Dissertations / Theses on the topic 'Chronic venous insufficiency'
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Metcalfe, Matthew James. "Purinergic signalling in chronic venous insufficiency and penile erection." Thesis, University College London (University of London), 2006. http://discovery.ucl.ac.uk/1444989/.
Full textTing, Chi-wai Albert, and 丁志偉. "Surgical treatment for advanced chronic venous insufficiency in Hong Kong." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2004. http://hub.hku.hk/bib/B2955293X.
Full textSultan, Muhammad. "Studies on the prevention of venous insufficiency and ulceration." Thesis, University of Manchester, 2013. https://www.research.manchester.ac.uk/portal/en/theses/studiesonthepreventionofvenousinsufficiencyandulceration(c61c012a-9f45-4339-8598-20ab40298d02).html.
Full textMacKenzie, Rhoda K. "Chronic venous insufficiency and lower limb ulceration : aetiology, treatment and provision of care." Thesis, University of Aberdeen, 2004. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.402697.
Full textEifell, Ronald K. G. "Continuous ambulatory venous pressure monitoring in the assessment of chronic venous insufficiency and the results of venous surgery in the lower limb." Thesis, University of Newcastle upon Tyne, 2008. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.492114.
Full textEvans, Christine J. "Prevalence of varicose veins and chronic venous insufficiency of the legs in the general population." Thesis, University of Edinburgh, 2002. http://hdl.handle.net/1842/23337.
Full textStuart, Wesley P. "The role of medial calf perforating veins in the development of chronic venous insufficiency and ulceration." Thesis, University of Edinburgh, 2002. http://hdl.handle.net/1842/23215.
Full textMoseley, Amanda Louise, and mosedeal@yahoo com au. "The Efficacy of Home Based Exercise Regimes for Limb Oedemas." Flinders University. Medicine, 2007. http://catalogue.flinders.edu.au./local/adt/public/adt-SFU20070314.163051.
Full textRobertson, Lindsay Anne. "Incidence of varicose veins, chronic venous insufficiency and venous reflux in the general population and associated risk factors : the Edinburgh Vein Study follow up." Thesis, University of Edinburgh, 2013. http://hdl.handle.net/1842/8149.
Full textTanner, Daniel Edward. "Design, analysis, testing, and evaluation of a prosthetic venous valve." Thesis, Georgia Institute of Technology, 2013. http://hdl.handle.net/1853/51758.
Full textBoghossian, Sheila. "Lifestyle and clinical factors related to the deterioration of trunk varicose veins, telangiectasia, chronic venous insufficiency and venous reflux in the general population : Edinburgh Vein Study follow-up." Thesis, University of Edinburgh, 2014. http://hdl.handle.net/1842/9614.
Full textBeggs, Clive B. "Venous haemodynamic and cerebrospinal fluid anomalies associated with multiple sclerosis." Thesis, University of Bradford, 2014. http://hdl.handle.net/10454/7321.
Full textBeggs, Clive Barron. "Venous haemodynamic and cerebrospinal fluid anomalies associated with multiple sclerosis." Thesis, University of Bradford, 2014. http://hdl.handle.net/10454/7321.
Full textSathe, Rahul D. "Design and Development of a Novel Implantable Prosthetic Vein Valve." Thesis, Georgia Institute of Technology, 2006. http://hdl.handle.net/1853/14495.
Full textPemble, Lucia Beatrice. "The influence of hormonal variation and pregnancy on the capacitance and competence of lower extremity veins." Thesis, Queensland University of Technology, 1998.
Find full textMidha, Prem Anand. "Long-term patency of a polymer vein valve." Thesis, Atlanta, Ga. : Georgia Institute of Technology, 2009. http://hdl.handle.net/1853/29721.
Full textCommittee Chair: Ku, David; Committee Member: Gleason, Rudolph; Committee Member: Milner, Ross. Part of the SMARTech Electronic Thesis and Dissertation Collection.
Anim, Kwaku. "Design, Development, Testing, and Evaluation of a Prosthetic Venous Valve." University of Akron / OhioLINK, 2010. http://rave.ohiolink.edu/etdc/view?acc_num=akron1269252194.
Full textRizzatti, Salete de Jesus Souza. "PRÁTICAS DE CUIDADO POPULAR DE PESSOAS COM ÚLCERA VENOSA: IMPLICAÇÕES PARA A ENFERMAGEM." Universidade Federal de Santa Maria, 2014. http://repositorio.ufsm.br/handle/1/7420.
