Статті в журналах з теми "Foot Wounds and injuries Australia"
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1
GRIGOROPOULOU (Β. ΓΡΗΓΟΡΟΠΟΥΛΟΥ), V., N. N. PRASSINOS (Ν.Ν. ΠΡΑΣΙΝΟΣ), and L. G. PAPAZOGLOU (Λ.Γ. ΠΑΠΑΖΟΓΛΟΥ). "Foot injuries in dogs and cats." Journal of the Hellenic Veterinary Medical Society 58, no. 2 (November 24, 2017): 145. http://dx.doi.org/10.12681/jhvms.14981.
Повний текст джерелаАнотація:
Paws are very important for weight-bearing and ambulation in small animals. These abilities are highly preserved due to the presence of foot pads on the palmar and plantar surface of the paws. The incidence of distal limb skin injuries is relatively high and these wounds require immediate and meticulous management, especially if there is skin loss. In the later cases, the use of specialized reconstructive surgical techniques makes foot salvage possible, thus avoiding limb amputation, which was the only solution in the past.
2
Pennycook, A., R. Makower, and A.-M. O'Donnell. "Puncture Wounds of the Foot: Can Infective Complications Be Avoided?" Journal of the Royal Society of Medicine 87, no. 10 (October 1994): 581–83. http://dx.doi.org/10.1177/014107689408701004.
Повний текст джерелаАнотація:
The bacteriological flora of the foot and shoe was studied concurrently in 200 volunteers without foot injuries, and 80 patients with puncture wounds of the foot. Seven of 28 child patients developed clinical infections, three with Pseudomonas aeruginosa. Eleven of 52 adult patients also developed infections. No patients developed infection if oral antibiotics were given within the first 24 h after injury ( P>0.05). Oral antibiotic prophylaxis is recommended for puncture wounds of the foot.
3
Hong, Rebecca, Monica Perkins, Belinda J. Gabbe, and Lincoln M. Tracy. "Comparing Peak Burn Injury Times and Characteristics in Australia and New Zealand." International Journal of Environmental Research and Public Health 19, no. 15 (August 4, 2022): 9578. http://dx.doi.org/10.3390/ijerph19159578.
Повний текст джерелаАнотація:
Burns are a leading cause of morbidity and mortality worldwide. Understanding when and how burns occur, as well as the differences between countries, would aid prevention efforts. A review of burn injuries occurring between July 2009 and June 2021 was undertaken using data from the Burns Registry of Australia and New Zealand. Peak injury times were identified on a country-by-country basis. Variations in demographic and injury event profiles between countries were compared using descriptive statistics. There were 26,925 admissions recorded across the two countries (23,323 for Australia; 3602 for New Zealand). The greatest number of injuries occurred between 6 PM to 7 PM in Australia (1871, 8.0%) and between 5 PM to 6 PM in New Zealand (280, 7.8%). In both countries, scalds accounted for the greatest proportion of injuries during peak times (988, 45.8%), but a greater proportion of young children (under three years) sustained burns during New Zealand’s peak times. The number of burn injuries associated with the preparation and/or consumption of food offers an opportunity for a targeted prevention program that may yield benefits across the two countries. Age- and mechanism-related differences in the profile of burn-injured patients need to be considered when developing and implementing such a program.
4
Scartozzi, G., and L. Hoffman. "Chronic high velocity projectile injury to the foot." Journal of the American Podiatric Medical Association 79, no. 5 (May 1, 1989): 236–41. http://dx.doi.org/10.7547/87507315-79-5-236.
Повний текст джерелаАнотація:
Acute projectile injuries to the foot can present a challenge for the podiatric physician, especially in terms of their chronic effects. The case of a shrapnel wound to the right foot and ankle that resulted in recurrent episodes of soft tissue infection and disability is presented. Treatment consisted of excision of the shrapnel fragment, debridement, and primary closure of the sinus tract created by the projectile. The authors discuss the acute and chronic effects of projectile injuries, factors responsible for determining the severity of these wounds, and various methods of treatment.
5
Ziv, I., R. Mosheiff, A. Zeligowski, M. Liebergal, J. Lowe, and D. Segal. "Crush Injuries of the Foot with Compartment Syndrome: Immediate One-Stage Management." Foot & Ankle 9, no. 4 (February 1989): 185–89. http://dx.doi.org/10.1177/107110078900900407.
Повний текст джерелаАнотація:
Severe crush injuries with compartment syndrome were treated in five patients by an immediate one-stage procedure. This procedure included the assessment of skin flap viability with accurate debridement of devascularized tissues. It was performed according to the split-thickness skin excision technique. Compartment pressures were measured and the fasciotomies were performed through open wounds or separate medial and lateral incisions. The medial incision was extended to release the tarsal tunnel. Fractures were reduced and internally fixed and exposed bones were covered with locally transposed muscles. Skin grafts, taken earlier for the skin viability assessment, were meshed and applied to replace skin loss. All wounds and fractures healed uneventfully with no major functional loss. In multiple trauma, the physician should maintain a high index of suspicion for early diagnosis and treatment of severe foot injuries. Early treatment leads to more desirable results, shorter hospitalization, and faster rehabilitation.
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Hanim, Risyda Zakiyah, and Tuti Herawati. "Mobile Health untuk Mencegah Luka Diabetes: A Systematic Review." Jurnal Penelitian Kesehatan "SUARA FORIKES" (Journal of Health Research "Forikes Voice") 12, no. 3 (February 6, 2021): 225. http://dx.doi.org/10.33846/sf12301.
Повний текст джерелаАнотація:
Ulcus diabeticum is the most common complication that results in death. Diabetic foot currently reach 40 to 60 million people in patients diagnosed with diabetes mellitus. This article was a mobile-health systematic review in preventing diabetic foot injuries. The search sources were Scopus, Science Direct, PubMed, ProQuest, Ebscohost and Sage published from 2015 to 2020 with the search keywords of "diabetes mellitus", "ulcus diabetic", "foot ulcer", "diabetic wound", "prevention", "mhealth", "telehealth ", " telemedicine", and "telenursing". The results show that there were four components in preventing diabetes wounds, namely monitoring foot temperature, foot images, directed guidance and virtual consultation. Mhealth has a positive impact on the prevention of diabetes mellitus wounds so that mHealth can be applied to prevent the incidence of diabetic wounds.
Keywords: m-health; prevention; diabetic wounds
ABSTRAK
Ulkus diabeticum merupakan komplikasi yang paling banyak mengakibatkan kematian. Kaki diabetik saat ini mencapai 40 hingga 60 juta jiwa pada pasien yang terdiagnosa diabetes mellitus. Artikel ini merupakan systematic review mobile-health dalam mencegah luka kaki diabetik. Sumber pencarian adalah Scopus, Science Direct, PubMed, ProQuest, Ebscohost dan Sage yang diterbitkan dari 2015 hingga 2020 dengan kata kunci pencarian "diabetes mellitus", "ulcus diabetic", "foot ulcer", "diabetic wound" "prevention", "mhealth", "telehealth", "telemedicine", dan "telenursing". Hasil menunjukkan terdapat empat komponen dalam pencegahan luka diabetes yakni monitoring suhu kaki, gambar kaki, panduan terarah dan konsultasi virtual. mhealth berdampak positif pada pencegahan luka diabetes mellitus sehingga mHealth dapat memungkinkan untuk diterapkan untuk mencegah kejadian luka diabetes.
Kata kunci: mhealth; pencegahan; luka diabetes
7
Herawati, Leli. "TINGKAT PENGETAHUAN PASIEN TENTANG PERAWATAN LUKA DIABETES MELITUS DI RUMAH SAKIT PTPN II BANGKATAN BINJAI TAHUN 2016." Jurnal Riset Hesti Medan Akper Kesdam I/BB Medan 1, no. 2 (December 1, 2016): 110. http://dx.doi.org/10.34008/jurhesti.v1i2.71.
Повний текст джерелаАнотація:
Diabetic wounds are injuries that occur in patients with diabetics involving disorders of the peripheral and autonomic nerves. Every year more than one million people with diabetes lose one of their legs as one of the complications of diabetes, this means that every 30 seconds one leg is lost due to diabetes somewhere in the world. The purpose of this study was to determine the level of knowledge of patients in the treatment of diabetes mellitus wounds in PTPN II Hospital Binjai Departure in 2016. The method of this study was descriptive observational. The population in this study were all patients treated at the Women's Room at PTPN II Bangkat Binjai Hospital, totaling 20 people. The sample in this study amounted to 10 people with accidental sampling techniques. The results of this study indicate that the Knowledge Level of Patients About Diabetes Wound Care in the Women's Room of PTPN II Hospital Binjai Departure in 2016 which is interpreted is good knowledge as many as 6 people (60%), enough as many as 2 people (20%) and less than 2 people (20%). 3. It is expected that patients will be able to prevent Diabetes Injuries by controlling blood glucose, using footwear, treating toenails, foot care and foot exercises. If Complications with Diabetes Injuries have occurred, the patient is expected to be able to treat diabetic wounds properly.Keywords: Patient Knowledge, Diabetes Melitus Wound Care
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MIRZA, TAHIR IQBAL, and FAKHAR ILYAS MALIK. "BICYCLE PASSENGER INJURIES IN CHILDREN." Professional Medical Journal 16, no. 01 (March 10, 2009): 34–37. http://dx.doi.org/10.29309/tpmj/2009.16.01.2969.
