access Journals (Sweden)

    Mirko Tessari

    2016-10-01

    Full Text Available Mixed leg ulcer is a challenge in vascular diseases because both arterial and venous systems of the lower extremities are involved in the wound pathogenesis. Management is very difficult because the coexistence of the two conditions sometimes prevent to use compression bandaging, which is the cornerstone of venous leg ulcer treatment. It has been recently developed the so called gradient pump (GP, a novel device which permits to intermittently stop the flow in the femoral vein with a pneumatic cuff placed on the thigh. Subsequent release of the femoral vein compression determines a dramatic aspiration of the blood up-ward the heart, with synchronous and measured improved perfusion of the distal limb. We applied GP at 4 consecutive cases of multiple mixed painful ulcerations of the foot and leg scheduled for below knee and/or foot amputations. In all cases measure of pain by visual analogue scale significantly decreased; GP in most cases together intravenous infusion of synthetic prostacyclin led to improvement and/or minimal amputation. Therefore such a management can be done on outpatient bases, allowing a considerable lowering of health costs. We conclude that GP could be a valuable tool in the arsenal of mixed leg ulcer clinical assessment.

  18. Congenital Corneal Anesthesia and Neurotrophic Keratitis: Diagnosis and Management

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    Flavio Mantelli

    2015-01-01

    Full Text Available Neurotrophic keratitis (NK is a rare degenerative disease of the cornea caused by an impairment of corneal sensory innervation, characterized by decreased or absent corneal sensitivity resulting in epithelial keratopathy, ulceration, and perforation. The aetiopathogenesis of corneal sensory innervation impairment in children recognizes the same range of causes as adults, although they are much less frequent in the pediatric population. Some extremely rare congenital diseases could be considered in the aetiopathogenesis of NK in children. Congenital corneal anesthesia is an extremely rare condition that carries considerable diagnostic and therapeutic problems. Typically the onset is up to 3 years of age and the cornea may be affected in isolation or the sensory deficit may exist as a component of a congenital syndrome, or it may be associated with systemic somatic anomalies. Accurate diagnosis and recognition of risk factors is important for lessening long-term sequelae of this condition. Treatment should include frequent topical lubrication and bandage corneal or scleral contact lenses. Surgery may be needed in refractory cases. The purpose of this review is to summarize and update data available on congenital causes and treatment of corneal hypo/anesthesia and, in turn, on congenital NK.

  19. 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

  20. [Clause Pouteau (1725-1775), surgeon at the l'Hôtel-Dieu de Lyon: his "asepsis" using water, fire and ligne propre].

    Science.gov (United States)

    Fischer, L; Touil, K

    1998-01-01

    Claude Pouteau, Hôtel-Dieu de Lyon's surgeon (1725-1775), did not improve surgical teaching, as Mareschal or Lapeyronie did with their reforming law. But he is reminiscent of an extremely skilful surgeon, always having a remarkable high rate of recoveries. For instance when it came to operate on bladder with a perineal approach (vesical cut), only three patients died out of one hundred and twenty operations. One century before Semmelweiss and more earlier than Pasteur, Pouteau thought that hospital-gangrene was not only caused by air miasma but also by direct contact, which could be indebted dirty instruments or hands, or hospital-made bandages. So he advised impeccably cleanliness for surgical students. According to his mind, soap was inadequate for cleaning hospital linen. Those must be pull out of neat material fitted by clean hands out of hospitals. It shall be supplied every day and never gathered inside. In order to keep clear of gangrene, the patient will not wait too long inside hospital. In case of bleeding, cautery must preferable to ligature for Pouteau "We can do without the bitter sadness of seeing a lighter wound become a lethal or incurable one ..." (Posthumous works, vol. III, p. 237-238).

  1. Necrotic Ulcerated Lesion in a Young Boy Caused by Cowpox Virus Infection

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    Anne-Laure Favier

    2011-09-01

    Full Text Available The case presented here points towards the fact that skin lesion observed with a cowpox virus is a rare event but should be considered more as the number of cases has increased in the last years. Cowpox virus (CPXV belongs to the Poxviridae family. The transmission of CPXV to humans is caused by wild rodents or mostly by domestic animals and pet rats. In humans, CPXV is responsible for localized skin lesions regularly accompanied by lymphadenopathy. The lesions remain localized but self-inoculation from the primary lesions could occur. Then physicians have to be vigilant concerning bandages. In this case report, a necrotic and ulcerated lesion of a CPXV infection in a young boy is reported. The CPXV was possibly transmitted by wild rodents. The importance of performing the diagnosis is also pointed out. Virus information was obtained from phylogenetic analyses showing that the CPXV isolate was distinct from outbreaks of human cowpox which occurred in 2009 in France and Germany but was close to the CPXV Brighton Red strain. For several years, cases of viral zoonosis caused by CPXV have increased and physicians should be made aware that people could be infected without history of direct contact with animals.

  2. Efectividad del tratamiento de las úlceras venosas con vendaje compresivo multicapa asociado a protección de la piel perilesional con Cavilon® (película barrera no irritante Effectiveness of the association of multilayer compression therapy and periwound protection with Cavilon® (no sting barrier film in the treatment of venous leg ulcers

    Directory of Open Access Journals (Sweden)

    N. Serra

    2010-09-01

    Full Text Available Introducción: el adecuado tratamiento de las úlceras de extremidad inferior de etiología venosa es fundamental para mejorar la calidad de vida de los pacientes. El uso de terapia compresiva con vendaje multicapa es el tratamiento que mejores resultados presenta. En la práctica, se utiliza en combinación con unos adecuados cuidados locales de la herida y de la piel perilesional. El objetivo del estudio fue evaluar la efectividad clínica de un vendaje multicapa de compresión y el impacto de la utilización de la película barrera Cavilon® en úlceras vasculares de origen venoso. Metodología: ensayo clínico controlado, aleatorizado, abierto, multicéntrico y pragmático en España. Todos los pacientes incluidos fueron tratados con terapia de compresión con el mismo vendaje multicapa y asignados aleatoriamente al grupo de intervención, tratados con la PBNI Cavilon®, o al grupo control. Se realizaron un máximo de 13 visitas de estudio separadas entre ellas por una semana. El estudio fue evaluado y aprobado por los comités éticos de investigación clínica (CEIC de los siete centros participantes. Resultados: participaron 98 pacientes en el estudio (49 en el grupo intervención y 49 como control. Tras cuatro semanas, el grupo intervención presentó una reducción media (DE del tamaño de úlcera superior al grupo control (56,7% (30,3 vs. 45,5% (47,4; p = 0,087. A las 12 semanas de tratamiento, las diferencias observadas fueron estadísticamente significativas (83,4% (31,1 vs. 71,6% (44,1; p = 0,046. El 69,4% de los pacientes del grupo intervención redujo el área de úlcera en > 50% en las cuatro primeras semanas de tratamiento, respecto al 46,9% de los pacientes del grupo control (p Aim: appropriate treatment of venous leg ulcers is essential to improve the quality of life of patients. Compression therapy using multilayer bandages show to the best clinical results. In practice, it is used in combination with a suitable local care of

  3. 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)

  4. Microbial Keratitis After Collagen Cross-linking Treatment

    Directory of Open Access Journals (Sweden)

    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

  5. [Diagnosis and treatment of varicose veins: part 2: therapeutic procedures and results].

    Science.gov (United States)

    Nüllen, H; Noppeney, T

    2010-12-01

    This is the second of two articles on the diagnosis and treatment of varicose veins. Primary varicosis is a congenital degenerative disease of the peripheral venous system of the lower extremities. Treatment is carried out according to an individualized concept which takes the incurability and progression of the disease into consideration. Conservative treatment with compression bandages is an option for all forms of varicosis and the accompanying complications. Veins can be specifically ablated by sclerotherapy of varices. In addition to high ligation and stripping mini-phlebectomy and subfascial endoscopic perforator surgery (SEPS) can also be performed. The indications in cases of SEPS should be extremely limited because of possible severe complications. Radiofrequency ablation (RFO) and endovenous laser therapy (ELT) are also available as endovenous therapy options. Information in the literature on recurrence rates of the various procedures is extremely variable and the reasons for recurrent varicosis are the subject of controversy. The data relating to the results of RFO and ELT are relatively good and both procedures show a significant improvement in quality of life and the venous clinical severity score (VCSS).

  6. 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

    2015-02-21

    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.

  7. Bilateral symmetrical corneal melting following intravesical Bacille Calmette-Guerin therapy for bladder carcinoma

    Directory of Open Access Journals (Sweden)

    Chandana Chakraborty

    2012-01-01

    Full Text Available A 63-year-old man with unremarkable previous ocular history presented with bilateral symmetrical corneal ulceration along with mucopurulent conjunctivitis and dry eye 10 days after the fourth dose of intravesical Bacille Calmette-Guerin (BCG instillation for treatment of bladder carcinoma. Slit lamp examination revealed thinning of the cornea at the base of the ulcer in both eyes. Conjunctival swab and scraping from ulcer sent for Gram and acid fast bacilli stain and culture were negative. On the basis of history, clinical examination, and laboratory investigations, we diagnosed it as bilateral immune mediated sterile corneal ulceration along with mucopurulent conjunctivitis and dry eye. He was treated with topical antibiotics, cycloplegics, cyclosporine, lubricant gel, and bandage contact lens. There was progressive stromal melting, descemetocele formation, and perforation in the inferior part of cornea in both the eyes. He was treated with pulse steroid and paramedian tarsorraphy in both eyes. The patient was subsequently lost to follow-up. We report this case to highlight this rare complication of BCG therapy, in order to improve their management protocol in patients with similar clinical profile. We could not find a similar case after thorough PubMed search.

  8. AMNIOTIC MEMBRANE TRANSPLANTATION FOR KERATITIS.

    Directory of Open Access Journals (Sweden)

    Snezhana Murgova

    2015-06-01

    Full Text Available Keratitis without proper management tends to perforate the cornea, resulting in severe adverse consequences. In recent studies, amniotic membrane is reported to have anti-inflammatory effect and promote wound healing of corneal ulcer. Purpose: To report on the efficacy of permanent amniotic membrane transplantation (AMT in the treatment of keratitis. Case report: A 58-year-old man with severe keratitis in both eyes caused by long term administration of topical anesthetic (alcaine for electric ophthalmia. Single layer of amniotic membrane (AM was placed on the defect and secured to the limbus with interrupted 10-0 nylon sutures. A bandage contact lens was applied on the AM. Postoperative medication included topical antibiotic, artificial tears and mydriatic. Three months later corticosteroid was included. There was an immediate decrease of patient’s pain after surgery. Complete epithelialization was noted after 1 month. Conclusion: AMT is an alternative adjunctive method of treatment of keratitis; it promotes epithelialization process, decreased inflammation, corneal haze and neovascularization.

  9. Degenerative Suspensory Ligament Desmitis – A New Reality

    Directory of Open Access Journals (Sweden)

    Jaroslava Halper*, Ahrar Khan1 and P. O. Eric Mueller2

    2011-01-01

    Full Text Available Degenerative suspensory ligament desmitis (DSLD is a chronic, debilitating disease occurring primarily in Peruvian Pasos and Peruvian Paso crosses. However, many other breeds are afflicted as well. DSLD is characterized by a slowly progressing bilateral or quadrilateral lameness. Typically, the owner does not recall any trauma or performance related injury. Fetlock effusion, static and dynamic hyperextension and degenerative joint disease are hallmarks on physical examination. Ultrasonography of affected ligaments reveals diffuse loss of echogenicity, and an irregular fiber pattern. Though until recently DSLD was considered a collagen disorder strictly limited to suspensory ligaments (SLs, our data show that it is a systemic disease involving tissues with high content of collagen. We have identified abnormal accumulations of proteoglycans not only in the SLs, but also in the superficial and deep digital flexor tendons, patellar and nuchal ligaments, aorta, coronary arteries and sclerae of DSLD-affected horses. Our most recent data point to the presence of an abnormal form of decorin in these proteoglycan deposits. This decorin also exhibited altered biological activity. Treatment for DSLD-affected horses is empirical and directed at minimizing musculoskeletal pain and providing support for the suspensory apparatus. Restricted exercise, supportive bandages and nonsteroidal anti-inflammatory drugs provide some, but usually only temporary relief. Unfortunately, unrelenting pain, severe lameness and suffering require all too often humane euthanasia.

  10. [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.

  11. Advancement flap as a novel treatment for a pododermatitis lesion in a red-tailed hawk (Buteo jamaicensis).

    Science.gov (United States)

    Sander, Samantha; Whittington, Julia K; Bennett, Avery; Burgdorf-Moisuk, Anne; Mitchell, Mark A

    2013-12-01

    Pododermatitis is a pathologic condition commonly reported in captive raptors and characterized by swelling, excoriation, ulceration, cellulitis, or abscessation of the plantar aspect of the foot. Its cause can be multifactorial, often involving abnormal weight bearing or poor sanitation, and medical and surgical techniques, in addition to environmental alterations, are hallmarks of treatment. In this case, a single pedicle advancement flap was used to treat chronic, nonresponsive grade V/VII pododermatitis of the right metatarsal pad in a red-tailed hawk (Buteo jamaicensis). The advancement flap was formed by using the interdigital skin between digits 3 and 4. The double layer of skin was incised and separated, and the leading edge of the flap was then advanced over the defect and secured with simple interrupted subcutaneous and skin sutures. The foot was bandaged after surgery to take pressure off the surgical site. At 58 days after the surgery, the hawk was deemed medically sound with no signs of pododermatitis and was released to a wildlife rehabilitator. The use of a single pedicle advancement flap has not previously been reported for the treatment of pododermatitis.

  12. Faktor-Faktor yang Mempengaruhi Sikap Remaja Putri tentang Flour Albus di SMP Negeri 2 Trucuk Kabupaten Klaten

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    Susiana Sariyati

    2014-11-01

    Full Text Available Flour albus is a discharge excessive that causes an adolescent girls often replace the underwear or using a bandage. Less of knowledge about flour albus may impact on adolescent girls negative attitude or less attention about flour albus. The purpose of this study was to find the factors that affected adolescent girls attitude about flour albus in Trucuk 2 Junior High School District Klaten. Study design used in this study was cross sectional. The population of 9th grade adolescent girls were 120 female students. The samples of this study were 92 adolescent girls that already menstruation. Samples were selected by simple random sampling technique. The results showed that most of adolescent girls had a good knowledge. The factors that most affected adolescent girls attitude was knowledge supported by information and experience. In conclusion, there was a significant relationship between knowledge and attitude, there was a significant relationship between experience and attitude, there was a significant relationship between source of information and attitude.

  13. [Lymphedema: is there a treatment?].

    Science.gov (United States)

    Barrellier, M T

    1992-01-01

    More than hundred medical treatments for lymphedema have been described. This very high number shows the evidence of difficulties: lymphatics are very small vessels, under low pression and velocity respondent to spontaneous quiet lymphatic contractions. The treatments can be listed in 3 groups: 1) physiotherapeutic methods, increasing lymphatic flow: cold, field stimulation, manual lymph drainage, intermittent compression, heat; 2) drugs: venous agents (flavone, benzo-pyrone), and intraarterial lymphocytes injection, promoting lymphatic flow or increasing normal proteolysis by macrophages in order to remove trapped proteins from interstitial fluid; 3) surgical procedures subdivided in 2 groups: excisional techniques and bridging drainage techniques; radical or partial excision removes involved subcutaneous tissue, recently by the way of liposuction; Efforts to drain lymphedema by subcutaneous implants, pedical flaps, myocutaneous flaps, omental transposition and intestinal flaps are historical. Microsurgical lymphatic anastomosis to vein (nodo-venous then lymphovenous), and to lymphatic themselves are now performed: lymphatic collectors or venous autografts are interpositioned to by-pass lymphatic blockade with end-to end anastomosis. The free transplantation of a lymphatic flap with its own vascularisation from healthy inguinal nodes to axillary blockade is the last described procedure. Lymphatic anastomosis are not needed. Actually, physiotherapy is always first indicated. Benzo-pyrones are additive drugs. Excisional procedures concern monstruous lymphedema. Microsurgical bridging procedures can be attempted only for secondary lymphedemas. They could be of benefit if physiotherapy and elastic bandages, stockings or sleeves, could then be avoided. Studies assessing independently the efficiency of each procedure are needed.

  14. 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.

  15. Inkjet-Printed Graphene/PEDOT:PSS Temperature Sensors on a Skin-Conformable Polyurethane Substrate

    Science.gov (United States)

    Vuorinen, Tiina; Niittynen, Juha; Kankkunen, Timo; Kraft, Thomas M.; Mäntysalo, Matti

    2016-10-01

    Epidermal electronic systems (EESs) are skin-like electronic systems, which can be used to measure several physiological parameters from the skin. This paper presents materials and a simple, straightforward fabrication process for skin-conformable inkjet-printed temperature sensors. Epidermal temperature sensors are already presented in some studies, but they are mainly fabricated using traditional photolithography processes. These traditional fabrication routes have several processing steps and they create a substantial amount of material waste. Hence utilizing printing processes, the EES may become attractive for disposable systems by decreasing the manufacturing costs and reducing the wasted materials. In this study, the sensors are fabricated with inkjet-printed graphene/PEDOT:PSS ink and the printing is done on top of a skin-conformable polyurethane plaster (adhesive bandage). Sensor characterization was conducted both in inert and ambient atmosphere and the graphene/PEDOT:PSS temperature sensors (thermistors) were able reach higher than 0.06% per degree Celsius sensitivity in an optimal environment exhibiting negative temperature dependence.

  16. Successful closed suction drain management of a canine elbow hygroma.

    Science.gov (United States)

    Pavletic, M M; Brum, D E

    2015-07-01

    A 1-year-old castrated male St. Bernard dog presented to Angell Animal Medical Center with bilateral elbow hygromas which had been present for several weeks. The largest hygroma involving the left elbow was managed with a closed suction (active) drain system to continuously collapse the hygroma pocket over a 3-week period. Soft bedding was used to protect the elbows from further impact trauma to the olecranon areas. Following drain removal, there was no evidence of hygroma recurrence based on periodic examinations over an 18-month period. The smaller non-operated right elbow hygroma had slightly enlarged during this period. Closed suction drain management of the hygroma proved to be a simple and economical method of collapsing the left elbow hygroma. This closed drainage system eliminated the need for the postoperative bandage care required with the use of the Penrose (passive) drain method of managing elbow hygromas. The external drain tube should be adequately secured in order to minimise the risk of its inadvertent displacement.

  17. Why is it so hard to do the right thing in wound care?

    Science.gov (United States)

    Fife, Caroline E; Carter, Marissa J; Walker, David

    2010-01-01

    "Doing the right thing" in wound care is not an easy task. Studies suggest that 3 factors determine compliance with performing basic wound care from an evidence-based medicine perspective: complexity, cognitive effort, and the compensation system. Two models were explored to investigate compliance with basic wound care at hospital based wound centers: offloading of diabetic foot ulcers (DFUs) and compression bandaging for venous leg ulcers. Using a very large wound-care registry it was determined that only 6% of DFU patients received the gold standard of care for offloading, i.e., total contact casting (TCC), but among those patients who received it, the average cost of treatment was half the cost of those who did not. Although inexpensive to administer, TCC is a relatively time-consuming procedure which is poorly reimbursed. Other DFU treatments such as bilaminate skin, are more costly but are reimbursed much more generously. Thus, the reimbursement system favors the use of more expensive therapies over more economical ones. In the case of venous leg ulcers (VLUs), only 17% of patients received adequate compression. Provision of adequate compression among VLU patients has been similarly hindered by inadequate reimbursement policy. Lack of familiarity with clinical practice guidelines increases the cognitive effort for clinicians. Improving the economic model to favor the provision of effective basic care, creating easier-to-use products, and making clinical practice guidelines available at the point of service may make it easier to "do the right thing(s)" in wound care.

  18. 26例犬咬伤开放伤口的护理%Nursing care of 26 patients with open wounds due to dog bite injuries

    Institute of Scientific and Technical Information of China (English)

    吴淑华; 胡艳丽; 李健慧

    2012-01-01

    总结了应用现代敷料治疗26例犬咬伤患者开放伤口的经验.对患者局部伤口进行评估,根据伤口特点选择合适的敷料,保持创面清洁,通畅引流,对于伴有软组织撕脱伤的患者局部伤口可适当加压,促进愈合.本组26例伤口共102处,治疗时间12~28d,均恢复良好.%This paper summarizes the experience of using modern bandage and dressing on open wounds caused by dog bites in 26 patients. After wound assessment, the right dressings were used. The other key points of nursing are keeping the wounds clean, maintaining drainage unobstructed, and appropriate pressure for wounds with soft tissue avulsion to promote wound healing. The 26 patients with multiple wounds had been treated for 12 to 28 days and recovered well.

  19. Wound care in horses.

    Science.gov (United States)

    Caston, Stephanie S

    2012-04-01

    Care of equine wounds in the field can be a challenging endeavor. Many times, wound care is complicated by chronicity or by prior inappropriate care in addition to the great degree of tissue trauma that occurred when the horse was wounded. Recognizing involvement of synovial structures, loss of skin, and damage to bone are critical in the initial examination of wounds and will guide future care. Education of clients is also important in that preparing them for possible outcomes during healing may help improve compliance and proper treatment of wound. Owners and trainers often perform much of the daily care and monitoring of equine wounds and thus can greatly assist or impede the progress. Bandaging is important to management of equine wounds-especially on the limbs-and is sometimes overlooked because of its labor-intensive nature and the desire for a spray, ointment, or salve that will heal the wound. The practitioner that improves and utilizes his or her understanding of the wound-healing process in concert with his or her knowledge of local anatomy will be the one who is best equipped to care for wounds in ambulatory practice.

  20. Pathogenesis of chronic venous insufficiency and possible effects of compression and pentoxifylline.

    Science.gov (United States)

    Coleridge Smith, P D

    1993-01-01

    It has been recognized for over 2000 years that ulceration of the leg may be associated with visible varices of the lower limb. More recent physiological investigation has shown that the pressure in the veins of the lower limb remains raised in patients with venous ulceration during ambulation, whereas in normal subjects the pressure in superficial veins falls to a low level. This elevated pressure appears to cause damage to the superficial capillaries in the skin culminating in the production of venous ulceration. Events in the dermal capillaries which result in skin destruction have yet to be fully defined. Pericapillary fibrin cuffs have been demonstrated histologically and suggested as a cause of diminished nutrition to the skin. White blood cells have been shown to accumulate in the lower limb of patients with venous disease and these accumulations are particularly located around the dermal capillaries. Activated white blood cells releasing free radicals and destructive enzymes may precipitate skin destruction. An understanding of these mechanisms may help to explain the efficacy of compression hosiery and bandaging as well as some of the new pharmacological agents which have been shown to influence venous ulcer healing.

  1. 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.

  2. 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.

  3. Prosthetic sockets stabilized by alternating areas of tissue compression and release

    Directory of Open Access Journals (Sweden)

    Randall D. Alley, CP, LP

    2011-07-01

    Full Text Available A prosthetist makes a conventional socket by wrapping plaster bandage around the residual limb and using the resulting shell to create a positive model. After he or she modifies the plaster, it is used to create a laminated socket. Such sockets are almost perfect cylinders that encapsulate the limb. The bone is centered in soft, compressible tissue that must move aside before the bone can push against the socket to transmit force or torque to the prosthesis. In a compression/release stabilized (CRS socket, three or more longitudinal depressions compress and displace tissue between the socket wall and the bone to reduce lost motion when the bone is moved with respect to the socket. Release areas between depressions are opened to accommodate displaced tissue. Without these openings provided, the CRS socket will not function as intended. Often, the release areas of compression are the struts of a carbon-fiber frame, and the regions between struts are left open. A frame with openings may be modified by the prosthetist adding a thin membrane fully surrounding the limb but allowing the membrane and underlying tissue to enter the release openings. The membrane may contain electrodes, and it may constitute a roll-on liner that helps suspend the prosthesis. We introduce three socket designs: transradial, transfemoral, and transhumeral.

  4. Digital dermatitis of the accessory digits of dairy cows

    Directory of Open Access Journals (Sweden)

    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.

  5. 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

    2016-07-06

    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.

  6. Research and nursing progress of peripherally inserted central catheter associated contact dermatitis%PICC相关接触性皮炎的研究及护理进展

    Institute of Scientific and Technical Information of China (English)

    周淑玲

    2016-01-01

    经外周置入中心静脉导管(peripherally inserted central catheter,PICC)是一种安全、有效的静脉输注方法。由于导管、敷贴及胶布等相关因素会导致接触性皮炎,不仅影响导管的使用,而且增加患者痛苦及医疗负担,故临床护理中需要提高对接触性皮炎的认识。本文系统阐述PICC 置管后接触性皮炎的发生原因、临床表现及护理干预措施,旨在为临床护理提供依据。%PICC (peripherally inserted central catheter) is a safe and effective approach for venous infusion. But contact dermatitis not only affects the usage of catheter , but also increases the pain and burden of patients, which is evoked by factors such as catheter, surgical dress and bandage. We should improve the understanding of contact dermatitis in clinical nursing. This article analyzes the cause , clinical manifestation and nursing measures of contact dermatitis associated with PICC for guidance of clinical care.