Full textA úlcera venosa é definida como uma lesão crônica presente no terço inferior das pernas. Acomete indivíduos de diferentes faixas etárias e está associada à insuficiência venosa crônica, tendo importância do ponto de vista social e clínico, uma vez que compromete a produtividade e qualidade de vida desses. Assim, torna-se um desafio para a equipe de saúde cuidar das pessoas com úlcera venosa, devido a sua complexidade e repercussão socioeconômica. Considera-se imprescindível a construção de um vínculo com o indivíduo e sua família favorecendo a troca de conhecimentos e aproximando os saberes. Esta investigação, busca contribuir com os profissionais de saúde, especialmente com a enfermagem, tanto na construção do conhecimento como na qualificação do cuidado aos pacientes com úlceras venosas, visando a aproximação do saber profissional ao popular. A pesquisa tem como questão norteadora: Quais as práticas de cuidado popular adotadas pelas pessoas com úlcera venosa atendidas no ambulatório de angiologia do Hospital Universitário de Santa Maria, no Rio Grande do Sul, Brasil? E, como objetivo: conhecer as práticas de cuidado popular adotadas pelas pessoas com úlcera venosa atendidas no ambulatório de angiologia do Hospital Universitário de Santa Maria/RS. Trata-se de uma pesquisa de campo, qualitativa, exploratória e descritiva, desenvolvida no ambulatório do referido hospital e no domicílio das pessoas com úlcera venosa, no período entre dezembro de 2012 e março de 2013. Os participantes da pesquisa são adultos e idosos, com lesão venosa, em acompanhamento neste ambulatório. A coleta de dados foi realizada por meio de entrevista semiestruturada. Após, os dados foram transcritos, e submetidos à análise de conteúdo. Foram respeitados os aspectos éticos em consonância à Resolução nº 196/96 do Conselho Nacional de Saúde. Os resultados são apresentados no formato de artigos: Artigo 1: As pessoas vão me ensinando as coisas e eu faço! : práticas populares no cuidado com a úlcera venosa; Artigo 2: Cuidados em saúde das pessoas com úlcera venosa em assistência ambulatorial.Pode-se constatar que as pessoas recorrem a múltiplas alternativas de cuidados em busca de solução para sua condição de saúde. Entre as práticas de cuidado popular referidas pelos entrevistados estão benzer, rezar/orar, uso de plantas e chás e pluralismos de práticas. Além dessas, encontraram-se os cuidados com a alimentação, com a lesão e o repouso. Portanto, há necessidade de os profissionais de saúde, em especial os enfermeiros, conhecerem a realidade sociocultural da população que assistem, com vistas a um cuidado congruente.
Grigonienė, Renata. "Pacientų sergančių lėtiniu venų nepakankamumu operacinio gydymo įtaka gyvenimo kokybei." Master's thesis, Lithuanian Academic Libraries Network (LABT), 2014. http://vddb.library.lt/obj/LT-eLABa-0001:E.02~2009~D_20140626_192423-62299.
Full textThe Influence of Surgical Treatment on Quality of Live of Patients Suffering from Chronic Venous Insufficiency“ Nursing Master’s final paper Author: Renata Grigonienė Supervisor: dr. Narimantas Markevičius Vilnius, 2009 m. Keywords: chronic venous insufficiency, quality of life before surgery, quality of life improvement after surgery, chronic venous insufficiency questionnaire (CIVIQ). The aim of research: to investigate the quality of life of patients suffering from chronic venous insufficiency before and after surgery. The objectives of research: to compare the quality of life of male and female patients with chronic venous insufficiency before and after surgery; to investigate the pain domain of quality of life before and after surgery; to investigate the physical domain of quality of life before and after surgery; to investigate the psychological domain of quality of life before and after surgery; to investigate the social relations domain of quality of life before and after surgery. The subject of research: the quality of life of patients suffering from chronic venous insufficiency before and after surgery. 51 patients took part in the survey before and after surgery, including 41 female (80.4 %) and 10 males (19.6 %). The methods of research: Theoretical review of scientific literature and publications; questionnaire survey designed to investigate the quality of life of patients suffering from chronic venous insufficiency. International CIVIQ questionnaire was used for... [to full text]
Пилипенко, В. Г., В. П. Кисляков, М. А. Маркин, Л. В. Сохань, and Я. Г. Шпирко. "Лечение трофических язв при хронической венозной недостаточности у пациентов пожилого возраста." Thesis, Издательство СумГУ, 2012. http://essuir.sumdu.edu.ua/handle/123456789/27269.
Full textBagley, Angus H. "Proteomic and bioinformatic investigation of chronic wounds using non-invasive sampling to assess wound status and pathology." Thesis, Queensland University of Technology, 2022. https://eprints.qut.edu.au/235131/1/Angus_Bagley_Thesis.pdf.
