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Letteratura scientifica selezionata sul tema "Bedsores"

Autore: Grafiati

Pubblicato: 4 giugno 2021

Ultima modifica: 29 luglio 2024

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Articoli di riviste sul tema "Bedsores"

Kommey, Benjamin. "A Smart System to Ease Occurrence of Bedsores". Journal of Electronics, Electromedical Engineering, and Medical Informatics 3, n. 3 (11 ottobre 2021): 156–63. http://dx.doi.org/10.35882/jeeemi.v3i3.6.

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The occurrence of bedsores in Ghanaian hospitals, elderly homes or care homes is especially high among patients or people who are incapacitated and cannot move or turn on their own, and who happen to remain in a particular posture for a very long time. Patients in coma, those operated on and for that matter in critical state, and patients confined to wheelchairs are primary examples. Constant pressure on some parts of the body leads to the occurrence of pressure sores or ulcers. This paper seeks to implement a Bedsore Easing System (BeSoSys) that integrate several embedded hardware components, a database and software to reduce the occurrence of bedsores. These embedded hardware components include the Bed Device Unit (BDU), the Pocket Device Unit (PDU), a pressure or weight sensor, a temperature sensor, and an inflation-deflation device. The BDU is fitted into the bed of the patient or on the surface of skin contact of the patient. The PDU is assigned to nurses or caretakers to serve as an alarm system for patient repositioning depending on situation. All activities in the Bedsore Easing System are logged into a database for future references. A bedridden patient exerts constant pressure on the bony protrusions of the body, and this causes bedsores. It was found out during the research that in Ghana, the nurses or caretakers used to turn and massage patients at some random time intervals as a way of preventing bedsores. This traditional way of turning and massaging patients is not only tedious but also ineffective. This paper seeks to provide easy, better, and effective solution to ease bedsores. The BeSoSys intends to prevent the occurrence of bedsores hence the alleviation of bedsore complications

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Kaur, Sukhpal, e Upasana Sharma. "Knowledge, Beliefs and Practices of Caregivers Regarding Home Based Bedsore Care in Chandigarh, North India". Journal of Postgraduate Medicine, Education and Research 47, n. 3 (2013): 138–43. http://dx.doi.org/10.5005/jp-journals-10028-1071.

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ABSTRACT Background Bedsores are quite frequent in bedridden cases. Caregivers have an important role in the management of such cases. Objectives To assess the knowledge, beliefs and practices of caregivers regarding bedsore care practices and management. Materials and methods A cross-sectional study was conducted in Chandigarh from September to November 2011. Caregivers were interviewed about the knowledge, attitude and practice regarding care of bedridden patients and their problems like bedsores. Results Data was collected from 42 bedridden cases (22 males and 20 females). Age was 18 to 90 years. Bedsores were found in 10 bedridden cases. Most common underlying diagnosis was neurological disease in 24 cases. Twenty-nine patients consulted government hospitals. Earlier episode of bedsore was experienced in about 14 cases. In 24 cases bed sheet was changed daily. In 11 cases, for more than two times patient had to wait for more than half an hour if urine/stools were passed in bed. In six cases unqualified practitioners were also consulted. Thirty-seven of them complied with the physician's advice. Seventeen of the caregivers were aware of the warning signs of development of bedsores. Exercises were not performed in 26 cases. Different dressing regimes were reported viz til oil, desi ghee, platelet ointment, paraffin wax, etc. Conclusion Quality of care of bedridden was not good. There is a need for formal training for the caregivers as most of them were untrained. Evaluation of various dressing regimes for bedsores is needed. How to cite this article Sharma U, Kaur S, Singh A. Knowledge, Beliefs and Practices of Caregivers Regarding Home Based Bedsore Care in Chandigarh, North India. J Postgrad Med Edu Res 2013;47(3):138-143.

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Kaur, Sukhpal, Manoj K. Tewari e Parabjyot Kaur Sekhon. "Incidence of Bedsore among the admitted Patients in a Tertiary Care Hospital". Journal of Postgraduate Medicine, Education and Research 49, n. 1 (2015): 26–31. http://dx.doi.org/10.5005/jp-journals-10028-1138.

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ABSTRACT Background and objective Bedsore is a disruptive and often disabling condition affecting bedridden, infirm, debilitated and malnourished patients. We looked at the incidence of bedsores among the admitted patients in a tertiary care hospital. Materials and methods This was an observational cohort study covering 2408 patients. The patients were followed up every alternative day from the day of admission till their discharge/ death from the hospital. Katz index of independence in activities of daily living was used to evaluate the level of functional dependence of patients. Braden scale was used to assess the risk factors for the formation of bedsores. Results A pooled incidence of 5.9% was estimated. The incidence of bedsore was maximum in intensive care units (9.4%), followed by orthopedic units (8%), emergency wards (7.7%) and neurosurgical units (6%). Mean age was 44.6 ± 17.56 (14-90 years). Unconscious patients, those admitted through emergency, and those who stayed longer in emergency and on IV fluids had a significantly higher chance of developing bedsores. This was also true for patients on Jejunostomy/Gastrostomy feed or total parenteral nutrition (TPN); who needed elevation of the head end of the bed; for whom assistance was required to change their position; and the patients whose position was changed less frequently (p < 0.05). The sacrum was the most common site for all the four stages of bedsores. Conclusion A bedsore incidence of 6% mandates an urgent need to improve the quality of patient care in various units of the hospital. Appropriate equipment, adequate manpower and administrative concern and accountability is the need of the hour. How to cite this article Kaur S, Singh A, Dhillon MS, Tewari MK, Sekhon PK. Incidence of Bedsore among the Admitted Patients in a Tertiary Care Hospital. J Postgrad Med Edu Res 2015;49(1):26-31.