Повний текст джерелаАнотація:
O b j e c t i v e ; To find out types of traumatic injuries in bicycle passenger children. S e t t i n g : At PAC hospital Kamra. P e r i o d :From October 2005 to October 2007. Patients & M e t h o d s : The children between the ages of 03 to 10 years were included in this study.They were divided into two groups. First group(Gp-l) sustained injuries due to ankle or foot entrapment in rear running wheel while thesecond group(Gp-ll) sustained injuries due to fall of bicycle, while child sitting alone either at front bar or rear luggage carrier unattended.R e s u l t s : Gp-I sustained mostly frictional injuries ranging from simple abrasion to deep lacerated wounds of lower leg, ankle and foot. Whilein Gp-ll severe injuries like fractures of upper and lower limbs, visceral abdominal injuries and head injuries were observed. C o n c l u s i o n :Bicycle passenger injuries are common injuries of the children in less developed countries. These injuries range from simple "road rash' toserious head injuries.
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Jacobs, Margaret D. "Seeing Like a Settler Colonial State." Modern American History 1, no. 2 (March 16, 2018): 257–70. http://dx.doi.org/10.1017/mah.2018.5.
Повний текст джерелаАнотація:
In 1998, the Canadian historian and politician Michael Ignatieff wrote: “All nations depend on forgetting: on forging myths of unity and identity that allow a society to forget its founding crimes, its hidden injuries and divisions, its unhealed wounds.” Ironically, Ignatieff's home country has belied his assertion. Canada has engaged in collective remembering of one of its hidden injuries—the Indian residential schools—through a Truth and Reconciliation Commission (TRC) from 2009 to 2015. Australia, too, has reckoned since the 1990s with its own unhealed wounds—the separation of Aboriginal and Torres Strait Islander children from their families, or, in common parlance, the “Stolen Generations.”
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Chylińska-Wrzos, Patrycja, Marta Lis-Sochocka, and Barbara Jodłowska-Jędrych. "Use of propolis in difficult to heal diabetic wounds. Short review." Polish Journal of Public Health 127, no. 4 (December 1, 2017): 173–75. http://dx.doi.org/10.1515/pjph-2017-0037.
Повний текст джерелаАнотація:
Abstract According to WHO, about 347 million of people worldwide suffer from diabetes. Diabetes has complex etiology, and the consequences of this illness are seen in the morphological changes of many tissues and organs i.e. neuropathy leading to the risk of diabetic foot. Due to the diabetic condition, injuries to blood vessels in diabetic foot can be classified as chronic. This is because such wounds remain unresponsive to treatment for months or even years. There are many therapeutic methods employed in treating such injuries. These involve the use of silver, iodine or multi-antibiotic preparations, but treatment is expensive and cumbersome for patients. In the natural environment, however, there are many anti-inflammatory preparations, among them propolis which was the subject of our focus. Due to its anti-inflammatory, antimicrobial, and antioxidant properties, propolis is widely used in the treatment of colds, caries, rheumatic diseases, heart diseases and treatment of burns, wounds and frostbites. Numerous studies also indicate the beneficial effects of propolis on the difficult to heal diabetic wounds in which the use of propolis can significantly accelerate the healing process. The treatment utilizing propolis is easy, inexpensive and does not seem to cause any side effects, therefore costs can be reduced to minimum. The few studies conducted in diabetic patients confirm the results obtained in laboratory animals.
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Golubovic, Zoran, Vojkan Stanic, Srbobran Trenkic, Predrag Stojiljkovic, Goran Stevanovic, Aleksandar Lesic, Ivan Golubovic, Dragan Milic, Aleksandar Visnjic, and Stevo Najman. "Penetrating injury of the lungs and multiple injuries of lower extremities caused by aircraft bombs splinters." Vojnosanitetski pregled 67, no. 8 (2010): 688–93. http://dx.doi.org/10.2298/vsp1008688g.
Повний текст джерелаАнотація:
Introduction. Injuries caused by aircraft bombs cause severe damages to the human body. They are characterized by massive destruction of injured tissues and organs, primary contamination by polymorph bacterial flora and modified reactivity of the body. Upon being wounded by aircraft bombs projectiles a victim simultaneously sustains severe damages of many organs and organ systems due to the fact that a large number of projectiles at the same time injure the chest, stomach, head and extremities. Case report. We presented a patient, 41 years of age, injured by aircraft bomb with hemo-pneumothorax and destruction of the bone and soft tissue structures of the foot, as well as the treatment result of such heavy injuries. After receiving thoracocentesis and short reanimation, the patient underwent surgical procedure. The team performed thoracotomy, primary treatment of the wound and atypical resection of the left lung. Thoracic drains were placed. The wounds on the lower leg and feet were treated primarily. Due to massive destruction of bone tissue of the right foot by cluster bomb splinters, and impossibility of reconstruction of the foot, guillotine amputation of the right lower leg was performed. Twelve days after the wounding caused by cluster bomb splinters, soft tissue of the left lower leg was covered by Tirsch free transplantant and the defect in the area of the left foot was covered by dorsalis pedis flap. The transplant and flap were accepted and the donor sites were epithelized. Twenty-six days following the wounding reamputation was performed and amputation stump of the right lower leg was closed. The patient was given a lower leg prosthesis with which he could move. Conclusion. Upon being wounded by aircraft bomb splinters, the injured person sustains severe wounds of multiple organs and organ systems due to simultaneous injuries caused by a large number of projectiles. It is necessary to take care of the vital organs first because they directly threaten the life of the wounded patient. Despite adequate surgical treatment of war wounds of the feet, because of massive defect of bone and soft tissue, amputation may be the only rational solution of the treatment. The resection of the lung may be successful method for the severe destruction of the lung.
12
Mori, Alfredo. "Misericord Injuries: Ancient and Modern." Prehospital and Disaster Medicine 34, s1 (May 2019): s150. http://dx.doi.org/10.1017/s1049023x19003364.
Повний текст джерелаАнотація:
Introduction:The Misericord, or stabbing pike, was a frequently used battlefield implement in medieval times. The misericord was used by battlefield clerics to relieve the suffering of irreparably wounded soldiers. Its cultural parallels include the Roman gladius, the Japanese wakazashi, and the eponymous Liston knife used in pre-Victorian era surgery in England.Methods:This demonstration will analyze modern misericord injuries in the light of the current epidemic of long knife (or zombie knife) attacks in London and the domestic terrorist threat in Australia.Discussion:A review of this weapon is pertinent to the projected low-technology, low-impact, and deep-penetrating wounds expected in urban terrorism in Australia and other cities globally. The talk will emphasize field discussion, demonstration, and disarming techniques against modern misericord-type weapons.
13
Santosa, Agus, Okta Fajar Silviana, and Neneng Khasanah. "Wound care using metronidazole in a patient with diabetic foot ulcer: a case report." Proceedings Series on Health & Medical Sciences 1 (December 10, 2020): 172–75. http://dx.doi.org/10.30595/pshms.v1i.59.
Повний текст джерелаАнотація:
The control of infection in diabetic foot ulcers is essential to prevent injuries from getting worse. Infection in diabetic foot ulcers is generally caused by bacteria existence in the wound. Antibiotics may not be orally able to exterminate bacteria rapidly in the wound area, so antibiotics are needed directly and topically to the wound to reduce the infection process. This case describes wound care intervention using gauze added by antibiotic metronidazole as a wound compress in a 46-year-old male patient with diabetic foot ulcers treated at Cempaka Ward Banyumas Regional Public Hospital. This case is interesting because the medical intervention given to patients is rarely implemented in clinical practice. The conclusion is that a metronidazole antibiotic used to compress wounds in patients with diabetic foot ulcers can reduce the wound infection process.