  7. 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)

  8. Leveraging the attributes of Mucor hiemalis-derived silver nanoparticles for a synergistic broad-spectrum antimicrobial platform

    Directory of Open Access Journals (Sweden)

    Nafe Aziz

    2016-12-01

    Full Text Available Driven by the need to engineer robust surface coatings for medical devices to prevent infection and sepsis, incorporation of nanoparticles has surfaced as a promising avenue to enhance non-fouling efficacy. Microbial synthesis of such nanoscale metallic structures is of substantive interest as this can offer an eco-friendly, cost-effective and sustainable route for further development. Here we present a Mucor hiemalis-derived fungal route for synthesis of silver nanoparticles, which display significant antimicrobial properties when tested against six pathological bacterial strains (Klebsiella pneumonia, Pseudomonas brassicacearum, Aeromonas hydrophila, Escherichia coli, Bacillus cereus and Staphylococcus aureus and three pathological fungal strains (Candida albicans, oxysporum, and Aspergillus flavus. These antimicrobial attributes were comparable to those of established antibiotics (streptomycin, tetracycline, kanamycin and rifampicin and fungicides (amphotericin B, fluconazole and ketoconazole, respectively. Importantly, these nanoparticles show significant synergistic characteristics when combined with the antibiotics and fungicides to offer substantially greater resistance to microbial growth. The blend of antibacterial and antifungal properties, coupled with their intrinsic green and facile synthesis, makes these biogenic nanoparticles particularly attractive for future applications in nanomedicine ranging from topical ointments and bandages for wound healing to coated stents.

  9. Comparison of Skin Reaction between MTA (Produced in Iran) and CEM in Rabbit.

    Science.gov (United States)

    Shokravi, Marziyeh; Tabarsi, Bahareh; Moghaddamnia, Aliakbar; Sohanfaraji, Alieh; Pourghasem, Mohsen

    2012-01-01

    Pathological changes in pulp and periapical tissues are addressed by endodontic treatment. The material used in this treatment must be biocompatible. The aim of this study is to compare the skin reaction of Calcium Enriched Mixture (CEM) and Mineral Trioxide Aggregate (MTA) produced in Iran on rabbit. Sixteen male newzeland albino rabbits weighting 2 kg were used. The animals back hair was shaved, 24 hours before application of each material. The material was applied on two sites (2 × 2 cm) while the third site was used as control. All sites were covered by gauze and bandaged for 4 hours. Then the material's remnants were washed off the sites of application. Observations were performed in 1, 24, 48 and 72 hours after removing the materials. Erythematous surface areas were measured by the morphometric method. After sacrificing animals the skins were dissected and the specimens were prepared for histological evaluation. There were significant differences between CEM and MTA in erythematous surface areas at 1, 24 and 48 hours after removing the materials (pMTA and control sample (p=0.0001) and between MTA and CEM (p=0.035). There was no significant difference between control and CEM (p>0.05). The average erythematous surface areas were wider in MTA sites than CEM sites. As a conclusion it seems that biocompatibility of CEM could be more than MTA.

  10. Surgical Treatments of Plunging Ranula: 36 Cases Report%口外型舌下腺囊肿36例手术治疗总结

    Institute of Scientific and Technical Information of China (English)

    段清河

    2011-01-01

    Objective: To summarize the surgical treatment results of plunging ranulas. Methods: 36 plunging ranulas cases were retrospectively reviewed. First, each case underwent aspiration biopsy for cytology diagnosis. Excision of the ranula and surrounding minor salivary glands were performed through intraoral approach. Pressure bandage in submandibular region was applied after operation. Results: All 36 cases healed with first intention without recurrence. Conclusion: The key to successful management for ranulas consist of the excision of cyst and its related sublingual gland.%目的:回顾性分析口外型舌下腺囊肿临床资料,评价术前诊断、手术方式与疗效的关系.方法:术前行穿刺细胞学检查,在全麻或局麻下经口内进路行舌下腺及囊肿摘除术,术后颌下加压包扎.结果:36例口外型舌下腺囊肿经口内切口行舌下腺及囊肿摘除术,颌下加压包扎,术后无复发.结论:手术完整摘除舌下腺是治愈的关键.

  11. Add-on unidirectional elastic metamaterial plate cloak.

    Science.gov (United States)

    Lee, Min Kyung; Kim, Yoon Young

    2016-02-10

    Metamaterial cloaks control the propagation of waves to make an object invisible or insensible. To manipulate elastic waves in space, a metamaterial cloak is typically embedded in a base system that includes or surrounds a target object. The embedding is undesirable because it structurally weakens or permanently alters the base system. In this study, we propose a new add-on metamaterial elastic cloak that can be placed over and mechanically coupled with a base structure without embedding. We designed an add-on type annular metamaterial plate cloak through conformal mapping, fabricated it and performed cloaking experiments in a thin-plate with a hole. Experiments were performed in a thin plate by using the lowest symmetric Lamb wave centered at 100 kHz. As a means to check the cloaking performance of the add-on elastic plate cloak, possibly as a temporary stress reliever or a so-called "stress bandage", the degree of stress concentration mitigation and the recovery from the perturbed wave field due to a hole were investigated.

  12. Effcacy of medical stretch socks on lower extremity varicose veins in postoperative patients%医用弹力袜应用于下肢大隐静脉曲张患者术后效果分析

    Institute of Scientific and Technical Information of China (English)

    徐崇娟; 余艳平

    2016-01-01

    Objective: To investigate effcacy of medical stretch socks on lower extremity varicose veins. Methods: 183 cases were divided into the study group and the control group. 3 days after operation, the study group was given medical stretch socks; and the control group was given elastic bandages constantly. Effciency in two groups was contrasted. Results: The swelling and pain in the study group were less. Conclusion: Medical stretch socks on lower extremity varicose veins shows a good effect.%目的:研究医用弹力袜在下肢大隐静脉曲张术后应用的效果。方法:将183例患者分为实验组和对照组,术后3d换药后实验组给予医用弹力袜治疗,对照组则继续以弹力绷带加压治疗,对比两组的康复效果。结果:实验组患者肿胀、疼痛等情况明显较对照组减轻。结论:医用弹力袜应用于下肢大隐静脉曲张患者术后有明显的辅助治疗作用。

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

    Directory of Open Access Journals (Sweden)

    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.

  14. Dynamic changes of body mass in patients with morbid obesity in the remote terms after gastric banding and gastric bypass.

    Directory of Open Access Journals (Sweden)

    Valeriy Nikolaevich Egiev

    2015-05-01

    Full Text Available Since January 2005 till December 2013 655 patients with morbid obesity were operated on, 457 (69,7% from which, had gastric banding with using different models of regulating bandages: AMI (AMI, Austria, SAGB (Ethicon, USA, Lap Band (ALLEGRAN, USA. Gastric bypass was made to 198 patients, that made 30,3%. The degree of lowering of overweight in general is more after gastric bypass, than after gastric banding. At the same time during the period of 1–1,5 year the degree of lowering of overweight with women is the same after both the operation. The degree of lowering of overweight with men after gastric bypass is a little higher. In the period of 2–4 years the degree of lowering of overweight both with men and women after gastric bypass is higher. In 5 years men after gastric bypass actually lose weight better than after gastric banding. The men older than 40 years having BMI more than 40 kg/m2 after gastric banding lose weight worst of all. In the period of more than 5 years the women in the age group of 30–39 years having BMI more than 40 kg/m2 had better results after gastric bypass. The women older than 50 years having BMI more than 40 kg/m2 after gastric banding had the worst results.

  15. Treatment of sandal burns of the feet in children in a moist environment.

    Science.gov (United States)

    Shakirov, Babur M

    2014-05-01

    Burns to children's feet are often due to scalds, from hot tap water, as an infant's skin is thinner and hence more susceptible to a full-thickness injury. In Central Asia, and particularly in Uzbekistan, many episodes of burns take place at homes because of using sandal heaters. In the case of sandal burns of the foot, it usually is not only skin that is injured but also underlying tissues: subcutaneous fat, fasciae, muscles and even bones. Many controlled studies have confirmed that wounds heal more readily in a moist, physiological environment. After performing the toilet of burn wounds of the foot, we applied Dermazin cream on the affected areas and then the foot was placed onto a polyethylene packet of large size and fixed by a bandage. Measurement of wound water evaporation was performed every day post-burn. Surgery was usually performed 15-17 days after burn by applying a perforated skin graft or a 0.2-0.3-mm-thick non-perforated skin graft. The procedures helped to improve the general condition of patients, shortened their stay in hospital and also reduced expenses and lessened joint deformities and contracture deformities.

  16. Leveraging the Attributes of Mucor hiemalis-Derived Silver Nanoparticles for a Synergistic Broad-Spectrum Antimicrobial Platform

    Science.gov (United States)

    Aziz, Nafe; Pandey, Rishikesh; Barman, Ishan; Prasad, Ram

    2016-01-01

    Driven by the need to engineer robust surface coatings for medical devices to prevent infection and sepsis, incorporation of nanoparticles has surfaced as a promising avenue to enhance non-fouling efficacy. Microbial synthesis of such nanoscale metallic structures is of substantive interest as this can offer an eco-friendly, cost-effective, and sustainable route for further development. Here we present a Mucor hiemalis-derived fungal route for synthesis of silver nanoparticles, which display significant antimicrobial properties when tested against six pathological bacterial strains (Klebsiella pneumoniae, Pseudomonas brassicacearum, Aeromonas hydrophila, Escherichia coli, Bacillus cereus, and Staphylococcus aureus) and three pathological fungal strains (Candida albicans, Fusarium oxysporum, and Aspergillus flavus). These antimicrobial attributes were comparable to those of established antibiotics (streptomycin, tetracycline, kanamycin, and rifampicin) and fungicides (amphotericin B, fluconazole, and ketoconazole), respectively. Importantly, these nanoparticles show significant synergistic characteristics when combined with the antibiotics and fungicides to offer substantially greater resistance to microbial growth. The blend of antibacterial and antifungal properties, coupled with their intrinsic “green” and facile synthesis, makes these biogenic nanoparticles particularly attractive for future applications in nanomedicine ranging from topical ointments and bandages for wound healing to coated stents. PMID:28018316

  17. 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

  18. 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

  19. 磺胺嘧啶银脂质水胶敷料治疗小面积皮肤缺损并伤口感染:生物相容性评价%Silver sulfadiazine water gel dressings for treating small skin defects combined with wound infection: an evaluation of biocompatibility

    Institute of Scientific and Technical Information of China (English)

    欧卉

    2015-01-01

    BACKGROUND:Silver sulfadiazine water gel dressings are a combination of two antibacterial drugs, which can play a local broad-spectrum, potent, long-lasting antibacterial effect to effectively control and prevent wound infection. OBJECTIVE:To observe the clinical efficacy of silver sulfadiazine water gel dressings on skin defects with wound infection and to explore its biocompatibility. METHODS:Thirty patients with skin defects combined with wound infection were randomized into observation and control groups. Folowing conventional debridement and dressing, the observation group was subject to wound rinse with normal saline, silver sulfadiazine water gel dressings and gauze bandage; in the control group, Vaseline gauze was used folowed by gauze bandage. Visual analog scale scores, dressing adhesion to wound, wound healing rate, and healing time were observed in the two groups at 0, 1, 2 weeks after dressing. RESULTS AND CONCLUSION:The visual analog scale scores in the observation group were significantly lower than those in the control group at 1 and 2 weeks after dressing (P < 0.01), and the wound healing rate was also higher in the observation group than the control group (P < 0.05); wound adhesions were milder in the observation group than the control group when dressing; the healing time was significantly shorter in the observation group than the control group (P < 0.05). These findings suggest that the silver sulfadiazine water gel dressing has good effects on the treatment of skin defects with wound infection, which can reduce pain, effectively control wound infections and promote wound healing.%背景:磺胺嘧啶银脂质水胶敷料是两种抗菌药物的结合体,可以发挥局部广谱、强效、持久的抗菌作用,能有效控制并预防伤口感染.目的:观察磺胺嘧啶银脂质水胶敷料治疗皮肤缺损性感染伤口的效果及生物相容性.方法:将30例皮肤缺损合并感染伤口患者采用随机分组方法分为观察组和

  20. Treatment of hyper-granulated limb wounds in horses

    Directory of Open Access Journals (Sweden)

    O. A. Bader

    2011-01-01

    Full Text Available This study was performed to investigate the different methods of treating hyper granulation tissue on experimentally induced wounds in equine limbs. Wounds were induced by removal of a skin patch and subcutaneous tissue for about 5-7 cm width and 6-8 cm in length from the dorsal and lateral aspect of the fore and hind limbs below the carpal and tarsal joints. The wounds were left open without treatment and the animals were trained 2-2.5 hours every day for about 3-5 weeks until hyper granulation tissue was developed. The schedule for the treatment of hyper granulation was divided into five groups each contained eight wounds of hyper granulation tissue; each main group was divided into two subgroups. The subgroups of first, second, third, fourth and fifth groups were treated by the following schedules: bandage alone; copper sulphate ointment 10%; silver nitrate ointment 2%; red mercury ointment 11%; and laser therapy (at a total dose of 9.72 Joule / cm2 respectively. While the second subgroups were treated by surgical resection of the hyper granulation tissue, followed by the same treatments applied on the first subgroup. The bandage for all experimental groups was changed every 48 hours until healing was occurred. The clinical and histological observation of the first group revealed that the healing take long period comparing with other groups. The mean of wound healing were 65 days in non surgical removal of hyper granulation tissue subgroup, while 57 days in surgical removed of hyper granulation tissue subgroup. The results of the second, third, fourth groups revealed that the caustic material especially red mercury has a role in healing processes through depressing the hyper granulation tissue. The mean of wound healing of the second group was 42.25 days in non surgical removal of hyper granulation tissue subgroup while 37.25 days in surgically removed hyper granulation tissue subgroup. In the third group the mean of wound healing was 45

  1. 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

  2. An Antimicrobial Study on Cyanoacrylate Antimicrobial Adhesive Modified by 6% Nano-silica%应用6%纳米二氧化硅改性氰基丙烯酸酯抗菌胶的抗菌性研究

    Institute of Scientific and Technical Information of China (English)

    陈文; 梁向党; 孙赓; 蔡宏飞; 刘诗滦; 房卓群

    2015-01-01

    目的:研究应用6%纳米二氧化硅改性氰基丙烯酸酯抗菌胶的抗菌性能。方法采用滤纸片法测试6%纳米二氧化硅/抗菌胶对金黄色葡萄球菌( ATCC29213)的抑菌性能,以未改性的抗菌胶作为对照,测量抑菌圈直径。制作大鼠外伤动物模型,分别用6%纳米二氧化硅抗菌胶及纱布包扎处理伤口,观察伤口的大体情况,并做动脉血常规及创面组织病理切片检测白细胞计数。结果6%纳米二氧化硅/抗菌胶组第5天的抑菌圈直径为(28.61±0.91)mm,抗菌胶组为(28.24±2.69)mm,两组比较差异无统计学意义(P>0.05)。动物实验方面,在血常规及创面组织病理切片中,6%纳米二氧化硅/抗菌胶处理创面的感染情况均低于纱布包扎组(P<0.05)。结论6%纳米二氧化硅改性的抗菌胶具有较好的抗菌性能(抗金黄色葡萄球菌)。%Objective To study the antimicrobial function of Cyanoacrylate antimicrobial adhesive modified by modified. Methods Antimicrobial function to staphylococcus aureus ( ATCC29213 ) of cyanoacrylate antimicrobial ad-hesive modified 6% nano-silica was examined with filter paper method, while unmodified antimicrobial adhesive was used as a control group, and the diameter of the inhibition zone was detected. The rat models of external injury were estab-lished, and then the wounds were treated with 6% nano-silica antimicrobial adhesive and gauze bandage respectively. The general conditions of wounds were observed, and routine blood tests and pathological sections were performed to cal-culate white blood cell count ( WBC) . Results The diameter of inhibition zone in antimicrobial adhesive modified 6%nano-silica group on 5th d after treatment was (28. 61 ± 0. 91) mm, while the diameter in control group was (28. 24 ± 2. 69) mm, but the difference was not statistically significant (P<0. 05). The blood routine tests and pathological sec-tions showed that 6% nano-silica or antimicrobial adhesive had a lower

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

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    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.

  4. The use of global rating scales for OSCEs in veterinary medicine.

    Science.gov (United States)

    Read, Emma K; Bell, Catriona; Rhind, Susan; Hecker, Kent G

    2015-01-01

    OSCEs (Objective Structured Clinical Examinations) are widely used in health professions to assess clinical skills competence. Raters use standardized binary checklists (CL) or multi-dimensional global rating scales (GRS) to score candidates performing specific tasks. This study assessed the reliability of CL and GRS scores in the assessment of veterinary students, and is the first study to demonstrate the reliability of GRS within veterinary medical education. Twelve raters from two different schools (6 from University of Calgary [UCVM] and 6 from Royal (Dick) School of Veterinary Studies [R(D)SVS] were asked to score 12 students (6 from each school). All raters assessed all students (video recordings) during 4 OSCE stations (bovine haltering, gowning and gloving, equine bandaging and skin suturing). Raters scored students using a CL, followed by the GRS. Novice raters (6 R(D)SVS) were assessed independently of expert raters (6 UCVM). Generalizability theory (G theory), analysis of variance (ANOVA) and t-tests were used to determine the reliability of rater scores, assess any between school differences (by student, by rater), and determine if there were differences between CL and GRS scores. There was no significant difference in rater performance with use of the CL or the GRS. Scores from the CL were significantly higher than scores from the GRS. The reliability of checklist scores were .42 and .76 for novice and expert raters respectively. The reliability of the global rating scale scores were .7 and .86 for novice and expert raters respectively. A decision study (D-study) showed that once trained using CL, GRS could be utilized to reliably score clinical skills in veterinary medicine with both novice and experienced raters.

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

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    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.

  6. 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

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

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    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”.

  8. Harnessing wound healing and regeneration for tissue engineering.

    Science.gov (United States)

    Metcalfe, A D; Ferguson, M W J

    2005-04-01

    Biomedical science has made major advances in understanding how cells grow into functioning tissue and the signalling mechanisms used to achieve this are slowly being dissected. Tissue engineering is the application of that knowledge to the building or repairing of organs, including skin, the largest organ in the body. Generally, engineered tissue is a combination of living cells and a supporting matrix. Besides serving as burn coverings, engineered skin substitutes can help patients with diabetic foot ulcers. Today, most of these ulcers are treated with an approach that includes antibiotics, glucose control, special shoes and frequent cleaning and bandaging. The results of such treatments are often disappointing and ineffectual, and scarring remains a major problem, mechanically, cosmetically and psychologically. Within our group we are attempting to address this by investigating novel approaches to skin tissue engineering. We are identifying novel therapeutic manipulations to improve the degree of integration between a tissue engineered dermal construct and the host by both molecular manipulation of growth factors but also by understanding and harnessing mechanisms of regenerative biology. For the purpose of this summary, we will concentrate primarily on the latter of these two approaches in that we have identified a novel mouse mutant that completely and perfectly regenerates skin and cartilaginous components following ear injury. This experimental animal will allow us to characterize not only novel genes involved in the regeneration process but also to utilize cells from such animals in artificial skin equivalents to assess their behaviour compared with normal cells. This approach should allow us to create a tissue-engineered substitute, which more closely resembles the normal regional microanatomy and physiology of the skin, allowing better integration to the host with minimal or no scarring.

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

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    Emily S Petherick

    Full Text Available 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.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.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.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-economic status. These findings suggest that the

  10. 外伤性腮腺导管断离吻合术失败原因分析%Closure of Salivary Fistula due to Traumatic Injuries

    Institute of Scientific and Technical Information of China (English)

    杜传亮; 马一文; 万淑红; 王淑琴

    2011-01-01

    目的:通过临床资料的分析,探讨腮腺导管损伤手术治疗失败的原因.方法:33例因外伤而造成腮腺导管断离的病例,在行清创缝合术中,游离减张导管断端并用塑料管做支架进行导管吻合手术.其中8例初次手术失败,导管断裂,形成导管瘘,进行了第二次手术.结果:8例失败病例,均经Ⅱ期导管端端吻合术后治愈.结论:在施行吻合术中,导管两断端是否充分显露,游离减张是手术成败的关键,术后适当加压包扎,使用促涎液分泌的药物,抗感染,加强口腔护理,防止塑料管滑脱和过早拔除也是减少手术失败的重要因素.%Objective:To discuss the reasons of treatment failure of parotid duct injury. Methods: 33 traumatic parotid duct cases were reviewed. After debridement, the fistula was closed under local anesthesia, which primary repair was located over a catheter. And then the duct was united with interrupted sutures. A dressing and a pressure bandage were applied. Results: 8 cases were not successful, whose parotid duct fistula was re-operated, and then fistulas were eliminated. Conclusion: Fully exposure and small tension is the key factor in debridement and suturing. Appropriate pressure, adequate parotid secretion, antibiotics, special mouth care, and time of pulling catheter are very important after operation.

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

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    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.

  12. Effect of different cuff widths on the motor nerve conduction of the median nerve: an experimental study

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    Sandhu Jaspal S

    2008-01-01

    Full Text Available Abstract Background A bloodless operative field is considered mandatory for most surgical procedures on the upper and lower extremity. This is accomplished by using either an Esmarch bandage or a pneumatic tourniquet, but a number of complications are associated with both. Nerve palsy is one of the most frequently encountered complications of this procedure. Wider cuffs have been found to cause reduced risk of tourniquet induced injury to the underlying soft tissues than the narrower ones due to the fact that lower occlusion pressures are caused by the former. To address and investigate this question, conduction in the median nerve has been measured proximal to tourniquet as well as distal to the tourniquet. Parameters of nerve conduction measured are nerve conduction velocity, latency and amplitude. Methods Sphygmomanometer cuffs with widths 14 cm and 7 cm were applied to the upper extremities of 20 healthy, normotensive volunteers (9 males and 11 females with age ranging from 22 to 27. Systolic blood pressure was measured first and then the cuff was inflated to about 20–30 mm Hg above it and was kept inflated for 15 minutes. Recordings were done prior to, for the period of tourniquet inflation, and following release of the tourniquet. Results Nerve conduction was found to be more severely affected by the 14 cm cuff than the 7 cm cuff. Conclusion Wider cuffs resulted in more severe changes in the nerve. This brings us to the conclusion that though lower inflation pressures are required for the occlusion of the blood supply using wider cuffs, the nerve conduction is more severely affected by the wider ones. Both electrophysiological changes and occlusion pressure should be kept in mind while choosing the width of the cuff.

  13. Disposable Natural Scrubber from Sisal and Bamboo Fibers

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    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.

  14. [Hereditary epidermolysis bullosa: French national guidelines (PNDS) for diagnosis and treatment].

    Science.gov (United States)

    Chiaverini, C; Bourrat, E; Mazereeuw-Hautier, J; Hadj-Rabia, S; Bodemer, C; Lacour, J-P

    2017-01-01

    Hereditary epidermolysis bullosa (EB) is a heterogeneous group of rare genetic diseases characterized by fragile skin and/or mucous membrane, and it may be either local or generalized. It is caused by mutations in genes encoding different proteins involved mainly in the structure and function of the dermal-epidermal junction. Nineteen genes have so far been identified. They are classified by level of skin cleavage (from top to bottom) into four groups: EB simplex, junctional EB, dystrophic EB and Kindler syndrome. Clinically suspected diagnosis is confirmed by immunohistochemical examination of a skin biopsy at specialized centres in order to determine the level of cleavage and the deficient protein. This first step may be followed by genetic analysis. The severity of the disease is highly variable, ranging from localized forms with little effect on quality of life to rapidly lethal forms. In generalized severe forms, the extent and chronicity of lesions, as well as mucosal involvement, can lead to systemic complications: malnutrition, pain, joint contractures, chronic inflammation, amyloidosis, cutaneous squamous cell carcinoma. Some specific forms are associated with other cutaneous signs (nail involvement, alopecia, hyperpigmentation, palmoplantar keratoderma) or extracutaneous involvement (muscular dystrophy or pyloric atresia). No curative treatment of EB is available today. EB requires multidisciplinary medical care, nursing, psychological and social management. This is best provided by a specialized network, involving reference centres, centres of expertise and daily caregivers. The goal of treatment is the prevention and treatment of lesions with specific non-adherent dressings and the prevention, detection and treatment of complications. It is essential not to traumatize the skin (bandaging, friction, etc.). Protein, gene or cell replacement therapy, and allogeneic bone marrow, cord blood or pluripotent stem-cell transplantation are currently being

  15. The use of visible light and metal oxide nano particles for pathogen inactivation

    Science.gov (United States)

    Lubart, R.; Lipovski, A.; Gedanken, A.