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Hartmann, Paul. "Bedsore — «heavy cross» of nursing care". Medsestra (Nurse), n. 7 (1 luglio 2020): 26–34. http://dx.doi.org/10.33920/med-05-2007-05.

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Bedsores are still among the risks that most seriously impair the health of patients who need help and nursing care. Taking into account the existing knowledge about the possibilities of bedsore prevention, we can say that the goal of nursing care is to limit the development of bedsores as much as possible. At the same time, it is of great importance to ensure the continuity of preventive measures by specialized nursing staff. This includes, among other things, systematic risk assessment, training of patients and their relatives, encouraging them to exercise as much as possible, and, most importantly, taking measures to eliminate tissue compression. due to the increasing number of elderly people with multiple diseases considered to be the main risk group, the prevention and treatment of bedsores remains a priority among nursing care activities and requires effective management.

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Mortazavi, Shokoufe, Gholamreza Amirian e Mohammadbagher Heidari. "Investigating the Success of Cover Flap in Patients with Bedsore". Journal of Molecular Biology Research 9, n. 1 (23 ottobre 2019): 119. http://dx.doi.org/10.5539/jmbr.v9n1p119.

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Objective: The high prevalence of bedsore creates many problems for the maintenance system and the patients, and in addition to spending high costs for treating ulcers, a lot of time is also dedicated to caring for them. The purpose of performing this study is to investigate the therapeutic results of recovering bedsore injuries by cover flaps. Work Method: This study is of prospective type in which 85 patients with bedsore who had referred to Taleghani Hospital in Kermanshah for treatment by muscle cover flaps during the years of 2016 to 2017, were followed up at time periods of 1 week, and 3 months after the discharge and in case of failure, they were recovered. Finally, the obtained data were analyzed by using statistical tests and SPSS version 22 software. Results: The obtained results showed that the success percentage of recovering bedsores was significantly increased after one week, and 3 months by cover flaps (P <0.05). Also, the success percentage of recovering bedsores by cover flap after one week, and 3 months in terms of age, gender, and BMI of patients significantly shows an increase (P <0.05). Conclusion: In general, it can be concluded from this study that using cover flaps leads to the success of recovering bedsores after 3 months of treatment, and the age, gender, and BMI variables of patients cannot be effective in this improvement process.

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Jung, Sungbae, Sunwoo Yuk, Ki-Won Choi e Sangsoo Park. "Development and Application of Impact Absorption Test Device for Bedsore Prevention Cushions". Society for Standards Certification and Safety 14, n. 1 (31 marzo 2024): 1–10. http://dx.doi.org/10.34139/jscs.2024.14.1.1.

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Bedsores mainly occur in bedridden patients who have to lie in the same position for a long period of time, or in people with spinal cord disabilities who use wheelchairs and cannot change positions on their own. In order to prevent excessive pressure on the skin over bone protrusions, which causes circulation problems in peripheral blood vessels and causes bedsores, the Ministry of Food and Drug Safety has designated and operates bedsore prevention cushions as medical devices. ISO, an international standardization organization, established and operates ISO 16840-2 to evaluate the performance of cushions to prevent bedsores for wheelchair users. The purpose of this study is to design and develop a test device to apply this international standard to the test and evaluation of domestic bedsore prevention cushions. In particular, the main purpose was to develop a shock absorption test device to determine how effectively bedsore prevention cushions cushion the shock that occurs when a wheelchair collides with the road surface on a bump or pothole. The impact absorption test device was manufactured by modifying part of the guidelines of ISO 16840-2. In the above international standard, the crash plate is to be supported with a piece of wood block. However, in this study, the time delay that may occur during removal of the block was shortened and convenience was improved by using a roller system instead of wooden block to drop the object. Using the manufactured test device, a shock absorption test was conducted on an air-grid type bedsore prevention cushion and a hybrid bedsore prevention cushion that is a mixture of foam type and air grid type. When the human hip model falls, the falling acceleration was reduced to 63% with the air-grid type cusion compared to the value with no cushion, and it decreased to 42% with the hybrid cushion. However, the occurrence of bedsores is affected not only by the impact force applied to the skin when the wheelchair collides with the ground, but also by the breathability and humidity of the impact area, so it is necessary to comprehensively evaluate various risk factors, including shock absorption tests. The roller-type shock absorption test device will be proposed as an amendment to ISO 16840-2 to the International Standards Committee.

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Shulutko, Aleksandr M., Elkhan G. Osmanov, Evgeny L. Altukhov, Alexey A. Yakovlev, Yulia A. Boblak, Elena G. Gandibina, Anna V. Gorbacheva, Alla R. Patalova, Svetlana E. Khmirova e Nelli R. Khusainova. "Morphological aspects of bedsore healing against high-frequency electrical stimulation in patients with severe brain damage". Russian Medicine 30, n. 1 (14 marzo 2024): 7–14. http://dx.doi.org/10.17816/medjrf472099.