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Wulandari Arifin, Nur Afni. "HUBUNGAN PENGETAHUAN PASIEN DIABETES MELLITUS TIPE II DENGAN PRAKTIK PERAWATAN KAKI DALAM MENCEGAH LUKA DI WILAYAH KELURAHAN CENGKARENG." JURNAL KEPERAWATAN MUHAMMADIYAH BENGKULU 9, no. 1 (April 17, 2021): 1–10. http://dx.doi.org/10.36085/jkmb.v9i1.1483.
Повний текст джерелаАнотація:
The endocrine system controls the body's processes through chemicals, most of these chemicals are secreted in the glands. Endocrine glands are located throughout the body and each gland contains a special group of cells that secrete hormones directly into the bloodstream, circulated throughout the body. This hormone acts on distant tissues (called target tissue) via endocrine signals. Diabetic clients are very at risk for the incidence of preventing diabetic foot injury in diabetics with foot care. This study aims to determine the relationship between the knowledge of type II diabetes mellitus patients with daily foot care practices in preventing wounds. The many problems faced by diabetic clients, especially regarding foot care, can be prevented and minimized if clients carry out proper foot care knowledge and practices. This research is a quantitative study with a cross-sectional design and a sample size of 30 people. The results of the Chi-Square test analysis showed that there was a significant relationship between the knowledge of type II diabetes mellitus patients and the practice of foot care in preventing wounds (p = 0.020). Knowledge is very important in the actions of a person who practices foot care. Diabetic foot injury will not occur if people with diabetes have extensive knowledge and want to look after and want to take care of their feet regularly. Clients with diabetes mellitus must be aware that foot care activities are part of their daily habits. Therefore, it is necessary to develop health education on foot care and foot examination to minimize or prevent foot injuries in people with diabetes mellitus. So that cases of diabetic foot injury can be prevented from an early age.Keywords: Diabetes Mellitus Type II, Knowledge, Foot care
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De Heer, N., E. Compagnie, and F. Ter Braake. "Penetrating solar wounds to the foot: benefit of MRI in treatment decisions." Vlaams Diergeneeskundig Tijdschrift 84, no. 1 (February 28, 2015): 27–37. http://dx.doi.org/10.21825/vdt.v84i1.16620.
Повний текст джерелаАнотація:
Penetrating injuries to the sole of the hoof are common in horses. Prognosis and treatment depend on the structures involved. In this report, nine horses are described with a penetrating injury to the sole of the hoof that then underwent magnetic resonance imaging (MRI) examination. The radiographic examination performed in seven of these horses provided information about the bone involvement and an MRI examination was performed in all cases to obtain information about the affected soft tissues. MRI has excellent soft tissue contrast and can provide detailed images in any anatomical plane. For all nine horses, the MRI examination provided a clear guidance toward prognosis and a treatment plan. For two of the horses, the MRI examination confirmed that only superficial debridement was required. In seven of the horses, the MRI findings indicated that a more invasive approach was needed, such as navicular bursoscopy or street-nail procedure. This study illustrates that an MRI examination can provide useful additional information leading to an appropriate therapy and prognosis, and shows a good correspondence between MRI observations and surgical findings.
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Hasnain, Syed Shehzad, Syed Taokeer Ahmed Rizvi, Imran Ashraf, Romesa Qaiser Khan, Waseem Khan Niazi, and Ali Shan Rao. "SELF-INFLICTED FIREARM INJURIES AS COMPARED TO THE ACCIDENTAL FIREARM INJURY; A COMPARATIVE ANALYTICAL STUDY TO DETERMINE THE COMMONEST SITE OF NON-SUICIDAL SELF-INFLICTED INJURIES." PAFMJ 71, no. 6 (December 30, 2021): 1937–40. http://dx.doi.org/10.51253/pafmj.v6i6.3316.
Повний текст джерелаАнотація:
Objective: To determine the commonest site of non-suicidal self-inflicted firearm wound in comparison with accidental firearm wounds.
Study Design: Cross sectional study.
Place and Duration of Study: Combined Military Hospitals Jhelum, Bannu & Kharian, from Nov 2014 to Nov 2018.
Methodology: Sixty-four patients with firearm injuries were observed. All the participants were males between the ages of 18- 60 years. The injuries were determined to be either self-inflicted or accidental by an independent committee. The participants’ replies and responses were assessed by dividing them into five main domains by using quantitative software SPSS version 20. Variables involving demographic characteristics of participants such as age, occupation, marital and socioeconomic status, were associated with mental health variables such as psychological stress, previous history of self-harm and clinical psychiatric illness.
Result: Fifteen subjects were found to have self-inflicted injuries and 50 had accidental injuries. There was a marked preference for left foot and left lower limb as a site for non-suicidal self-inflicted injuries (94.6%) as compared to other sites (left upper extremity 1.8%, chest 1.8% and right lower extremity 1.8%).
Conclusions: Left lower limb and left foot was a more common site for self-injury as compared to the other sites.
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Langford, Jane H., Phillip Artemi, and Shalom I. Benrimoj. "Topical Antimicrobial Prophylaxis in Minor Wounds." Annals of Pharmacotherapy 31, no. 5 (May 1997): 559–63. http://dx.doi.org/10.1177/106002809703100506.
Повний текст джерелаАнотація:
OBJECTIVE: To evaluate the ability of a novel topical antimicrobial gel containing cetrimide, bacitracin, and polymyxin B sulfate to prevent infections of minor wounds. DESIGN: A clinical trial compared the test preparation with placebo and a povidone iodine antiseptic cream. SETTING: Five primary schools in Sydney, Australia, participated in the study over a 6-week spring/summer school term. SUBJECTS: Children aged 5–12 years with parental consent were eligible for study participation. Accidental injuries occurring at school were treated in a standardized manner by nurses at each site. OUTCOME MEASURES: Wounds were evaluated by the medical practitioner after 3 days of topical treatment. The clinical outcome was classified as resolution or suspected infection. If a clinical infection was suspected, the injury was swabbed for microbiologic evaluation. Growth of a dominant microorganism was classified as a microbiologic infection. RESULTS: Of the 177 injuries treated, there were nine clinical infections. A comparison of these showed a significant difference among treatment groups (p < 0.05). This difference was associated with the test preparation and placebo; the test preparation reduced the incidence of clinical infection from 12.5% to 1.6% (p < 0.05; 95% CI, 0.011 to 0.207). A comparison of microbiologic infections showed no significant differences among treatment groups (p > 0.05). CONCLUSIONS: The novel gel preparation containing cetrimide, bacitracin, and polymyxin B sulfate showed therapeutic action and reduced the incidence of clinical infections in minor accidental wounds. It may be a suitable product for first aid prophylaxis.
18
Chong, Chang Haw, William Verhoeven, and Chay Wai Mun. "Rubber Foreign Bodies in Puncture Wounds of the Foot in Patients Wearing Rubber-Soled Shoes." Foot & Ankle International 22, no. 5 (May 2001): 409–14. http://dx.doi.org/10.1177/107110070102200509.
Повний текст джерелаАнотація:
We report 8 cases of puncture wound of the foot associated with rubber foreign bodies in patients who were wearing rubber-soled shoes. The difficulty in making the correct diagnosis and the complications arising from these injuries are reviewed. The morbidity associated with these seemingly innocuous puncture wounds can be serious. Infective complications resolved only with removal of all imbedded rubber foreign bodies. A history of wearing rubber-soled shoes during the injury and a high index of suspicion may prevent complications.
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Kim, Shin Hyun, and Won Jai Lee. "Outcomes of grafted skin on the dorsum of the foot after car-tire friction injuries." Archives of Plastic Surgery 48, no. 6 (November 15, 2021): 678–84. http://dx.doi.org/10.5999/aps.2021.00962.
Повний текст джерелаАнотація:
Background A car-tire friction injury on the dorsum of a child’s foot often results in hypertrophic scarring of the wound margins. This study describes the clinical appearance of the injured areas and surgical complications that occurred during the follow-up period in a series of children with car-tire friction injuries who were treated with split-thickness skin grafts (STSGs). We describe the clinical features that we believe need to be highlighted when initially treating car-tire injuries in children.Methods From May 2003 to June 2016, our retrospective study included 15 patients with car-tire injuries on the dorsum of the foot who were treated with surgical excision and STSG to cover the wound.Results A total of 15 patients with car-tire injuries were treated. The average age was 6.26 years old. The average injury grade was 3.26. Two patients were treated using delayed repair, and 13 patients received STSG for initial management. Four patients experienced no complications, while 11 patients had hypertrophic scars and/or scar contracture after surgery.Conclusions A car-tire friction injury on the dorsum of a child’s foot often results in hypertrophic scar formation or scar contracture even if proper management is undertaken. Since the occurrence of these complications in childhood can lead to a secondary deformity, it is important to properly treat car-tire friction wounds, inform patients and caregivers about potential complications, and ensure regular follow-up evaluations over a 12-month period following the initial surgery.
