Search Results
Results 201 - 250 of 1861
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Schols Jos M G A - - 2009
Under-nutrition, inadequate protein or poor protein and energy intake and unintended weight loss have been identified as independent risk factors for the development of pressure ulcers. Providing oral nutritional supplements (ONS) in addition to regular food intake seems a logical way to replenish body shortages of macro- and micronutrients as ...
Günes Ulkü Yapucu - - 2009
Many valid and reliable tools and techniques are available for wound measurement. However, few prospective clinical studies assessing these instruments have been conducted. A prospective, methodological study was conducted between September 2006 and November 2007 to evaluate use of the Pressure Ulcer Scale for Healing (PUSH) version 3 in patients ...
Dunn Claudia A - - 2009
This study examined how community-dwelling adults with spinal cord injury (SCI) respond in real-life circumstances after detecting a low-grade (Stage 1 or Stage 2) pressure ulcer. We performed a secondary analysis of personal information profiles obtained in a previous qualitative research study. Profiles were examined to explore how individualized lifestyle ...
Kurita Masakazu - - 2009
In the treatment of pressure ulcers, assessment of systemic problems is an important yet difficult step in selecting either conservative or surgical therapeutic intervention. The surgical auditing system called the Physiological and Operative Severity Score for enUmeration of Mortality and Morbidity (POSSUM) and its orthopedic version (O-POSSUM), which gives a ...
Kottner Jan - - 2009
BACKGROUND: Measurement error can seriously affect the validity of pressure ulcer risk assessment and of pressure ulcer classification. OBJECTIVES: Determination of interrater reliability and agreement of pressure ulcer risk and pressure ulcers using the Braden scale and the EPUAP system. DESIGN AND SETTING: Duplicate assessments by trained nurses during two ...
VanGilder Catherine - - 2009
To assess the relationships among pressure ulcer prevalence, body mass index (BMI), and weight, this report analyzed the US data from the 2006 and 2007 International Pressure Ulcer Prevalence Surveys. Findings indicated an overall reduction in pressure ulcer prevalence from 2004 and 2005 to 2006 and 2007; there was a ...
Shahin Eman S M - - 2009
BACKGROUND: Pressure ulcers are a potential problem in intensive care patients, and their prevention is a major issue in nursing care. This study aims to assess the allocation of preventive measures for patients at risk for pressure ulcers in intensive care and the evidence of applied pressure ulcer preventive measures ...
Baharestani Mona M - - 2009
Pressure ulcer prevalence and incidence data are increasingly being used as indicators of quality of care and the efficacy of pressure ulcer prevention protocols. In some health care systems, the occurrence of pressure ulcers is also being linked to reimbursement. The wider use of these epidemiological analyses necessitates that all ...
Dufrene Claudine - - 2009
Documentation of pressure ulcers requires accuracy and thorough information in order for providers to prescribe treatment. Frequently, documentation among providers is inconsistent and can lead to a delay in proper treatment of the ulcer. Photography, used as an adjunct in documentation, can alleviate the inconsistencies and improve the care of ...
Cichowitz Adam - - 2009
There remains much confusion regarding the pathophysiology of pressure ulcers. Data indicate that the prevalence of pressure ulcers is increasing. The heel is unique in structure and well adapted to the task of shock absorption. However, it is often subject to prolonged pressure, which predisposes it to tissue breakdown, with ...
Kottner Jan - - 2009
Pressure ulcer prevalence rates provide useful information about the magnitude of this health problem. Only limited information on pressure ulcers in Germany was available before 2001. The purpose of this study was to compare results of seven pressure ulcer prevalence surveys which were conducted annually between 2001 and 2007 and ...
Wong Justin Gin Leong - - 2009
BACKGROUND: Hyperinflation of laryngeal mask airway cuffs can cause harm to the upper airway mainly by exerting high pressures on pharyngeal and laryngeal structures thus impairing mucosal perfusion. Although cuff manometers can be used to guide the monitoring of cuff pressures, their use is not routine in many institutions. In ...