Full textFarrell, Laura-Lee Amelia Catherine. "Prosthetic Vein Valve: Delivery and In Vitro Evaluation." Thesis, Available online, Georgia Institute of Technology, 2007, 2007. http://etd.gatech.edu/theses/available/etd-04042007-180135/.
Full textRibeiro, Cibele Teresinha Dias. "Efeitos do tratamento com Hidrogel na cicatriza??o de ?lceras venosas de membros inferiores: revis?o sistem?tica." Universidade Federal do Rio Grande do Norte, 2014. http://repositorio.ufrn.br:8080/jspui/handle/123456789/16749.
Full textChronic venous disease (CVD) is evident among the chronic diseases and affects the elderly population and primarily is responsible for leg ulcers in this population. The use of dressings in the care of a venous ulcer is a fundamental part of the treatment for healing, however, evidence to assist in choosing the best dressing is scarce. The main objective of this study was to evaluate the effectiveness of treatment with hydrogel in the healing of venous ulcers using search methods, synthesis of information and statistical research through a systematic review and meta-analysis. Randomized controlled trials were selected in the following databases: CENTRAL; DARE; NHS EED; MEDLINE; EMBASE; CINAHL. Beyond these databases three websites were consulted to identify ongoing studies: ClinicalTrials.gov, OMS ICTRP e ISRCTN. The primary outcomes were analyzed: complete wound healing, incidence of wound infection and the secondary were: changes in ulcer size, time to ulcer healing, recurrence of ulcer, quality of life of participants, pain and costs of treatment. Four studies are currently included in the review with a total of 250 participants. The use of hydrogel appears to be superior to conventional dressing, gauze soaked in saline, for the healing of venous leg ulcers; 16/30 patients showed complete healing of ulcers (RR 5,33, 95%CI [1,73,16,42]). The alginate gel was shown to be more effective when compared to the hydrogel dressing in reduction of the wound area; 61,2% (? 26,2%) with alginate e 19,4% (? 24,3%) with hydrogel at the end of four weeks of treatment. Manuka honey has shown to be similar to the hydrogel dressings in percentage of area reduction. This review demonstrated that there is no evidence available about the effectiveness of the hydrogel compared to other types of dressings on the healing of venous leg ulcers of the lower limbs, thus demonstrating the need of future studies to assist health professionals in choosing the correct dressing.
A doen?a venosa cr?nica (DVC) evidencia-se entre as doen?as cr?nicas por acometer a popula??o idosa e ser a principal respons?vel pelas ?lceras de membros inferiores nesta popula??o. O uso de adesivos no cuidado de uma ?lcera venosa ? parte fundamental no tratamento para a cicatriza??o, no entanto, as evid?ncias para auxiliar na escolha do melhor adesivo s?o escassas. O objetivo principal do estudo foi avaliar a efic?cia do tratamento com o hidrogel na cicatriza??o de ?lceras venosas mediante m?todos de busca, s?ntese de informa??o e an?lise estat?stica atrav?s de uma revis?o sistem?tica com meta-an?lise. Foram selecionados estudos controlados randomizados nas seguintes bases de dados: CENTRAL; DARE; NHS EED; MEDLINE; EMBASE; CINAHL. Al?m dessas bases foram consultados tr?s websites para identificar estudos em andamento: ClinicalTrials.gov, OMS ICTRP e ISRCTN. Os desfechos prim?rios analisados foram: cicatriza??o completa das ?lceras e incid?ncia de infec??o das ?lceras e os secund?rios foram: altera??es no tamanho da ?lcera, tempo de cicatriza??o das ?lceras, recorr?ncia das ?lceras, qualidade de vida dos participantes, dor e custos do tratamento. Quatro estudos est?o atualmente inclu?dos na revis?o com um total de 250 pacientes. O uso do hidrogel parece ser superior ao curativo convencional, gaze embebida em salina, para a cicatriza??o de ?lceras venosas de membros inferiores; 16/30 pacientes apresentaram cicatriza??o completa das ?lceras (RR 5,33, 95%CI [1,73,16,42]). O gel de alginato demonstrou ser mais efetivo quando comparado ao hidrogel quanto ? redu??o da ?rea da ?lcera; 61,2% (? 26,2%) com o alginato e 19,4% (? 24,3%) com o hidrogel ao final das quatro semanas de tratamento. O mel de Manuka demonstrou ser similar ao hidrogel em rela??o ? porcentagem de redu??o da ?rea. Esta revis?o mostrou que n?o existem evid?ncias dispon?veis a respeito da efic?cia do hidrogel em rela??o aos outros tipos de curativo na cicatriza??o de ?lceras venosas de membros inferiores, demonstrando assim a necessidade de futuras pesquisas para auxiliar os profissionais da sa?de na escolha do adesivo correto
Abreu, Guilherme Camargo Gon?alves de. "Escleroterapia ecoguiada com espuma para tratamento da insufici?ncia venosa com ?lcera." Pontif?cia Universidade Cat?lica de Campinas, 2017. http://tede.bibliotecadigital.puc-campinas.edu.br:8080/jspui/handle/tede/953.