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Tejada, Silvia, Juan M. Batle, Miguel D. Ferrer, Carla Busquets-Cortés, Margalida Monserrat-Mesquida, Seyed M. Nabavi, Maria del Mar Bibiloni, Antoni Pons, and Antoni Sureda. "Therapeutic Effects of Hyperbaric Oxygen in the Process of Wound Healing." Current Pharmaceutical Design 25, no. 15 (August 19, 2019): 1682–93. http://dx.doi.org/10.2174/1381612825666190703162648.
Повний текст джерелаАнотація:
Chronic and non-healing wounds, especially diabetic foot ulcers and radiation injuries, imply remarkable morbidity with a significant effect on the quality of life and a high sanitary cost. The management of these wounds requires complex actions such as surgical debris, antibiotic treatment, dressings and even revascularization. These wounds are characterized by poor oxygen supply resulting in inadequate oxygenation of the affected tissue. The adjuvant treatment with hyperbaric oxygen therapy (HBOT) may increase tissue oxygenation favoring the healing of wounds which do not respond to the usual clinical care. The increase in the partial pressure of oxygen contributes to cover the energy demands necessary for the healing process and reduces the incidence of infections. Moreover, the increase in oxygen leads to the production of reactive species with hormetic activity, acting on signaling pathways that modulate the synthesis of inflammation mediators, antioxidants and growth factors which can contribute to the healing process. Studies performed with cell cultures and in animal models seem to demonstrate the beneficial effects of HBOT. However, clinical trials do not show such conclusive results; thus, additional randomized placebo-controlled studies are necessary to determine the real efficacy of HBOT and the mechanism of action for various types of wounds.
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DeCoster, Thomas, Richard Alvarez, and Saul Trevino. "External Fixation of the Foot and Ankle." Foot & Ankle 7, no. 1 (August 1986): 40–48. http://dx.doi.org/10.1177/107110078600700107.
Повний текст джерелаАнотація:
The use of Hoffmann external fixation in the treatment of ankle and foot trauma in 26 patients is reviewed. There were 21 males and five females, ranging in age from 14 to 56 years. There were 22 fresh fractures and four arthrodeses. Fourteen of the 22 injuries were open fractures. Eight of 22 involved foot joint disruptions. This form of treatment required a complete set of external fixation equipment, sound knowledge of foot and ankle anatomy, and technical skill in frame construction and application. This fixateur allowed three plane stabilization of complex fractures, mobilization of unaffected joints, and access to wounds for soft tissue care. Follow-up evaluations from 24 to 48 months demonstrated good clinical results. The fractures healed and soft tissue and joint function were preserved. The arthrodeses fused. There were no neurovascular complications, pin tract infections, or equipment breakage. Foot trauma frequently combines soft tissue injury and complex skeletal instability, which makes external fixation particularly attractive. Although ideal indications for the use of this technique have not yet been determined, the theoretical advantages and initial results are encouraging. External fixation is a useful addition to the treatment armamentarium of the foot surgeon.
22
Hocking, DP, FG Marx, WMG Parker, JP Rule, SGC Cleuren, AD Mitchell, M. Hunter, JD Bell, EMG Fitzgerald, and AR Evans. "Inferring diet, feeding behaviour and causes of mortality from prey-induced injuries in a New Zealand fur seal." Diseases of Aquatic Organisms 139 (April 30, 2020): 81–86. http://dx.doi.org/10.3354/dao03473.
Повний текст джерелаАнотація:
New Zealand fur seals Arctocephalus forsteri are the most abundant of the 4 otariid (eared seal) species distributed across Australasia. Analyses of stomach contents, scats and regurgitates suggest a diet dominated by bony fish and squid, with cartilaginous species (e.g. sharks and rays) either absent or underrepresented because of a lack of preservable hard parts. Here we report on a subadult specimen from south-eastern Australia, which was found ashore emaciated and with numerous puncture wounds across its lips, cheeks, throat and the inside of its oral cavity. Fish spines embedded in the carcass revealed that these injuries were inflicted by chimaeras and myliobatiform rays (stingrays and relatives), which matches reports on the diet of A. forsteri from New Zealand, but not South Australia. Shaking and tearing of prey at the surface may help to avoid ingestion of the venomous spines, perhaps contributing to their absence from scats and regurgitates. Nevertheless, the number and severity of the facial stab wounds, some of which led to local necrosis, likely affected the animal’s ability to feed, and may account for its death. Despite their detrimental effects, fish spine-related injuries are difficult to spot, and may be a common, albeit cryptic, type of trauma. We therefore recommend that stranded seals be systematically examined for this potentially life-threatening pathology.
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Samoylenko, G. E., S. O. Zharikov, and R. P. Klimanskyi. "The «Propeller»–technique in plastic surgery of the extensive wounds of distal leg and the foot." Klinicheskaia khirurgiia 86, no. 3 (February 28, 2019): 27–31. http://dx.doi.org/10.26779/2522-1396.2019.03.27.
Повний текст джерелаАнотація:
Objective. To increase the efficacy of plastic surgery in treatment of the extensive soft tissue defects, applying “sparing” resection of the lower third of the shin and foot for consequences of mechanical and/or thermal trauma or infectious–necrotic processes.
Materials and methods. We conducted a retrospective evaluation of the “Propeller”–technique application for the elevation of the skin islet flaps on sural neurovascular pedicle in 11 patients, who underwent surgery between 2014 and 2017. The task for investigation was to eliminate the shin and foot defects, developed due to large–scale tissue damage. The Group 1 was organized for patients with the mine–blast trauma and the coal mine occupational injuries (2 patients followed in each category). Management of purulent–necrotic wounds (Group 2) was required in cases of amputation and resection of the foot due to either osteomyelitis (3 patients followed) or frostbites (4 patients followed).
Results. All the patients had an adequate vascular supply of the affected limbs, even in 3 patients from the Group II, who had only one artery preserved. In all cases a secondary surgical debridement, necrectomy and the soft tissue defect repair were performed during the same operation.
Conclusions. Using of the tegument tissues mobilization complex “Propeller”– technique is an effective instrument for sealing of deep complex defects of different etiology, localized in distal part of the lower extremity.
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Marbun, Agnes Silvina, Novita Aryani, and Lasma Rina Efrina Sinurat. "HUBUNGAN PENGETAHUAN TENTANG ULKUS DIABETIKUM DENGAN TINDAKAN PENCEGAHAN PADA PENDERITA DIABETES MELITUS." JURNAL HEALTH REPRODUCTIVE 6, no. 2 (January 29, 2022): 78–86. http://dx.doi.org/10.51544/jrh.v6i2.2551.
Повний текст джерелаАнотація:
Diabetes Mellitus is a long-term disease characterized by abnormal blood glucose levels. DM can cause several complications, one of which is Diabetic neuropathy which contributes to the occurrence of wounds, causing dry skin, anhidrosis; which makes it easier for the skin to become damaged and wounds that are difficult to heal and can cause infections that contribute to gangrene. To overcome this problem, people with diabetes mellitus must have knowledge about diabetic wounds which include early detection and prevention of diabetic foot wounds. This type of research is analytic with a cross sectional study design with the aim of knowing the relationship between knowledge about diabetic wounds and wound prevention measures in patients with diabetes mellitus at Puskesmas Kenangan. The population in this study were all DM patients who were treated at the Puskesmas Kenangan who had not experienced gangrene complications as many as 25 people with a sample of 25 people, the sample was taken by total sampling. The results of the study. Knowledge of the majority of diabetic wounds was less as many as 15 people (60%) and the majority of wound prevention measures were bad as many as 19 people (76%). The conclusion is that there is a relationship between the knowledge of people with diabetes mellitus about diabetic wounds and wound prevention measures, indicated by the P value = 0.000 (p <0.05), meaning that there is a relationship between the respondent's knowledge and wound prevention measures. To add insight and knowledge about diabetic wounds and how to prevent injuries, it is recommended for DM patients to take part in counseling about diabetic wounds held both at the puskesmas and other health facilities. It is recommended for nurses to provide health education to DM patients in order to increase knowledge about diabetic wounds by attaching posters of wound prevention measures.
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Misovic, Sidor, Dragan Ignjatovic, Miodrag Jevtic, and Aleksandar Tomic. "Extended ankle and foot fasciotomy as an enhancement to the surgical treatment of patients with prolonged ischemia of the lower extremities." Vojnosanitetski pregled 62, no. 4 (2005): 323–27. http://dx.doi.org/10.2298/vsp0504323m.