Rich Shayna E - - 2009
Clinical guidelines for the prevention of pressure ulcers advise that pressure-reducing devices should be used for all patients at risk of or with pressure ulcers and that all pressure ulcers should be documented in the patient record. Adherence to these guidelines among elderly hospital patients early in the hospital stay ...
Baumgarten Mona - - 2009
The purpose of this study was to evaluate the validity of digital photographs for the assessment of the presence of pressure ulcers stage 2 or higher. Participants were 48 patients (28 white and 20 black) with pressure ulcers identified in the course of a wound specialist's routine clinical practice at ...
Kottner Jan - - 2009
AIM: The purpose of this study was to evaluate the influence of different numbers of nurse raters conducting skin inspection (one or two) on observed pressure ulcer prevalence rates. BACKGROUND: Pressure ulcer prevalence and incidence rates are important outcome measures for the quality of care. To ensure reliability and comparability ...
Schuurman Jaap-Peter - - 2009
AIM AND OBJECTIVE: The aim and objective of this study was to determine whether the occurrence of pressure ulcers following cardiothoracic surgery increases the length of hospitalisation. BACKGROUND: Literature suggests that a pressure ulcer extends the length of hospital stay. The impact of pressure ulcers on length of hospital stay ...
Monami Matteo - - 2009
OBJECTIVE: To assess the relevance of pulse pressure as a predictor of foot ulcers in type 2 diabetic subjects. RESEARCH DESIGN AND METHODS: A cohort study was performed on a consecutive series of 1,945 type 2 diabetic outpatients without a foot ulcer at baseline. Incident foot ulcers were identified through ...
Kottner Jan - - 2009
We analyzed data from pressure ulcer prevalence studies conducted in nursing homes between 2004 and 2006 concerning differences in the observed pressure ulcer prevalence rates while looking into the number of nurses conducting skin inspections (one or two). Results of the analysis revealed that the number of raters did not ...
Kottner Jan - - 2009
AIMS: To review systematically the interrater reliability of pressure ulcer classification systems to find out which classification should be used in daily practice. BACKGROUND: Pressure ulcer classification systems are important tools in research and practice. They aim at providing accurate and precise communication, documentation and treatment decisions. Pressure ulcer classifications ...
van der Wegen-Franken C P M - - 2009
OBJECTIVES: There is no data available at present on the changes in the exerted pressure together with the dynamic stiffness index (DSI) of medical elastic compression stockings (MECS). The objective of this pilot study was to measure the pressure and calculate the DSI of 12 different brands of MECS before ...
Loney Robert W - - 2009
Pressure-indicating media have more diverse applications than merely the identification of areas on the denture base that cause mucosal pressure and pain. The purpose of this article is to provide guidelines for optimal use of the media and to identify alternative uses that could be considered in daily practice.
Vanhooydonck B - - 2009
Animal signalling systems are extremely diverse as they are under different, often conflicting, selective pressures. A classic textbook example of a diverse signal is the anoline dewlap. Both at the inter- and intraspecific levels, dewlap size, colour, shape and pattern vary extensively. Here, we attempt to elucidate the various factors ...
Connolly Michael - - 2009
AIMS: To understand the perspective of hospital-based health professionals with regard to preparing patients for discharge from an acute hospital in England. BACKGROUND: The hospital experience in England over recent years is characterised by increasing admission rates and decreasing length of stay. Legislation and policy initiatives have also focussed upon ...
Park-Lee Eunice - - 2009
Data from the National Nursing Home Survey, 2004. In 2004, about 159,000 current U.S. nursing home residents (11%) had pressure ulcers. Stage 2 pressure ulcers were the most common. Residents aged 64 years and under were more likely than older residents to have pressure ulcers. Residents of nursing homes for ...
Erba P - - 2010
The radicality of wound debridement is an important feature of the surgical treatment of pressure sores. Several methods such as injection of methylene blue or hydrogen peroxide have been proposed to facilitate and optimise the surgical debridement technique, but none of them proved to be sufficient. We present an innovative ...