    2012-09-01

    Since the effectiveness of antibiotic treatment is decreasing due to the development of resistant strains, alternative approaches for destroying microorganisms are needed. In this review we summarize new technologies that might be effective for pathogen inactivation. In the past we found that intense blue light could be used for bacterial eradication. The phototoxic effect correlated with the amount of reactive oxygen species (ROS) generated by the bacteria due to illumination. Recently it has been shown that the effect of light can be enhanced by introducing metal oxide nanoparticles (nps) to the bacteria prior to irradiation. This led us to suggest combining nanoparticles with visible light irradiation for pathogen eradication. We have shown that combination of illumination with the nanoparticles (ZnO or TiO2) resulted in a marked increase in the reduction of bacterial viability to a mean reduction of 80-90% for both nanoaprticles. As a matter of fact metal oxide nps alone can be used for bacteria destruction. The advantage of our approach is the use of lower concentrations of nps, combined with reduced light intensity that is less toxic to the host tissue. To further avoid the toxicity of metal oxides nps on healthy tissue it is possible to coat their surfaces with various substrates including ceramics and polymers. Recently Zinc oxide nanoparticles have been synthesized and deposited on the surface of cotton fabrics using ultrasound irradiation. Thus in the future we will try to treat infected wounds with transparent bandages coated with ZnO that will be applied to the wounds prior to irradiation.

  16. 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.

  17. The use of global rating scales for OSCEs in veterinary medicine.

    Directory of Open Access Journals (Sweden)

    Emma K Read

    Full Text Available OSCEs (Objective Structured Clinical Examinations are widely used in health professions to assess clinical skills competence. Raters use standardized binary checklists (CL or multi-dimensional global rating scales (GRS to score candidates performing specific tasks. This study assessed the reliability of CL and GRS scores in the assessment of veterinary students, and is the first study to demonstrate the reliability of GRS within veterinary medical education. Twelve raters from two different schools (6 from University of Calgary [UCVM] and 6 from Royal (Dick School of Veterinary Studies [R(DSVS] were asked to score 12 students (6 from each school. All raters assessed all students (video recordings during 4 OSCE stations (bovine haltering, gowning and gloving, equine bandaging and skin suturing. Raters scored students using a CL, followed by the GRS. Novice raters (6 R(DSVS were assessed independently of expert raters (6 UCVM. Generalizability theory (G theory, analysis of variance (ANOVA and t-tests were used to determine the reliability of rater scores, assess any between school differences (by student, by rater, and determine if there were differences between CL and GRS scores. There was no significant difference in rater performance with use of the CL or the GRS. Scores from the CL were significantly higher than scores from the GRS. The reliability of checklist scores were .42 and .76 for novice and expert raters respectively. The reliability of the global rating scale scores were .7 and .86 for novice and expert raters respectively. A decision study (D-study showed that once trained using CL, GRS could be utilized to reliably score clinical skills in veterinary medicine with both novice and experienced raters.

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

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    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.

  19. INVESTIGATION OF SORPTION CHARACTERISTICS OF POLYMERIC MINERAL-FILLED COMPOSITES FOR MEDICINE

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    Y. A. Ignatieva

    2014-09-01

    Full Text Available The polymer compositions on the base of acrylic derivatives and bentonite particles modified by silver ions with various share and dispersion are received and studied by radical polymerization in the water. Partially neutralized acrylic acid, acrylamide and methylene-bis-acrilamide and particles of bentonite with fraction 0 - 0,05 mass.% are chosen as initial substances. The influence of bentonite concentration on absorbing characteristics of polymer materials in the distilled water is shown. It is demonstrated that the increase of bentonite fraction up to 5 mass.% leads to the rise of degree of equilibrium swelling by 1,5 – 2 times in comparison with an unfilled polymer matrix. The acrylic nanocompositions with a mass fraction of bentonite equal to 0,01 mass.% possess the greatest kinetic characteristics. Kinetic dependences of new composite materials swelling in physiological solution from a filler dispersion part are investigated. It is shown that in high dispersion (with particle size less than 0,25 mm a part of mineral–containing filler equal to 1 mass.% leads to significant increase in values of equilibrium swelling degree in comparison with an unfilled sample (by 1,5 times. The effect of polyelectrolyte suppression of polymer composition swelling in physiological solution is studied. It results in values reduction of equilibrium swelling degree in comparison with these values in the distilled water. Application prospects for the received compositions are shown at bandages creation for wounds treatment of various etiologies. Research results are recommended for usage in medical practice for optimization of wound process march.

  20. 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.

  1. Hybrid wound dressings with controlled release of antibiotics: Structure-release profile effects and in vivo study in a guinea pig burn model.

    Science.gov (United States)

    Zilberman, Meital; Egozi, Dana; Shemesh, Maoz; Keren, Aviad; Mazor, Eytan; Baranes-Zeevi, Maya; Goldstein, Nyra; Berdicevsky, Israela; Gilhar, Amos; Ullmann, Yehuda

    2015-08-01

    Over the last decades, wound dressings have evolved from a crude traditional gauze dressing to tissue-engineered scaffolds. Many types of wound dressing formats are commercially available or have been investigated. We developed and studied hybrid bilayer wound dressings which combine a drug-loaded porous poly(dl-lactic-co-glycolic acid) top layer with a spongy collagen sublayer. Such a structure is very promising because it combines the advantageous properties of both layers. The antibiotic drug gentamicin was incorporated into the top layer for preventing and/or defeating infections. In this study, we examined the effect of the top layer's structure on the gentamicin release profile and on the resulting in vivo wound healing. The latter was tested on a guinea pig burn model, compared to the neutral non-adherent dressing material Melolin® (Smith & Nephew) and Aquacel® Ag (ConvaTec). The release kinetics of gentamicin from the various studied formulations exhibited burst release values between 8% and 38%, followed by a drug elution rate that decreased with time and lasted for at least 7 weeks. The hybrid dressing, with relatively slow gentamicin release, enabled the highest degree of wound healing (28%), which is at least double that obtained by the other dressing formats (8-12%). It resulted in the lowest degree of wound contraction and a relatively low amount of inflammatory cells compared to the controls. This dressing was found to be superior to hybrid wound dressings with fast gentamicin release and to the neat hybrid dressing without drug release. Since this dressing exhibited promising results and does not require frequent bandage changes, it offers a potentially valuable concept for treating large infected burns.

  2. Identifying the causes of contact dermatitis.

    Science.gov (United States)

    Jones, Ruth; Horn, Helen M

    2014-06-01

    Contact dermatitis results from skin contact with an exogenous substance. It can be caused by direct contact, airborne particles, vapours or light. Individuals of any age can be affected. The two most common variants are irritant contact dermatitis (ICD) and allergic contact dermatitis (ACD). ICD is more common and has a worse prognosis. Other less common forms of contact dermatitis include photocontact allergy and, in food handlers, protein contact dermatitis. ICD is a form of eczema and is induced by direct inflammatory pathways without prior sensitisation. Classical ACD is mediated by type 4 cell-mediated immunity. Sensitisation occurs within 5 to 16 days of skin contact with a potential allergen but at this first exposure there is no inflammation. Frequent exposure and high concentrations of potential allergens increase the risk of sensitisation. If eczema is recurrent/persistent, or occurs in an individual with no previous history of eczema, contact dermatitis should be considered. Dorsal aspects of the hands are most often affected by ICD, usually with involvement of the finger webs. Cumulative effects of water, soaps and detergents are the most common cause of ICD which affects the hands more often than any other site. Nickel, fragrances, rubber accelerators and biocides are the most common sensitisers in ACD. Patients with leg ulcers and stasis eczema are at especially high risk of developing allergies to ingredients of their topical treatments, dressings and bandages. If ACD is suspected the patient should be referred to secondary care for patch testing. Age should not be a deterrent to patch testing. Accurate diagnosis, avoidance of identified allergens and protection from irritants are the key to successful treatment.

  3. 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.

  4. 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

    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.%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。

  5. 国外功能纤维近期动向%Recent Developments of Functional Fibers Abroad

    Institute of Scientific and Technical Information of China (English)

    罗益锋

    2011-01-01

    简述了2011年特别是下半年国外某些功能纤维的新发展。在纳米纤维和碳纳米管方面,介绍了7家公司和大学的新技术、新产品和新设备。在新型功能纤维制品方面,介绍了永无病毒纺织品、抗病毒炭布、可穿着水下传感器、吸热性能智能纤维、热敏绷带和新型导电纤维。在功能性非织造布方面,介绍了熔喷法超细纤维、超吸水纤维和隔热透光纤维。最后介绍日本3家中空纤维分离膜公司来华兴建合资企业情况。%New developments of some functional fibers abroad in 2011 especially in near half year were illustrated briefly. In nano-fiber and carbon nanotubes, new technologies, new products and new equipments of 7 companies and universities were introduced. In new type functional fiber products, permanently germ-free fiber, antiviral car- bon cloth, wearable sensors wetsuits, thermo-regulating intelligent fibers, heat sensitive bandage, new conductive fiber were introduced. In functional nonwoven fabrics, ultra-fine fiber made by melt blown, water ultra-absorbing fiber, heat-insulating and light penetrating fiber were introduced. Finally, the situations of 3 Japanese hollow fiber membrane companies in building JV companies in China were also introduced.

  6. 小粒咖啡鲁伊鲁-11嫁接改良及繁育试验研究%Improvement and Propagation of Arabica Coffee Ruiru-ll by Grafting

    Institute of Scientific and Technical Information of China (English)

    张洪波; 肖兵; 李锦红; 周华; 郭铁英; 白学慧; 杨秋鸣; 夏红云

    2012-01-01

    With the scion of excellent composite hybrids Ruiru-ll, the test was carried out about coffee seedlings grafted breeding and crown transformation of big tree. Seedlings grafted in spring can be planted on the year. The earlier of the crown transformation and the more significant of the economic benefits. Suitable grafting period was expanded by graft part setting plastics to keep warm and wet. The survival rate was very high and the application and the popularization of FI hybrid varieties of Arabica coffee were promoted by using incision grafting technique and the wax film, which is simple, tightly bandaged, but also saves scion material.%用咖啡F1优良复合杂交种鲁伊鲁-11作接穗.开展咖啡幼苗嫁接繁育和大树换冠改造试验。幼苗春季嫁接,当年可出圃种植;大树换冠改造投产早,经济效益显著。通过嫁接部位套塑料袋保暖保湿措施使适宜的嫁接期延长。采用切接法并利用环保型绑缚材料接蜡膜,既简便,包扎严实,又节省接穗材料,成活率很高,促进了小粒咖啡杂交F1品种的推广应用。

  7. 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

    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.%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.

  8. Nail tic disorders: Manifestations, pathogenesis and management

    Directory of Open Access Journals (Sweden)

    Archana Singal

    2017-01-01

    Full Text Available Nail tic disorders are classic examples of overlap between the domains of dermatology and psychiatry. They are examples of body-focused repetitive behaviors in which there is an irresistible urge or impulse to perform a certain behavior. The behavior is reinforced as it results in some degree of relief and pleasure. Nail tic disorders are common, yet poorly studied and understood. The literature on nail tic disorders is relatively scarce. Common nail tics include nail biting or onychophagia, onychotillomania and the habit tic deformity. Some uncommon and rare nail tic disorders are onychoteiromania, onychotemnomania, onychodaknomania and bidet nails. Onychophagia is chronic nail biting behavior which usually starts during childhood. It is often regarded as a tension reducing measure. Onychotillomania is recurrent picking and manicuring of the fingernails and/or toenails. In severe cases, it may lead to onychoatrophy due to irreversible scarring of the nail matrix. Very often, they occur in psychologically normal children but may sometimes be associated with anxiety. In severe cases, onychotillomania may be an expression of obsessive-compulsive disorders. Management of nail tic disorders is challenging. Frequent applications of distasteful topical preparations on the nail and periungual skin can discourage patients from biting and chewing their fingernails. Habit-tic deformity can be helped by bandaging the digit daily with permeable adhesive tape. Fluoxetine in high doses can be helpful in interrupting these compulsive disorders in adults. For a complete diagnosis and accurate management, it is imperative to assess the patient's mental health and simultaneously treat the underlying psychiatric comorbidity, if any.

  9. 捆钞机的运动分析与控制策略制定%Bundle of chao machine movement analysis and control strategy formulation

    Institute of Scientific and Technical Information of China (English)

    索双富; 徐欢; 刘向锋; 葛方骏

    2011-01-01

    The working procedure of a bill binding machine is analyzed and bandaged circle method is put forward based on the its reliability,which mechanism may assist to push-and pull the bill during circling to ovoid softening occurs caused by corner rubbing or under more humid environment,and further leads to fail on circling. Concerning the time and sequences in circling,a more detailed analysis on its working characteristics is made ,and then a control strategy for bill binding machine is worked out based on its characteristics and features during working with or without tape. Those results will provide reference for the developing new types of binding machines and control for system.%对纸币扎把机的工作方式进行了分析,从可靠性方面,提出了一种形成捆扎纸圈的工作方式.该机构在成圈过程中能够辅助推拉纸币,从而避免了在目前扎把机中经常出现的由于边角摩擦,或者捆扎纸带在环境湿度较大情况下,纸带变软,从而造成成圈困难的问题.针对捆扎过程的时序,展开了详细的分析,并就工作过程的特点和特征以及纸带的有无等,制定出了纸币扎把机的控制策略.这些研究成果对于新型扎把机构的开发和系统的控制,具有较好的参考价值.

  10. 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.

  11. Study on Factors Influencing Development of Adventitious Root Primordium of Tea after Air Layering%茶树空中压条不定根原基发育影响因子研究

    Institute of Scientific and Technical Information of China (English)

    李丰; 张丽霞

    2011-01-01

    为了筛选出促使茶树茎段空中压条后发根的最佳技术方案,研究了成熟度、外施激素浓度、枝梢茎粗以及环割方式对根原基发育的影响.结果表明:选择生长健壮、茎粗为0.252 ~0.280 cm的当年生枝条,在黄绿色或青绿色茎段处进行传统环割,外用100 mg/L的ABT 1号生根粉处理,能有效缩短根原基发育周期.经过40~50 d,当茎段表皮隆起或出现白色根点时,即可剪离母体继续进行基质根系培养.%In order to select the best technique for rooting of the girdled tea branches, the effects of maturation degree, exogenous hormones concentration, stem diameter and girdling mode on development of root primordhim were studied in this paper. The results showed that the healthy and strong branches should be chosen with 0. 25 ~0. 28 cm of stem diameter, and then be girdled on the yellow - green or blue - green stem segments and covered with 100 mg/L ABT - 1 rooting powder. After 40 ~ 50 days, when the bandaged stem showed epidermis uplifts or white root points, the branch could be cut from the parent tree and planted in the substrate for root culture.

  12. NorLeu3-Angiotensin (1-7) [DSC127] as a Therapy for the Healing of Diabetic Foot Ulcers

    Science.gov (United States)

    Rodgers, Kathleen E.; Bolton, Laura L.; Verco, Shelagh; diZerega, Gere S.

    2015-01-01

    Significance: Diabetes is a disorder that is well known to delay wound repair resulting in the formation of colonized chronic wounds. Over their lifetime, diabetic patients have a 25% incidence of foot ulcers (DFUs), which contribute to increased risk of morbidity, including osteomyelitis and amputations, and increased burden to the healthcare system. Recent Advances: The only active product approved for the treatment of diabetic ulcers, Regranex®, is not widely used due to minimal proven efficacy and recent warnings added to the Instructions for Use. A novel topical agent that accelerates healing and increases the proportion of fully healed DFUs, DSC127 [aclerastide; active ingredient, NorLeu3-angiotensin (1-7) (NorLeu3-A(1-7))], is recruiting patients in Phase III clinical trials (NCT01830348 and NCT01849965). NorLeu3-A(1-7) is an analog of the naturally occurring peptide, angiotensin 1-7. The mechanisms of action include induction of progenitor proliferation, accelerated vascularization, collagen deposition, and re-epithelialization. Critical Issues: Current modalities for the treatment of DFUs include strict offloading, bandaging, debridement and, on a limited basis, application of Regranex. Novel potent therapies are needed to combat this significant burden to the diabetic patient and the healthcare system. Future Direction: Preclinical and clinical research shows that DSC127 is highly effective in the closure of diabetic wounds and is superior to Regranex in animal studies. Clinical development of DSC127 as a topical agent for the healing of DFU is underway. Further investigation into the mechanisms by which this product accelerates healing is warranted. PMID:26029484

  13. [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.

  14. 外伤换药及护理%Trauma treatment and nursing

    Institute of Scientific and Technical Information of China (English)

    徐克菊

    2015-01-01

    目的:介绍伤口换药的基本操作过程,清洁伤口,保护创面,促进愈合。动态地观察伤口变化,及时调整伤口护理方案;改善伤口环境,施敷有效的药物,控制感染。保护新生的肉芽组织,促进伤口愈合。方法随机抽取来院治疗的180例外伤包扎患者作为研究对象,回顾性分析所有病例临床治疗资料。结论患者外伤伤口采用妥当的外伤换药及个体化的综合护理干预措施能够促进伤口愈合。%Objective: to introduce the basic operation, wound dressing the wound clean, protect the wound and healing. dynamic observation of changes in the wound, wound care and timely adjustment plan; improve the wound environment, the medicine is applied effectively, control of infection. the protection of; neonatal granulation tissue, promote wound healing. Methods: a random sample of 180 cases of traumatic hospital bandaged patients as the research object, a retrospective analysis of clinical data of all patients. Results:180 cases of trauma patients after reasonable treatment to alleviate the symptoms rapidly.

  15. The prevalence, management and outcome for acute wounds identified in a wound care survey within one English health care district.

    Science.gov (United States)

    Vowden, Kathryn R; Vowden, Peter

    2009-02-01

    This paper reports the characteristics and local management of 826 acute wounds identified during an audit across all health care providers serving the population of Bradford, UK. Of the wounds encountered 303 were traumatic wounds and 237 primary closures with smaller numbers of other acute wound types. Of the 303 traumatic wounds 174 occurred in women (57.4%). Men predominated in the under 45s (65M:26F), this being largely accounted for by hand and finger trauma (n = 62) particularly in patients of working age (M32:F12). Women predominated in the over 65s (50M:130F), this being largely accounted for by lower limb traumatic wounds (M24:F91), the majority of these being in patients 65 and over (M14:F82). In this sub-group of 96 patients 25 had wounds of 6 weeks or longer duration, only 3 had undergone Doppler assessment and only 2 received compression bandaging. Typically these wounds were of recent origin and small in size (under 1 week and less than 5 cm2 in surface area) however exceptions occurred where 10 people had wounds over 25 cm2 in area while 3 wounds had been present for over 5 years. 101 (12.2%) of the encountered wounds were considered to be infected although the practice of wound swabbing in the presence of presumed infection seemed inadequate with 37.6% of all infected acute wounds not being swabbed while 97 non-infected wounds were swabbed. Where wounds were swabbed 4.5% were found to be MRSA positive. Across all acute wound types (with the sole exception of primary closures) antimicrobial wound dressings were the most prevalent form of dressing and covered 56 (55.4%) of all infected wounds.

  16. Systemic treatment of venous leg ulcers with high doses of pentoxifylline: efficacy in a randomized, placebo-controlled trial.

    Science.gov (United States)

    Falanga, V; Fujitani, R M; Diaz, C; Hunter, G; Jorizzo, J; Lawrence, P F; Lee, B Y; Menzoian, J O; Tretbar, L L; Holloway, G A; Hoballah, J; Seabrook, G R; McMillan, D E; Wolf, W

    1999-01-01

    Several small studies have indicated that the systemic administration of pentoxifylline may accelerate healing of venous leg ulcers. The goal of this study was to further evaluate these findings in a larger scale placebo controlled trial and to explore the effect of the dose of pentoxifylline on healing. The study used a prospective, randomized, double-blind, parallel group placebo controlled design in a multicenter outpatient setting. Patients with one or more venous ulcer were enrolled, with all patients receiving standardized compression bandaging for treatment for their ulcers. Patients were also randomized to receive either pentoxifylline 400 mg, pentoxifylline 800 mg (two 400 mg tablets), or placebo tablets three times a day for up to 24 weeks. The main outcome measure was time to complete healing of all leg ulcers, using life table analysis. The study was completed as planned in 131 patients. Patients receiving 800 mg three times a day of pentoxifylline healed faster than placebo (p = 0.043, Wilcoxon test). The median time to complete healing was 100, 83, and 71 days for placebo, pentoxifylline 400 mg, and pentoxifylline 800 mg three times a day, respectively. Over half of all patients were ulcer free at week 16 (placebo) and at week 12 in both pentoxifylline groups. Whereas the placebo group had only achieved complete healing in half of the cases by week 16, all of the subjects remaining in the group receiving the high dose of pentoxifylline had healed completely. Treatment with pentoxifylline was well tolerated with similar drop-out rates in all three treatment groups. Complete wound closure occurred at least 4 weeks earlier in the majority of patients treated with pentoxifylline by comparison to placebo. A higher dose of pentoxifylline (800 mg three times a day) was more effective than the lower dose. We conclude that pentoxifylline is effective in accelerating healing of leg ulcers.

  17. Dutch Venous Ulcer guideline update.

    Science.gov (United States)

    Maessen-Visch, M Birgitte; de Roos, Kees-Peter

    2014-05-01

    The revised guideline of 2013 is an update of the 2005 guideline "venous leg ulcer". In this special project four separate guidelines (venous leg ulcer, varicose veins, compression therapy and deep venous disorders) were revised and developed simultaneously. A meeting was held including representatives of any organisation involved in venous disease management including patient organizations and health insurance companies. Eighteen clinical questions where defined, and a new strategy was used to accelerate the process. This resulted in two new and two revised guidelines within one year. The guideline committee advises use of the C of the CEAP classification as well as the Venous Clinical Severity Score (VCSS) and a Quality of life (QoL) score in the assessment of clinical signs. These can provide insight into the burden of disease and the effects of treatment as experienced by the patient. A duplex ultrasound should be performed in every patient to establish the underlying aetiology and to evaluate the need for treatment (which is discussed in a separate guideline). The use of the TIME model for describing venous ulcers is recommended. There is no evidence for antiseptic or antibiotic wound care products except for a Cochrane review in which some evidence is presented for cadexomer iodine. Signs of infection are the main reason for the use of oral antibiotics. When the ulcer fails to heal the use of oral aspirin and pentoxifylline can be considered as an adjunct. For the individual patient, the following aspects should be considered: the appearance of the ulcer (amount of exudate) according to the TIME model, the influence of wound care products on moisturising the wound, frequency of changing compression bandages, pain and allergies. The cost of the dressings should also be considered. Education and training of patients t improves compliance with compression therapy but does not influence wound healing rates.

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

    Science.gov (United States)

    Schultz, N; Capion, N

    2013-11-01

    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 M0 to M4) were evaluated on days 3, 14 and 34 post-treatment. A change to M0 was defined as healing, while changes of M2 or M4 to M1 or M3 were classified as clinical improvements. Healing rates did not differ significantly between treatment groups at days 3 and 14. By day 34 the healing rate was fivefold better (P=0.01) for the treatment vs. the control group, with healing rates of 13.6% and 3.1%, respectively. By day 3, the rate of improvement was 2.5-fold better (P=0.02) for the controls. By day 34 the overall positive effect (i.e. healing and improvement) was 1.75-fold better (P=0.05) for the treatment group. Lesions from 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 (Psalicylic acid should be considered as an alternative to chlortetracycline for the treatment of DD as it appears more efficacious and would assist in reducing antibiotic use.

  19. The effectiveness of the haemodialysate Solcoseryl for second-intention wound healing in horses and ponies.

    Science.gov (United States)

    Wilmink, J M; Stolk, P W; van Weeren, P R; Barneveld, A

    2000-06-01

    Second-intention healing of limb wounds in horses is often problematic. Solcoseryl is a protein-free, standardized dialysate/ultrafiltrate (HD) derived from calf blood, which has been shown to improve healing in both animals and humans. The efficacy of HD in the healing of deep wounds in horses and ponies was investigated. Deep wounds of 20 by 35 mm were created on both metatarsi (skin, subcutis, periosteum) and on both femoral biceps muscles (skin, subcutis, muscle) of five horses and five ponies. The wounds on one side were treated with HD, four times a week during the period that the wounds were bandaged and once daily thereafter. The wounds on the other side were left untreated. In the first 4 weeks of the healing period HD stimulated healing but inhibited healing thereafter. This pattern was significant for all wound groups (P < 0.001). Because of this change in effect, the overall effect on wound healing over the entire period was not significant (P = 0.77). HD stimulated healing initially by provoking a greater initial inflammatory response, faster contraction and faster formation of granulation tissue. Subsequently, HD inhibited healing because it significantly delayed epithelialization and caused protracted inflammation. The effects of HD were most pronounced in the horses. Because this study distinguished between contraction and epithelialization, it could be shown that HD stimulated contraction but inhibited epithelialization. Therefore, HD is useful in horses for the treatment of deep wounds during the initial phase of healing by second intention, i.e. during the first weeks when wound contraction can be expected. Treatment should be ceased when epithelialization becomes predominant.

  20. Differential increases in blood flow velocity in the middle cerebral artery after tourniquet deflation during sevoflurane, isoflurane or propofol anaesthesia.