Повний текст джерелаАнотація:
Aim. To present the technique and efficacy of extended ankle and foot fasciotomy, as a surgical limb-salvage procedure associated with the successful revascularization after the gold interval. Method. A retrospective review of six patients at the age of 16?79 years (mean 39) in the period from 1996 to 2003, treated with the extended ankle and foot fasciotomy. There were four males undergoing the delayed treatment of war injuries to the lower extremity, and two females with atherosclerotic occlusive disease (a. illiacae dex and a. poplitealis dex.). The average ishemic time in the wounded patients was 22 hours (range, 14?30 hours), and ischemic time in occlusive disease (range, 48?72 hours). Clinical signs, indications, surgical access and the technique of extended ankle and foot fasciotomy was reported. Results. The obtained results were classified as early and late. There was no cases with lethal outcome. Incisional wounds closed 15 days after the intervention, using secondary suture or skin transplant sec. Thiersch. The satisfactory functional results were achieved in 4 of the patients, 1 had a small edema, while amputation was performed in 1 patient. Conclusion. In cases of prolonged foot ischemia with edema and paresthesia in the toes, extended ankle and foot fasciotomy should be performed as a surgical limb-salvage procedure.
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Sung, Kun Yong, Seung Je Lee, and Hong Sil Joo. "Treatment Strategy for an Electrical Burn Patient with Multiple Fourth-Degree Wounds." Journal of Wound Management and Research 16, no. 2 (June 30, 2020): 121–24. http://dx.doi.org/10.22467/jwmr.2020.01032.
Повний текст джерелаАнотація:
Electrical burns, especially high-voltage burns, usually cause necrosis of the subcutaneous fat, fascia, muscle, and bone. The reconstruction of electrical injuries often involves multiple surgeries. We present the case of a 56-year-old man who was injured by a high-voltage current resulting in multiple soft tissue defects on the left ankle and plantar area. The wounds on the malleolar and lateral plantar areas had burned the muscle, tendon, and bone. Because the patient had multiple wounds and unstable vessels, we took the strategy of operating in stages. The primary aim of treatment was wound healing and maintaining the support structure for mobility. Several rounds of wide debridement and negative-pressure wound therapy, followed by application of acellular dermal matrix and split-thickness skin graft were performed as part of the first stage. At the 1-year follow-up, the patient could walk independently wearing a splint to prevent foot drop. A second reconstructive surgery is possible, if necessary.
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du Toit, Verona, and Richard Smith. "Survey of the Effects of Aerobic Dance on the Lower Extremity in Aerobic Instructors." Journal of the American Podiatric Medical Association 91, no. 10 (November 1, 2001): 528–32. http://dx.doi.org/10.7547/87507315-91-10-528.
Повний текст джерелаАнотація:
The rate of aerobic dance injuries has been high for two decades. To determine the types of lower-extremity injuries to aerobic instructors, a questionnaire was sent to 18 fitness centers in the Sydney, Australia, metropolitan area requesting information on the number and types of injuries, frequency of activity levels, footwear worn, and treatments sought. The reported rate of injury was 77%. The leg was the most common site of injury, reported by 52.9% of respondents, followed by the foot and ankle (32.8%), and the knee (20%). These figures are comparable to previous studies. Further investigation is warranted into causes and preventive measures, and information on the kinetics and kinematics of the lower extremity may increase understanding of the incidence of lower-extremity injuries to aerobic instructors and participants. (J Am Podiatr Med Assoc 91(10): 528-532, 2001)
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Díaz-Herrera, Miguel Ángel, José Ramón Martínez-Riera, José Verdú-Soriano, Raúl Miguel Capillas-Pérez, Carme Pont-García, Silvia Tenllado-Pérez, Oriol Cunillera-Puértolas, Miriam Berenguer-Pérez, and Vicente Gea-Caballero. "Multicentre Study of Chronic Wounds Point Prevalence in Primary Health Care in the Southern Metropolitan Area of Barcelona." Journal of Clinical Medicine 10, no. 4 (February 16, 2021): 797. http://dx.doi.org/10.3390/jcm10040797.
Повний текст джерелаАнотація:
Background: Chronic wounds give rise to major costs and resource consumption in health care systems, due to their protracted healing time. Incidence and prevalence data are scarce or nonexistent in community settings. Objective: The aim of the present epidemiological study was to analyse and determine the prevalence of chronic wounds in the community in the south of the province of Barcelona (Spain). Design: A cross-sectional, multicentre secondary data analysis study was conducted in the community (excluding nursing homes) in Barcelona between 16 April and 13 June 2013. It included 52 primary care centres that serve a total population of 1,217,564 inhabitants. Results: The observed prevalence was 0.11%. Venous ulcers presented the highest prevalence, at 0.04%, followed by pressure injuries, at 0.03%. The >74 age group presented the highest frequency of chronic wounds, accounting for 69.4% of cases. Conclusion: The results obtained are consistent with those reported in previous similar studies conducted in Spain and elsewhere. As with most studies that adjusted their variables for age and sex, we found that the prevalence of ulcers increased with age and was higher in women, except in the case of diabetic foot ulcers and ischaemic ulcers, which were more frequent in men.
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Taheri, Mahdiyeh, and Leila Amiri-Farahani. "Anti-Inflammatory and Restorative Effects of Olives in Topical Application." Dermatology Research and Practice 2021 (June 26, 2021): 1–9. http://dx.doi.org/10.1155/2021/9927976.
Повний текст джерелаАнотація:
Background and Objective. Olive oil is used as a traditional treatment for wounds, sores, and infections, and the effectiveness of topical use and absence of side effects have been reported in various clinical trials. The present study is an overview of the anti-inflammatory properties of olive oil in its topical application for various skin diseases and wounds. Methods. A literature search was conducted (1990–2021) in Medline, Embase, CINAHL, Google Scholar, Science Direct, SID, IranDoc, and Magiran databases. From the 102 reviewed articles, 17 articles were selected to be included in the current article. Results. Various forms of olive have long been used to accelerate the healing of various wounds and skin damage such as diabetic foot ulcers, atopic dermatitis, diaper dermatitis, episiotomy wound, and nipple ulcer but there are still no credible documents or articles that provide reliable evidence of topical use. Conclusion. According to the information obtained from the articles reviewed, olive oil appears to be an effective, safe, and available treatment. This study suggests that olive oil is an alternative remedy to minimize the frequent use of chemical-based treatments. More research may be beneficial to reach certainty in terms of curative properties of olive oil in similar or different injuries in different populations.
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Paolini, Guido, Michail Sorotos, Guido Firmani, Gianluca Gravili, Diego Ceci, and Fabio Santanelli di Pompeo. "Low-vacuum negative pressure wound therapy protocol for complex wounds with exposed vessels." Journal of Wound Care 31, no. 1 (January 2, 2022): 78–85. http://dx.doi.org/10.12968/jowc.2022.31.1.78.
Повний текст джерелаАнотація:
Objective: Treating high-risk surgical patients with complex wounds over exposed blood vessels is a challenge. Guided wound healing may be the only treatment possible. Negative pressure wound therapy (NPWT) is not recommended in these cases. The authors challenged these current recommendations and share their preliminary experience. Method: The authors adapted a NPWT protocol that uses low-vacuum continuous pressure (−80mmHg) with a silicone sheath and gauze/foam dressing between the wound bed and the device. They monitored the clinical features of patients' wounds to detect bleeding/ischaemia early on. Dressings were changed every 72–96 hours. Results: This protocol was followed in five male patients (aged 23–68 years) with complex wounds over exposed vessels. Two cases were foot crush injuries, one midfoot amputation, one hand self-subamputation and one vascular bypass infection. Comorbidities included monoarterial limbs/stump, severe arteriopathy and psychiatric disorder. The exposed vessels were femoral, radial and ulnar, anterior and posterior tibial arteries and veins. Mean treatment lasted 37 days (range 20–61 days). No episodes of severe bleeding/ischaemia of the extremities were observed. Treatment was discontinued once debridement was complete and granulation tissue allowed spontaneous closure/grafting. All wounds appeared stable at 1-year follow-up. Conclusion: The low-vacuum NPWT protocol was successful in solving five difficult cases. This regimen reduces risks associated with NPWT use on wounds with exposed vessels. The authors believe further validation is required to strengthen the evidence. However, preliminary data are encouraging and might help to change future NPWT recommendations by extending the indications for its use to exposed vessels.
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Swoboda, Laura. "A Retrospective Analysis of Clinical Use and Outcomes Using Viable Placental Membrane Allografts in Chronic Wounds." Wounds : a compendium of clinical research and practice 33, no. 12 (December 10, 2021): 329–33. http://dx.doi.org/10.25270/wnds/2021.329333.