Dunn, RN; ;
Summary. Pressure sores are a predictable consequence of poorly managed spinal cord-injured patients. Not only do pressure sores contribute to the morbidity, but also add significantly to the medical/nursing management, cost and admission stay, limiting optimal bed utilisation. This intervention study assesses the impact of active intervention in terms of ...
Chiron François - - 2009
Both human-related and natural factors can affect the establishment and distribution of exotic species. Understanding the relative role of the different factors has important scientific and applied implications. Here, we examined the relative effect of human-related and natural factors in determining the richness of exotic bird species established across Europe. ...
Jandali Shareef - - 2009
Multiple large decubitus ulcers present a reconstructive challenge to the plastic surgeon. When stage IV pressure sores become recurrent or extensive, traditional flaps either have already been exhausted or would not be sufficient to cover the defect. A retrospective review was performed on all paraplegic patients who had chronic, extensive, ...
Reenalda Jasper - - 2009
Pressure ulcers are a large problem in subjects who use a wheelchair for their mobility. These ulcers originate beneath the bony prominences of the pelvis and progress outward as a consequence of prolonged pressure. Interface pressure is used clinically to predict and prevent pressure ulcers. However, the relation between interface ...
Heyneman Alexander - - 2009
AIM: The aim of the study was to determine the effectiveness of two cushions in the prevention of heel pressure ulcers in a geriatric population. BACKGROUND: Heel pressure ulcers are a major problem in nursing practice. Several measures for the prevention of heel pressure ulcers are discussed in the literature, ...
Thorfinn Johan - - 2009
A better understanding of how pressure ulcers develop in the buttocks will improve prophylactic measures. Our aim was to investigate signs of reduced perfusion and ischaemia in the subcutaneous fat in the buttocks during sitting. A microelectrode was used to quantify oxygen (pO(2)). Metabolites that indicate aerobic or anaerobic metabolism ...
Reenalda Jasper - - 2009
Pressure ulcers are a large problem in individuals who use a wheelchair for their mobility and have limited trunk stability and motor function. Because no relation between interface pressure and pressure ulcer development has been established and no clinical threshold for pressure ulcer development can be given, looking at the ...
Nonnemacher Michael - - 2009
AIMS: The purpose of this study was: (1) to determine the combination of risk factors which best predicts the risk of developing pressure ulcers among inpatients in an acute care university hospital; (2) to determine the appropriate weight for each risk factor; and (3) to derive a concise and easy-to-use ...
Maslauskas Kestutis - - 2009
The aim of this study was to evaluate morphological characteristics of pressure ulcers, methods of surgical treatment and its effectiveness in the Clinic of Plastic and Reconstructive Surgery of Kaunas University of Medicine Hospital. MATERIAL AND METHODS: A retrospective data analysis of 139 patients with pressure ulcers treated in the ...
Hill Michelle L - - 2009
The reliability and validity of assessments and diagnoses made via home telehealth was measured in 42 patients with spinal cord injury. Two telehealth modalities were investigated: telephone-only contact and videoconferencing. The results were compared with a reference (gold-standard) method, the in-person assessment and diagnosis of skin integrity and pressure ulcers. ...
Mehrotra Sandeep - - 2009
Pressure sores are increasing in frequency commensurate with an ageing population with multi-system disorders and trauma. Numerous classic options are described for providing stable wound cover. With the burgeoning knowledge on perforator anatomy, recent approaches focus on the use of perforator-based flaps in bedsore surgery. A giant neglected trochanteric pressure ...
Stausberg Jürgen - - 2009
Different classifications of pressure ulcer are in use making national and international studies on epidemiological issues as well as on effects of prophylactical and therapeutical interventions difficult. A systematic literature search identified 31 pressure ulcer classifications. Thirteen could be retrieved and were further analyzed. Six variants of the International Classification ...
Yip Marcus - - 2009
Pressure ulcers are painful sores that arise from prolonged exposure to high pressure points, which restricts blood flow and leads to tissue necrosis. This is a common occurrence among patients with impaired mobility, diabetics and the elderly. In this work, a flexible pressure monitoring system for pressure ulcer prevention has ...