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BACKGROUND: Bedsores or decubital ulcers are significant medical and social problems in patients with serious brain damage. The majority of local treatments are ineffective and do not ensure their healing. Therefore, the search for nondrug methods as part of the complex treatment of decubital ulcers is extremely relevant. AIM: To assess the morphological picture of bedsores against the background of an improved method of treatment using high-frequency electrical stimulation with pulsed currents in chronically immobilised patients who survived a cerebral catastrophe. MATERIALS AND METHODS: Biopsies of bedsores were examined in 12 patients with severe neurological disorders that developed after a cerebral catastrophe. The initial status of all patients was a ‘chronic critical condition’ (CCS). In all patients, the bedsore defect was located in the sacral region, with a length of 7–25 cm2. The depth of the bedsore corresponded to grade III according to the classification of the Agency for Health Care Policy and Research. Two groups of patients were formed: the main group of five patients (three men + two women), with an average age of 49.0 years, who were subjected to electrical stimulation with pulsed currents of the radiofrequency range. A control group of seven patients (three men + four women), with an average age of 60.1 years, who underwent traditional treatment. The duration of the chronic wound process ranged from 2 months to 1.5 years. The immediate cause of CCS was more often a massive ischaemic stroke (8), less often a severe traumatic brain injury (3) and radical operations to remove brain tumours (1) of various prescriptions from 3 months to 1.5 years. Morphological studies were conducted in both groups to assess the complicated wound process. RESULTS: The complex morphological study revealed that in the presence of high-frequency electrical stimulation, an earlier appearance of foci of fibroblastic proliferation, an increase in the regenerative potential of tissues due to increased production of type I and III collagens, and myofibroblastic and endothelial growth factors were noted. CONCLUSION: In the case of CCS of cerebral genesis, the wound process in bedsores inevitably becomes complicated and, according to morphological research, is characterised by severe endothelial dysfunction, deep microcirculation disorders, depletion of the potential of myofibroblastic cells and deficiency of their growth factors. Local high-frequency electrical stimulation in patients with severe brain damage and decubital ulcers as a component of complex ulcer therapy significantly optimises cellular and tissue reactions in the area of bedsores.

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Yashas M S, Preeti S, Amit B Patil e Shailesh T. "Bedsore and strategies for preventing and treating the bedsore". International Journal of Research in Pharmaceutical Sciences 12, n. 1 (20 gennaio 2021): 768–73. http://dx.doi.org/10.26452/ijrps.v12i1.4180.

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The best recognized and also the most widespread example of tissue necrosis is bedsore. A bedsore is localized damage to the skin and other underlying tissue, usually over a bony prominence, as a result of prolonged, unrelieved pressure. The cause of bedsore is shearing forces; friction, moisture, and constant pressure contribute to the development of bedsore. Hospital research shows that bedsores develop from 3% to 4.5% of patients during prolonged hospitalization and Sores develop from 25% to 85% of patients with spinal cord injury. The doctor and nurses will regularly examine the patient who is at risk of developing bedsore and inspect each pressure sites at least twice a day. Doctors and nurses are important warriors who manage bedsore treatment effectively. This review describes the new strategies have been used to prevent and management of bedsore such as inexpensive foam devices, anti-pressure devices, air-filled equipment, a sheet of hydrogels, wound vacuum-assisted closer, skin bioprinting, and Lab VIEW virtual instrument.

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Yadav, Anand, e Rituja Kaushal. "Bedsore is a curse in disguise: capturing the zeitgeist". International Surgery Journal 7, n. 4 (26 marzo 2020): 1229. http://dx.doi.org/10.18203/2349-2902.isj20201402.

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Background: Development of a bedsore is always avoidable still its worldwide prevalence fluctuates between 0%-56%. Bedsores are maximally observed in patients who are on long term care, in intensive care, immuno-compromised or on home care.Methods: In a tertiary care center-JK hospital, Bhopal, a longitudinal observational study was done for a duration of 3 years, on all registered in-patients, to understand the trend of bedsore rates on monthly basis.Results: In our study, even though, on yearly basis, average of rates is showing a declining trend in favorable manner yet higher statistical analysis (ANOVA test p value = 0.054) has decrypted the non-significant results.Conclusions: Timely and appropriate prophylactic interventions are needed to overcome the increased bedsore rates. Checklist based surveillance and monitoring should be a pressing priority. Cochrane reviews are also suggestive of incorporation of organizational changes, risk assessment tools, wound care teams and education to reduce the incidence of pressure ulcers.

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Anonymous. "National Attack on Bedsores". Journal of Gerontological Nursing 16, n. 7 (luglio 1990): 46. http://dx.doi.org/10.3928/0098-9134-19900701-19.

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Più fonti

Tesi sul tema "Bedsores"

Prentice, Jennifer Lorna. "An evaluation of clinical practice guidelines for the prediction and prevention of pressure ulcers". University of Western Australia. School of Surgery and Pathology, 2007. http://theses.library.uwa.edu.au/adt-WU2007.0170.

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[Truncated abstract] Pressure ulcers affect a substantial proportion of patients admitted to health care services worldwide imposing considerable physical, social and economic burdens on patients and communities. As largely preventable wounds their prevalence is likely to escalate as the life expectancy and incidence of people living longer with other chronic diseases increases. Clinical practice guidelines are promulgated as evidence-based tools to assist clinicians and patients to determine care strategies, reduce inequities in healthcare provision and lower the burden of illness through improved health outcomes. This prospective multi-centre study evaluated the effectiveness of the Australian Wound Management Association?s Clinical Practice Guidelines for the Prediction and Prevention of Pressure Ulcers within ten selected Australian tertiary hospitals. The data, collected in 2000, examined pressure ulcer prevalence in a subset of five of these hospitals and junior doctors’ and nurses’ knowledge of pressure ulcers in all ten hospitals at two time points, before and after guideline implementation. Pressure ulcer prevalence was ascertained by two surveyors who independently examined the skin of all consenting adult patients on a designated day. ... In addition, it is recommended that all Australian health care facilities providing in-patient, residential aged or domiciliary care services be required to demonstrate compliance with the Australian Council of Health Care Standards framework for pressure ulcers in order to be an accredited healthcare provider. The use, benefits and cost utility of pressure reducing / relieving devices in the prediction and prevention of pressure ulcers in Australian contexts of care, is required to substantiate current guideline recommendations and assist service providers and clinicians in choosing devices according to patient need. A recommendation will be forwarded to the Australian Wound Management Association suggesting the Association develop a toolkit to facilitate implementation and adoption of their guidelines. It is recommended that training of doctors, nurses and allied health personnel in the prediction, prevention and management of pressure ulcers should be of a higher priority within under-and-postgraduate education programs. From a community perspective and with a view to improving the health of the community, it is proposed that pressure ulcers be the subject of ongoing health promotion campaigns aimed at raising patients’, caregivers’ and community awareness of the potential for pressure ulcers due to the secondary effects of lifestyle related chronic diseases and ensuing reduced levels of immobility.