Full textMade available in DSpace on 2017-04-12T13:04:38Z (GMT). No. of bitstreams: 1 GUILHERME CAMARGO GON?ALVES DE ABREU.pdf: 3685278 bytes, checksum: b38c6f9cbee974306c1235fc31b386a3 (MD5) Previous issue date: 2017-02-22
Chronic Venous Insufficiency (CVI) is the leading cause of venous leg ulcers (VLU). Primary varicose veins are the most frequent cause of CVI. The requirements for each treatment method limits its applicability. Foam sclerotherapy has been shown to be effective, safe and great applicability. OBJECTIVE: Analize patient?s evolution after ultrasound-guided foam sclerotherapy (USGFS). METHOD. Clinical trial without control group. Patients with primary CVI venous ulcer (VU) and great saphenous vein (GSV) reflux were treated with USGFS from June 2015 to June 2016. We evaluate diseases severity, quality of life (QoL), ulcer?s healing and elimination of venous reflux. Patients were followed for 180 days and evaluated by Doppler ultrasound (USD), Aberdeen varicose veins questionnaire (AVVQ) and venous clinical severity score (VCSS). Anatomical and clinical data were collected. AVVQ, VCSS and ulcers diameters were tested by ANOVA method. Patients were grouped according to outcome (VU healing, venous occlusion and reflux elimination) and variables were compared by the Mann-Whitney test or the Fisher exact test. RESULTS: 22 patients were treated (15 men and 7 women) aged 35 to 70 years (56 +/-10.5). There was improvement in quality of life, ulcers diameters antics were reduced (p < 0.001; ANOVA). 77% of VLU were completely healed, 14% remained open with reduced dimensions. Venous reflux was eliminated in 64% of the treated great saphenous vein. Worse QoL patients needed more treatment sessions (? = 0.5449; p = 0.0087; Spearman). Men had better QOL after 180 days and had a higher gain on QOL than women (p = 0.0074). Older patients, patients with larger ulcers, away from work and women had more severe disease (p 0.05 <; ANOVA). No variable related to evolution of clinical severity. Women had more complications (p = 0.017; Fisher) and there was no severe complications. Completely healed VLU and completely occluded GSV were at beginning smaller than not completely healed UV and not completely occluded GSV (p < 0.05; Mann-Whitney). CONCLUSION: The absence of severe adverse effects and improvement of evaluated parameters observed in most patients indicates that USGFS is an applicable alternative to patients with severe CVI.
A insufici?ncia venosa cr?nica (IVC) ? a principal causa de ?lceras nos membros inferiores (UV). Varizes prim?rias s?o a causa mais frequente de IVC. Os diversos tratamentos propostos para varizes com IVC apresentam requisitos que limitam sua aplicabilidade. Escleroterapia com espuma tem se mostrado eficaz segura barata e de grande aplicabilidade. OBJETIVO: Analisar a evolu??o dos portadores de IVC com refluxo da veia safena magna e ?lcera venosa submetidos a escleroterapia ecoguiada com espuma de polidocanol (EEE). M?TODO. Ensaio cl?nico sem grupo controle. Portadores de IVC prim?ria com ?lcera varicosa e refluxo na veia safena magna foram tratados com EEE de forma consecutiva. Os pacientes foram observados por 180 dias entre junho de 2015 e junho de 2016. A evolu??o dos pacientes foi estudada em termos de qualidade de vida (QV) avaliado pelo question?rio Aberdeen para veias varicosas (QA); gravidade da doen?a avaliada por escore de gravidade cl?nica (ECV), elimina??o do refluxo venoso pelo ultrassom Doppler (USD) e cicatriza??o de ?lceras. Foram coletados dados cl?nicos, anat?micos e sociais. QA, ECV, di?metro das ?lceras e a influ?ncia das vari?veis foram comparados pelo m?todo de ANOVA. Os pacientes foram agrupados de segundo desfecho (cicatriza??o de UV, oclus?o e elimina??o do refluxo venoso) e as vari?veis foram comparadas pelo teste de Mann-Whitney ou pelo teste exato de Fisher. RESULTADOS: Foram tratados 22 pacientes (7 homens e 15 mulheres) com idade entre 35 a 70 anos (56 +/- 10,5). Houve melhora na qualidade de vida, redu??o da gravidade da doen?a e redu??o dos di?metros das ?lceras (p<0.001; ANOVA). Houve cicatriza??o completa de 77% das UV, 14% permaneceram abertas com redu??o das dimens?es. Houve elimina??o do refluxo em 64% das VSM tratadas. Pacientes com pior QV necessitaram maior n?mero de sess?es para tratamento da doen?a (?