    Science.gov (United States)

    Kadoi, Y; Kawauchi, C H; Ide, M; Saito, S; Mizutani, A

    2009-07-01

    The purpose of this study was to examine the comparative effects of sevoflurane, isoflurane or propofol on cerebral blood flow velocity after tourniquet deflation during orthopaedic surgery. Thirty patients undergoing elective orthopaedic surgery were randomly divided into sevoflurane, isoflurane and propofol groups. Anaesthesia was maintained with sevoflurane, isoflurane or propofol infusion in 33% oxygen and 67% nitrous oxide, in whatever concentrations were necessary to keep bispectral index values between 45 and 50. Ventilatory rate or tidal volume was adjusted to target PaCO2 of 35 mmHg. A 2.0 MHz transcranial Doppler probe was attached to the patient's head at the temporal window and mean blood flow velocity in the middle cerebral artery was continuously measured. The extremity was exsanguinated with an Esmarch bandage and the pneumatic tourniquet was inflated to a pressure of 450 mmHg. Arterial blood pressure, heart rate, velocity in the middle cerebral artery and arterial blood gas analysis were measured every minute for 10 minutes after release of the tourniquet in all three groups. Velocity in the middle cerebral artery in the three groups increased for five minutes after tourniquet deflation. Because of the different cerebrovascular effects of the three agents, the degree of increase in flow velocity in the isoflurane group was greater than in the other two groups, the change in flow velocity in the propofol group being the lowest (at three minutes after deflation 40 +/- 7%, 32 +/- 6% and 28 +/- 10% in the isoflurane, sevoflurane and propofol groups respectively, P < 0.05).

  1. Differential effects of hyperventilation on cerebral blood flow velocity after tourniquet deflation during sevoflurane, isoflurane, or propofol anesthesia.

    Science.gov (United States)

    Hinohara, Hiroshi; Kadoi, Yuji; Ide, Masanobu; Kuroda, Masataka; Saito, Shigeru; Mizutani, Akio

    2010-08-01

    The purpose of this study was to compare the degree of increase in middle cerebral artery (MCA) blood flow velocity after tourniquet deflation when modulating hyperventilation during orthopedic surgery under sevoflurane, isoflurane, or propofol anesthesia. Twenty-four patients undergoing elective orthopedic surgery were randomly divided into sevoflurane, isoflurane, and propofol groups. Anesthesia was maintained with sevoflurane, isoflurane, or propofol administration with 33% oxygen and 67% nitrous oxide at anesthetic drug concentrations adequate to maintain bispectral values between 45 and 50. A 2.0-MHz transcranial Doppler probe was attached to the patient's head at the temporal window, and mean blood flow velocity in the MCA (V (mca)) was continuously measured. The extremity was exsanguinated with an Esmarch bandage, and the pneumatic tourniquet was inflated to a pressure of 450 mmHg. Arterial blood pressure, heart rate, V (mca) and arterial blood gases were measured every minute for 10 min after release of the tourniquet in all three groups. Immediately after tourniquet release, the patients' respiratory rates were increased to tightly maintain end-tidal carbon dioxide (PetCO(2)) at 35 mmHg. No change in partial pressure of carbon dioxide in arterial blood (PaCO(2)) was observed pre- and posttourniquet deflation in any of the three groups. Increase in V (mca) in the isoflurane group was greater than that in the other two groups after tourniquet deflation. In addition, during the study period, no difference in V (mca) after tourniquet deflation was observed between the propofol and sevoflurane groups. Hyperventilation could prevent an increase in V (mca) in the propofol and sevoflurane groups after tourniquet deflation. However, hyperventilation could not prevent an increase in V (mca) in the isoflurane group.

  2. 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.)

  3. [Alban Köhler (1874-1947): Inventor of grid therapy].

    Science.gov (United States)

    Laissue, Jean A; Blattmann, Hans; Slatkin, Daniel N

    2012-06-01

    Grid (or sieve) therapy ("Gitter-" oder "Siebtherapie"), spatially fractionated kilo- and megavolt X-ray therapy, was invented in 1909 by Alban Köhler, a radiologist in Wiesbaden, Germany. He tested it on several patients before 1913 using approximately 60-70kV Hittorf-Crookes tubes. Köhler pushed the X-ray tube's lead-shielded housing against a stiff grid of 1 mm-square iron wires woven 3.0-3.5mm 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 Köhler's concept since the early 1990s by unidirectional or stereotactic exposure to an array of nearly parallel microplanar (25-75μm-wide) beams of very intense, moderately hard (median energy approximately 100 keV) synchrotron-generated X rays spaced 0.1-0.4mm 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.

  4. 乳腺癌改良根治术后皮下积液的发生原因与防治%Seroma Formation after Modified Radical Mastectomy of Breast Cancer and its Prevention and Treatment

    Institute of Scientific and Technical Information of China (English)

    莫春连; 何沙; 卢永刚

    2012-01-01

    Objective To investigate the occurrence causes, prevention and treatment strategies of seroma after modified radical mastectomy of breast cancer. Methods 80 patients with breast cancer were treated by modified radical mastectomy. The underlying diseases were treated,and routine drainage was used in all patients. Results Of the 80 patients, 13 had subcutaneous fluid( 16.3% ). The patients were recovered within 2 weeks by repeated puncture tapping in 9 patients, adjusting the drainage tube in 2 patients,and re-placing the drainage tuber and compression bandaging treatment in 2 patients. Conclusion Comprehensive prevention and treatment measures can significantly reduce the incidence of seroma and improve the quality of life after modified radical mastectomy in patients with breast cancer.%目的 探讨乳腺癌改良根治术后皮下积液产生的原因及防治方法.方法 80例乳腺癌改良根治术患者经积极治疗基础疾病,注意手术技巧及合理的引流、护理,以预防皮下积液发生.结果 80例乳腺癌患者中13例发生皮下积液(16.3%),9例经反复穿刺抽液,2例经调整引流管位置,2例经重新置管、负压引流,加压包扎等治疗,2周内治愈.结论 采取综合预防和治疗措施明显降低了皮下积液的发生率,提高了患者的生活质量.

  5. 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.

  6. 颈椎松解手法结合醋热疗法治疗颈椎病疗效观察%Clinical Effect of Cervical Vertebra Solution Manipulation Combined with Vinegar Thermotherapy in Treatment of Cervical Spondylopathy

    Institute of Scientific and Technical Information of China (English)

    朱咏梅; 郭彦

    2012-01-01

    Objective To observe the clinical effect of cervical vertebra solution manipulation combined with vinegar thermotherapy in the treatment of cervical spondylopathy. Methods A total of 104 patients with cervical spondylopathy were divided into treatment group and control group based on comparability of sex, age, and course of disease. The treatment group received cervical vertebra solution manipulation combined with vinegar thermotherapy, and the control group received conventional occipital bandage traction. Each period of treatment was 10 d. The two groups were compared with respect to clinical effect.Results The overall response rate was higher in the treatment group than in the control group (100% vs 84. 6%, P<0. 05). Conclusion Cervical vertebra solution manipulation combined with vinegar thermo-therapy is effective in the treatment of cervical spondylopathy and causes no adverse effects, showing promise for broad use in clinical practice.%目的 观察颈椎松解手法结合醋热疗法治疗颈椎病的临床疗效.方法 将104例颈椎病患者按性别、年龄、病程相匹配的原则分为治疗组和对照组,治疗组以颈椎松解手法结合醋热疗法治疗,对照组采用常规枕带牵引法,10 d为1个疗程,治疗结束后比较两组疗效.结果 治疗组总有效率为100.0%,显著高于对照组(P<0.05 vs.84.6%).结论 颈椎松解手法结合醋热疗法治疗颈椎病的疗效显著,无不良反应,值得推广应用.

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

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    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

  8. [Johann van Beethoven (1776-1848)].

    Science.gov (United States)

    Eikermann, Erika

    2012-01-01

    The article about the life and achievements of the apothecary Johann van Beethoven, the younger brother of the composer Ludwig van Beethoven, depicts a vivid picture of life in the 18th, 19t century. Research on archived original documents in Bonn, Vienna and Linz on the Danube made it possible to reveal details about the relationship inside this famous family and describes the hurdles of life of a successful apothecary. In 1776 Johann van Beethoven was born as the fourth child of the Beethoven family, a family of Bonner musicians. In 1790 he began his apprenticeship to become an apothecary at the Bonner "Hofapotheke". Towards the end of 1795 he moved to join his older brothers Ludwig and Karl in Vienna. During his time there he worked as a "subject" in various Viennese pharmacies. However in 1808 he purchased the pharmacy "Zur Goldenen Krone" in Linz on the Danube. His new pharmacy flourished, supplying first the Napoleonic occupation troops, and later the Austrian Military with medicines and field dressing/bandage materials. When in 1812 he married his Housekeeper, his Brother Ludwig opposed harshly, on reasons of social status and on moral grounds. Four years later, in 1816 Johann sold the pharmacy in Linz and founded a new pharmacy in Urfahr, on the opposite bank of the Danube. In 1819 he became a squire (or landowner), when he purchased a manor estate in Gneixendorf, near Krems on the Danube. In spite of his numerous duties as an apothecary and squire, Johann was frequently resident in Vienna, supporting his brother both emotionally and pharmaceutically. At the end of his life Johann sold both his pharmacy and the Gneixendorf estate, and spent his last years as a private gentleman living a dazzling lifestyle in Vienna. He died on January 12th 1848 and was buried in Vienna's "Waldmüllerpark".

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

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    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.

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

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    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. [The birth of modern surgery].

    Science.gov (United States)

    Nordlander, Nils Brage

    2007-01-01

    In ancient India and Persia surgeons were highly respected and their operating skill with nose plastic and catatact couching is documented. In mediaeval Europe surgery was classified as a handicraft profession and belonged to the barbers guild with the soapcup as symbol, much inferior to the academic trained medical doctors. In war surgery leg amputation after shotwounds demanded great rapidity, since no anestetic but alcohol was available. In the 18th century surgeons becamea accepted as medical doctors e.g. John Hunter in London and OlofAcrel in Stockholm. A great step in the development of surgery was Mortons introduction of eter narcosis 1846. Now surgeons could work carefully without hurry. The next step took Joseph Lister. Born in 1827 he studied medicine in London and then qualified as surgeon at the famous James Syme's clinic in Edinburgh- In 1860 he became professor of surgery in Glasgow. His clinic like all others was afflicted with suppuration, septicemia, erysipelas and gangrene. He happened to read a thesis by Louis Pasteur, who proved that fermentation and putrefaction in wine production were caused by bacteria. Lister saw the similarity with wound suppuration. Carbolic acid was used in wood industri to prevent putrefaction and Lister now introduced this as a mean to cure or prevent suppuration and septicemia. He washed the wound and soaked the bandage with carbolic acid, which he also sprayed in the air of the operation theatre to prevent air carried infection. In 1867 he published his experiences in the Lancet: Out of 11 complicated fractures (where the bone-ends penetrated the skin) 9 healed without complications. Earlier such fractures ended with dead or amputation. The wards were now free from infected wounds. Abroad Listers findings were received with entusiasm, Ernst von Bergmann i Berlin modified the antiseptic method into a aseptic one and sterilized the room, the instruments and clothes and could so avoid the carbolic acid spray, which was

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

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    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

  13. [Fixation of a non-adjustable gastric band using an anterior gastric wall cuff (randomized study)].

    Science.gov (United States)

    Kasalický, M; Fried, M; Pesková, M; Bortlík, M; Votrubová, J

    2000-05-01

    , i.e. fixation of a non-adjustable GB by a cuff made from the anterior gastric wall can reduce the incidence of the complication of slippage of the anterior gastric wall proximally above the bandage.

  14. [Are complications of gastric banding decreased with cuff fixation?].

    Science.gov (United States)

    Kasalický, M; Fried, M; Pesková, M

    2002-01-01

    The gastric bandage is reliable method for long time control of weight loss in failed conservative cure of morbid obese patients. Since 1983 we have been concerned with bariatric surgery at the First Surgical Department of General Faculty Hospital of Charles University. 691 morbid obese patients (BMI 49.7 kg/m2, mean age of 38.1) underwent gastric banding (GB)--by laparotomy 58 obese patients and since 1993 by laparoscopy 633 obese patients. After 12 months the mean weight loss was 21.1 kg (14-32 kg) and after 24 month the mean weight loss was 38.7 kg (27-73 kg). In period of 1993-1998 the most frequent late complication in the group of 517 obese patients after laparoscopic nonadjustable gastric banding (LNGB) was in 5.1% dilatation of upper gastric pouch or slippage of anterior stomach wall above the band with vomiting and failure of gastric evacuation. In majority we removed GB laparoscopically. To prevent this complication we modified GB with fixing band with a cuff made from the anterior gastric wall. To test the effectiveness of this method we implemented in 1998-1999 a prospective randomized study. In the group of 80 morbid obese patients we created in 40 patients (n1-GB+C) LNGB with the cuff fixation and in 40 patients (n2-GB-C) without fixation. We followed-up of this patients after LNGB was in 6 weeks, 6 months and 12 months with measurement of pouch volume by endoscopy with calibrate endocannula. One year after GB in the group n1-GB+C the mean increase of the pouch volume was 14.6 ml, i.e. 124% of the original size, while in group n2-GB-C the mean increase of the pouch volume was 33.6 ml, i.e. 154.1% of the original size. The slippage or dilatation of the pouch was in group nl in one case while in group n2 in three cases (p < 0.001).

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

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    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

  16. 汗腺剥脱时保护浅层毛囊对腋臭术后皮片坏死的影响%Effect of removing apocrine glands with protecting superficial hair follicle on skin graft anabrosis after osmidrosis surgery

    Institute of Scientific and Technical Information of China (English)

    赵李平; 袁芳; 杜晓扬; 谢远亮; 张倩倩; 张秋生

    2012-01-01

    To investigate the effect of removing apocrine glands while protecting superficial hair follicle in the precaution of skin graft anabrosis after osmidrosis surgery. Methods One or two 2 ~ 3 cm skin incisions were made along skin fold in the central region of axillary space according to the range of axillary hair, subdermal sectioning was performed in the axillary hair area and 1 cm outside, after removing apocrine glands while protecting superficial hair follicle, the subdermal vascular plexus was remained, the incision was closed with interrupted suture , drainage piece was placed, appropriate pressure dressing with elastic bandage was given to each axilla. Results Of the 51 cases,all the incisions in 102 sides healed primarily, no anabrosis in skin graft happened and no obvious scars were observed for six months to one year followed up. Conclusion Removing apocrine glands while protecting superficial hair follicle is effective in reducing anabrosis in skin graft.%目的 探讨汗腺剥脱的同时注意保护浅层毛囊对预防腋臭术后皮片坏死的效果.方法 根据腋毛区范围大小,在腋窝中部顺皮肤皱襞分别设计1~2条长2~3 cm的切口,皮下分离腋毛区及区外1 cm区域,去除汗腺,尽量保护浅层毛囊,保留真皮下血管网,切口间断缝合,皮片引流,弹性绷带适当加压包扎.结果 本组共51 例102 侧,术后切口均一期愈合,未发现切缘糜烂及皮片坏死,随访0.5~1年,瘢痕不明显.结论 汗腺剥脱的同时注意保护浅层毛囊可有效预防腋臭术后皮片坏死,提高手术效果.

  17. Observation on the Therapeutic Effect of External Application of Detumescence Ointment on Early Local Swollen Ankle Sprains%观察消肿膏外敷对早期踝关节扭伤局部肿胀的疗效

    Institute of Scientific and Technical Information of China (English)

    史志良

    2016-01-01

    Objective To observe the therapeutic effect of external application of swelling paste on early ankle swelling.Methods A total of 80 patients with local swelling of ankle joint were treated in our hospital,and the patients were randomly divided into groups. Control group of 40 patients with ice treatment. Observation group (40 cases) to detumescence ointment in the treatment of and U type resin bandage for external fixation support,compared two groups of patients with clinical curative effect.ResultsThe total effective rate of the observation group and the control group were 95% and 75%,there were significant differences between the two groups(P<0.05). Conclusion The external application of swelling cream has a better effect on early ankle sprain swelling,ice treatment is better than the traditional treatment.%目的:观察消肿膏外敷对早期踝关节扭伤局部肿胀的治疗效果。方法选取我院收治的早期踝关节扭伤局部肿胀患者共80例,随机分组处理。对照组40例进行冰敷治疗;观察组40例以消肿膏外敷治疗,且以U型树脂绷带进行托外固定,比较两组患者的临床疗效。结果观察组与对照组患者的治疗总有效率分别为95%及75%,组间比较差异有统计学意义(P<0.05)。结论消肿膏外敷对早期踝关节扭伤局部肿胀具有较好的效果,优于传统的冰敷治疗。

  18. 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

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

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    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

  20. 军队医院文职护士灾难救援能力的现状%Investigation on the Current Status of Disaster Rescue Ability of Non-active Civilian Nurses in Military Hospital

    Institute of Scientific and Technical Information of China (English)

    乔安花; 卢根娣

    2014-01-01

    Objective To investigate the disaster rescue ability of the non-active civilian nurses in military hospitals,and so as to provide scientific evidence for the disaster rescue training.Methods 35 non-active ci-vilian nurses were enrolled by using convenience sampling method from two military hospitals,and investi-gated by self-designed questionnaire.Results The non-active civilian nurses had the strong will to perform the disaster rescue mission,and they had a good master for the disaster rescue knowledge such as the con-cept,the five first aids skills include cardiopulmonary resuscitation skills,hemostatic skills,bandaging skills,fixing and transport skills.But they had a poor master for nuclear-biological-chemical medical knowledge,outdoor survival skills training and inj ury assessment.Conclusion There is an urgent need for improving the disaster rescue ability of the non-active civilian nurses,and the military medical knowledge and outdoor survival skills should be strengthened in military training.%目的:了解某军队医院文职护士的灾难救援能力现状,为文职护士灾难救援能力培训提供科学依据。方法采用自行设计的军队文职护士灾难救援能力现状调查表,通过方便抽样对某军队2所三甲医院35名文职护士进行调查。结果军队文职护士执行灾难救援任务意愿较强,在灾难护理知识掌握上,对灾难护理概念、五大急救技术(即心肺复苏、止血、包扎、固定和转运)掌握较好,但是对三防医学救援知识、野外生存技能和伤情评估相关知识掌握欠佳。结论军队医院文职护士的灾难救护能力亟需全面提高,在平时战备训练中尤其应加强军事医学知识和野外生存能力的训练,以适应各种灾难救援的需要。

  1. Diagnosis and treatment outcome of mycotic keratitis at a tertiary eye care center in eastern india

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    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

  2. 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

  3. 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

  4. Diseases of the pinna.

    Science.gov (United States)

    Angarano, D W

    1988-07-01

    Many diseases can affect the pinna of the dog and cat. These diseases represent most categories of cutaneous disease, from infectious to neoplastic. Although some diseases affect primarily the pinna, most pinnal dermatoses occur in conjunction with other integumentary disorders. One should approach the diagnostic work-up of pinnal disease in an organized manner, obtaining first a thorough history and physical examination. A systematic approach is required in the diagnostic evaluation in order to arrive at a tentative or definitive diagnosis. Skin scrapings, cytologic examination, and culture for dermatophytes provide the minimum database. A variety of diagnostic tests, including hematology, serum biochemical profiles, urinalysis, serology, intradermal skin testing, hypoallergenic diet trials, histopathology, and direct immunofluorescence, may be necessary in some cases before a definitive diagnosis is reached. The ears are somewhat difficult to biopsy, although in many instances histopathologic examination is essential to the diagnosis. In this author's opinion, it is preferable to use a no. 15 scalpel blade rather than a punch biopsy when obtaining a pinnal biopsy. This allows the veterinarian to obtain an elliptical or wedge biopsy, which can frequently be sutured. In some instances, biopsies are required from the ear margin and a full ear thickness biopsy is obtained. Sutures may not hold in this situation, and cautery may be necessary for hemostasis. As in other situations in which the ear is bleeding (aural hematomas, vasculitis, fly bite dermatitis, and so on), bandaging and immobilization of the ear may be necessary to prevent further trauma. Although symptomatic therapy is sometimes helpful when treating pinnal diseases, a definitive diagnosis is preferred. This is especially important following the second or third presentation of an animal for ear disease. Although ear diseases are frequently viewed as a nuisance rather than a serious condition, anyone who

  5. 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

  6. EFFICACY OF 0.2% ROPIVACAINE AND 0.5% LIGNOCAINE FOR BIER’S BLOCK IN UPPER LIMB SURGERIES

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    Gilakala Varaha

    2015-03-01

    Full Text Available BACKGROUND: Intra Venous Regional Anesthesia (IVRA is technically straight forward and doesn’t require specific anatomical knowledge. The potential use of a local anesthetic that could provide anesthesia of greater duration than lido caine with less toxicity than bupivacaine prompted the need for comparison of ropivacaine and lidocaine for IVRA in healthy volunteers and thus the need for the study. A 0.2% solution is to be used because it is the commercially available concentration of ropivacaine for IVRA. Aim of the study was to study and compare the efficacy of 0.5% lignocaine and 0.2% ropivacaine in Intra venous regional analgesia. METHODS: 60 Patients being electively operated on upper limb, below elbow were enrolled into the study. Patients were divided into two groups. Group L - 30 patients were to receive 40ml of 0.5% Lignocaine and Group R - 30 pati ents were to receive 40ml of 0. 2% Ropivacaine. Double tourniquets set up was connected to pneumatic pump with pressure gauge placed over it. The proximal cuff was inflated to 100mm Hg higher than the systolic BP and the bandage was removed. Onset of action of the anaesthetic, intensity of motor blockade, intensity of analgesia, duration of analgesia and complications arising were noted. RESULTS: Onset of analgesia was immediate with Lignocaine (3 - 5 minutes whereas it took 7 - 10 minutes in patients given Ropivacaine. The quality of analge sia with regards to VAS was better in patients receiving Ropivacaine than those who received Lignocaine. Degree of motor block was grade 0 in 86% patients in Ropivacaine group as compared to 76% in patients of Lignocaine group. Duration of post - operative a nalgesia was found to be in the range of 3 - 8 minutes with Ropivacaine group whereas duration with Lignocaine was found to be dependent on the time of tourniquet release. Pain reappeared almost immediately in the Lignocaine group compared to the Ropivacaine group. No side - effects or complications

  7. Reconstrução de ponte nasal com tela de titânio após exérese tumoral em um cão Nasal bridge reconstruction with titanium mesh after tumor excision in a dog

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    Renan Marcel Krüger

    2011-03-01

    Full Text Available O presente trabalho relata o uso de tela de titânio como alternativa para reconstrução do defeito ósseo criado pela ressecção agressiva de carcinoma de células escamosas da ponte nasal em cão. Após o tratamento quimioterápico com 5-fluorouracil tópico e sistêmico associado à piroxicam para a redução da massa tumoral, foi realizada a ressecção cirúrgica da região comprometida e reparo do defeito ósseo com tela de titânio e posterior recobrimento com retalho músculo-cutâneo unipediculado de avanço. A principal complicação no período pós-operatório foi a formação de enfisema subcutâneo, controlado em três dias com drenagem do ar e aplicação de bandagens compressivas. O animal permaneceu sem sinais de recidiva por oito meses. No décimo mês pós-operatório, o paciente apresentou miíase no local da recidiva e a proprietária optou pela eutanásia. Com esse caso, foi possível concluir que a tela de titânio foi um material adequado para a reconstrução da ponte nasal, tendo como principal complicação a ocorrência de enfisema subcutâneo.This paper describes the use of titanium mesh as an alternative for reconstruction of bone defect created by resection of aggressive squamous cell carcinoma of the nasal bridge in a dog. After chemotherapy with topic and systemic 5-fluorouracil associated with piroxicam for the tumor mass reduction, it was performed a surgical resection of the affected region, repair of bone defects with titanium mesh and subsequent closing of the wound with musculocutaneous single pedicle advancement flap. The main complication in the postoperative period was the formation of subcutaneous emphysema, which was controlled in three days with air drainage and application of compression bandages. The animal remained without signs of recurrence for eight months. In the tenth month postoperatively, the patient presented myiasis in local recurrence and the owner opted for euthanasia. In this case, it

  8. 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.

  9. 改良"S"切口联合颈阔肌及腮腺嚼肌筋膜在腮腺良性肿瘤切除术中的应用%Improved "s" incision and sternocleidomastoid in parotidectomy for benign parotid tumors

    Institute of Scientific and Technical Information of China (English)

    胡国勤; 郑文雯; 谢金; 徐明安

    2012-01-01

    Objective To evaluate the improved "S" incision and parotid fascia with stemocleidomastoid muscle in parotid benign tumor resection. Methods All 56 patients with benign parotid gland tumors were chosen and underwent the improved "S" cuts. The parotid fascia was retained. After the removal of benign tumor of parotid gland and a part of the parotid gland tissue around, parotid fascia was used with stemocleidomastoid muscle to repair tissue defect in depression and was tightly stitched according to the sunken degree caused by tumor resection. Results The parotid tumors were removed in all cases, which were followed - up for 6-36 months. One case found subcutaneous salivary fluid, which was successfully treated by drainage and pressurized bandaging for 2 weeks, while the remaining 55 cases were of good appearance with no facial depression deformity, no fistula of salivary glands, facial paralysis or Frey's syndrome. Conclusion In parotid benign tumor resection, the improved "S" incision and parotid fascia with stemocleidomastoid muscle can effectively reduce trauma and postoperative deformity, which has the advantage of quick recovery, fewer complications, and the improvement of patients 'quality of life.%目的 探讨改良"S"切口联合颈阔肌及腮腺嚼肌筋膜在腮腺良性肿瘤切除术中的应用.方法 选择56例良性腮腺肿瘤患者,采用改良"S"切口,保留完整的腮腺嚼肌筋膜,切除腮腺良性肿瘤及部分腮腺组织后,依局部凹陷畸形程度,以颈阔肌连带肌膜及前上方的腮腺嚼肌筋膜旋转修复组织缺损凹陷,并且严密缝合.结果 所有患者肿瘤均完整切除,均获随访 6~36个月,1例术后积涎,抽液加压包扎2周后痊愈,其余55例外形良好,面部无凹陷畸形,无涎瘘、面瘫及味觉出汗征象.结论 在腮腺良性肿瘤切除术中,改良"S"切口联合颈阔肌及腮腺嚼肌筋膜修复技术,有效地减少创伤,减轻术后畸形,恢复快,并发症少,提高了患者的生活质量.