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Berry, Judith. "Pressure ulcer prevention in the perioperative environment". Title page, table of contents and overview only, 2004. http://hdl.handle.net/2440/37709.

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There are many terms used to describe pressure ulcers: pressure sores, decubitus ulcers, bedsores, and pressure necrosis or ischaemic ulcers. Essentially they all describe damage to the patient's skin and underlying tissue. The nursing literature abounds with information about the risk, grading, prevention and treatment of pressure ulcers. These ulcers are a problem in hospital and long term care facilities, and are a major cause of morbidity. In the hospital setting they contribute to an extended length of stay and by doing so 'block' the bed for use by another patient. The ulcers are difficult to treat, are an ongoing cause for pain and discomfort for the patient and can be a strain on hospital finances. Pressure ulcers are not unique to modern times, as they have been discovered on the remains of an Egyptian mummified body (Armstrong & Bortz 2001). This would suggest that the problem dates back to the Pharoahs, and has continued to be a challenging problem throughout the centuries (Bridel 1992). The escalating costs of treating these ulcers today, has brought about an emphasis on the risk factors, prevention and the appropriate interventions, rather than an acceptance of these ulcers as a tolerable ondition (Bridel 1992). In the operating room, nurses are faced with unique challenges when caring for their patients. This is due to difficulty in caring for patients under the influence of the anaesthesia required for surgery, long periods of forced immobility and the inability of the patient to perceive pain and discomfort from the pressure of the hard surface of the operating room table. These problems are increased by nurses' inability to gain access to the patient because of the sterile drapes required to cover the patient for surgery. Armstrong and Bortz (2001) present information from one study in which it is stated that surgical patients have 90% greater chance of developing pressure ulcers than medical patients. One reason for this may be due to the limited information available in regard to the most effective support surface to place on top of the operating room table. This gap in information is problematic for operating room nurses as it limits their ability to select the most effective item of equipment, and determine if the chosen equipment reduces pressure on tissue intra- operatively. The most effective operating room table mattress used and the skills and knowledge of the operating room nurse about the aetiology and prevention of pressure ulcer prevention, are important aspects of nursing care and can influence patient outcomes. The potential for complications to occur may be dependent on single or combined factors such as the patient's age, disease processes, nutritional status and mobility. Preparatory and supportive nursing interventions for surgical procedures based on best available evidence, nursing experience and patient preference, can reduce the incidence of pressure ulcer development in the perioperative environment. This doctoral portfolio contains four separate sections related and linked together by a common theme - pressure ulcer prevention in the perioperative environment. This first section of the portfolio situates the topic and provides a brief overview of the portfolio. The second section is a critical review of the literature pertaining to the most commonly used operating room table mattresses, and the effectiveness of these mattresses in the prevention of pressure ulcer development. This review highlighted a lack of quality research in this area, and while many evaluations have been undertaken to determine the effectiveness of perating room table mattresses, the results are contradictory concerning the patients, exposures and interventions. Because of issues related to the methodological quality of published research in this area a systematic review using meta- analysis was not possible rather a critical review of the research literature is used. The third section of the portfolio reports on a hermeneutic ethnography of the perceived skills and knowledge of nurses in the prevention of pressure ulcer development in the perioperative environment. This study was designed to determine if pressure ulcer prevention forms an aspect of the everyday practice of perioperative nurses. This review has highlighted the need for operating room nurses to review practices when caring for patients in the perioperative environment particularly in respect of pressure ulcer prevention. The fourth and final section of the portfolio summarises the research and provides recommendations for nursing practice and further research in the area of pressure ulcer prevention in the perioperative environment.
Thesis (D.Nurs.)--Department of Clinical Nursing, 2004.

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Tasker, Lorna Helen. "Seat shape acquisition, analysis & optimisation for pressure ulcer prevention". Thesis, Swansea University, 2014. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.678383.

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Or, Lai-po, e 柯麗寶. "Topical negative pressure in wound management". Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2010. http://hub.hku.hk/bib/B4462623X.

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Sharp, Catherine Anne Public Health &amp Community Medicine Faculty of Medicine UNSW. "Pressure ulcers: risk, physiology and the magnitude of the problem in a Sydney home nursing service". Awarded by:University of New South Wales. School of Public Health and Community Medicine, 2006. http://handle.unsw.edu.au/1959.4/25486.