Chenu Olivier - - 2009
Pressure sores are localized injuries to the skin and underlying tissues and are mainly resulting from overpressure. Paraplegic peoples are particularly subjects to pressure sores because of long-time seated postures and sensory deprivation at the lower limbs. Here we report outcomes of a feasibility trial involving a biofeedback system aimed ...
Moore Zena Eh - - 2009
Pressure, from lying or sitting on a particular part of the body, results in oxygen deprivation to the affected area. If a patient with an existing pressure ulcer continues to lie or bear weight on the affected area, the tissues become depleted of blood flow and there is no oxygen ...
Vowden Kathryn R - - 2009
The prevalence of pressure ulceration within the population receiving health care in Bradford, UK was 0.74 people with a pressure ulcer per 1000 population (95% CI 0.6-0.8). This prevalence includes a number of tertiary referrals and if these are removed the prevalence falls to 0.71 people with a pressure ulcer ...
Grisell Margaret - - 2008
STUDY DESIGN: This is a prospective, randomized study. OBJECTIVE: The purpose was to compare the tissue-pillow interface pressures at the forehead and chin in patients positioned in the prone fashion for spinal surgery on each of 3 facial positioners. SUMMARY OF BACKGROUND DATA: Facial pressure ulcers have been infrequently observed ...
Nijs Nele - - 2009
AIMS: To determine the incidence of pressure ulcers occurring at least 48 hours after admission and risk factors for pressure ulcers grade 2-4 in a long-stay surgical Intensive Care Unit (ICU) population. BACKGROUND: The incidence of pressure ulcers in intensive care units is larger than in non-intensive environments. DESIGN: Prospective ...
Terekeci Hakan - - 2009
In this research, we studied the incidence of pressure ulcer and risk factors and screening of the patients for pressure ulcers at intensive care unit on the first day of admission in 142 patients. All patients were evaluated according to National Pressure Ulcer Advisory Panel during the ICU period strictly. ...
Engel Michael S - - 2009
A giant termite is described and figured from the Late Miocene of the Styrian Basin in southeastern Austria. Gyatermes styriensis gen. n. et sp. n. is represented by a relatively complete forewing, with basal scale. The fossil approximates in size the largest of all termites today and is the largest ...
Lopez y Royo Cecilia - - 2009
The assessment of human-induced pressures on the coastal area is essential to target management plans effectively, and moreover is required by the EU Water Framework Directive. A simple and cost-effective assessment of human-induced pressures on the coastal zone is applied using two methodologies: a qualitative visual assessment which uses satellite ...
Durović Aleksandar - - 2008
BACKGROUND/AIM: Neglecting polarized light as an adjuvant therapy for pressure ulcers and methodology distinctions in the trials engaging polarized light are the reasons for many dilemmas and contradictions. The aim of this study was to establish the effects of polarized light therapy in pressure ulcer healing. METHODS: This prospective randomized ...
Medrano Sarah - - 2008
As of October 1, 2008, prompt identification and accurate staging of pressure ulcers present on admission to acute care hospitals became essential for Medicare reimbursement. In short, Medicare will no longer cover the added costs associated with care of Stage III and Stage IV pressure ulcers not present on admission; ...
Akbar W - - 2008
Varying susceptibility to tebufenozide was recorded in the sugarcane borer, Diatraea saccharalis (F.) (Lepidoptera: Crambidae), collected from Louisiana sugarcane locations with different selection pressures. Results from diet incorporation bioassays with tebufenozide indicated significant increases in LC50 (3.78-fold) and LC90 (7-fold) values for a colony from Duson (DU), an area with ...
Piscart Christophe - - 2009
In developed countries, changes in agriculture practices have greatly accelerated the degradation of the landscape and the functioning of adjacent aquatic ecosystems. Such alteration can in turn impair the services provided by aquatic ecosystems, namely the decomposition of organic matter, a key process in most small streams. To study this ...
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