  10. homologous pericardium as a biological dressing for treatment of distal limb wounds in horses: an Experimental study

    Directory of Open Access Journals (Sweden)

    Maria Célia Ramos Bellenzani

    1998-10-01

    Full Text Available Este trabalho avalia o efeito do pericárdio homólogo como curativo biológico no tratamento de feridas cutâneas na região distal dos membros em eqüinos. Cinco animais foram operados sob anestesia geral, criando-se uma ferida circular em cada metacarpo. A ferida do membro esquerdo recebeu aplicação de um curativo sintético semi-oclusivo e a ferida contralateral foi coberta com um fragmento de pericárdio conservado em glicerina a 98%, fixado às margens da ferida com cianoacrilato. As trocas de curativo e coleta de dados foram realizadas a cada 72 horas, até o descolamento espontâneo do pericárdio. Avaliou-se as características do tecido de granulação, o comportamento do pericárdio e a variação de área das feridas, determinada por análise computadorizada de imagens. Realizou-se estudo anátomo-patológico e análise estatística não-paramétrica. Observou-se efeito benéfico do pericárdio sobre o tecido de granulação, porém concluiu-se que a oclusão permanente é inadequada para tratamento de feridas exsudativas.This study evaluates the effects of homologous pericardium as a biological dressing for treatment of distal limb wounds in horses. Five adult horses were put under general anesthesia and a circular wound was created over each metacarpus. The left limb wound was covered with a synthetic semi-occlusive dressing and the right limb wound was covered with pericardium stored in 98% glycerin. Fixation of the membrane to the wound margins was done with cyanoacrilate glue. Bandage changes and data collection were carried out every 72 hours, until spontaneous detachment of the pericardium occurred. Data evaluated were the aspect of the granulation tissue, the behaviour of the membrane and the wound area variation, assessed under digital image analysis. Anatomo-pathological study and non-parametric statistical analysis were also performed. Pericardium had a positive effect on the granulation tissue, but permanent occlusion

  11. Effect Analysis for the Treatment of 46 Cases of Phase Ⅳ Pressure Sores by Burns Wounds and Ulcers Regenerative Medicine and Therapy%烧伤创疡再生医学与疗法治疗46例Ⅳ期压疮疗效分析

    Institute of Scientific and Technical Information of China (English)

    王洪生; 徐礼笑子; 李碧锦; 杨毅; 陈铮; 李民

    2014-01-01

    目的:探索Ⅳ期压疮的有效治疗方法。方法46例Ⅳ期压疮患者在全身综合治疗的基础上全程采用烧伤创疡再生医学与疗法治疗创面,在彻底清除创面坏死组织后,用湿润烧伤膏药纱包扎治疗,每日换药1次,直至创面愈合,观察创面愈合效果。结果46例Ⅳ期压疮创面全部自行愈合,愈合时间最短30余天,最长150余天,平均愈合时间为(68�26±34�62) d;随访6~12个月,均未出现增生性瘢痕。结论烧伤创疡再生医学与疗法治疗Ⅳ期压疮疗效显著,在防治感染、缓解疼痛的同时,供给创面再生所需的营养物质,以促进创面愈合、减少瘢痕增生,值得临床推广应用。%Objective To explore effective treatment methods for pressure sores of phase Ⅳ. Method All 46 cases of patients with phase Ⅳ pressure sores were treated in the whole course with burns wounds and ulcers regenerative medicine and therapy on the basis of systemic comprehensive treatment. After thorough clean⁃up of necrotic tissues at wounds, MEBO gauze was bandaged once a day until the wounds healed and the healing effect was observed. Results All 46 cases healed automatically, with the shortest healing time of 30 days or soand the longest 150 days, averagely 68�26 ± 34�62 d;no hypertrophic scar was observed in 6 to 12 monthsfollow⁃up visit. Conclusion The effect of treating phaseⅣpressure sores with burns wounds and ulcers regenerative medicine and therapy issignificant. While alleviating and preven⁃ting infections and pains, regeneration requirednutrition substances are provided to wounds to promote wound healing and re⁃duce hypertrophic scar. This therapy is worth being promoted clinically.

  12. 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

  13. 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。

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

    Directory of Open Access Journals (Sweden)

    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

  15. Cola terapêutica de cianoacrilato nas perfurações corneanas Therapeutic cyanoacrylate glue for corneal perforations

    Directory of Open Access Journals (Sweden)

    Cristina Garrido

    1999-12-01

    Full Text Available Objetivo: Avaliar indicações, evolução e complicações do uso do adesivo de cianoacrilato no tratamento dos afinamentos e perfurações corneanas. Material e Métodos: Vinte e seis olhos de 26 pacientes portadores de afinamento ou perfuração corneana (£ 2,5 mm de diâmetro receberam adesivo tecidual à base de metil 2-cianoacrilato e, a seguir, lente de contato terapêutica hidrofílica sobre a área colada. Resultados: Entre as indicações para aplicação do adesivo de cianoacrilato, detectaram-se 12 (46% casos de perfuração corneana causada por úlcera de córnea infecciosa. Dos 26 olhos que receberam adesivo, 15 (57,7% necessitaram de uma única aplicação e 11 (42,3% de duas aplicações. Houve evolução para leucoma corneano após desprendimento da cola em 13 (50% olhos; necessidade de intervenção cirúrgica em 4 (15% e permanência da cola em 9 (35%. A acuidade visual manteve-se inalterada em 15 (57,7% olhos, melhorou em 7 (27% e diminuiu em 4 (15,3%. Conclusões: O adesivo de cianoacrilato pode ser usado com sucesso no tratamento imediato dos afinamentos e perfurações corneanas, prorrogando ou até mesmo dispensando um futuro procedimento cirúrgico.Purpose: To investigate the indications, outcomes and complications of cyanoacrylate tissue adhesive for stromal thinning and corneal perforations. Methods: Twenty-six eyes of 26 patients with stromal thinning or corneal perforations (£ 2.5 mm received methyl 2-cya-noacrylate adhesive and bandage contact lens. Results: Twelve cases (46% of corneal perforation were caused by infectious ulcer. For the 26 eyes that received adhesive, 15 (57.7% needed only one application of the glue and 11 (42.3% needed two applications. Thirteen eyes (50% developed for leukoma; 4 (15% needed surgery and 9 (35% eyes remained sealed. Visual acuity remained unaltered in 15 eyes (57.7%, improved in 7 (27% and got worse in 4 (15.3% eyes. Conclusion: The cyanoacrylate adhesive is available to all

  16. Lao zi's Ideology and the Localization of Psychological Counseling%老子思想与心理咨询的本土化

    Institute of Scientific and Technical Information of China (English)

    王志峰

    2012-01-01

    老子思想广博深邃,蕴涵着极为丰富的心理咨询和治疗理念,其"虚无"思想、"无为"思想、"不争"思想对心理咨询的本土化具有重要的启示作用。"虚无"思想表明心灵若处于空明寂寥的状态,则可以接受和拥抱一切感受和体验。咨询师只有虚化于己才能将来访者涵容于心中而无所障碍,来访者只有打破心灵的窠臼才能处于自性任然的状态。"无为"思想传达出轻柔的干预则会达致"无为而无不为"的效果。咨询师只有不去人为干预生命的自我发展进程,才能引导来访者进入自我洞见和知晓。"不争"思想暗示咨询师只有"不居功",来访者才会"是以不去"。当来访者的真知灼见浮现之时,即为咨询师功遂身退之时。%Lao zi's ideology is comprehensive and profound which implies rich concepts of psychological counseling and therapy. The " nihility", " inactivity" and " not striving" thought have significant implications for the localization of psychological counseling. " Nihility" means pure heart can embrace all feelings and experiences. Consultants who are pure in heart can understand visitors without obstacles; visitors who break free of bandage in heart can be in the original nature. " Inactivity" conveys the idea that gentle intervention will achieve the effect of " doing nothing but doing everything". Consultants cannot make deliberate intervention with the life self--development in order to guide visitors into the self--insight and awareness. " Not striving" hints that if consultants " do not claim credit", visitors will " not to go". When visitors" profound insights emerge, consultants retreat.

  17. Augmentative phalloplasty.

    Science.gov (United States)

    Panfilov, Dimitrije E

    2006-01-01

    Until 20 years ago, penis size (either nonerected or erected) was not mentioned, discussed, or defined even in serious books of human anatomy. The need of some men to enlarge and elongate their penile size is equivalent to the need of some women to ask for breast augmentation. The same method of transferring autologous fat into other parts of the body can be used in male patients for augmentative phalloplasty. The circumference of the penis increases 2 to 3 cm, and before of a heavier penis, the length increases 1 to 2 cm. If more lengthening is desired, subtotal dissection of the ligament fundiforme penis below the symphysis could be done, pull the corpus cavernosus out, and fix the tunica albuginea at the periost. At the root of the phallus, the skin can be elongated by V-Y-plasty, and the scrotal skin can be released by 1 or 2 Z-plasties. Combining both autologous fat transfer and ligament release allows for penis elongation of 3 to 5 cm. The authors have performed augentative phalloplasty on 88 patients since 1996. They have transplanted 40 to 68 ml of pure fat. Of the 88 patients, 57 underwent autologous fat transfer only, and 31 received additional ligament release. Penis length increased 1.5 to 4.8 cm (average, 2.42 cm), and circumference increased 1.4 to 4.0 cm (average, 2.65 cm). The initial penis lengths were 6.5 to 10.0 cm (average, 8.72 cm), and the circumference were 8.0 to 10.1 cm (average, 9.18 cm) not erected. This article details a simple operative procedure to enlarge the penis and simple postoperative bandages. Patients are advised to obstain from sexual activity for 5 weeks after the surgery. Two patients who disregarded this advice had an unsatisfactory result. In one patient too, much of the grafted fat had to be removed from the preputium. No other serious complications were observed.

  18. A Comparative Study on The Peony Pavilion and Romeo and Juliet from the Aspect of Chinese and Western Cultures%中西文化互观下的《牡丹亭》与《罗密欧与朱丽叶》

    Institute of Scientific and Technical Information of China (English)

    李丹

    2014-01-01

    Tang Xianzu ,the writer of The Peony Pavilion ,and Shakespeare of Romeo and Juliet both lived in the later half of the 16th century enjoying fame as great playwright similarly in the Orient and the West .There is hardly any connection between the creation of the two great works ,however ,they surpris-ingly share some sparkling ideas .Du Liniang and Juliet are almost the same in their pursuit of ideal love , rebellion against restriction and bandage as well as seeking of spiritual liberation and freedom .In this es-say ,a comparative study is made on the two works from the perspectives of cultural differences between the Orient and the West and a deep and through analysis is presented .%《牡丹亭》的创作者汤显祖与《罗密欧与茱丽叶》的作者莎士比亚共处于16世纪后期,也是这个时期分别在东西方享有盛誉的戏剧文学艺术家。在两人的这两部文学成就的制作上虽然不存在任何的关联,却不约而同地在某些闪光点上存在着一种相似的思想。朱丽叶和杜丽娘这两人在追求理想的爱情、反对束缚和枷锁、寻求思想解放和自由等方面而言,几乎是如出一辙。因此,作为文学的研究者之一,笔者将从中西文化的差异方面着手对两部著作进行比较,并进行深入的分析和探讨。

  19. 改良微小切口腋臭根治术%Improved radical treatment for bromidrosis with a tiny incision

    Institute of Scientific and Technical Information of China (English)

    王自谦; 石成方; 常冬青; 谷廷敏

    2012-01-01

    Objective To present a improved radical treatment for bromidrosis with a tiny incision. Methods To observe clinical efficiency of 82 bromidrosis patients from Feb 2010 to Jun 2011. Under tumescent anaesthesia.one tiny incisions about 1.0cm in armpit creases were perfomed.Then segregated between corium and adipose layer to border of the designed region.trim the skin flap to Thick skin grafts thickness.AII patients were followed for six months to two years.Results Among the 82 patients of this group,81 patients had primary healing and 1 case of smell residue,and cured after revision surgery. 1 case of subcutaneous extravasated blood,was cured by compression bandaging after ruling out the blood.AII patients healed cosmetically with scar concealed.Conclusion The surgery technique designed in this trial is a safe and facile treatment of bromidros.Therefore, it should be extensively used in clinic.%目的:介绍一种改良微小切口腋臭根治术.方法:对2010年2月~ 2011年6月我科门诊腋臭患者82例,在肿胀麻醉下沿腋窝皱襞作一1.0cm微小切口,盲视下钝性分离皮瓣至设计范围,修剪皮瓣至中厚皮片厚度,随访患者6~ 24个月.结果:81例患者腋臭完全消失,异味残留1例,再次行此术后治愈;术后发生皮下瘀血1例,排除淤血后加压包扎,愈合良好.所有患者术后瘢痕隐蔽,外形美观.结论:本术式是一种微创、简便、安全、疗效确切的腋臭根治技术,值得临床推广应用.

  20. 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

  1. 脑血管造影1 112例并发症分析%Analysis on 1 112 cases of complications of cerebral angiography and its preventive measures

    Institute of Scientific and Technical Information of China (English)

    王国芳; 朱青峰; 周志国

    2011-01-01

    Objective To study the complications of cerebral angiography and control measures to improve the clinical effects of the endovascular treatment. Methods From June 2006 to December 2009, 1 112 cases of cerebral angiography were retrospectively analyzed; the complications and its prevention and treatment were studied. Results Among 1 112 cases of cerebral angiography,there were 57 cases with a local tension because of pressure bandage blisters, 32 cases with an hematoma in the puncture site, 28 cases with incarcerated of guide wire, sheath into the perivascular space in 21 cases, 7 cases of arterial dissection, cerebral embolism 2 cases, 1 case of cortical blindness, no patients with pseudoaneurysm and arteriovenous fistulas. Conclusion Cerebral angiography is an important means of diagnosis and treatment in nerve system, as long as careful operation, close observation, careful nursing, serious complications will not occur, and can minimize the general complications, as providing a powerful guarantee neural intervention.%目的 探讨脑血管造影的并发症及其防治措施.方法 将2006年6月-2009年12月在我科住院行全脑血管造影的1 112例脑血管造影患者临床资料进行回顾性分析,重点分析其并发症,及其防治的临床措施.结果 1 112例脑血管造影患者中,因加压包扎导致局部张力性水疱57例,穿刺部位血肿32例,导丝嵌顿28例,鞘管进入血管周围间隙21例,动脉夹层7例,脑栓塞2例,一过性认知功能障碍2例,皮质盲1例.结论 脑血管造影是神经介入诊疗的一个重要手段,只要仔细操作,术后严密观察,仔细护理,一般不会发生严重并发症.

  2. Expression changes and roles of matrix metalloproteinases in a rat model of traumatic deep vein thrombosis

    Institute of Scientific and Technical Information of China (English)

    ZHANG Yu-bing; LI Wen; YAO Li-qing; ZHAO Xue-ling; WANG Bing; LI Hong-kun; NING Ya; SONG En; ZHANG Xin-xin

    2010-01-01

    Objective:To study the expression changes of matrix metal loproteinases (MMPs) in traumatic deep vein thrombosis (TDVT) in a rat model with the aid of gene chip technology and to explore the roles of MMPs in TDVT.Methods:Totally 150 Sprague Dawley rats were randomly divided into control group (n=10) and model group (n=140). Rat models of TDVT were established by clamping the femoral vein and fixing the bilateral hind limbs. Then fixation of the hip spica with plaster bandage was conducted.According to the observation phases and/or biological situations of the femoral vein thrombosis, the model rats were further divided into 7 groups. Vascular tissues were obtained from each group through noninvasive incision into the femoral vein at corresponding time points. We adopted the Trizoi one-step method for total RNA extraction,Affymetrix RAT 230 2.0 array for detection of RNA expressions and fold change (FC) analysis for changes of differential expressions of MMPs in each group. The main outcome parameters measured included expressions of MMP-2,MMP-3, MMP-7, MMP-8, MMP-9, MMP-10, MMP-11,MMP- 12, MMP-13, MMP- 14, MMP- 16, MMP-23 and MMP-24. Gene array data of these MMPs were analyzed by the Affymetrix Microarray Analysis software (Version 5.0).Results:FC analysis showed differential expressions of MMPs in each group during the course of TDVT. At the initial period of thrombosis, MMP-2, MMP-3, MMP-7,MMP-8, MMP-9, MMP- 10, MMP-11, and MMP-24 had significantly high expression, while MMP-12, MMP-13,MMP-14, MMP-16 and MMP-23 had relatively low expression. MMPs were all highly expressed at the peak time of thrombosis. In the process of thrombus resolution,MMP-2, MMP-10, MMP-16 and MMP-24 have relatively low expression, while MMP-12, MMP-13, MMP-14,MMP-16 and MMP-23 have significantly high expression.Conclusion:MMPs may affect the process of TDVT through transcription regulation of the fibrinolysis-anti-fibrinolytic system during the course of thrombosis and thrombus resolution.

  3. 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

  4. Bandagem ajustável do tronco pulmonar: comparação de dois métodos de hipertrofia aguda do ventrículo subpulmonar Adjustable pulmonary trunk banding: comparison of two methods of acute subpulmonary ventricle hypertrophy

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    Renato Samy Assad

    2006-12-01

    difference in RV myocardial water content between the study groups and the Control Group. CONCLUSIONS: Adjustable pulmonary artery bandages permit rapid RV hypertrophy in both groups. Nevertheless, it is more efficient in the Intermittent Group. This study suggests that preparation of the pulmonary ventricle with intermittent systolic overload might provide better results for the 2-stage arterial switch operation.

  5. A comparative study to evaluate the effect of honey dressing and silver sulfadiazene dressing on wound healing in burn patients

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    Baghel P

    2009-01-01

    Full Text Available To compare the effect of honey dressing and silver-sulfadiazene (SSD dressing on wound healing in burn patients. Patients (n=78 of both sexes, with age group between 10 and 50 years and with first and second degree of burn of less than 50% of TBSA (Total body surface area were included in the study, over a period of 2 years (2006-08. After stabilization, patients were randomly attributed into two groups: ′honey group′ and ′SSD group′. Time elapsed since burn was recorded. After washing with normal saline, undiluted pure honey was applied over the wounds of patients in the honey group (n=37 and SSD cream over the wounds of patients in SSD group (n=41, everyday. Wound was dressed with sterile gauze, cotton pads and bandaged. Status of the wound was assessed every third and seventh day and on the day of completion of study. Patients were followed up every fortnight till epithelialization. The bacteriological examination of the wound was done every seventh day. The mean age for case (honey group and control (SSD group was 34.5 years and 28.5 years, respectively. Wound swab culture was positive in 29 out of 36 patients who came within 8 hours of burn and in all patients who came after 24 hours. The average duration of healing in patients treated with honey and SSD dressing at any time of admission was 18.16 and 32.68 days, respectively. Wound of all those patients (100% who reported within 1 hour became sterile with honey dressing in less than 7 days while none with SSD. All of the wounds became sterile in less than 21 days with honey, while tthis was so in only 36.5% with SSD treated wounds. The honey group included 33 patients reported within 24 hour of injury, and 26 out of them had complete outcome at 2 months of follow-up, while numbers for the SSD group were 32 and 12. Complete outcome for any admission point of time after 2 months was noted in 81% and 37% of patients in the honey group and the SSD group. Honey dressing improves wound

  6. 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

  7. Fixação de enxerto cutâneo em malha de espessura total com sutura ou cola de fibrina Fixation of full-thickness mesh skin using suture or fibrin glue

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    M.S.P. Amaral

    2004-06-01

    -thickness skin grafts were harvested from thoracic area, and meshed with a commercial mesh dermatome. The graft was secured to the recipient bed using several simple interrupted sutures on the right forelimb. On the left forelimb fibrin glue and eight simple interrupted sutures were used. The bed was closed using bipedicle advancement flap. The non-adherent occlusive bandage and neomycin-bacitracin ointment were used on receptor bed. The bandage was changed every day until the seventh day postoperative and every three days afterwards. The graft survival area was obtained by subtraction of total and nonviable areas measured with a Nikon Photomicroscope connected to a KS-300 image analysis system at 3, 7, 15 and 30 days postsurgically. For microscopic evaluation, the skin graft, recipient bed and adjacent surrounding skin were collected at 7, 15 and 30 days postsurgery. No statistical difference was detected for the viable graft area, in each evaluation moment and between fixation methods. However, based on microscopic evaluation, fibrin glue enhanced the tissue repair process in all evaluation moments. It was possible to conclude that fibrin glue derived from snake venom has moderate adhesive capacity, and, based on microscopic examination, improves the integration of full-thickness mesh skin grafts.

  8. Regional emergencies, Bam, Kerman province, Iran Foreign Bodies from the Palm Tree

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    Setareh Asgarzadeh

    2015-02-01

    Full Text Available  One of the most common causes of emergency department (ED visits in Pasteur Hospital, Bam, Iran, is a foreign body from palm tree fronds entering different parts of body. This town is located in southeast Iran and has many palm tree orchards. Most of its residents are farmers or orchardists and many children play in these orchards. When palm harvest season approaches (about the end of summer, a considerable number of patients are presented to emergency department of this town with complaint of foreign bodies. These foreign bodies called “date thorns” among the locals (figure1 are wooden and can easily penetrate various body parts due to their needle-like, pointy shape. Some patients manipulate the foreign bodies before going to the ED and cause it to move deeper. Another group, delay going to the hospital and only reach ED a few days after the initiation of inflammation, redness, and evidence of infection. History and physical examination aid in finding the place of the foreign body, but sometimes they are not perceptible and diagnostic imaging is needed. Radiolucent objects such as wood cannot be detected in graphy but are visible in sonograms (1, 2. Removal of these bodies is usually performed under sterile conditions, using local anesthesia or regional nerve blockade, by making an incision and searching the region, finding and removing the foreign body, and finally suturing and bandaging. The procedure gets more difficult in children and patients who do not cooperate and occasionally, procedural sedation and analgesia is required, which leads to side effects such as nausea, vomiting, lethargy, agitation, and respiratory depression. Depending on the site of injury, patients are usually unable to use the affected organ for a few days after the procedure and need daily washing and bandage, and sometimes taking antibiotics. If tendon, joint, nerve, or vascular injuries are present, it gets more complicated and need for operation and

  9. Angiografia in vivo para avaliação da vascularização do casco de eqüinos In vivo angiography for evaluation of equine foot vasculature

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    Carlos Henrique Maciel Brunner

    2008-02-01

    vasculature on horses in standing position. Six gelding and nine mares were used in this study, with age going from 6 to 8 years old. After the perineural anesthesia of lateral or medial palmar digital nerve and the surgical preparation an intravenous catheter was fixed to the palmar digital vein, lateral or medial. After performing a simple radiography an elastic bandage and tourniquet was applied to the area. The animal and the RX equipment were adequately positioned and 20mL of contrast were injected, followed by a first radiological exposition in dorsum palmar incidence. In sequence the tourniquet and the elastic bandage were removed for the dissipation of the contrast, keeping the venous access with infusion of isotonic saline solution. The same procedure was performed with the hoof submitted to the thermal treatment with warmed water and cold water. In four animals a radiopaque image, around each dermic lamina with vasodilatation induced by the heat was obtained, with poorly defined edges and blurred aspect. On the other hand, it was observed reduction of the radiopaque laminar image because of the vasoconstriction caused by the treatment with cold water. This fact can be seen only in four radiographies, but it has not being repeated in all angiographies performed. In seven radiographies incomplete contrast filling was observed. For this reason, it was not possible to compare the radiographs performed with no thermal treatment, that have had the appropriate filling of the contrast. The digital angiography in horses was showed to be a sensible method to evidence in vivo vasoconstriction and vasodilatation inside the hoof, however this method cannot be use to analyze alteration in the laminar perfusion because some techniques artefactual.