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Background Patients that develop a pressure ulcer whilst in hospital can expect to stay at least four extra days. Once discharged to the community for continuation of wound management for pressure ulcers, the epidemiology of these patients, together with patients who develop pressure ulcers at home, is unknown. Aims a) To estimate the magnitude of the problem of pressure ulcers in the Northern Sydney Home Nursing Service (NSHNS). b) To examine the evidence for inclusion of parameters in pressure ulcer risk screening tools and establish the frequency of use for patients identified with pressure ulcers. c) To test for differences in outcome in patients who have developed pressure ulcers either in hospital or in the community. Methodology A retrospective review of hospital and community records of patients identified with pressure ulcers, during a prevalence survey in May 2002, was carried out. All patients were followed for 12 months or to healing of the pressure ulcers. Results Nineteen patients, eight male and 11 female, median age 80 years, developed 41 pressure ulcers. Patients developed between one and seven pressure ulcers with a ratio of 2.2 per patient. The majority (14/19, 73%) of pressure ulcers developed in the community with just over one quarter (5/19, 26%) in hospital. Only three of 19 (15.7%) patients were screened for pressure ulcer risk. Pressure ulcers took an average of 70 days to heal. An estimated 1563 community nurse visits were required for wound management of the 41 pressure ulcers in 19 study patients. One patient was still being treated for a pressure ulcer at the end of the 12-month study period. Four patients were discharged and nine (47%) died. Conclusion The prevalence of pressure ulcers is a rare adverse event in the NSHNS. Screening tools were not used to identify those at risk. Interventions to prevent pressure ulcers did not occur until after the development of pressure ulcers.

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黃美婷 e Mei-ting Wong. "Evidence-based guidelines for the prevention of pressure ulcers using pressure-relieving support surface for bedbound elderly". Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2013. http://hdl.handle.net/10722/193060.

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Background Pressure ulcer prevention has been an important and a common health care problem in every health care setting. Pressure ulcers are the clinical situation that can be avoided. To prevent pressure ulcer, the main strategy is to reduce either the pressure contact time, or magnitude of pressure, between a patient and his or her support surface. Pressure-relieving support surfaces are shown to be effective in preventing the development of pressure ulcer with strong evidence support. In Hong Kong, the low compliance of the ward staff to apply pressure-relieving support surfaces for at risk patients is compared with other countries. Therefore, a feasible evidence-based guideline of using pressure-relieving support surfaces to prevent pressure ulcers stands out from the multi-interventions pressure ulcer prevention guideline to maximize its effectiveness in this clinical issue. Purpose Reviewing the needs in modifying the current clinical practice and guidelines in local setting, the aim of the dissertation is to develop evidence-based guidelines for prevention of pressure ulcers using pressure‐relieving support surface for bedbound elderly. The findings are used to develop recommendations for nursing guideline to prevent pressure ulcers through the utilization of pressure‐relieving support surface in Hong Kong public hospital setting. Methods Four electronic databases published from 1937 to 2012 were searched. All the studies extracted were randomised controlled trials while focusing on using pressure-relieving support surfaces to prevent pressure ulcers of adult patients. The quality of each study was assessed by a methodology checklist, the Scottish Intercollegiate Guideline Network in order to justify the level of evidence of the studies’ internal validity. Conclusion From the evidence, the clearest conclusion that can be drawn is that a range of pressure‐relieving mattresses and overlays in the prevention of pressure ulcers can outperform the standard hospital mattress. It can be applied to any health care settings. The reviewed studies have shown that pressure‐relieving mattresses are effective on at risk patients, especially they are in advanced age with low mobility. Therefore, this evidence-based guidelines will serve in the medical rehabilitation wards to reduce the number of elderly from developing pressure ulcer after using the pressure‐relieving supporting surfaces.
published_or_final_version
Nursing Studies
Master
Master of Nursing

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So, Pik-chu, e 蘇碧珠. "Preventing pressure ulcer in hospital : a systematic review on pressure relieving devices application in risk patient group". Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2013. http://hdl.handle.net/10722/193811.

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Background Pressure ulcer is one of many health problems in the healthcare system. Pressure ulcer prolongs the suffering of patients and the cost of treating them is high. In 2006, in the USA almost US$11 billion was spent on hospitalizations in which the patient was dignosed with pressure ulcer as primary or secondary causes, excluding neonatal and maternal conditions. This reflects an increase of nearly 80% since 1993. Most pressure ulcers are potentially preventable; early and proper intervention to high risk groups can decrease the incidence of newly developed pressure ulcer and its consequence impacts. Moreover, pressure ulcer is a key performance index for assessing the quality of hospital service and patient safety. Maintaining a low incidence and prevalence of the pressure ulcer leads to both reduced health expenditure and patient’s suffering from wound pain. Aims and objectives The paper aims to study the current literature of pressure relieving devices application and its effectiveness to risk group. There are lots of pressure relieving devices in the market and here to assess its effectiveness to the risk group in hospital. Methods The electronic search was done through searching of electronic database, PubMed, MEDLINE ProQest; and hand search through Google Scholar and other online resources. Search strategies and criteria for inclusion and exclusion had been applied. The key words were used in retrieving studies through databases: (pressure ulcer OR decubitus ulcer) AND(prevention) AND (pressure relieving OR repositioning OR mattress OR cushion OR overlay OR re-distributing) Results There were twelve English articles for reviewing finally. Those articles were grouped into three pressure relieving device categories; they are cushion, re-positioning and mattresses for the review. In Defloor 2005, it found an obvious reduction in newly developed pressure ulcer if it combines4-hourly turning with pressure reliefing mattress; only 3% of participants had newly developed pressure ulcer. Furthermore, the frequect turning may not reduce the pressure ulcer development in lower risk group. The proper intervention of pressure relieving and tailor to individuals are essential. Conclusions It demonstrated the effectiveness of pressure relieving devices to patient at risk, but the present of significant differences is not consistent. It is essential to ensure the utilization of the pressure relieving support surfaces function with right skill to the right person in order to maximize patient’s benefit during hospitalization. Further clinical trial is preferable.
published_or_final_version
Public Health
Master
Master of Public Health

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Maylor, Miles. "Controlling the pressure : an investigation of knowledge, locus of control, and value of pressure sore prevention in relation to prevalence". Thesis, University of South Wales, 1999. https://pure.southwales.ac.uk/en/studentthesis/controlling-the-pressure(78ce96f2-71ab-4fbb-b8de-3585dbd08826).html.