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Introduction. Viable placental membrane (vPM) has been shown to decrease time to healing, adverse wound events, and wound-related infections. Wound research exclusion criteria commonly exclude wound types other than diabetic foot ulcers and venous leg ulcers (VLUs), comorbidities including peripheral arterial disease (PAD) and uncontrolled diabetes mellitus (DM), and wounds with exposed bone or tendon. Objective. This retrospective research study evaluated the clinical use and outcomes of the vPM with living mesenchymal stem cells used in chronic wound management in the community hospital outpatient department setting with the goal of comparing real-world use and outcomes of the product with use and outcomes described in the chronic wound literature. Materials and Methods. A retrospective analysis on vPM treatments at a Wisconsin academic health system’s community hospitals. Participants included all patients who received vPM therapy between July 1, 2016, and August 21, 2019. Results. A total of 89 patients received vPM treatment during the study period (mean age, 70 years; 69% male [n = 61], 31% female [n = 28]). Wound types were 54% diabetic or neuropathic foot ulcers (n = 48), 17% VLUs (n = 15), 7% pressure injuries (n = 6), and 22% atypical wounds (n = 20). The average wound duration prior to vPM initiation was 104 days. Average wound size at presentation was 6.9 cm2. Of study participants 54% had PAD (n = 48), 63% had DM (n = 56), 33.7% had DM and PAD (n = 30), and 17% had exposed bone or tendon (n = 15). Average adjusted time to healing after initiation of vPM was 81.2 days. The percentage of wounds healed 12 weeks after initiation of vPM treatment was 57%. Conclusions. Effectiveness of vPM observed in controlled trials also was observed in this real-world study on vPM for multiple wound types, patients with comorbidities including PAD and uncontrolled DM, and wounds with exposed bone or tendon. Results of this study were not statistically different from those reported in the literature. More randomized controlled trials are needed to explore the efficacy of vPM on patient presentations common to wound healing centers.
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Bonanno, Daniel R., George S. Murley, Shannon E. Munteanu, Karl B. Landorf, and Hylton B. Menz. "Effectiveness of foot orthoses for the prevention of lower limb overuse injuries in naval recruits: a randomised controlled trial." British Journal of Sports Medicine 52, no. 5 (October 22, 2017): 298–302. http://dx.doi.org/10.1136/bjsports-2017-098273.
Повний текст джерелаАнотація:
ObjectivesTo evaluate the effectiveness of prefabricated foot orthoses for the prevention of lower limb overuse injuries in naval recruits.MethodsThis study was a participant-blinded and assessor-blinded, parallel-group randomised controlled trial. Three-hundred and six participants aged 17–50 years who undertook 11 weeks of initial defence training at the Royal Australian Navy Recruit School (Cerberus, Australia) were randomised to a control group (flat insoles, n=153) or an intervention group (contoured, prefabricated foot orthoses, n=153). The combined incidence of medial tibial stress syndrome, patellofemoral pain, Achilles tendinopathy and plantar fasciitis/plantar heel pain during the 11-week training period were compared using incidence rate ratios (IRR). Data were analysed using the intention-to-treat principle.ResultsSixty-seven injuries (21.9%) were recorded. The control and intervention group sustained 40 (26.1%) and 27 (17.6%) injuries, respectively (IRR 0.66, 95% CI 0.39 to 1.11, p=0.098). This corresponds to a 34% reduction in risk of developing medial tibial stress syndrome, patellofemoral pain, Achilles tendinopathy or plantar fasciitis/plantar heel for the intervention group compared with the control group. Participants in the prefabricated orthoses group were more likely to report at least one adverse event (20.3% vs 12.4%; relative risk (RR) 1.63, 95% CI 0.96 to 2.76; p=0.068; number needed to harm 13, 95% CI 6 to 253). The most common adverse events were foot blisters (n=20, 6.6%), arch pain (n=10, 3.3%) and shin pain (n=8, 2.6%).ConclusionPrefabricated foot orthoses may be beneficial for reducing the incidence of lower limb injury in naval recruits undertaking defence training.Trial registration numberAustralian New Zealand Clinical Trials Registry: ACTRN12615000024549.
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Erna Masdiana and Tua Parlindungan. "Factors Affecting The Appearance of Diabetic Wounds In Patients With Diabetes Mellitus at The Bireun Regional Hospital Polyclinic." Jurnal Kesehatan Akimal 1, no. 2 (September 1, 2022): 75–87. http://dx.doi.org/10.58435/jka.v1i2.55.
Повний текст джерелаАнотація:
Diabetes, where there are blackened wounds from the layers of the skin to the dermis layer and tissue death occurs. The aim of the study was to obtain an overview of the factors that influence the occurrence of wounds in type 2 diabetes patients Gangrene wound or, this wound is a complication caused by someone who has at the Bireuen. The number of respondents in this research amounted to 50 people. Diabetic sufferers who experience injuries, carried out on March 20 to March 25, 2021 with a sampling technique that is accidental sampling. This study shows a risk factor for age 40 years with an OR value of 15.190 and a P-value of 0.000, a risk factor for long suffering from DM ≥ 8 years with an OR value of 8.486 and p = 0.003, a risk factor for a history of diabetic ulcers with an OR value of 9.667. and p = 0.004, the risk factor for lack of foot care with an OR value = 4.500 and p = 0.042, a smoking risk factor with an OR value = 0.371 and p = 0.334, an exercise history factor with an OR value = 8.486 and p = 0.003, family support factor with OR = 1.781 and p = 0.501 which means the variable age 40 years, duration of suffering from DM 8 years. The results of this study can provide information to nurses so as to reduce the incidence of injuries in diabetic patients.
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Choi, YM, T. Chopra, D. Smith, and S. Moulton. "Sun heated surfaces are an environmental hazard for young children." Perspectives in Public Health 139, no. 5 (March 28, 2019): 264–70. http://dx.doi.org/10.1177/1757913919826600.
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Aims: Children commonly sustain heat contact type burn injuries from sun heated surfaces during the summer months in hot, sunny climates. The aim of this study was to review the causes and outcomes in a series of heat contact type burns sustained by children who touched hot sun heated surfaces. Methods: A retrospective chart review was performed to identify all children who sustained burn injuries due to naturally heated surfaces and were treated between January 2012 and December 2017 at Children’s Hospital Colorado. Demographics of the subjects and clinical data regarding their burn injuries were collected. Results: A total of 58 children were identified over the study period, involving 118 burn wounds. The median age was 17 months (interquartile range = 14–23), and 33 were male (57%). Mean total body surface area (TBSA) was 1.4% (standard deviation = 1). A foot was the most commonly involved area, affecting 36 subjects (62%). The most common causes of these burn injuries were metal thresholds ( n = 7, 12%) and metal covers or lids ( n = 5, 9%) outside the home. The depth of the burn injury was partial thickness in 57 children (98%). The mean time to heal was 12 ± 6 days, and the majority of injuries occurred in June ( n = 28, 48%). Conclusion: Heat contact type burn injuries from sun heated surfaces commonly affect children ⩽2 years of age during the summer months, and the majority of these injuries occur around the home environment. They are preventable injuries, and this information should be used for prevention and education materials for parents and healthcare providers, who reside in hot, sunny climates.
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Reilly, Megan, Joshua Luginbuhl, and Joseph Thoder. "Retained Missile to the Foot and Ankle: When Should They Come Out?" Foot & Ankle Orthopaedics 4, no. 4 (October 1, 2019): 2473011419S0035. http://dx.doi.org/10.1177/2473011419s00355.
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Category: Trauma Introduction/Purpose: Gunshot wounds are common injuries encountered by orthopaedists in urban settings. Retained missiles can lead to significant morbidity and functional impairment. Despite the potential for adverse sequelae, controversy remains regarding the role of routine bullet removal. Suggested indications for bullet removal include those leading to infection and lead toxicity. Bullets located in the palm of the hand, sole of the foot, or intraarticularly are commonly removed as well. Given the unlikeliness of a retained missile sparing the many joints or sole of the foot, we question the indications for conservative management. The purpose of this case series of is to further develop indications for bullet removal from the foot. Methods: A medical record search was performed at a single one trauma institution, with high volume of patients with ballistic injury, for patients who underwent bulletectomy from 2008 until 2018. Of the 169 patients originally obtained, 17 patients underwent bulletectomy, with associated irrigation and debridement, of the foot and ankle. The record of each patient in this retrospective case series was individually reviewed for location of retained missile, indications for removal, whether the procedure was performed at the bedside or in the operating room, concomitant injuries or surgeries, and follow up. Results: Of the 17 patients with retained bullets removed from the foot and ankle, four (23.5%) were removed at the bedside versus the operating room. Indications for removal were painful palpable subcutaneous position of the bullet (11 or 64.7%), periarticular or intraarticular bullet (five or 29.4%), and infected wound with removal of foreign body to optimize healing (one or 5.9%). The location of the palpable missiles included three on the plantar foot, four on the dorsal foot, and four located in subcutaneous tissues adjacent to the ankle joint. Nine out of seventeen (52.9%) had fractures associated with the retained missile. Of the patients with OR procedure (13), the majority of them (nine or 69.2%) were in the operating room for another procedure as well. Conclusion: The indications for bulletectomy of the foot and ankle are not definite, however, it is recommended that bullets located in the weightbearing plantar foot or intraarticularly be removed. After analysis of a seventeen patient retrospective case series, we support these indications but also advocate for the removal of any painful subcutaneous or periarticular bullet, whether under local anesthesia or in the operating room. In our experience, the prominent foot and ankle bullet is often removed during a procedure for another anatomic site. Bulletectomy of the foot and ankle in a stable polytrauma patient should be considered.