  10. Application of “The Addition Theory" lower blepharoplasty combined with mid-face lift%“加法理论”在下睑袋整复术中的应用

    Institute of Scientific and Technical Information of China (English)

    张兵; 王英霞

    2013-01-01

    目的:探讨改良传统下睑袋整形术式,摒弃传统眼袋术式中去除正常组织的方法,利用眼袋切口提升中面部,尽量达到术后自然,减少并发症的出现.方法:沿用传统的外切眼袋入路,眶隔浅层剥离,释放眶隔脂肪填充下眶缘沟,递进式提升眶区下垂软组织,保留眼轮匝肌折叠并固定,去除多余皮肤缝合切口,术后加压包扎24h.结果:95例术后回访基本满意,术后2例为二次眼袋手术的病例,双眼出现睑球分离现象,1例出现单侧睑球分离现象.分析原因为反复眼袋手术损伤后,眼轮匝肌瘢痕挛缩及下睑缘张力下降所致,重新按修复手术加固后壁防止粘连;外眦锚着术收紧下睑缘使其张力加强后均得到满意改善.结论:该术式尽量保留了正常组织不被去除,膨出的脂肪添加在凹陷的下眶缘沟处,提升后的眼轮匝肌被叠加利用,因此也称加法术式,术后外观自然效果明显;并发症减少,“递进”式中面部提升确保了提升效果,顾客满意度很高.%Objective Discuss the improvement of traditional method of baggy eyelids plastic,abandoning the removal methods of normal tissues in traditional baggy eyelids plastic,and lifting mid-face through incisions in eye bags,in order to naturally reduce the complications after surgery as far as possible.Methods First,the operation were performed by continue to use traditional method to circumscribe bags.Secondly,dissect the superficial layer of the orbital septum,release orbital fat to fill the lachrymal groove,progressively promote sagging organization,retain the orbicular is oculi muscle folded and fixed that,remove excess skin and suture incisions.Finally,use compression bandage for 24 hours after operation.Results Ninty-five cases are satisfied learned by the postoperative reviews.Two cases have taken two pouch surgeries and underwent the eyelid ball separation in the two eyes.One case underwent eyelid ball separation in one

  11. 床旁超声在外伤性肌肉血肿急诊处理中的应用%Bedside ultrasound scan in emergency treatment of traumatic muscle hematoma

    Institute of Scientific and Technical Information of China (English)

    何黎; 赵蕊; 黄相

    2015-01-01

    目的:探讨床旁超声对外伤致肌肉血肿的评估和治疗的应用价值。方法回顾性分析2011年10月~2014年8月我院收治的外伤性肌肉血肿54例患者资料,分析比较不同类型肌肉血肿的形成原因、临床超声表现及相应的处理对策。结果根据病情将肌肉血肿分为动脉性血肿、静脉性血肿和血肿腔内有异物残留三类,对出血量较大的动脉性血肿应及时清创止血;对静脉性血肿大多可采取局部加压包扎;发现血肿腔内有异物残留时应予超声定位或超声引导下清创取出异物。结论床旁超声的应用对外伤后肌肉血肿的评估和治疗有重要指导意义,有利于帮助急诊外科医生更准确地判断病情和制定及时有效的处理方案,对于急诊外伤的患者也能缩短诊治时间,减少患者搬动和促进伤情的恢复。%Objective To discusses the applied value of bedside ultrasound scan in assessment and treat-ment of traumatic muscle hematoma. Methods A retrospective analysis was performed on records of 54 pa-tients with traumatic muscle hematoma cared by our hospital from October 2011 to August 2014.Analyzed and compared of disease cause,clinical and sonographic findings,and corresponding treatment measures in different types of muscle hematoma. Results According to the illness status patients with muscle hematoma could be divided into three kinds of arterial haematoma,vein hematoma and residual foreign body in hematoma cavity. Timely debridement and hemostasis should be done for arterial hematoma with large volume bleeding.Most patients with vein hematoma was given local compression bandage;ultrasound-guided or -located debride-ment should be done for removing foreign body which was detected out residual in hematoma cavity. Conclu-sion Bedside ultrasound has important guiding significance in assessment and treatment of traumatic muscle hematoma,it will help emergency surgeon to make more accurate

  12. 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

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    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.

  13. 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.

  14. Lymphatic fistula in a uremia patient after arteriovenous fistula operation in the upper arm:a case re-port%尿毒症上臂动静脉内瘘术后淋巴瘘一例

    Institute of Scientific and Technical Information of China (English)

    张熙熙

    2013-01-01

    Arteriovenous fistula is a long-term vascular access for treatment of uremia patients in maintenance hemodialysis.The complication of lymphatic fistula after arteriovenous fistula operation is rare.Lymphatic fistula is lymphatic outflow caused by lymph-vessel impairment.The clinical manifestation is the mass or discharge of unknown cause appeared in early postoperative wound.Treatment commonly used for lym-phatic fistula is filling and compression , then it could use lymphatic ligation for those patients who had large volume of lymphatic fistula output and invalid compression therapy.Here we reported a case of treatment of lymphatic fistula in the upper arm of a uremia patient after arteriovenous fistula operation.The diagnosis of lym-phatic fistula was made according to the clinical manifestation , physical sign and leakage chyle test.The pa-tient started with drainage of the lymphatic fistula debridement surgery and local compression therapy which had poor effect, finally the incision healed by use of immersion with 50%glucose, compression bandage by com-pression air sac after local lymphatic fistula cavity exploration drainage surgery and combined with atropine in -jection treatment , follow-up evaluation was good.%动静脉内瘘是尿毒症患者长期维持血液透析治疗的血管通路,术后并发淋巴瘘少见。淋巴瘘是淋巴管受损引起的淋巴液外流,临床表现为术后早期伤口出现不能解释的包块或溢液。淋巴瘘常用的治疗方法为局部填塞、加压包扎,对于渗液量较大、压迫治疗无效的患者,可行手术治疗。该文报道了1例上臂动静脉内瘘术后并发淋巴瘘的尿毒症患者的诊治经过,该例经临床表现、体征结合漏液乳糜试验诊断为淋巴瘘。开始行淋巴瘘清创引流术,用局部加压包扎,效果欠佳,遂再行局部淋巴瘘腔探查引流术并局部使用50%葡萄糖液浸泡冲洗,术后予加压气囊加压包扎,同时联合

  15. Persistent hypotony after primary trabeculectomy with mitomycin C Hipotonia persistente depois de trabeculectomia primária com mitomicina C

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    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

  16. Observational retrospective study on the effectiveness of sequential graduated intermittent pneumatic compression therapy of lower limbs edema

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    Elena Toma

    2016-09-01

    Full Text Available The main aim of the study is to evaluate the effectiveness of sequential graduated intermittent pneumatic compression (SGIPC therapy of lower limbs edema, regardless of its etiology. A retrospective observational study is conducted to determine the effectiveness of a regimen of sequential gradient SGIPC in treating edema of lower limbs. The study is carried out on 90 patients affected by different stages of edema and evaluated at a Wound Care Clinic for one month. Medical records data have been collected after the first, the third, and the fifth hour-long treatment session. The inclusion criteria are: (1 presence of edema to one limb, at least, regardless of etiology, (2 presence of both pain and feeling of heaviness (or tiredness of the limb, (3 non-use of bandages or elastic stocking/knee socks, and (4 availability of complete data about the edema size monitoring. The exclusion criteria are: (1 presence of infected wounds, (2 severe arteriosclerosis or other ischemic vascular diseases, (3 severe congestive cardiac failure, (4 known or suspected acute deep vein thrombosis (DVT, (5 thrombophlebitis or Pulmonary Embolism (PE, and (6 hypertension (Systolic Pressure greater than 170mmHg. The following parameters are considered as grade of improvement: the decrease of the limb circumference in at least two measurement points between the foot, ankle, and calf; the disappearance of at least one of the symptoms of pain and feeling of heaviness of the limb; improved mobility. A Flowtron ACS 900 system is used, for the treatment, consisting of a pump, connected to two (calf and thigh brace with individual tubes, applying a pneumatic compression, graduated in the air chamber, with sequential cycle in three compartments (one at the calf level and two at the thigh level, at a pressure of 45mmHg, with inflation cycles intermittent alternating. Inflation time 12s, time of deflation 48s. In addition, braces corresponding to limb size have been used

  17. 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.

  18. A CONTRAST ANALYSIS OF 135 CASES OF OSMIDROSIS TREATED BY RESECTING APOCRINE SWEAT GLAND WITH SKIN FLAP METHOD%皮瓣法微创腋臭切除术135例分析

    Institute of Scientific and Technical Information of China (English)

    孙卫海; 张宝成; 郭莉; 李燕; 吴小会; 陈潮

    2012-01-01

    目的 通过历史对照探索微孔引流术在皮瓣法腋臭切除术中的作用.方法 腋臭患者76例采用微孔引流行皮瓣法腋臭切除术作为治疗组,去除大汗腺及毛囊后在皮瓣上用尖刀片沿皮纹戳数个长约3mm的微孔进行引流,缝合切口后用弹力绷带包扎压迫手术区敷料.未采用微孔引流术的腋臭患者59例作为对照组进行历史对照研究,术后3d及7d换药,10d拆线并观察皮瓣成活情况,术后3~6个月进行随访.结果 2组患者均未发生切口感染.对照组出现血肿7例,其中皮肤坏死5例,出现瘢痕增生18例,腋窝皮肤皱褶9例及腋臭根治不彻底12例.治疗组出现表皮水疱8例,切口瘢痕增生6例,腋窝皮肤皱褶2例,无复发病例.治疗组治愈率明显高于对照组(P<0.01),治疗组血肿、瘢痕形成及复发率明显低于对照组(P<0.01).结论 微孔引流术可提高皮瓣法腋臭切除术疗效,而且并发症较少.%Objective To investigate the effects of resecting apocrine sweat gland with skin flap method in treating osmidrosis. Methods Seventy - six patients with osmidrosis were treated using skin flap method,named treatment group,which was punctured with sharp scalpel. The micropores were used for drainage, and the width was just 3mm. After removing apocrine sweat glands and hair follicles, the incision was sewed up. Gauze under both of axilla were pressed with 8 - shaped elastic bandage. Another 59 cases of osmidrosis, treated in the past with the same method only without micropore drainage, were named as control group. Historical case - control study was conducted. The incisions were examined at the 3d and 7d respectively, and the sutures were removed at the lOd. Follow - up study was carried out in all the patients between 3 and 6 months after the operation. Results No incision infection was found in both groups. There were 7 cases of hematoma,5 cases of skin necrosis, 18 cases of scar,9 cases of wrinkled skin,and 12

  19. Experience on Diagnosis and Treatment of 125 cases with craniocerebral trauma combined with thoracic injury%152例颅脑、胸部复合伤的诊治体会

    Institute of Scientific and Technical Information of China (English)

    牟晓东; 李敏

    2013-01-01

    目的:总结颅脑外伤合并胸部外伤的救治经验和疗效.方法:回顾152例颅脑外伤合并胸部外伤的治疗.行急诊开颅手术85例,其中合并肋骨骨折、肺挫伤的51例药物保守治疗胸部外伤,合并血气胸的34例行胸腔闭式引流术;行急诊开胸术10例;采用药物保守治疗57例.结果:根据GOS评分,本组恢复良好51例,轻残21例,重残33例,植物状态10例;死亡37例,死亡率24.3%,分别死于:脑疝21例(56.8%),原发性脑干损伤7例(18.9%),呼吸窘迫综合征4例(10.8%)及多器官功能衰竭5例(13.5%).结论:严重颅脑外伤合并胸部外伤救治原则强调争分夺秒,快速准确诊断是患者生存的关键,同时加强多科室协作,紧紧围绕呼吸、循环和脑受压三个环节展开救治,及早手术治疗,积极防治并发症,从而有效降低病死率和病残率.%Objective:To summary the methods and experience on treatment of craniocerebral trauma combined with thoracic injury.Methods:The clinical data of 125 cases with craniocerebral trauma combined with thoracic injury were analyzed retrospectively.In the 75 patients received emergency craniotomy,50 cases with rib fractures or pulmonary contusion were treated by conservative treatment such as medication.chest bandage fixation and so on,and the other 25 hemopneumothorax cages were performed closed drainage of thoracic cavity.Four cases were carried out emergency thoracotomy,and 46 cases were treated by conservative treatment in neurosurgery or ICU.Results:According to Glasgow outcome scale(GOS),45 patients were cured,11 were mild disability,27 were severe disability and 10 were vegetative state.32 cases died and the mortality was 25.6%.Among the death cases.18 died of encephalocele,5 of primary brainstem injury,3 of hemorrhagic shock associated with thoracic cavity angiorrhexis,and 6 of multiple organ failure. Conclusion:To the patients of serious craniocerebral trauma

  20. Endoscopic treatment of esophagogastric varices accompanying abdominal external hernia%食管胃底静脉曲张合并腹外疝内镜下治疗分析

    Institute of Scientific and Technical Information of China (English)

    孙潇; 刘迎娣; 孙国辉; 王娟; 江华; 杨竞

    2013-01-01

    Objective To study the endoscopic treatment of esophagogastric varices and the surgical time of abdominal external hernia. Methods Location, type, diagnosis and clinical features of abdominal external hernia in 11 patients with esophagogastric varices accompanying abdominal external hernia admitted to our hospital from 2000 to 2013 were retrospectively analyzed.ResultsOf the 11 patients with indirect inguinal hernia, 3 werediagnosed with left-indirect hernia, 7 with right-indirect hernia, 1 with bilateral indirect hernia, 10 with reducible hernia, and 1 with irreducible hernia accompanying umbilical hernia and hydrocele of right testis. The patients had no history of operation except 1 who had relapse after repair of hernia. The patients underwent 1.6 times of gastroscopy and 3.6 times of endoscopic treatment, during which the hernias ring was compressed or bandaged with bellyband to prevent relapse of hernia. No incarcerated hernia occurred during operation and incarcerated hernia occurred in 3 patients after operation. The incarcerated hernias were returned to enterocoelia manually.Conclusion The risk to develop incarcerated hernia increases due to multiple endoscopic treatment procedures of esophagogastric varices accompanying abdominal external hernia and gas injection. Repair of hernia should be considered before endoscopic treatment.%目的:探讨食管胃底静脉曲张合并腹外疝患者内镜下治疗的临床特点以及疝修补术手术时机的选择。方法回顾2000-2013年我院收治的11例食管胃底静脉曲张合并腹外疝患者,其入院时疝的部位、类型、诊断时间,以及行内镜下食管胃底静脉曲张治疗术中、术后疝的临床特点。结果11例均为腹股沟斜疝,左侧3例,右侧7例,双侧1例。可复性疝10例,难复性疝1例且合并脐疝、右侧睾丸鞘膜积液。除1例为已行疝修补术后复发,余10例均无手术史。患者行胃镜检查平均1.6

  1. To Investigate the Mammotome in Breast Masses in the Treatment of Value%探讨麦默通在乳腺肿块治疗中的价值

    Institute of Scientific and Technical Information of China (English)

    周静; 薛峰

    2015-01-01

    目的:探讨麦默通在乳腺肿块治疗中的价值。方法收集我院2013年6月~2014年6月收住的乳腺肿块患者618例,均在超声引导下行麦默通微创切除术,术后均送病理检查及术后半年随访。结果618例患者中良性纤维腺瘤515例,乳腺腺病53例,纤维囊性增生症28例,导管内乳头状瘤4例,浸润性乳腺癌9例,积乳9例;9例乳腺癌患者中7例接受改良根治术,2例行保乳根治术。术中3例发现活动性出血,切开止血后痊愈;6例术后发生局部血肿,1例切开清除血肿,另外5例经抽吸血肿后加压包扎;皮下淤血10例,切破皮肤1例。随访了580例患者中571例为良性病变,发现新发良性肿块4例,1例复发;9例乳腺癌患者经规范治疗后随诊未见复发转移。结论麦默通微创旋切术对于良性乳腺肿块的切除是安全可行的,对于恶性肿块的活检提供了足量的病理标本,有助于明确诊断及进一步治疗。%Objective To investigate the Mammotome in breast masses in the treatment of value. Methods Collected in our hospital from 2013 June ~ 2014 June admitted 618 cases of patients with breast mass, both in the ultrasound guided mammotome minimally invasive surgery, after six months follow-up were sent for pathological examination and postoperative. Results In 618 cases of benign fibroadenoma 515 cases, adenosis of breast in 53 cases, 28 cases of fibrocystic hyperplasia, 4 cases of intraductal papilloma, 9 cases of invasive breast cancer, 9 cases of milk product; 9 cases of breast cancer in 7 patients received modified radical mastectomy, 2 cases underwent radical mastectomy conserving. During the operation were found in 3 cases with active bleeding, incision after hemostasis cured;6 case of postoperative hematoma, 1 cases of incision hematoma, another 5 cases by aspirating hematoma after compression bandage;10 cases of subcutaneous congestion, cut the skin in 1 cases. Follow

  2. The Clinical Effects of Cortisomol Paste in the Treatment of Chronic Perapical Periodontitis with Concomitant Sinus%碧兰根充糊剂一次性根充窦道型慢性根尖周炎疗效观察

    Institute of Scientific and Technical Information of China (English)

    刘英霞; 欧阳东; 刘克礼

    2012-01-01

    目的:观察碧兰根充糊剂一次性根充窦道型慢性根尖周炎的疗效,并与传统的氧化锌碘仿根充糊剂进行比较.方法:选择窦道型慢性根尖周炎患者160例,随机分为实验组(碧兰糊剂)80例,对照组(氧化锌碘仿糊剂)80例,同时在局麻下于窦道开口处实施彻底根尖刮治术,用3%双氧水生理盐水交替冲洗病变区,窦道清刮术后,视情况于窦道内置碘仿细纱条,用碧兰糊剂加牙胶尖(实验组)和氧化锌碘仿糊剂加牙胶尖(对照组)进行根管充填.结果:术后7d内,实验组87.5%患者无不适感,对照组37.5%无不适感,实验组疗效显著高于对照组(P<0.05).1年的连续观察评价临床疗效,实验组治疗后有效率100%,对照组治疗后有效率96.3%,近期疗效明显高于对照组,远期疗效无显著性差.结论:碧兰根充加根尖刮治治疗窦道型慢性根尖周炎治疗效果满意,临床值得推广.%Objective: To investigate the clinical effects of Cortisomol paste in the treatment of chronic periapical periodontitis with concomitant sinus and compare it with those of ZnO iodoform paste. Methods: 160 cases of chronic periapical periodontitis with concomitant sinus were chosen, and randomly divided into experimental group (Cortisomol paste) 80 cases, the control group (zinc oxide iodoform paste) 80 cases. The complete periapical curettage was done under local anesthesia in the sinus opening, and the lesions areas was rinsed with 3% hydrogen peroxide saline by turns. The iodoform bandage strip was placed in the sinus when necessary. Then the root canal fillings were competed gutta percha point with Cortisomol paste (the experimental group) or zinc oxide iodoform paste (the control group). Results: 87. 5% of patients had no discomfort in the experimental group, while 37. 5% in the control group at 7 day after the treatment (F<0. 05). After 1 -year continuous observation, the long-term effect rate of the experimental group was no

  3. 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

  4. 龙血竭联合马应龙麝香痔疮膏治疗Ⅲ期压疮的效果%Effect of Dragon' s Blood combined with Musk hemorrhoids ointment on patients with pressure sore of stage Ⅲ

    Institute of Scientific and Technical Information of China (English)

    黎红梅; 李敏; 刘建平; 辜红娟

    2013-01-01

    Objective To explore the curative effect of dragon's blood combined with Musk Hemorrhoids Ointment on the treatment of stage Ⅲ pressure sore patients.Methods Totals of 76 cases of Ⅲ stage pressure sore patients were randomly divided into observation group and control group,with 38 cases in each group,two groups of local same method to treat the wound.The observation group was treated with dragon's blood,Musk Hemorrhoids Ointment to tune into a paste coating wound,operation incision sterile protective film fixed.While control group treated with moist burn ointment coating wound,sterile gauze bandage fixed.Therapeutic effect and healing time was compared between the two groups.Results In the observation group and the control group,the total effective rates were 100% and 78.95%,and the difference was statistically significant (x2 =3.945,P <0.05).The healing time of observation group and control group respectively were (13.56 ±4.35) days and (21.45 ± 3.47) days,and the difference was statistically significant (t =2.365,P< 0.01).Conclusions The dragon's blood combined with Musk Hemorrhoids Ointment for external application in the treatment of Ⅲ patients with satisfactory results,which can shorten the treatment time,improve the cure rate.%目的 探讨龙血竭联合马应龙麝香痔疮膏治疗Ⅲ期压疮的疗效.方法 将76例Ⅲ期压疮患者按随机数字余数法分为观察组和对照组各38例,两组局部采用相同方法处理创面,观察组采用龙血竭、马应龙麝香痔疮膏调成糊状涂敷创面,手术切口无菌保护膜固定;对照组采用湿润烧伤膏涂敷创面,无菌纱布包扎固定,比较两组患者的治疗效果及治愈时间.结果 观察组和对照组总有效率分别为100%,78.95%,两组比较差异有统计学意义(x2=3.945,P均<0.05).观察组与对照组患者Ⅲ期压疮治愈时间分别为(13.56±4.35)d,(21.45±3.47)d,观察组优于对照组,两组比较差异有统计学意义(t=2

  5. Exploration of prevention methods of limbs length discrepancy in total hip arthroplasty%人工全髋关节置换双下肢不等长的预防策略

    Institute of Scientific and Technical Information of China (English)

    李山珠; 刘玉平; 袁锋; 俞光荣

    2012-01-01

    Objective To explore the prevention methods of limbs length discrepancy in total hip arthroplasty. Methods A total of 92 primary THA patients, the limbs length discrepancy was evaluated preoperatively by measuring the posterior -anterior pelvic radiograph with templates from the prothesis corporation and the optimal implantation position of the prosthesis was predetermined and the level of the femoral neck cutting and length of the femoral calcar was decided. To maintain the equality of limbs length effectively, the prosthesis modules were applied repeatedly and the elasticity of soft tissue was examined during the operation. Results There were 84.7% of the patients that had postoperative limbs length discrepancy (LLD) less than 1,2 cm, and 64.1% had a LLD within 6 nun, the limb length discrepancy were improved much more than before. These patients were followed up form 16 months to 49 months (mean 31 months), the mean HHS score of these patients were improved from 48 to 90.3 at the latest follow-ups, no patients required a crutch to support walking. All cases had no infection and nerve paralysis. One case was found with prothesis dislocation after total hip arthroplasty and treated with plaster bandage fixation for 1 month and cured without recurrence. Conclusion The limbs length discrepancy has significant influence on the results of total hip arthroplasty. Preoperative LLD of evaluation by template measurements and comparison two legs intraoperative with kinds of methods could achieve better results.%目的 探讨人工髋关节置换术后双下肢不等长(LLD)的预防策略.方法 选择92例接受初次单侧人工全髋关节置换术的患者作为研究对象,通过测量术前骨盆标准正位X线片来评定LLD的程度,利用厂家模板确定假体置入位置,预判股骨颈截骨平面及股骨距的保留长度.术中根据假体试模以及各种验证方法及软组织松解程度来保持双下肢的长度等长.结果术后患者LLD在1.2 cm

  6. 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

  7. 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.

  8. 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.

  9. Terapias compressivas no tratamento de úlcera venosa: estudo bibliométrico

    Directory of Open Access Journals (Sweden)

    Júlia Teixeira Nicolosi

    2015-01-01

    Full Text Available Introducción: úlceras de origen venosas son lesiones cutáneas que generalmente acometen el tercio inferior de las piernas. El trata - miento de estas heridas es dinámico y depende de la evolución de las fases de la reparación del tejido. Este tratamiento incluye métodos clínicos y quirúrgicos, y la terapia compresiva es el método no quirúrgico más utilizado. Entre las terapias compresivas, se destacan los vendajes inelásticos y elásticos, medias elásticas y presión neumática intermitente. Objetivo: este estudio buscó identificar el perfil de la producción científica nacional e internacional que describiera la terapia compresiva y la úlcera venosa para clasificarla de acuerdo con: cronología de publicación, procedencia, periódicos en que están publicadas, evaluación del “ Qualis ” — coordinación de perfeccionamiento de personal de nivel superior (Capes, distribución del abordaje metodológico, análisis del contenido de las publicaciones y comparar, cuando fuera posible, los datos presentados en esta revisión. Método: estudio bibliométrico realizado en las bases de datos Medline, Lilacs y CINAHL en el que se utilizaron los descriptores “ Varicose Ulcer/therapy ” , “ Compression Bandages ” , “ Wound Healing ” y el opera - dor booleano AND entre los años de 2009 a 2013. Resultados: se seleccionaron 47 artículos; la mayoría de ellos publicados en 2012 (n = 12; 25,53 % , en Estados Unidos (n=14; 29,78 % y Reino Unido (n=14; 29,78 % , en revistas de especialidad vascular (n=19; 40,42 % , con evaluaciones A2 (n=13; 27,65 % y B1 (n=13; 27,65 % . La parte más grande de la metodología utilizada en los estudios seleccionados fue tipo “ estudios clínicos ” (n= 30; 63,82 % . Entre los estudios clínicos y metanálisis, apenas 30 % (n= 14 presentaban como objetivo principal evaluación de la terapia compresiva y estudiaban comparativamente eficacia de vendajes elásticos, inelásticos, medias el

  10. 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.