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This is a quantitative and correlational analysis of how staff perceptions of locus of control of pressure sore prevention relate to knowledge and prevalence rates of pressure sores. Reference is made to value of pressure sore prevention. The survey population consisted of nursing and assistant nursing staff in both hospital and community settings of a rural Health Service Trust. Surveys were performed of: prevalence of sores; equipment for pressure relief; knowledge and opinions of aetiology, recommended use of equipment, and risk assessment. A scale was constucted to measure locus of control of life, health, and pressure sore prevention. The hypothesis that higher belief in personal control of pressure sore prevention would be correlated with higher knowledge of the subject, and lower prevalence rates, was not upheld. It is concluded that there are associations between prevalence, knowledge levels, value of pressure sore prevention, and locus of control. Significant differences exist between community and hospital staff, and between trained and support staff. Spearman correlations and Mann-Whitney tests were mainly used. Knowledge and equipment levels were considered satisfactory for adequate preventive measures to be taken. Key personnel, such as Sisters, were significantly associated with prevalence, in that the more they believed they controlled pressure sore prevention, the higher the prevalence rate. This has been explained using typology in terms of the priority and importance they attach to pressure sore prevention relative to other demands. Higher belief that fate controls pressure sore prevention also correlates with lower prevalence rates, perhaps because more effort is invested in trying to stave off the presumed inevitable. Domain-specific beliefs may be less important to prevention than generalized beliefs about control. Recommendations include the following: that methodology is replicated and refined; that the value of pressure sore prevention needs raising; that organisational lines of control need to be clear. Certain types of attitudes amongst staff may be unhelpful in a broader range of conditions and outcomes. Selection processes for nurses should take attitudes and beliefs into account, and there may be an need to change control expectations of groups of personnel.

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Willock, Jane Harrington. "The development and initial validity/reliability testing of the Glamorgan paediatric pressure ulcer risk assessment scale". Thesis, University of South Wales, 2012. https://pure.southwales.ac.uk/en/studentthesis/the-development-and-initial-validity--reliability-testing-of-the-glamorgan-paediatric-pressure-ulcer-risk-assessment-scale(e6c378d1-fc80-43f6-ad3c-4adee106b3fc).html.

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Although pressure ulcers appear to occur infrequently in children, they can have serious consequences such as infection, scarring and changes to body image. This thesis is an account of the development of an instrument to help nurses to identify children most at risk of pressure ulcers, and take preventative action. Prior to 1996, there were very few publications on the problem of pressure ulcers in children; these were mainly anecdotal, or concerned with specialised populations. The main aim of the research presented in this thesis was to develop an evidence-based pressure ulcer risk assessment tool for children. Initially, paediatric pressure ulcer incidence and prevalence studies were carried out at one children's hospital (project 1). This included collecting detailed data on the characteristics of children. The incidence of pressure ulcers in the sample (not including non-blanching erythema) was 3.7%, and the prevalence was 2.2%. A multicentre study was carried out (project 2) in which detailed data of the characteristics of 54 children with pressure ulcers in 11 hospitals were collected. This data set was amalgamated with the data set from project 1. Analysis indicated that the most significant characteristics associated with pressure ulcers were mobility, devices in contact with the skin, anaemia, pyrexia, peripheral perfusion, inadequate nutrition, hypoalbuminaemia, low weight and inappropriate incontinence. These factors were used to develop a pressure ulcer risk assessment (the Glamorgan Scale). An inter-rater agreement study (project 3) was carried out on the Glamorgan scale by collecting 27 sets of paired data. The Glamorgan scale is the first published paediatric pressure ulcer risk assessment scale developed from patient data using statistical analysis. It is being used in paediatric areas in many countries throughout the world, it has been translated into four other languages, and incorporated into paediatric pressure ulcer prevention policies in at least 6 countries.

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Samuriwo, Raymond K. "The impact of nurses' values on the prevention of pressure ulcers : a Straussian grounded theory study". Thesis, University of South Wales, 2011. https://pure.southwales.ac.uk/en/studentthesis/the-impact-of-nurses-values-on-the-prevention-of-pressure-ulcers(beace6f8-5e69-4b69-adf7-9f4a0bf1c21a).html.

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This is a Straussian grounded theory study about the impact of nurses’ values on pressure ulcer prevention. Semi-structured interviews were used to gather data from participants (n=16) who were recruited from the non-acute adult medical wards of 14 hospitals in one NHS Trust and a local university. The participants were asked to talk about their experiences of preventing and managing pressure ulcers and their values were elicited from their accounts. The data were analysed and interpreted with Straussian grounded theory. Nurses were found to work according to the value that they placed on pressure ulcer prevention, as this value influenced the manner in which they prioritised and delivered skin care to their patients. Similar links between nurses’ values and their delivery of care with regards to other aspects of nursing were also identified. The delivery of care to prevent pressure ulcers was found to be subject to clinical priorities and other factors. As a result, the majority of care to maintain skin integrity was delivered by nursing auxiliaries and students because nurses were busy doing other things. Despite this, nurses who place a high value on pressure ulcer prevention appear to be more proactive and determined to deliver care that protects the integrity of their patients’ skin than their peers. This is highlighted by the participants’ accounts of how their prioritisation and delivery of care to prevent pressure ulcers changed when the value that they placed on pressure ulcer prevention increased from low to high. This study also identified the manner in which the value that nurses place on pressure ulcer prevention is formed and evolves. The recommendations that arise from this study are: further testing of this grounded theory in other settings to increase its generalisability and a greater awareness of the impact that the value that nurses place on different aspects of patient care has on their delivery of care to patients, especially with regards to pressure ulcer prevention. Nurse education and training must also take into account some of the factors that help to form and change the value that nurses place on pressure ulcer prevention. Greater attention needs to be paid to the value that nurses place on different aspects of nursing in view of the relationship between nurses’ values and care delivery, if patients are to receive the best possible care.