=0.5449; p-valor = 0.0087; Spearman). Homens apresentaram melhor QV ap?s 180 dias e tiveram maior ganho na QV que as mulheres (p = 0.0074; Mann-Whitney). Pacientes mais idosos, portadores de ?lceras maiores, afastados do trabalho e mulheres (p<0,05; ANOVA) apresentaram doen?a mais grave. Nenhuma vari?vel se relacionou a evolu??o da gravidade cl?nica. Mulheres apresentaram mais complica??es (p = 0.017; Fisher) e n?o houve complica??es graves. As UV completamente cicatrizadas e as VSM que apresentaram oclus?o completa apresentavam dimens?es inicialmente menores quando comparadas as UV n?o completamente cicatrizadas e as VSM n?o completamente oclu?das (p<0,05; Mann-Whitney). CONCLUS?O: A aus?ncia de complica??es graves e a melhora observada dos par?metros avaliados na maioria dos pacientes indica que EEE ? alternativa aplic?vel aos portadores de IVC grave.
Parreiras, Luisa Pereira. "Exercício físico no tratamento da úlcera venosa." Universidade do Estado de Santa Catarina, 2011. http://tede.udesc.br/handle/handle/507.
Full textCoordenação de Aperfeiçoamento de Pessoal de Nível Superior
Chronic venous insufficiency is characterized by an abnormal functioning of the venous system, in which the flow of arterial blood that reaches the lower limbs is greater than the flow of venous blood returning to heart. The blood accumulates in the lower limbs and generates venous hypertension, with consequent edema and skin changes. The objective was to create a simplified protocol of exercises physical to be performed at home, and subsequently evaluate the intervention in patients with chronic venous insufficiency ulcer vein. Method: Initially, we produced a simplified protocol of exercises, which could be easily understood and implemented by patients. In order to facilitate understanding and implementation, was produced a booklet to demonstrate the correct way to perform the exercises. Through a controlled clinical trial, we developed a pilot study evaluated 06 individuals, 03 in Group Experimental (GE) and 03 Control Group (CG). For 15 days, patients were submitted to the GE program of physical exercises performed at home, while the CG patients remained on conventional treatment only. Through the visual analogue scale, tape measure, goniometer, and SF-36 were evaluated, respectively, the pain and swelling in lower limbs, range of motion of the ankles and knees, and quality of life related to health, not being observed significant difference between groups in measured parameters. Conclusion: The protocol for conducting exercises at home was easily understood by all individuals in the GE, allowing the immediate execution of the planeed activity. Probably due to the small number of subjects evaluated and the short intervention period, there was no significant difference between groups.
A insuficiência venosa crônica caracteriza-se por um funcionamento anormal do sistema venoso, no qual o fluxo de sangue arterial que chega aos membros inferiores (MMII) é maior que o fluxo de sangue venoso que retorna ao coração. O sangue acumula-se nos membros inferiores e gera hipertensão venosa, com consequente edema e alterações de pele. O objetivo desta pesquisa foi criar um protocolo simplificado de exercícios físicos para execução domiciliar e, subsequentemente, avaliar a intervenção em pacientes com insuficiência venosa crônica e úlcera venosa. Método: Inicialmente foi produzido um protocolo simplificado de exercícios, que pudesse ser facilmente compreendido e executado pelos pacientes. No intuito de facilitar a compreensão e execução, foi produzida uma cartilha para demonstração da forma correta de executar os exercícios. Por meio de um ensaio clínico controlado, foi desenvolvido um estudo piloto no qual foram avaliados 06 indivíduos, 03 no Grupo Experimental (GE) e 03 no Grupo Controle (GC). Durante 15 dias, os pacientes do GE foram submetidos ao programa de exercícios físicos realizados em domicílio, enquanto os pacientes do GC permaneceram apenas no tratamento convencional. Por meio da escala visual analógica, fita métrica, goniômetro, e questionário SF-36, foram avaliados, respectivamente, a dor e edema em MMII, amplitude de movimento articular dos tornozelos e joelhos, e a qualidade de vida relacionada à saúde, não sendo observada diferença significativa entre os grupos, nos parâmetros avaliados. Conclusão: O protocolo para realização de exercícios em domicílio foi facilmente compreendido por todos os indivíduos do GE, permitindo a imediata execução da atividade prevista. Provavelmente devido ao pequeno número de indivíduos avaliados e ao curto período de intervenção, não foi verificada diferença significativa entre os grupos.