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Bandara, D. M. D. N., and A. W. Suraj Chandana. "IDENTIFYING ANKLE INJURY PATTERNS OF NETBALL PLAYERS FOR MAINTAIN THEIR HEALTH AND WELLBEING." Gladi : Jurnal Ilmu Keolahragaan 12, no. 02 (July 2, 2021): 207–15. http://dx.doi.org/10.21009/gjik.122.12.
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Netball is a ball game played by two groups of seven players. Its improvement, got from early forms of ball, started in England during the 1890s. By 1960, universal playing guidelines had been institutionalized for the game. The ankle joint is a pivot joint framed between the tibia and fibula and the bone and enables the foot to twist upwards and downwards. The joint likewise permits a modest quantity of pivot. The joint's dependability originates from the basic course of action of the bones and the encompassing tendons. Ankle injuries can transpire at any age. This article surveys epidemiological investigations on ankle injuries in netball, and what are the sorts of ankle injuries, how it's happen and also survey how counteractive action from ankle injuries and aversion strategies. Furthermore, talk about around a few activities that can use for prevent from ankle injuries in netball. The purpose of the study was to investigate the several Ankle injuries of netball players in different countries. The methodology used for this review was based on previously published guidelines. It included research articles, journals, research publications, reviews and books. Collect all the findings and add the references. Of 47 articles are found and 18 are included in this review essay. Results demonstrate that the ankle injury was the most widely recognized harmed body site in netball and an Ankle sprain was the real lower leg damage happen in Netball. Ankle sprains represent an enormous level of wounds supported in netball. This efficient survey gives a synopsis of the study of disease transmission of ankle damage in Netball.
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Shi, Rongfeng, Weishuai Lian, Yinpeng Jin, Chuanwu Cao, Shilong Han, Xiaohu Yang, Suming Zhao, Maoquan Li, and Hui Zhao. "Role and effect of vein-transplanted human umbilical cord mesenchymal stem cells in the repair of diabetic foot ulcers in rats." Acta Biochimica et Biophysica Sinica 52, no. 6 (June 2020): 620–30. http://dx.doi.org/10.1093/abbs/gmaa039.
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Abstract Diabetic foot ulcer (DFU) is one of diabetic complications, which is frequently present and tormented in diabetes mellitus. Most multipotent mesenchymal stromal cells (MSCs) are capable of immune evasion, providing an allogeneic, ready-to-use, cell product option for therapeutic applications. The beneficial effect of MSCs for the treatment of a variety of traumatic injuries, such as open wounds, has been extensively explored. In this study, a rat DFU model was used to simulate the pathophysiology of clinical patients and to investigate the localization of human umbilical cord mesenchymal stem cells (hUC-MSCs) after intravenous transplantation and its role in DFU healing, so as to evaluate the potential of hUC-MSCs in the treatment of DFU. The diabetic rat model was established by streptozotocin injection, which was used to create full-thickness foot dorsal skin wounds to mimic DFU by a 6-mm skin biopsy punch and a Westcott scissor. The hUC-MSCs were transplanted through femoral vein, and the ulcer cicatrization situation and the fate of hUC-MSCs were evaluated. Our data suggest that intravenously transplantated hUC-MSCs have the ability to migrate and locate to the wound tissue and are helpful to wound healing in DFU rats, partly by regulating inflammation, trans-differentiation and providing growth factors that promote angiogenesis, cell proliferation and collagen deposition. Herein, we demonstrate that hUC-MSC transplantation is able to accelerate DFU healing in rats and transplantation of exogenous stem cells may be a potential strategy for clinical application in DFUs.
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Golubović, Ivan, Predrag Stojiljković, Mihailo Ille, Milan Radojković, Nemanja Jovanović, Milan Lazarević, Ivana Golubović, et al. "Disconnection of arterial collateral as the cause of lower leg amputation after conquassation caused by petrol tiller: A case report." Timocki medicinski glasnik 47, no. 2-3 (2022): 119–25. http://dx.doi.org/10.5937/tmg2202119g.
Повний текст джерелаАнотація:
Introduction. Leg conquassation caused by petrol tiller is one of the most severe injuries in bone and joint traumatology. Firm strokes by sharp tiller blades produce strong force that easily damages both soft tissues and bones. Since tillers are used in soil processing, the wounds are highly contaminated with dirt and fertilizers, hence the anaerobic spore-forming bacilli, such as tetanus and gas gangrene pathogens. Case report. This paper presents the treatment of a 69 years old man with chronic arterial insufficiency of the lower extremities who suffered severe injury of the lower leg (IIIB open tibial fracture according to Gustillo) by petrol tiller while performing agricultural work. Due to the absence of pulsations, Multislice CT angiography and arteriography were performed. Arteriography of the injured leg confirmed chronic occlusion of the anterior tibial artery and numerous stenotic lesions of the peroneal and posterior tibial arteries. Posterior tibial artery was chronically occluded in its distal part and connected to the foot with moderately developed collateral arteries which provided the viability of the injured leg. Despite undertaken basic principles of treatment of this serious injury (primary surgical treatment of wounds, external fixation, reconstruction of soft tissue, antibiotic and anti-tetanus prophylaxis) due to infection and gangrene the treatment ended with lower leg amputation. Conclusion. Leg amputation can be expected in this type of injuries in cases of extensive destruction of tissue in the field of existing chronic arterial insufficiency in elderly patients, even in the absence of injury of main blood vessels due to traumatic disconnection of collateral in such patients.
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Li, Chengke, Weihai Song, Yanwen Lei, Songgen Peng, Weiying Chu, and Guochao Deng. "Clinical Application of Artificial Dermis and Autologous Skin in Repairing Skin and Soft Tissue Defects of Hands and Feet with Bone Exposure Injuries." Evidence-Based Complementary and Alternative Medicine 2021 (October 16, 2021): 1–8. http://dx.doi.org/10.1155/2021/1202826.
Повний текст джерелаАнотація:
Patients with skin and soft tissue defects are very common. Mild trauma often causes mild skin damage, while severe injuries are often accompanied by bone and tendon exposure, which brings great pain to patients. For the defect of skin and soft tissue, the traditional treatment methods are mostly medium or full-thickness skin or skin flap transplantation. These methods are effective in wound repair, but there are still many problems. In recent years, with the improvement of tissue engineering technology, the use of artificial skin to repair various skin wounds is gradually becoming clinical, and the key technology of skin tissue engineering lies in the development of dermal substitutes. The appearance of artificial dermis not only solves the shortage of autologous skin source but also makes the operation simple and easy. The purpose of this study was to investigate the clinical effect of artificial dermis combined with autologous skin grafts in repairing hand and foot skin and soft tissue defects with bone exposure. The results show that the use of artificial dermis combined with autogenous blade thick skin to treat patients with hand and foot soft tissue injury with bone exposure has a good clinical effect, and the skin is alive and has fewer complications, which is worthy of promotion.
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Zhang, Li, Simei Wang, Meihua Tan, Hongwei Zhou, Ying Tang, and Yan Zou. "Efficacy of Oxidized Regenerated Cellulose/Collagen Dressing for Management of Skin Wounds: A Systematic Review and Meta-Analysis." Evidence-Based Complementary and Alternative Medicine 2021 (August 4, 2021): 1–10. http://dx.doi.org/10.1155/2021/1058671.