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Più fonti

Libri sul tema "Bedsores"

D, Spector William, e National Center for Health Services Research and Health Care Technology Assessment (U.S.), a cura di. Factors associated with presence of decubitus ulcers at admission to nursing homes. [Washington, D.C.?]: U.S. Dept. of Health and Human Services, Public Health Service, National Center for Health Services Research and Health Care Technology Assessment, 1988.

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National, Symposium on the Care Treatment and Prevention of Decubitus Ulcers (1984 Arlington Va ). National Symposium on the Care, Treatment and Prevention of Decubitus Ulcers: Conference proceedings : November 8 and 9, 1984, Sheraton Crystal City, Arlington, Virginia. [U.S.]: Spinal Cord Research Foundation, 1985.

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Panel, United States Treatment of Pressure Ulcers Guideline. Pressure ulcer treatment. Rockville, MD: U.S. Dept. of Health and Human Services, Public Health Service, Agency for Health Care Policy and Research, 1994.

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Hillan, E. M. The prevention and management of pressure sores: A multi-disciplinary approach to audit. (Edinburgh): Scottish Office, 1992.

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United States. Treatment of Pressure Ulcers Guideline Panel. Treating pressure ulcers. Rockville, Md: U.S. Dept. of Health and Human Services, Public Health Service, Agency for Health Care Policy and Research, 1996.

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Inc, Biomedical Business International, a cura di. Pressure ulcers. Santa Ana, CA: Biomedical Business International, 1990.

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Yu, Che-chʻŏng. Yokchʻang yebang maetʻŭrisŭ kijun kyugyŏk kaebal =: Development of safety requirements and test methods of mattress for decubitus ulcer prevention. [Seoul]: Sikpʻum Ŭiyakpʻum Anjŏnchʻŏng, 2007.

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Toledo Medical Research Team (Toledo, Ohio), National Aging Resource Center on Elder Abuse (U.S.), American Public Welfare Association e United States. Administration on Aging, a cura di. Bedsores: Are our elders deteriorating from neglect or lack of resources? Washington, D.C. (810 First St., N.E., Suite 500, Washington 20002-4205): National Aging Resource Center on Elder Abuse, 1992.

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Gomez, Geri. A practical guide for treatment of pressure ulcers. Des Moines, Iowa: Briggs Corp., 1989.

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Capitoli di libri sul tema "Bedsores"

Parish, Lawrence Charles, Joseph A. Witkowski e John Thorne Crissey. "Bedsores over the Centuries". In The Decubitus Ulcer in Clinical Practice, 3–8. Berlin, Heidelberg: Springer Berlin Heidelberg, 1997. http://dx.doi.org/10.1007/978-3-642-60509-3_1.

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Theisler, Charles. "Ulcers—Pressure Ulcers/Decubitus Ulcers/Bedsores". In Adjuvant Medical Care, 348–49. New York: CRC Press, 2022. http://dx.doi.org/10.1201/b22898-339.

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Wei, Wei, e Ning Ma. "Bedsore". In Encyclopedia of Gerontology and Population Aging, 1–5. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-319-69892-2_482-1.

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Wei, Wei, e Ning Ma. "Bedsore". In Encyclopedia of Gerontology and Population Aging, 606–11. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-22009-9_482.

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Sutton-Charani, Nicolas, Francis Faux, Didier Delignières, Willy Fagard, Arnaud Dupeyron e Marie Nourrisson. "Evidential Filtering and Spatio-Temporal Gradient for Micro-movements Analysis in the Context of Bedsores Prevention". In Belief Functions: Theory and Applications, 297–306. Cham: Springer International Publishing, 2022. http://dx.doi.org/10.1007/978-3-031-17801-6_28.

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Upadhyay, Anand, Nida Baig e Anishka Pereira. "Bedsore Ulcer Detection Using Support Vector Machine". In Data Science and Analytics, 14–23. Singapore: Springer Singapore, 2020. http://dx.doi.org/10.1007/978-981-15-5827-6_2.

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Komeda, Takashi, Hiroyuki Koyama, Tateki Uchida, Masao Miyagi, Kikuo Kanaya, Sadae Kuroiwa, Susumu Otsuka e Hiroyasu Funakubo. "Development of the bedsore alarm system using microcomputer for wheelchair users". In Computers for Handicapped Persons, 409. Berlin, Heidelberg: Springer Berlin Heidelberg, 1994. http://dx.doi.org/10.1007/3-540-58476-5_160.

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Koyama, Hiroyuki, Takashi Komeda, Tateki Uchida, Masao Miyagi, Kikuo Kanaya, Sadae Kuroiwa, Susumu Otsuka e Hiroyasu Funakubo. "Development of the system to teach the bedsore prevention method for wheelchair users". In Computers for Handicapped Persons, 403–8. Berlin, Heidelberg: Springer Berlin Heidelberg, 1994. http://dx.doi.org/10.1007/3-540-58476-5_159.