Jansson, Hanna-Cecilia, and Freja Willborg. "Personers upplevelser av behandling och vård vid venösa bensår : en litteraturstudie." Thesis, Sophiahemmet Högskola, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:shh:diva-4020.
Full textBackground Registered nurses frequently come into contact with persons living with venous leg ulcers, as these wounds are primarily treated and cared for by nurses. Persons with venous leg ulcers often experience underlying chronic venous insufficiency, which is the main cause of venous leg ulcers. This means that even once healed venous leg ulcers are likely to reoccur, and treatment is often life-long. In spite of this, very few studies and research projects focus on the person’s experiences of their ailment in relation to the treatment they receive. Aim To highlight persons’ experiences related to the treatment and care of venous ulcers. Method To summarize the research knowledge of this subject, a review of current literature was undertaken. Searches have been conducted in several online-based databases. Through the databases PubMed and CINAHL 16 articles were identified and then analyzed. Results Many persons with venous leg ulcers feel that treatment and care affects or impedes them in some way. Three core categories were identified as signifying for the result: hopefulness and uncertainty, an impaired life, and not being viewed as a person. Continuity of care, quality of communication, and the nurse-patient relationship are all key contributors to the experiences of treatment and care that persons with venous leg ulcers describe. The result implies that treatment and care of persons with venous leg ulcers is not satisfyingly individualized, which reduces the level of confidence that these persons feel for their healthcare providers. Persons with venous leg ulcers report that experiences of uncertainty make the treatment hard to handle psychologically. A strong desire for permanent healing is shared by persons with venous leg ulcers. Conclusions There is a shortage of specific research aimed at the experiences of persons with venous leg ulcers of aspects relating to their treatment and care. Many nurses lack vital knowledge regarding the treatment and care of these individuals. In this review a need for a shift of focus is perceived, from simply the healing of the venous leg ulcer, into also considering the quality of life of persons with venous leg ulcers. Nurses are in need of more knowledge of the condition, and more insight into the lives of persons with venous leg ulcers. A person-centred approach should therefore be sought, and conditions must be provided for nurses to expand their knowledge and be able to offer a more specialized and qualitative level of treatment and care.
Mestre, Sandrine. "Etude biomécanique in vivo de la fonction veineuse et lymphatique normale et pathologique." Thesis, Montpellier, 2017. http://www.theses.fr/2017MONT4002.
Full textThe conventional treatment of chronic venous insufficiency (CVI) and lymphedema is based upon mechanical compression, relying on generally admitted but insufficiently proven concepts. The " Phlebosthene " project, initiated in 2010, involves the development and implementation of innovative tools for the quantitative biomechanical evaluation of edema and venous disorders. Studies #1 and #2 were based on the calculation of the upper limb volume by serial circumference measurements in patients with lymphedema. They demonstrated the predictive value of volume variations during the intensive phase of decongestive therapy as for the medium-term outcome and the risk of rebound phenomenon. Study #3 validated segmental limb volumetry by 3D laser scanning in healthy subjects and in patients with lower limb CVI, in comparison with water displacement (reference method), with the major advantage of quantifying the volume of the foot and toes. Study #4 included the measurement, at the lower limb, of interface, intravenous, and intramuscular pressure without and with compression stockings, comparing force 2 and force 3 graduated stockings with so-called progressive compression. Measurements were performed at rest, during flexion-extension movements of the foot while the subject was lying supine, and during a tip-toe test in the standing position. Synchronously recorded B-mode sonography with automatic image analysis allowed calculating the venous area and provided force / area curves of superficial and deep calf veins in the supine and in the standing position. We included 57 patients with CVI (21 at the C1s, 18 at the C3 and 18 at the C5 stage of CVI according to the CEAP classification), and 54 matched healthy controls (18 sedentary, 18 active, 18 sportive). Intravenous and intramuscular pressure measurements were performed in one third of patients. As the processing of the 1776 B-mode sonographic sequences is still underway, we can only offer here partial and preliminary results. Interface pressures evolved as expected, reaching higher values under graduated force 2 compression stockings than without compression, under graduated force 3 than force 2 compression, and under progressive than under graduated compression. Progressive compression clearly distinguished itself from graduated compression only at the calf but not at the ankle level. Interface pressures were generally higher, under compression, in controls and in patients with IVC at the C5 stage, and, to a lesser degree, at the C3 stage, than in patients at the C1s stage. Intravenous pressure varied with posture and movement and correlated with the subject’s size and leg length in orthostatic position, and with the CVI stage. The force / area curves of superficial and deep calf veins exhibited a characteristic hysteresis, yielding viscoelasticity information. When the database will be complete and consolidated, we will be able to compare different compression stockings and their effect on the venous biomechanics of healthy and pathological subjects, providing quantitative data on the viscoelastic characteristics of superficial and deep veins. We will also be able to assess the effect of physical activity on venous biomechanics by comparing sedentary, active, and sportive subjects. The confrontation of interface, intravenous, and intramuscular pressures with these biomechanical data will provide a mathematical model using a limited set of data obtained by simple and non-invasive measurements to predict the effect of compression stockings on the biomechanics of superficial and deep veins, in order to determine, with the help of 3D laser scanning, the optimal individual compression settings
Ferreira, Viviane. ""Acesso venoso central para hemodiálise: avaliação prospectiva da ocorrência de complicações"." Universidade de São Paulo, 2005. http://www.teses.usp.br/teses/disponiveis/22/22132/tde-16082005-140714/.