  11. Emergency use of combined remnants of 2 corneo-scleral rims to cover a large corneal perforation: a case report%急诊使用角巩膜缘联合残留物覆盖大型角膜穿孔1例

    Institute of Scientific and Technical Information of China (English)

    Krishnalatha Buandasan; Cheong Min Tet; Mohtar Ibrahim

    2011-01-01

    -epithelisation except over the scleral part of the patch. There were no signs of infection and she was able to maintain a vision of hand movement. She was put on a bandage contact lens in view of the epithelial defect. She has also been advised about an elective repeat penetrating keratoplasty.CONCLUSION: In the absence of a corneal button for grafting, one or more preserved homologous corneo-scleral patch(es) may be used temporarily for covering large corneal defects.

  12. 自体眼球筋膜联合唇黏膜移植治疗义眼台暴露%Autologous Tenons' capsule combined with lip mucosa transplantation in the treatment of orbital implant exposure

    Institute of Scientific and Technical Information of China (English)

    程燕; 吴洁; 徐琨; 朱秀萍

    2013-01-01

    目的 探讨自体眼球筋膜联合唇黏膜移植治疗羟基磷灰石义眼台植入后暴露的临床应用.方法 回顾分析我院义眼台暴露15例(15眼),暴露时间术后2周~4个月.暴露范围4 ~10mm.围手术期进行抗感染药物治疗,术中将暴露区边缘眼球筋膜转位遮盖于暴露义眼台表面,将唇黏膜间断固定缝合于筋膜表面.术后涂抗生素眼膏加压包术眼3d.随访至术后6个月.结果 所有15例于术后6~8周唇黏膜愈合良好,结膜囊形成良好,安装义眼后外观满意.随访期间未见义眼台再暴露.结论 自体眼球筋膜联合唇黏膜移植是治疗义眼台暴露的有效方法,避免了应用异体组织修补排斥反应的发生,对治疗该并发症有临床意义.%Objective To observe the applications of autologous Tenons' capsule combined with lip mucosa transplantation in the treatment of hydroxyapatite orbital implant exposure.Methods 15 patients with unilateral orbital implant exposure were studied between 2009 and 2012.Implant exposure occurred at two weeks to four months postoperatively.The diameters of exposure were about 4-10 mm.Perioperative drug treatment were applied to avoid infection.The exposed surfaces of the implant were covered with Tenons tissue,and the lip mucosa was transplanted to the fascia tissue surface.Postoperative eyes were bandaged with anti-infectious ointment for 3 d.The patients were followed up for 6 months postoperatively.Results Lip mucosa of all patients healed completely at six to eight weeks after surgery.The conjunctival sac was formed.The installed artificial eye was satisfactory in appearance.Implant exposure did not recur during follow-up.Conclusion Autologous Tenons capsule combined with lip mucosa transplantation is an effective method in treatment of implant exposure.Allograft rejection is avoided.This surgical method has important clinical significance for implant exposure.

  13. 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).

  14. Extra-corporeal membrane oxygenation during the beating heart coronary artery bypass grafting for ;high risk patients-a single center experience%体外膜肺氧合在高危重症冠心病患者心脏不停跳冠状动脉旁路移植术中的应用

    Institute of Scientific and Technical Information of China (English)

    段大为; 刘迎午; 胡晓旻; 刘博江; 吴鹏; 张强; 李彤

    2016-01-01

    IABP support [mean IABP support time: (115. 0 ± 25. 9) hrs]. Among the 5 patients admitted into CCU, 1 patient had oozing from insertion site at femoral artery/rein region and was stopped with compressive bandage. Lower limb ischemia happened in another 1 patient and was recovered after set up of by-pass circulation. All 21 patients recovered well and smoothly. Mean in-hospital stay was (17. 4 ± 2. 8) d. Conclusions ECMO is a safe and effective circulatory support during beating heart coronary artery bypass surgery for high-risk patients with severe coronary artery disease in reducing the mortality and complications.

  15. Evaluation of blood loss after early or late release of ischemia in patients undergoing total knee replacement Avaliação da perda sanguínea após a liberação precoce ou tardia da isquemia em pacientes submetidos à artroplastia total do joelho

    Directory of Open Access Journals (Sweden)

    Marcos George de Souza Leão

    2013-04-01

    Full Text Available OBJECTIVE: compare blood loss in 40 patients underwent to unilateral total knee replacement with the release of ischemia before and after skin closure and compressive dressing. METHODS: in a prospective randomized study, in 40 patients underwent to total knee replacement, dividing then into two groups: group A in which the ischemia was released before skin closure, allowing bleeding control and group B where the ischemia was released after skin suture and pressure dressing. We compared the results of laboratory tests of serum hemoglobin before surgery and 48 hours postoperatively, the blood volume contained in vacuum suction drain and the transfusions that was necessary. RESULTS: As a result, the post operative serum hemoglobin levels had a mean decrease of 3.57 g/dL in group A and 4.24 g/dL in group B with an average of 0.67g/dL difference between them, statistically insignificant.The observed mean drainage, in the vacuum drain, were 705 mL in group A and 700 mL in group B. The 5ml difference between medians was considered statistically insignificant. The number of patients who received transfusions was four patients in both groups and all received two units of red blood cells. CONCLUSION: the post operative serum hemoglobin levels, as well as the need of blood transfusion, in the patient underwent to total knee replacement, where the ischemia was released before wound closure, has no statistical effect in comparison with patients where the sutures and bandages were done after the ischemia release. Level of Evidence IB - Individual randomized controlled trial with narrow confidence interval. OBJETIVO: Avaliar comparativamente a perda sanguínea em pacientes submetidos à artroplastia total do joelho, com liberação da isquemia antes e após suturas e curativo compressivo. MÉTODOS: Fez-se um estudo prospectivo randomizado em 40 pacientes submetidos à artroplastia total do joelho divididos em dois grupos. No primeiro grupo a isquemia foi

  16. 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

  17. Clinical Efficacy Observation of MEBT/MEBO in the Prevention and Treatment of Scar%皮肤原位再生复原技术防治瘢痕的临床疗效观察

    Institute of Scientific and Technical Information of China (English)

    赵楠; 陈全喜

    2015-01-01

    目的:探讨美宝疤痕软膏(以下简称疤痕软膏)防治烧伤、创伤、溃疡等创面愈后瘢痕及治疗陈旧性瘢痕的效果。方法预防瘢痕:将疤痕软膏均匀涂抹于烧伤创面愈合1周的皮肤上,厚约0.5 mm,30 d内每日涂抹3~4次,禁止按摩;30 d后每日涂抹2次,加压包扎。治疗陈旧性瘢痕(12个月以上的成熟瘢痕):将疤痕软膏均匀涂抹于陈旧性瘢痕皮肤上,厚约1.0 mm,用手掌加压按摩15 min后加压包扎,每日2次,3个月为1个疗程。结果134例患者中,预防瘢痕者67例(104处瘢痕),其中显效69处(66.4%),有效30处(28.8%),无效5处(4.8%);陈旧性瘢痕治疗者67例(104处瘢痕),其中显效70处(67.3%),有效32处(30.8%),无效2处(1.9%)。结论疤痕软膏能改善血液循环,具有软化皮肤、调控上皮细胞与成纤维细胞比例、缓解疼痛瘙痒、平复瘢痕等作用,其安全有效,副作用小,值得推广应用。%Objective To explore the clinical efficacies of MEBO Scar Ointment ( Scar Ointment for short ) in preventing scar formation and treating old scars resulting from healed burns, traumas, ulcers and other wounds. Methods Scar prevention:smear Scar Ointment at a thickness of about 0. 5 mm onto the burned skin newly healed for one week, change the Ointment 3~4 times every day for 30 days with no massage;30 days later change it 2 times every day and band⁃age the skin with pressure. Treatment of old scars ( mature scars formed for more than 12 months):smear Scar Ointment on⁃to the scar at an even thickness of 1. 0 mm, massage for 15 min with palm pressure followed by pressure bandage, 2 times every day, 3 months for a treatment course. Results In the enrolled 134 patients, 67 patients (104 scars) were to prevent scar formation and 67 patients (104 scars) were to treat old scars. Among the former 104 scars, 69 scars (66. 4

  18. 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

  19. [Lymphedema secondary to breast cancer treatment: possibility of diagnostic and therapeutic prevention].

    Science.gov (United States)

    Campisi, C; Boccardo, F; Zilli, A; Maccio, A; Napoli, F; Ferreira Azevedo, W; Fulcheri, E; Taddei, G

    2002-01-01

    We performed a prospective randomized study upon 50 patients who had undergone a breast cancer treatment, considering particularly the possibility of appearance of arm secondary lymphedema. The patients were divided in two groups of 25 patients each. In the 1st group, we performed only a clinical follow-up, whilst in the 2nd one, we used also lymphoscintigraphy. The aim of the study was to compare the incidence of arm secondary lymphedema in the two groups, and relate the data with those of the international literature, in order to identify diagnostic procedures indicative of the risk of development of lymphedema and find proper therapeutic preventive measures. It is certainty complex to foresee the appearance of arm lymphedema due to breast cancer treatment. No specific preventive therapeutic methods based upon particular diagnostic investigations were ever reported. Patients had undergone surgery and radiation for breast cancer in the period between April 1992 and June 1994, and controlled at over 5 years after operation. Upper limb lymphoscintigraphy was performed only in one of the two groups of 25 patients, before operation and, furthermore, after 1-3-6 months and 1-3 years from the treatment. Patients who presented lymphoscintigraphic alterations (dermal back flow, diffused or delayed transit of the tracer, etc.), before edema appeared clinically, underwent physical and rehabilitative therapy (bandages, manual lymphatic drainage, mechanical lymph drainage, elastic garments, etc.) and microsurgery (lymphatic-venous anastomoses at the arm), performed early (stages Ib and II) in patients not responsive to physical therapy. In the first group followed only clinically, secondary arm lymphedema occurred in 9 cases (36%), and appeared after a period variable from 1 week to 2 years (3-6 months averagely). In the second group, lymphoscintigraphy, performed preoperatively, permitted to find lymphatic impairment (absence of deltoid way, reduced axillary lymph nodal

  20. 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

  1. 利用眶下软组织提升修复下睑袋整复术后并发症%Repairing lower eyelid blepharoplasty complication by lifting infraorbital soft tissue

    Institute of Scientific and Technical Information of China (English)

    张兵; 王英霞

    2013-01-01

    Objective To discuss the solutions to solve the problems such as the lower eyelid shrinks even ectropion after the operation through mid-face lifting and other methods to treat complications.Methods The operations were performed by incisions in the eye bags.Then retain 5mm orbicular is oculi muscle,dissect the superficial layer of the orbital septum to the bone,strip under the periosteum of zygomatic processes and progressively promote sagging organization.In addition,lift,fold,and fix the orbicular is oculi.lf there is excess skin,it can be appropriate to remove.Finally,suture the incision,and use compression bandage for 72 hours.Results Fifty cases were improved significantly.Symptoms such as the retraction of eyelid,the hollow of the lower eyelid and so on were improved evidently.Five patients whose eye bags were filled with other materials after the operation are satisfied with the recovery treatment.One patient'sectropion wasn't improved ideally after four times' repayments.The reason may be the injury of the orbicularis oculi muscle contributes to the adhesion of back muscles and back wall.But this patient refused to repair again.Conclusions Positive effects are achieved during the repairmen of mid-face lifting which effectively recover the failed eye bags resulting from too much remove of fat,muscle and skin.Besides it has less complications and high success ratio.%目的:探讨利用眶下软组织提升技术解决睑袋术后并发症的有效治疗手段.方法:原下睑袋切口入路;保留睑缘下5mm眼轮匝肌;眶隔浅层向下剥离至眶骨缘;外侧颧突处骨膜下适当剥离;递进式向上提升眶区软组织;提升后的眼轮匝肌折叠并固定在睑下缘;如提升皮肤较多可以适量去除;缝合切口,术后加压包扎72h.结果:本组50例不同程度的睑缘退缩、下睑露白症状均得到明显改善,下睑凹陷也有明显矫正;5例睑袋术后填充其他材料的患者经修

  2. Efficacy of soluble hemostatic gauze to prevent under-scab infection after hypospadias repair%可溶性止血纱布预防尿道下裂血痂下感染效果

    Institute of Scientific and Technical Information of China (English)

    李培强; 黄岩

    2012-01-01

    Objective To explore the clinical efficacy of soluble hemostatic gauze in the prevention of under-scab infection after hypospadias repair. Methods 88 patients with hypospadias, who were treated for the first time and with Snodgrass method, with average age being (2. 0 ± 0.4)years (ranging from 10 months to 5 years) , were randomly divided into 2 groups. In the control group, petrolatum gauze was used to dress the penis after hypospadias surgery, whereas in the experimental group, soluble hemostatic gauze was used as the first dressing and petrolatum gauze the second dressing. Self-adhesive extensible bandage was used as the outer dressing for all patients. All dressings were removed 7 days and catheters were removed 14 days after the surgery. The under-scab infection of the two groups was compared, and urethral fistula and burst were recorded. SPSS software was used to analyze the data. Results In the experimental group, the rate of under-scab infection was 9. 5%(4/42) , which was lower than that of the control group, 26.1%(12/46) , (P<0.05). 75% of the patients who had under-scab infection developed urethral fistula or burst. During the follow-up of 6~12 months, no significant complications of soluble hemostatic gauze were detected. Conclusion Soluble hemostatic gauze to dress penis after hypospadias repair can lower the rate of under-scab infection and increase the success rate of the operation.%目的 探讨可溶性止血纱布用于尿道下裂术后包扎预防切口血痂下感染效果.方法 选取首次手术且采用Snodgrass术式治疗的尿道下裂患者88例,年龄10月~5岁,平均(2.0±0.4)岁.将患者随机分为对照组与研究组.其中对照组采用常规的凡士林纱布包扎阴茎体,研究组用可溶性止血纱布包裹阴茎体一层后再用凡士林纱布包扎阴茎体.最外层均用自粘弹力绷带打紧.术后7 d均拆除阴茎体包扎辅料,术后14 d拔除尿管.观察比较2组患者术后切口血痂下感染情况,

  3. Trivex 微创旋切术治疗下肢静脉曲张合并急性血栓性浅表静脉炎%Application of Trivex Rotary Varicotomy in the Treatment of Varicose Veins in Lower Limbs Complicated with Acute Superficial Thrombophlebitis

    Institute of Scientific and Technical Information of China (English)

    牛启兵; 陈泉; 李安强; 温世奇; 董方; 史浩

    2014-01-01

    Objective To explore the efficacy of minimally invasive rotary varicotomy ( Trivex ) for patients with varicose veins in lower limbs complicated with acute superficial thrombophlebitis . Methods Clinical data of 62 patients (76 low limbs) with varicose veins in lower limbs complicated with acute superficial thrombophlebitis ( less than 2 weeks from onset ) from March 2010 to November 2012 were retrospectively analyzed .All of the patients received saphenous vein high ligation combined with minimally invasive rotary varicotomy .The Trivex system was employed to treat varicose veins and thrombus in the venous plexus .The wound was pressure bandaged and anticoagulant therapy was carried out after surgery . Results All the surgery was uneventful , without intraoperative and postoperative deep vein thrombosis and pulmonary embolism .Postoperative pain and local swelling subsided within three days, with all incisions healed well .The average hospitalization time was 5 days(range,3-8 d).All the patients were followed up for 2-12 months,with a mean of 6 months.During follow-up, no recurrence or deep vein thrombosis was seen , and no deaths of patients occurred . Conclusion Minimally invasive rotary varicotomy is safe and effective for the treatment of varicose veins in lower limbs complicated with acute superficial thrombophlebitis .%目的:探讨Trivex微创旋切术治疗下肢静脉曲张合并急性血栓性浅表静脉炎的疗效。方法2010年3月~2012年11月对62例血栓性浅静脉炎发病2周内的下肢静脉曲张,在大隐静脉高位结扎和主干剥脱基础上,用Trivex微创旋切系统刨吸曲张静脉和静脉丛内的血栓,同时配合加压包扎、术后抗凝等治疗。结果手术均顺利,术中和术后无深静脉血栓及肺栓塞发生。术后局部红肿疼痛于3 d内消退,切口全部甲级愈合。住院时间3~8 d,平均5 d。62例随访2~12个月,平均6个月,大隐静脉曲张、血栓性浅静脉炎

  4. 上肢大面积皮肤撕脱伤反鼓取皮原位植皮9例分析%In Situ Autologous Skin Grafting with Skin Flap Taken on Reverse Side Using Drum Type Dermatome in the Treatment of Large Area Skin Avul-sion Wound of Upper Limbs (9 Case Reports)

    Institute of Scientific and Technical Information of China (English)

    陈殿伟; 王庆生; 汪强; 蔡延深

    2012-01-01

      Objective To explore the effect of autologous skin transplantation with skin flap taken on reverse side using drum type dermatome in treating extensive skin avulsion of upper limbs. Methods Retrospective analysis was con-ducted on 9 patients with extensive skin avulsion of the upper limbs admitted to our hospital from April 2006 to June 2010. All the patients underwent urgent debridement. The avulsed skin soft tissue deprived of blood supply was removed, shaved into medium split thickness skin flaps using drum type dermatome, and replanted them on the wound. Layering dressing was applied with Amikacin Saline gauzes as the inner layer, aseptic bandages in the middle and cotton pads as the outer layer. The injured extremities were suspended post operation to avoid local compression. The outer layer of dressing was changed 3 days post operation and the suture was removed 12 days post operation. Results More than 95% of the transplant survived in the 9 cases. Sporadical small wounds healed with the dressing change of MEBO and no second operation was required. Function of the injured extremities restored sufficiently with exercise. Conclusion Autologous skin transplantation with skin flap taken on reverse side using drum type dermatome is a relatively ideal surgical approach to treating extensive skin a-vulsion of upper limbs. Adequate debridement and hemostasis with appropriate dressing and overhanging to avoid compres-sion can increase the survival rate of the transplant.%  目的探讨上肢大面积皮肤撕脱伤反鼓取皮植皮术的临床效果。方法回顾性分析2006年4月至2010年6月收治的9例上肢大面积皮肤撕脱伤患者病历资料,急诊行清创术,将撕脱失去血供的皮肤软组织取下,用鼓式取皮机修成中厚皮片后,原位回植于创面,术区分层包扎,内层用阿米卡星盐水纱布、消毒绷带包扎,外层用棉垫包扎,术后悬吊,避免局部受压,术后3 d 更换外层敷料,12 d

  5. 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。

  6. 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

  7. 基于文献计量学分析的临床护理趋势和热点研究%Research on trend and focus of clinical nursing based on bibliometric analysis

    Institute of Scientific and Technical Information of China (English)

    秦婷婷; 韩世范

    2016-01-01

    nurs-ing;4.study on the bandage dressing in traumatic injury nursing;5.study on quality of life in cancer nursing. The main research contents of clinical nursing in abroad from 2010 2012 were:1.study on obstetric nursing patient relationship;2.study on patient medical team in stroke care;3.study on cancer nursing methods;4.the traumatic inj ury nursing research in urinary incontinence care;5 .study on quality of life of caregiver of dementia patients.From 2013 to 2015,the main research contents were:1.study on the skin care and bandage dressing in trauma injury nursing;2.study on evidence based nursing in AIDS nursing.3.study on obstetric nurses pa-tients relationship;4.study on cancer nursing methods;5.study on the Alzheimer’s disease care and dementia care;6.study on the stroke caregiver.A total of 85 570 literatures on clinical nursing were retrieved from the WanFang database,and the cumulative amount of literature was increasing yearby year.The amount of litera-ture published in the core journals showed an increasing trend year by year.From 2007 to 2009 clinical nursing main research contents in abroad were:1.the diabetes care;2.the cancer diseases care;3.the elderly diseases care;4.the complications care;5.the hypertension disease care;6.study on quality of life after nursing interven-tion;7.the chemotherapy care;8.study on compliance issues after nursing intervention;9.the constipation care;10.the cerebral apoplexy care.From 2010 to 2012 clinical nursing main research contents athome were:1.the di-abetes care;2.the cancer diseases care;3.the elderly diseases care;4.study on quality of life after nursing inter-vention;5.the complications care;6.the hypertension disease care;7.the preventive care;8.the perioperative care;9.the pain care;10.Study on complication issues after nursing intervention.2013 2015 clinical nursing main research contents in china were:1.the diabetes care;2.the complications care;3.cancer care;4.study on quality of life after nursing

  8. 组织工程皮肤修复皮肤缺损成功率与手术方法的相关性%Correlation between successful rate of skin-defect repair with tissue-engineered skin and methods of operation

    Institute of Scientific and Technical Information of China (English)

    何黎升; 金岩; 邓天政; 宋绍华; 刘鹏; 黄沙

    2006-01-01

    layer. After routine dressing, elastic bandage was wrapped with compression terminally. ③ TE dermal and auto-epidermal group: The whole- layer skin was cut off with same method. Thin split-thickness skin (TIS) 0.1-0.2 mm was collected with drum dermanuring machine and soaked in physiological saline. The same method was used to collect the managed TE true skin and cover it on the wound, covering immediately on autoTTS. The rest management was same as TE whole-layer group. ④ Autograft group: The whole-layer skin was cut off and the fat tissue was removed, afterwards, it was re-grafted on the auto-wound, covered with various layers of dressing and bandaged with compression. ⑤ The survival case was determined if it was discovered no infection, necrosis and scaling of grafted skin, less than 3 mm in diameter when the wound was opened for changing fresh dressing each time, otherwise, the failed case was recorded. The survival rate in each group was analyzed statistically in 4 weeks after operation.MAIN OUTCOME MEASURES: Survival situation of grafted skin in 4weeks after operation in each group.RESULTS: In 4 weeks after operation, the survival rate of grafted skin was 75% in TE whole-layer group was 87% in TE dermal and auto-epidermal group and was 94% in auto-graft group. The results were similar basically in comparison among 3 groups (x2=-2.34, P > 0.05).CONCLUSION: The effect of TE skin graft on repair of skin defect is near to that of auto-epidermal graft, testifying that the repair of skin defect with TE skin is feasible.%背景:皮肤缺损的常规修复方法多采用自体皮肤移植,需要健康供皮区且会遗留不同程度的瘢痕畸形.组织工程皮肤的成功构建并应用于临床,标志着皮肤缺损治疗的重大突破.目的:通过组织工程皮肤修复皮肤缺损,分析手术方法与愈合率的关系,为组织工程皮肤的临床应用提供实验依据.设计:随机对照观察.单位:解放军第四军医大学口腔医学院口

  9. Splint versus plaster cast external fixator for the treatment of distal forearm buckle fracture in children:systematic review%夹板与石膏管型外固定物治疗儿童前臂远端隆突样骨折的系统评价

    Institute of Scientific and Technical Information of China (English)

    李小磊; 李国华

    2014-01-01

    背景:儿童前臂远端隆突样骨折一般无继发移位风险,文献报道可通过石膏管型、掌侧托、夹板、支具以及绷带等外固定物治疗获得满意疗效。但是不同外固定物治疗对患儿功能恢复及生活能力的影响并不明确。  目的:评价夹板与石膏管型外固定物治疗儿童前臂远端隆突样骨折的疗效和安全性。  方法:计算机检索 Medline、Embase、Cochrane 图书馆(2011年第3期)及中国生物医学数据库、中国期刊全文数据库,检索时限为建库至2011年4月;手工检索相关会议论文;在线检索重要临床试验注册中心,文献检索无语种限制。收集随机对照及半随机对照试验,行质量评价并采用Revman 5.1行Meta分析。  结果与结论:纳入2项研究,包括314例患者,1项随机对照试验评价为B级,1项半随机对照试验评价为C 级。结果表明,夹板与石膏管型外固定物治疗后均无骨折、骨折不愈合以及再骨折,患肢疼痛以及书写、绘画、自理饮食、洗漱4方面生活能力差异无显著性意义;而固定后患儿洗澡能力夹板组早期优于石膏管型组,后期差异无显著性意义。参加规律运动方面亦为夹板固定组优于石膏管型固定组。两种固定方法不良事件发生率比较差异无显著性意义。提示夹板与石膏管型外固定物治疗儿童前臂远端隆突样骨折后患肢疼痛无明显改善,但夹板固定有利于维持洗澡能力及参加规律运动,且安全性良好。但仍需设计良好、实施完善的大样本、多中心随机对照试验验证。%BACKGROUND:The distal forearm buckle fracture in children has no secondary displacement risk, and the literatures have reported that the fracture can be treated with external fixators of plaster cast, palm side plate, splint, brace and bandage, and obtain good effect. But different external fixators have different effects on

  10. Firs aid and medical organization of China International Search and Rescue Team(CISAR)in the Wenchuan earthquake search and rescue site%中国国际救援队在汶川地震搜救现场的医疗组织与急救

    Institute of Scientific and Technical Information of China (English)