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Baskov, A. V. "Prevention and Surgical Treatment of Bedsores". In Prevention and Surgical Treatment of Bedsores, 1–224. «GEOTAR-Media» Publishing Group, 2023. http://dx.doi.org/10.33029/9704-8366-4-pro-2024-1-224.

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Mercadante, Sebastiano. "Diarrhea, malabsorption". In Gastrointestinal symptoms in advanced cancer patients, 207–22. Oxford University PressNew York, NY, 2002. http://dx.doi.org/10.1093/oso/9780192632845.003.0010.

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Abstract Diarrhea is an abnormal looseness of the stools (increased liquidity or decreased consistency), and occurs when the intestine does not complete the absorption of electrolytes and water from the luminal content. Diarrhea is usually accompanied by an abnormal increase in daily stool weight. Patients often have associated symptoms of abdominal pain, urge to defecate, perianal discomfort, and fecal incontinence (1). Diarrhea is a common complication in the oncologic population, and occurs in 5%–10% of patients with advanced cancer (2–4). The consequences of diarrhea can be troublesome, and include loss of water, electrolytes, albumin, failure to reach nutritional goals, declining immune function, risk of bedsores, or systemic infection. Diarrhea also causes additional work for the nursing staff or family who have to prevent maceration and bedsores. Moreover, loss of comfort and dignity have to be considered (5).

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Atti di convegni sul tema "Bedsores"

Shim, Jae Kyung, Chang Sup Shim e Jin Wook Kwon. "Kinematic Synthesis of a Medical Bed for Decubitus Ulcer Patients". In ASME 2003 International Mechanical Engineering Congress and Exposition. ASMEDC, 2003. http://dx.doi.org/10.1115/imece2003-43109.

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A decubitus ulcer or bedsore is a pressure-induced ulceration of the skin occurring in persons confined to bed for long periods of time. Reduction of pressure over bony prominences is of primary importance to prevent and cure bedsores. For this purpose, specially designed mattresses can be used and/or the patient should be turned frequently to avoid ischemia of soft tissue. In addition to pressure, other principal factors causing bedsore are friction and shear forces. In this paper, we designed a new 5 degree of freedom bed mechanism that can be used to change the posture of pressure ulcer patients, which generates 7 motions including backrest elevation, kneerest elevation, lounge position, left and right rotation, trendelenberg and reverse trendelenberg motion, and straight elevation. Particularly, we focused on the synthesis of a backrest and seatrest assembly that can reduce sliding between the bed and the patient.

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Asano, Yusuke, e Masaharu Takahashi. "Noncontact size detection method for bedsores". In 2022 International Symposium on Antennas and Propagation (ISAP). IEEE, 2022. http://dx.doi.org/10.1109/isap53582.2022.9998740.

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Abdelmoghith, Aya, Rewan Shaaban, Zeinab Alsheghri e Loay Ismail. "IoT-Based Healthcare Monitoring System: Bedsores Prevention". In 2020 Fourth World Conference on Smart Trends in Systems Security and Sustainablity (WorldS4). IEEE, 2020. http://dx.doi.org/10.1109/worlds450073.2020.9210319.

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Ogawa, Hizuru, e Masaharu Takahashi. "Investigation of detection range for bedsores using electromagnetic waves". In 2023 International Conference on Electromagnetics in Advanced Applications (ICEAA). IEEE, 2023. http://dx.doi.org/10.1109/iceaa57318.2023.10297945.

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Robinson, Sheryl, Sindu Divakaran, Aishwarya Mohan Kumar, J. Premkumar, J. Bethanney Janney e P. Grace Kanmani Prince. "Intelligent Mattress for Monitoring and Therapeutic Relief from Bedsores". In 2023 International Conference on Advances in Computing, Communication and Applied Informatics (ACCAI). IEEE, 2023. http://dx.doi.org/10.1109/accai58221.2023.10199295.

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Aung Aung Phyo Wai, Kow Yuan-Wei, Foo Siang Fook, M. Jayachandran, J. Biswas e J. J. Cabibihan. "Sleeping patterns observation for bedsores and bed-side falls prevention". In 2009 Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE, 2009. http://dx.doi.org/10.1109/iembs.2009.5335385.

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Vergun, A. R., R. K. Zhuraiev, O. M. Vergun e Yu M. Matsiakh. "Complicated bedsores: complex surgical strategy in a palliative care department". In THE GREATEST HUMANKIND ACHIEVEMENTS IN HEALTHCARE AND VETERINARY MEDICINE. Baltija Publishing, 2024. http://dx.doi.org/10.30525/978-9934-26-401-6-1.

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Guravaiah, Koppala, Banavath Jyothika e A. Kavitha. "IoT based monitoring and Bedsores Prevention System for Bed Ridden Patients". In 2021 International Conference on Computational Performance Evaluation (ComPE). IEEE, 2021. http://dx.doi.org/10.1109/compe53109.2021.9752351.

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Zgheib, Rita, Remi Bastide e Emmanuel Conchon. "A Semantic Web-of-Things Architecture for Monitoring the Risk of Bedsores". In 2015 International Conference on Computational Science and Computational Intelligence (CSCI). IEEE, 2015. http://dx.doi.org/10.1109/csci.2015.128.

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Jaichandran, R., Srikanth Rayavarapu, Archana Ravindra Salve, Manikandan Rajagopal, G. N. R. Prasad e Iskandar Muda. "Artificial Intelligence and Machine Learning-Based Systems for Controlling Medical Robot Beds for Preventing Bedsores". In 2022 5th International Conference on Contemporary Computing and Informatics (IC3I). IEEE, 2022. http://dx.doi.org/10.1109/ic3i56241.2022.10073403.

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