Full textComplications in chronic renal insufficiency patients under dialysis treatment represent important challenges to health professionals. The variety of risk factors predisposing towards these complications have frequently been discussed in scientific literature. Thus, this study aimed to describe the local and systemic complications of chronic renal insufficiency patients who were using a temporary double-lumen catheter for hemodialysis treatment, until its final withdrawal. A segment research prospectively studied patients from the moment the catheter was inserted until its final withdrawal. A period of six consecutive months, from July to December 2003, was considered to determine the group of patients ti be studied. Thus, after ethical approval, data were collected through interviews, clinical exams and patient record evaluation. For the result analysis, the variables were coded in a database through double data entry in Microsoft Excel and Software Statistical Package Social Sciences, version 10.0 was used for statistical analysis. 38 (59.4%) of the 64 patients were men, 20 (31.2%) showed hypertensive nephrosclerosis as the probable cause of insufficiency renal and 35 (54.7%) inserted the catheter due to the need for immediate hemodialysis treatment. 145 catheters were inserted during the period, 29 (45.3%) of which were single implants and the right internal jugular vein was the access in 98 cases (67.6%). Average catheter permanence time was 30 days. Catheters were substituted in 40 cases (27.6%) due to fever. The most frequent local complication was inadequate functioning in 41 (64%) cases, with an average occurrence of 26 days, while the most frequent systemic complication was fever in 24 cases (37.5%), with an average occurrence of 34 days. Infection of the insertion site occurred in 27 (42.2%) cases and infection of the blood flow associated with the catheter in 30 (49%) cases. Sthaphylococos aureus was the most frequently isolated microorganism in 10 (33.4%) blood cultures. 45 (70.4%) final catheter withdrawals were due to arterio-venous fistula puncture. This analysis revealed various preoccupying aspects, including the catheter permanence time, which highly exposes the patient to different complications, particularly infection.
Beggs, Clive B., Simon J. Shepherd, and P. Zamboni. "Cerebral venous outflow resistance and interpretation of cervical plethysmography data with respect to the diagnosis of chronic cerebrospinal venous insufficiency." 2014. http://hdl.handle.net/10454/10606.
Full textPURPOSE: To investigate cerebrospinal fluid (CSF) dynamics in the aqueduct of Sylvius (AoS) in chronic cerebrospinal venous insufficiency (CCSVI)-positive and -negative healthy individuals using cine phase contrast imaging. MATERIALS AND METHODS: Fifty-one healthy individuals (32 CCSVI-negative and 19 age-matched CCSVI-positive subjects) were examined using Doppler sonography (DS). Diagnosis of CCSVI was established if subjects fulfilled >/=2 venous hemodynamic criteria on DS. CSF flow and velocity measures were quantified using a semiautomated method and compared with clinical and routine 3T MRI outcomes. RESULTS: CCSVI was associated with increased CSF pulsatility in the AoS. Net positive CSF flow was 32% greater in the CCSVI-positive group compared with the CCSVI-negative group (P = 0.008). This was accompanied by a 28% increase in the mean aqueductal characteristic signal (ie, the AoS cross-sectional area over the cardiac cycle) in the CCSVI-positive group compared with the CCSVI-negative group (P = 0.021). CONCLUSION: CSF dynamics are altered in CCSVI-positive healthy individuals, as demonstrated by increased pulsatility. This is accompanied by enlargement of the AoS, suggesting that structural changes may be occurring in the brain parenchyma of CCSVI-positive healthy individuals.