    刘亚华; 侯世科; 樊毫军

    2008-01-01

    Objective To approach the validity of the fast aid and medical organization of earthquake.Method China International Search and Rescue Team (CISAR) fast arrived Wenehuan earthquake area.The problems of medical organization and emergency treatment on spot were rethospectively analyzed.Twenty-two members from different departments,including department of emergency medicine,department of cardiology and orthopaedics,etc,took 280 species of medicine,consumable material,equipment and device,totally more than 1000 kinds.When finding survivors,the members of medical team gave both medical rescue and psychological inter venfion to them.Results After members of CISAR searched 9 hours,they found and treated 49 survivals,including 21 males and 28 females in collapse field of Wonchuan ease.Survivals were 7~61 years old,30 cases60 yearn old.And 39 cases were found and treated within 72 hours,10 eases over 72 hours.Eight cases had head injuries,12 eases chest injuries,15 cases abdominal injuries,3 eases spinal injury,5 cases pelvic injury,48 eases limb injury,and all eases had medium or severe dehydrate.Forty-nine survivals were rescued with fluid infusion,oxygen inhahtion,bandaging,fixation and transported to hospitals,and none d the 49 cases died.conclusions The effective medical organization and first aid on spot can avoid the rescue chaos on emergency treatment,and reduce the rate of disability and case fatality in disaster.%目的 探讨有效的地震搜救现场医疗组织与现场急救搜救方法.方法 回顾分析首批进入地震灾区的外地救援队--中国国际救援队在汶川地震搜救现场医疗组织与现场急救搜救工作中的经验与不足.中国国际救援队有医疗队员22名,分别来自急诊科、心内科、骨科等科室,携带药品、耗材、器械、设备达280大类,1000多个品种.发现幸存者时在给予医疗救援的同时进行心理疏导.结果 中国国际救援队在地震后9 h内达到

  11. Treatment of acquired rectovestibular fistula in female children with anterior perineal fistulectomy%前会阴入路手术治疗女童感染性直肠前庭瘘

    Institute of Scientific and Technical Information of China (English)

    王增萌; 阿里木江·阿不都热依木; 陈亚军; 张廷冲; 庞文博; 彭春辉; 张丹; 沈秋龙

    2014-01-01

    Objective To review our surgical experiences of managing acquired rectovestibular fistula with anterior perineal fistulectomy.Methods From January 2002 to December 2012,107 patients diagnosed as acquired rectovestibular fistula underwent anterior perineal fistulectomy and their clinical data were analyzed retrospectively.Patient age ranged from 18 months to 14 years with a mean age of 3 years 10 months.Usually there was a definite vestibular infection history at around 1 month old.And after infection control or during blowing wind or passing loose stools,gas or loose stools passed through vestibular fistula orifice.Critical points of anterior perineal fistulectomy:sterile bandage was packed into rectum in case of operative field contamination.And the exact location of vestibular orifice was determined.If orifice was too small,methylene blue was used as a tracer.Traction stitches were applied around vestibular orifice.A needle-shaped electrotome was used for dissecting fistula usually 6 mm long and with a distinct boundary.Inner orifice and fistula was explored with a mosquito clamp through anus to estimate the dissection level.If the diameter of fistula was less than 3 mm,fistula was resected close to rectal wall; if over 3 mm with a wide base,it was prudent to resect fistula then repair rectal wall with extramucosal suture interruptedly or continuously.The pubococcygal muscle was sutured at both sides and the incision closed without dead space.Results Among them,97 (90.7%) achieved primary healing with satisfactory appearance; 10 (9.3%)patients relapsed,in which 5 healed after hip bathing treatment within 3 weeks.Two underwent anterior perineal fistulectomy 6 months later and healed and the remainder remained untreated.Conclusions Anterior perineal fistulectomy is simple,safe and reliable for acquired rectovestbular fistula.And the appropriate operative age is between 3 to 5 years.%目的 总结前会阴入路治疗感染性直肠

  12. 银锌霜治疗II度烧伤患者污染创面的临床观察%Clinical observation of Silver-zinc Cream in treatment of degree II burn with contamination wounds

    Institute of Scientific and Technical Information of China (English)

    薄芳; 范宜峰; 王志勇

    2014-01-01

    Objective To explore the efficacy of Silver-zinc Cream in the treatment of degree II burn with contamination wounds. Methods The patients suffered form degree II burn (102 cases) in No.3 People Hospital Affiliated to Shanghai Jiaotong University School of Medicine from March 2011 to February 2014 were randomly divided into treatment and control groups, and there were 51 cases in each group. All the patients were given debridement and wound cleaning processing, and were given regular rehydration and analgesic treatment. The patients in the treatment group used Silver-zinc Cream for external coating treatment, once daily; The patients in the control group used Moist Burn Cream for external coating treatment, 3 times daily. The drugs were applied right amount thickness in the treatment of wound by bandaged and the drug usage time was decided according to the condition of patients. Switching frequency, time of healing, antibiotic usage, hospital stay, and situation of wound healing were compared.Results Switching frequency, time of healing, antibiotic usage, hospital stay, and situation of wound healing in the treatment group are significantly shorter than those in the control group, with the significant difference between the two groups (P < 0.05). Burn wound healing rate was significant difference between the two groups (P < 0.05). Burn wound healing rate of shallow degree II and deep degree II in the treatment group for 4 d, 1 week, and 2 weeks after the treatment were significantly higher than those in the control group, with the significant difference between the two groups (P < 0.05). Adverse events of wound deepened, sepsis, and wound odor were happened in the two groups. Incidence of wound odor in the treatment group was obviously lower than that in the control group, with the significant difference between the two groups (P < 0.05). There was no fever in the treatment group, while the incidence of fever in the control group was 7.84%, with the significant

  13. Combination of alginate and polyurethane dressings promotes wound healing at split-thickness skin graft donor sites: a clinical observation%联合应用藻酸盐和聚亚安酯敷料促进中厚皮供区创面愈合的临床观察

    Institute of Scientific and Technical Information of China (English)

    杜川; 邓凡; 周维忠; 戴霞

    2011-01-01

    Objective To improve the dressing method for split-thickness skin graft donor sites, promote donor site healing, and mitigate scarring. Methods Following harvest of split-thickness skin grafts, the wound was immediately covered with alginate dressing and then self-adhesive polyurethane dressing in the experimental group, and was covered with Vaseline gauze and cotton pads and then compressed with bandage in the control group. On days 1, 2 and 10 after surgery, the pain level was scored upon removal of the dressing using the visual analog scale for pain. In addition, the effect of dressings on postoperative movements was assessed. The difficulty in removing the dressings on day 10 after surgery was also assessed, and the time to wound healing was recorded. Results On days 1, 2 and 10 after surgery, the pain scores were significantly lower in the experimental group than the control group ( P < 0. 05 ). In the experimental group, 36. 8% of the patients' movements were not affected by the dressings. In contrast, all patients' movements were affected by the dressings. The rate of no or mild difficulty in removing dressing on day 10 after surgery was significantly higher in the experimental group than the control group ( P <0. 05 ). The time to wound healing was significantly shorter in the experimental group than the control group ( P < 0. 01 ). Conclusions The combined application of alginate dressing and polyurethane dressing to split-thickness skin graft donor sites mitigated postoperative pain and movement limitations, facilitated manipulation and shortened the time to wound healing. Hence, this method can be used widely.%目的 探讨联合应用藻酸盐和自粘型聚亚安酯敷料于中厚皮片供皮区,加速创面愈合的方法.方法 烧伤后瘢痕整形中厚皮取皮术后,实验组19例以藻酸盐和自粘型聚亚安酯敷料顺序联合应用覆盖供皮区创面,对照组17例以传统的凡士林纱布加棉垫绷带加压包扎供皮

  14. 硅胶假体充填颞部的体会%Experience in silicone implants filled with temporal portion

    Institute of Scientific and Technical Information of China (English)

    杨进

    2015-01-01

    Objective To investigate the clinical application of silicone implants filled with temporal portion. Method First design fill-ing range,namely the expansion of the filler 0. 3 cm draw a line outside;prosthetic repair,so the length and width,thickness in place,the edges tapered to match the organization docile,smooth and clean appearance,no foreign body sensation;In close temporal depression,a-long sideburns hairline 1. 0 cm,along the hairline as to 1. 0 ~ 1. 5 cm incision,direct line separating the skin,or for superficial temporal fascia deep surface separation,blunt sharp combine to blunt the main separation;to handle top smoothing prosthesis,or by expanding cavi-ties,or straight needle and thread prosthesis implantation cavity so that the prosthesis smoothing,re - wound single suture;surgery plus pressure bandage at least 48 hours,taking antibiotics three days,three to four weeks stitches. Results A healing incisions,no case of in-fection. Follow - up of 3 months to 2 years,the appearance were significantly improved,the surface contour soft plump,reduce wrinkles, and look younger,higher surgeon satisfaction. 8 cases of the surgeon because after 2 weeks to a month varying degrees of local sense of pain,surgical removal of the prosthesis. Conclusion The surgery used to fill silicone prosthesis surgery,treatment of temporal depression is an easy to accept for the United States,and the safe,economical and effective surgical method.%目的:探讨硅胶假体充填颞部的临床应用效果。方法:首先设计充填范围,即在填充物画线外扩大0.3 cm;假体修整,做到长宽、厚度到位,边缘渐薄,使其与组织帖服,外观平滑整洁,而无异物感;以靠近颞部凹陷处,沿着鬓角发际内1.0 cm,顺发纹作以1.0~1.5cm 手术切口,直接行皮下分离,或作颞浅筋膜深面分离,钝锐结合以钝为主进行分离;以刀柄顶端摊平假体,或通过扩大腔隙,或用直针掛线法将假体置入

  15. 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

  16. The experimental studies on the effect of rhGM CSF on deep partial burn wound healing in rats%重组人粒细胞-巨噬细胞集落刺激因子凝胶对大鼠深Ⅱ度烫伤创面愈合的实验研究

    Institute of Scientific and Technical Information of China (English)

    丁晓斌; 唐利; 郭力

    2012-01-01

    Objective To explore the effect of recombinant human granulocyte macrophage colony stimulating factor (rhGM CSF) hydrogel on deep partial thickness burn and the mechanism of action on promoting wound healing by establishing the model of deep partial burn in rats, coated with rhGM CSF hydrogel and bandaged with iodophor gauze. Methods 40 rats were randomly divided into experimental and control groups. The experimental and control groups treated respectively with rhGM CSF hydrogel and iodine solution of 0. 5 ‰ once a day for 13 days. Select 5 rats from each group randomly to execute on 4th, 7th, 10th and 13th day after administration respectively. Then evaluate the calculations of wound healing rate (WHR) , the count of fibroblasts (FB) , the area of the collagen fibers and wound microvascu-lar density (MVD). Results The calculations of wound healing rate (WHR) :the difference of WHR were not statistically significant on 4th day(P>0. 05),the WHR in the experimental group were obviously higher than that in the control group on 7th,10th day 13th day(P<0. OS). The count of fibroblasts (FB):the FB in the experimental group was obviously higher than that in the control group on 4th,7th and 10th day after treatment (P<0. 05). Nevertheless, which in the control group was obviously higher than that in the experimental group on 13th day after treatment (P<0. 05). The area of the collagen fibers: The area of the collagen fibers in the experimental group was obviously higher than that in the control group on 4th,7th, 10th and 13th day after treatment (P<0. 05). 4. Wound microvascular density (MVD): The number of microvessels in the experimental group were obviously higher than that in the control group on 4th,7th, 10th and 13th day after treatment (P<0. 05). Conclusion rhGM CSF hydrogel by promoting microvascular growth, promoting fibroblast formation and wound collagen formation to increase wound healing and improve the repaired quality. Compared to conventional treatment

  17. 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

  18. The Application of Autologous free Bone Plug Technology in Emergency Repair of Amputation Stump Bone Wound%应用自体游离骨塞技术急诊修复截肢残端骨创面

    Institute of Scientific and Technical Information of China (English)

    李贝; 黄瑞良; 区广鹏; 肖军; 刘伟; 杨康胜; 艾合买提江·玉素甫

    2013-01-01

    Objective:Study the efficacy of free bone plug of discarded limbs after amputation in repairing stump bone wound .Meth-ods:From March 2010 to March 2012 , we emergency repaired 6 cases of amputation stump bone wound in autologous free bone plug tech-nology,5 males and 1 female,the age ranged from 21 to 53 years old, average 35 years old.Causes of injuries:5 cases of traffic accident injury, 1 cases of machine strangulation injury .1 case of upper limb amputation , and 4 cases of lower limb amputation .Special examina-tion:1 cases of distal forearm damage;2 cases of thigh supracondylar and intercondylar comminuted fracture , femoral artery nerve de-structive injury and part of the defect;2 cases of the lower leg tibia and fibula comminuted fractures and popliteal artery injury ;1 cases of knee remote defect .After determining the osteotomy plane , retained inner and outer periosteal flap , osteotomy to the bone surface bleed-ing by swing saws ,sanded the edges of the bones . According the debridement amputation bone surface to design the bone plug size , made class cone type bone plug after removing periosteum , the bone plugs bottom of the cortical bone , surrounded by cancellous bone .Its base is trimmed into a slightly curved bone pad according to the cross -section of the stump osteotomy , stuffed stump medullary cavity .used the periosteal flap closure stump marrow cavity after trim the bottom of the bone plug , Soft tissue flaps designed well in advance embedded stump in turn, placed film drainage in the subcutaneous , a large number of cotton pad dressing , plaster cast processing( hard bandage ) . Results:4 patients wounds first class healing and stitches discharged , 2 patients postoperative wound edge effusion whose wound healing after 20-25 days dressing , Followed up for 3-6 months, all stump without sinus formation .1 year after amputation , assembly prosthetic stump skin are good shape , no ulcers and pressure sores .Conclusion:The results were

  19. 逆行足背动脉蒂跗外侧动脉皮瓣修复前足内侧皮肤软组织缺损%Lateral tarsal artery flap with retrograde dorsal artery pedicle for repairing soft tissue defects of the forefoot

    Institute of Scientific and Technical Information of China (English)

    尹光明

    2012-01-01

    Objective To explore the operative method and effects of lateral tarsal artery flap with retro-grade dorsal artery pedicle in repairing the soft tissue defect of forefoot.Methods Retrograde transposition was ap-plied for repairing medial forefoot wound,and anastomosis was achieved between the lateral dorsal nerve of foot and the nerve stump based on the design of lateral tarsal artery skin pedicled with dorsal artery.The donor site was re-paired with full thickness skin graft.Results All the 8 skin flaps survived and the wound healed in the primary stage.Vascular crisis occurred in 1 ease due to the extreme bandaging tightness of the skin grafting area on the first postoperatve day,then the skin flap survived after the operation.Partial margin necrosis occurred in the flap in 1 case,and the flap survived after dressing.All the patients were followed up for 6-24 months(average 13 months).The texture of the smwived flaps were soft;the color was similar to the surrounding normal skin;the appearance was not bloated or ruptured.The patients could wear shoes and walk normally.Six months after operation,the distanse sense was between 4-10 mm.For non-anastomosis of nerves,the flap could restore only part of the protective feel-ing.Conclusion Lateral tarsal artery flap with retrograde dorsal artery pedicle has advantages of suitable thick-hess,constant vascular anatomy,long vascular pedicle,large caliber,sufficient blood supply and being able to recon-struct the skin feeling in the grafting area.It is a good method to repair soft tissue defect of forefoot skin.%目的 探讨逆行足背动脉蒂跗外侧动脉皮瓣修复前足内侧皮肤软组织缺损的手术方法及临床疗效.方法 于足背外侧设计以足背动脉为蒂的跗外侧动脉皮瓣,以足背动脉足底穿支为旋转点,逆行移位修复前足内侧创面,将足背外侧皮神经与受区神经残端吻合.供区采用全厚皮片植皮修复.结果 术后8例皮瓣均

  20. CONSEQÜÊNCIAS DA LAMINECTOMIA DORSAL DO TIPO FUNKQUIST A EM CÃES NORMAIS CONSEQUENCES OF THE FUNKQUIST A DORSAL LAMINECTOMY, IN NORMAL DOGS

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    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.

  1. 医源性胆道损伤致胆汁渗漏74例诊治分析%Diagnosis and treatment of iatrogenic biliary tract damage

    Institute of Scientific and Technical Information of China (English)

    袁江涛; 李志清

    2013-01-01

    -term. Conclusion The iatrogenic biliary tract damage mainly appears in cholecystectormy.also mainly Calot's triangle. The causes are mainly lake of imageology diagnose of biliary tract,appearance of dropsy and necrosis or accretion of part tissue, lack of Surgical instruments and imnormal equipment, bad illumine, And experience and so on. The utility measure of early discovery and diagnostic include: white bandage is paved on. Visual field of operation; when biliary tract damage is suspected,biliary tract opacification and exploration of the common bile duct are executed at once;low-set drainage tube is usually placed in field of operation;peritoneal cavity. Drainage charcter and quantum, bile peritonitis objective sign and albuginea occult and skin stained are exactly observed during lweek after operation moreover dynamicstate of biliary ducts diameter is monitored with B ultrasound;routine biliary tract opacification or ERCP is earned out during 2weeks after operation and so on, proper Choice of deligating, drainaging,restoring,choledochojejunos-tomy pedestal is effective measures.

  2. Wound healing under the effect of iodine cadexomer in rats Cicatrização de feridas sob efeito do cadexômero iodo em ratos

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    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

  3. 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

  4. 改良Sublay-Keyhole技术原位修补造口旁疝%REPAIR IN SITU OF PARASTOMAL HERNIA WITH MODIFIED Sublay-Keyhole TECHNIQUE

    Institute of Scientific and Technical Information of China (English)

    费阳; 李基业; 姚胜

    2011-01-01

    Objective To investigate the procedure and the effectiveness of modified Sublay-Keyhole technique for repair in situ of parastomal hernia. Methods Between October 2007 and March 2010, 11 patients with parastomal hernia underwent modified Sublay-Keyhole technique for repair in situ. There were 5 males and 6 females with an average age of 63 years (range, 55-72 years). The average body mass index was 28.2 (range, 23.5-32.5). All stomas in patients were permanent, including 6 end colostomies caused by abdominal perineal resection for rectal cancer, 2 end ileostomies secondary to total colon resection for ulcerative colitis, and 3 end ileostomies following ileal conduit for bladder resection. One patient underwent previous prothetic repair with polypropylene mesh. The average time from last operation to admission was 2.5 years (range, 1-4.5 years). According to classification criteria of George Eliot hospital, 3 cases were classified as grade 2b, 2 as grade 3a, 5 as grade 3b, and 1 as grade 4. The average longest diameter of hernia ring was 9.5 cm (range, 6-12 cm). Results Reconstructions of abdominal wall in all patients were performed successfully through modified Sublay-Keyhole technique. The average size of hernia ring was 75.5 cm2 (range, 30-112 cm2), and the average size of polypropylene mesh was 280.5 cm2 (range, 175-360 cm2). The average operative time was 165 minutes (range, 120-195 minutes) and the average postoperativehospitalization days were 11 days (range, 9-14 days). All patients achieved healing of incision by first intention with no abdominal wall infection. Seroma and hematoma occurred in 2 patients and 1 patient, respectively, and were cured by needle aspiration and pressure bandaging. All patients were followed up 26.3 months on average (range, 10-39 months). One case suffered from parastomal hernia recurrence at 11 months postoperatively because of suture loosening and too wide aperture in mesh; and re-sutures in both mesh aperture and myofascial

  5. Evaluation on effect and safety of puncture guided with ultrasound and washing with sterile normal saline in treating breast abscess%超声引导下穿刺并生理盐水冲洗治疗乳腺脓肿的临床应用价值

    Institute of Scientific and Technical Information of China (English)

    杜海莉; 胡雄毅; 黄小花; 吴宏

    2015-01-01

    Objective To evaluate effect and safety of ultrasound guided puncture and washing with sterile normal saline in treating breast abscess .Methods From Jan 2012 to Oct 2013 ,79 patients with breast abscess were divided into two groups ,39 cases were received puncture guided with ultrasound treatment and washing with sterile normal saline ,while 40 patients were received the traditional abscess incision drainage .Swelling subsiding time ,the healing time ,local scar and other efficacy variables of the two groups were compared .Results All patients of the two groups were cured completely .There was no difference between the two groups in swelling subsiding time ,the heal‐ing time ,galactorrhea ,nipple sensory disturbance and reoccurrence rate (P>0 .05) .Frequency of refreshing bandage of ultrasound guided puncture group (1 .33 ± 0 .73)was lower than that of the traditional abscess incision drainage group(12 .23 ± 2 .46)(P<0 .01) .The degree of pain of ultrasound guided puncture group was lower than that of the traditional abscess incision drainage group (P<0 .01) .After treatment ,the percentage of breastfeeding again of the ultrasound guided puncture group(74 .36% ) was higher than that of the traditional abscess incision drainage group (15 .00% ) ,while less local scars were found in ultrasound guided puncture group (0 .00% )than in abscess incision drainage group(77 .50% )(P<0 .01) .Conclusion Puncture guided with ultrasound for breast abscess is safe ,conven‐ient and reliable for small trauma ,faster recovery and free of scars .%目的:评价超声定位穿刺与切开引流术治疗乳腺脓肿的效果。方法选取2012年1月至2013年10月该院乳腺脓肿患者79例,其中39例采用超声引导穿刺冲洗治疗(穿刺组);40例采用传统切开引流手术治疗(切开引流组)。比较两组愈合时间、换药次数、切口疤痕等各方面情况。结果两组患者全部治愈。两组红肿消退时间、愈合时间、乳漏

  6. Clinical efficacy and safety of closed negative pressure drainage in treatment of elderly patients with abdominal trauma and wound infection%封闭式负压引流治疗老年腹部创伤及感染创面的临床疗效及安全性评价

    Institute of Scientific and Technical Information of China (English)

    陈道英; 彭宗银

    2015-01-01

    Objective To investigate the curative effect of closed nega-tive pressure drainage in treatment of elderly patients with abdominal trauma and wound infection .Methods Fourty-two cases of elderly pa-tients with abdominal trauma and wound infection were randomly divided into control group (n=21) and treatment group (n=21).Control group was given erythromycin ointment twice a day and conventional dressing treatment.Treatment group was taken the treatment of closed negative pressure drainage and antibacterial therapy .The pain situation as well as the life quality score before and after treatment by visual analogue rating scale (VAS) was compared.Besides, the daily drainage, dressing, days of hospitalization, infection control situation 1,2,3 weeks and adverse drug reactions between the two groups were compared .Results After treatment, the VAS score (4.9 ±1.8) points of treatment group was sig-nificantly lower than that of the control group with VAS score (6.5 ±2.2 ) ( P <0.05 ) . The drainage ( 51.93 ±10.14 ) mL of treatment group was higher than that of the control group ( P <0.01 ) .The bandage times (9.08+2.72) and hospital stay (20.56+4.95 ) d of treatment group were less than those of the control group with dressing change times (18.07+5.54 ) and hospital stay ( 30.91+7.80 ) d ( P<0.01 ) .infection control rate of treatment group (95.21%) was higher that of control group (66.74%)(P<0.05).After treatment, the life quality of treatment group ( 95.1+3.9 ) is higher than that of control group ( 82.8+10.7 ) , with significant difference (P<0.01).The incidences of adverse reactions in treatment group was 0, the control group was 23.80%(5/21), difference between groups was statistically significant (P<0.05).Conclusion The closed negative pressure drainage has a high application value in the treatment of senile abdominal trauma and infection in the wound , which can ease the pain , accelerate wound healing , control infection effectively , improves prognosis

  7. 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

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    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

  8. Comparação entre as técnicas de shouldice e falci-lichtenstein, no tratamento das hérnias inguinais em homens Comparison between the shouldice and falci-lichtenstein techniques on the treatment of inguinal hernias in men

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    José Luiz Campello de Mello Vianna

    2004-04-01

    sucesso.OBJECTIVE: We compared the Shouldice (S technique, a repair in four layers of continuous suture and the Falci-Lichtenstein (FL technique that uses polypropylene prothesis. METHOD: One hundred and eighteen male patients underwent surgery, on a total of 124 hernias. Fifty-eight of them underwent inguinal hernia surgery by the FL technique, and the other 60 patients by the S technique. In each group 62 inguinais hernias with 85% of the patients were followed for four years. The average age was 52 years old. Fifty-three type 3 A hernias, 57 type 3B and 10 type 4 hernias were operated, according to the Nyhus classification. Concerning the side, there was a predominance on the right with 65 ruptures (52.4%. The anesthesia was spinal in (89.8% of the patients. RESULTS: The bruise and the seroma were the most common postoperative complications, occuring more frequently with the FL technique. In this one there was a recurrence (0,8%, because the bandage and the inguinal ligament broke up. In another patient, a femoral rupture turned up. The patients operated through the S technique complained more about pain on the immediate postoperative period and returned to work later. The observation time wasn't the ideal, because the largest index of recurrence can be in the non controlled patients, as it's known that 40% of the recurrence occur 5 years after the primary operation and 20% 25 years after. CONCLUSIONS: Both repairs presented low rates of recurrence. The Shouldice technique is more complex, as it allows a safe exploration of the femoral channel, requires a more solid anatomical knowledge of the region and a better experience with the surgery of the inguinal hernia and it's a low cost procedure. The Falci-Lichtenstein repair is effective,rapid, causes fewer pain, fast recovery and allows less experienced inguinal hernia surgeons to accomplish it successfully.

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