Zivadinov, R., G. U. Poloni, K. Marr, C. V. Schirda, C. R. Magnano, E. Carl, N. Bergsland, et al. "Decreased brain venous vasculature visibility on susceptibility-weighted imaging venography in patients with multiple sclerosis is related to chronic cerebrospinal venous insufficiency." 2011. http://hdl.handle.net/10454/6252.
Full textBeggs, Clive B., C. R. Magnano, Simon J. Shepherd, K. Marr, V. Valnarov, D. Hojnacki, N. Bergsland, et al. "Aqueductal cerebrospinal fluid pulsatility in healthy individuals is affected by impaired cerebral venous outflow." 2013. http://hdl.handle.net/10454/11801.
Full textTo investigate cerebrospinal fluid (CSF) dynamics in the aqueduct of Sylvius (AoS) in chronic cerebrospinal venous insufficiency (CCSVI)-positive and -negative healthy individuals using cine phase contrast imaging. Materials and Methods Fifty-one healthy individuals (32 CCSVI-negative and 19 age-matched CCSVI-positive subjects) were examined using Doppler sonography (DS). Diagnosis of CCSVI was established if subjects fulfilled ≥2 venous hemodynamic criteria on DS. CSF flow and velocity measures were quantified using a semiautomated method and compared with clinical and routine 3T MRI outcomes. Results CCSVI was associated with increased CSF pulsatility in the AoS. Net positive CSF flow was 32% greater in the CCSVI-positive group compared with the CCSVI-negative group (P = 0.008). This was accompanied by a 28% increase in the mean aqueductal characteristic signal (ie, the AoS cross-sectional area over the cardiac cycle) in the CCSVI-positive group compared with the CCSVI-negative group (P = 0.021). Conclusion CSF dynamics are altered in CCSVI-positive healthy individuals, as demonstrated by increased pulsatility. This is accompanied by enlargement of the AoS, suggesting that structural changes may be occurring in the brain parenchyma of CCSVI-positive healthy individuals
Květoňová, Hana. "Vliv manuální lymfodrenáže na svalové napětí m.soleus u pacientů s chronickou žilní insuficiencí." Master's thesis, 2012. http://www.nusl.cz/ntk/nusl-304179.
Full textZamboni, P., E. Menegatti, P. Conforti, Simon J. Shepherd, M. Tessari, and Clive B. Beggs. "Assessment of cerebral venous return by a novel plethysmography method." 2012. http://hdl.handle.net/10454/6249.
Full textZivadinov, R., C. R. Magnano, R. Galeotti, C. V. Schirda, E. Menegatti, B. Weinstock-Guttman, K. Marr, et al. "Changes of cine cerebrospinal fluid dynamics in patients with multiple sclerosis treated with percutaneous transluminal angioplasty: a case-control study." 2013. http://hdl.handle.net/10454/9561.
Full textThe purpose of this article is to investigate characteristics of cine phase contrast-calculated cerebrospinal fluid (CSF) flow and velocity measures in patients with relapsing-remitting (RR) multiple sclerosis (MS) receiving standard medical treatment who had been diagnosed with chronic cerebrospinal venous insufficiency (CCSVI) and underwent percutaneous transluminal angioplasty (PTA). This case-controlled, magnetic resonance (MR) imaging-blinded study included 15 patients with RR MS who presented with significant stenoses (>/=50% lumen reduction on catheter venography) in the azygous or internal jugular veins. Eight patients underwent PTA in addition to medical therapy immediately following baseline assessments (case group) and seven had delayed PTA after 6 months of medical therapy alone (control group). CSF flow and velocity measures were quantified over 32 phases of the cardiac cycle by a semiautomated method. Outcomes were compared between groups at baseline and at 6 and 12 months of the study by mixed-effect model analysis. At baseline, no significant differences in CSF flow or velocity measures were detected between groups. At month 6, significant improvement in flow (P<.001) and velocity (P = .013) outcomes were detected in the immediate versus the delayed group, and persisted to month 12 (P = .001 and P = .021, respectively). Within-group flow comparisons from baseline to follow-up showed a significant increase in the immediate group (P = .033) but a decrease in the delayed group (P = .024). Altered CSF flow and velocity measures were associated with worsening of clinical and MR outcomes in the delayed group. PTA in patients with MS with CCSVI increased CSF flow and decreased CSF velocity, which are indicative of improved venous parenchyma drainage.