Повний текст джерелаАнотація:
Objective. The purpose of this study was to evaluate the wound healing efficacy of oxidized regenerated cellulose (ORC)/collagen dressing and ORC/collagen/silver-ORC dressings compared to standard of care or control in treatment of chronic skin wounds such as diabetic foot ulcers (DFUs), venous leg ulcers (VLUs), and pressure injuries sore ulcers (PISUs). Methods. An electronic search was carried out in four popular databases PubMed, Scopus, Embase, and CENTRAL to identify thirteen included studies, comparing the clinical efficacy of ORC/collagen dressings when compared to control in management of chronic skin wounds, especially DFUs, VLUs, and PISUs, and skin graft donor site wounds. Results. Consolidated data from thirteen comparative clinical studies undertaken for management of DFUs, VLUs, and PISUs showed favorable outcomes towards use of ORC/collagen compared to other traditional and hydrocolloid foam dressings in terms of wound healing rate ( P = 0.02 ) and percentage wound relative reduction ( P = 0.003 ). The time taken to achieve complete wound healing in the included studies did not show any statistical significant difference ( P = 0.24 ). There was no significant difference in adverse events between ORC/collagen-treated group and comparative group ( P = 0.19 ). Conclusion. ORC/collagen wound dressings are beneficial in terms of improved wound healing rate and percentage wound relative reduction compared to already existing traditional standard of care with non-MMP, inhibiting biomaterials such as moistened gauze, autologous growth factors, hydrocolloid foam dressings, or ovine extracellular matrix.
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Antoni, Adi, and Yanna Wari Harahap. "Efektivitas pencucian luka menggunakan daun jambu biji terhadap tingkat malodor klien luka kaki diabetik." Riset Informasi Kesehatan 8, no. 2 (December 30, 2019): 152. http://dx.doi.org/10.30644/rik.v8i2.251.
Повний текст джерелаАнотація:
Abstrak
Latar belakang: Diabetes mellitus (DM) merupakan penyakit kronik dan menjadi masalah global. Salah satu komplikasi yang ditimbulkan dari DM adalah luka kaki diabetic. Langkah awal dalam perawatan luka kaki diabetic adalah mencuci luka. Tujuan penelitian ini adalah mengetahui keefektifan dari rebusan daun jambu biji sebagai cairan pencuci luka terhadap tingkat malodor pada luka kaki diabetic.
Metode: Desain penelitian yang digunakan adalah quasy experiment dengan rancangan one group pretests-posttest only. Teknik sampling yang digunakan adalah consecutive sampling dengan jumlah sampel 16 orang. Kriteria sampel yang digunakan adalah klien luka kaki diabetic, tingkat malodor 1-10 dengan NRS. Alat ukur yang digunakan adalah Numeric Rating Scale (NRS). Analisa data yang digunakan dalam penelitian ini menggunakan uji paired t test.
Hasil: tingkat malodor sebelum intervensi pencucuan luka menggunakan rebusan daun jambu biji rata-rata sebesar 4.40 dan sesudah intervensi sebesart 2.44 dengan p value < 0.001. Selisih tingkat malodor antara sebelum dan sesudah intervensi sebesar 1.96. Hasil penelitian ini menunjukkan bahwa daun jambu dapat digunakan sebagai cairan pencuci luka dalam mengatasi tingkat malodor pada luka kaki diabetik.
Kesimpulan : daun jambu biji dapat digunakan sebagai cairan pencuci luka pada luka kaki diabetic. Perawat diharapkan dapat memanfaatkan daun jambu biji sebagai salah satu alternatif dalam pencucian luka kronik khususnya luka kaki diabetik.
Kata kunci: Daun Jambu Biji, Tingkat Malodor, Luka Kaki Diabetik
Abstract
Background: Diabetes mellitus (DM) is a chronic disease and a global problem. One of the complications that arise from DM is diabetic foot ulcer. The first step in treating diabetic foot ulcer is washing the wound. The purpose of this study was to determine the effectiveness of guava leaf decoction as a washing fluid for malodor levels in diabetic foot ulcer.
Method: The research design used was quasy experiment with one group pretests-posttest only design. The sampling technique used was consecutive sampling with a sample of 16 people. Sample criteria used were diabetic foot ulcer clients, malodor level 1-10 with NRS. The measuring instrument used is the Numeric Rating Scale (NRS). Analysis of the data used in this study used paired t test.
Results: the level of malodor before intervening in wound washing using guava leaf decoctions on average was 4.40 and after the intervention was 2.44 with p value <0.001. The difference in the level of malodor between before and after the intervention was 1.96. The results of this study indicate that guava leaves can be used as a washing fluid in dealing with malodor levels in diabetic foot ulcer.
Conclusion: Guava leaves can be used as a washing fluid for diabetic foot wounds. Nurses are expected to be able to use guava leaves as an alternative in washing chronic wounds, especially diabetic foot injuries.
Key words: Guava Leaf, Malodor Level, Diabetic foot ulcer.
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Pallela, Someshwara Rao Narayana, and Padmavathi Narahari. "A study to find the causes of diabetic foot infections in a selected community." International Surgery Journal 4, no. 7 (June 22, 2017): 2153. http://dx.doi.org/10.18203/2349-2902.isj20172576.
Повний текст джерелаАнотація:
Background: Ulcerations associated with diabetes are the most common cause of foot infections. Most of these ulcers are a direct result of loss of sensation secondary to peripheral neuropathy. The prevalence of leg ulceration is approximately 1% to 2%, and is slightly higher in the older adult population. Venous ulcers are the most common form of leg ulcers, accounting for almost 80% of all lower extremity ulcerations. Peak prevalence is between 60 and 80 years. Approximately one third of patients with chronic venous insufficiency will develop venous ulceration before the age of 40 years. In addition, venous ulcers may have a prolonged duration and are associated with a high rate of recurrence, which contributes to their prevalence. Approximately 15% of persons with diabetes will develop foot ulceration during their lifetime. Most lower extremity amputations in India are preceded by a foot ulcer. This study is done to find the commonest causes of foot infection in the background of neuropathy among the selected population.Methods: Total of 153 patients were included in this study. Detailed history was taken and all the wounds were classified according to Wagner’s grades. Foot infections in the grade 3,4, 5 (which required debridement/amputations) were included in the study. Foot ulcerations without infections were excluded from the study.Results: 142 (92%) of the patients with infection had diabetic neuropathy. All patients with diabetic neuropathy presented with sensory neuropathy. 33 (21%) patients presented with infection due to previous callus. 52 (33%) patients presented with infection due to previous non-healing ulcer. 20 (13%) patients with deformities developed callus at bony pressure areas due to neuropathy or post-surgery sequel. One patient had hot water burns injury. Five (0.03%) patients had Ingrown nails. 14 (0.09%) patients related to barefoot walking/thorn prick injuries. 6 (0.03%) patients had fungal infection. Two (0.01%) patients had itching and scratching over legs. 15 (0.09%) patients had history of previous amputation. Vigorous massage was the cause in 1 patient (0.006%). Shoe bite injury resulted in foot ulcer in 2 (0.02%) patients. Two (0.02%) patients presented with infection due to deep cracks in heels.Conclusions: Neuropathic changes is the most common cause of diabetic foot infections among which callus, non-healing trophic ulcer and previous amputee are the predominant causes. Patient education has a crucial role in prevention of diabetic foot infections by foot care precautions.
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Etingen, Bella, Jamie Patrianakos, Marissa Wirth, Timothy P. Hogan, Bridget M. Smith, Elizabeth Tarlov, Kevin T. Stroupe, Rebecca Kartje, and Frances M. Weaver. "TeleWound Practice Within the Veterans Health Administration: Protocol for a Mixed Methods Program Evaluation." JMIR Research Protocols 9, no. 7 (July 20, 2020): e20139. http://dx.doi.org/10.2196/20139.
Повний текст джерелаАнотація:
Background Chronic wounds, such as pressure injuries and diabetic foot ulcers, are a significant predictor of mortality. Veterans who reside in rural areas often have difficulty accessing care for their wounds. TeleWound Practice (TWP), a coordinated effort to incorporate telehealth into the provision of specialty care for patients with skin wounds, has the potential to increase access to wound care by allowing veterans to receive this care at nearby outpatient clinics or in their homes. The Veterans Health Administration (VA) is championing the rollout of the TWP, starting with regional implementation. Objective This paper aims to describe the protocol for a mixed-methods program evaluation to assess the implementation and outcomes of TWP in VA. Methods We are conducting a mixed-methods evaluation of 4 VA medical centers and their community-based outpatient clinics that are participating in the initial implementation of the TWP. Data will be collected from veterans, VA health care team members, and other key stakeholders (eg, clinical leadership). We will use qualitative methods (ie, semistructured interviews), site visits, and quantitative methods (ie, surveys, national VA administrative databases) to assess the process and reach of TWP implementation and its impact on veterans’ clinical outcomes and travel burdens and costs. Results This program evaluation was funded in October 2019 as a Partnered Evaluation Initiative by the US Department of Veterans Affairs, Diffusion of Excellence Office, and Office of Research and Development, Health Services Research and Development Service, Quality Enhancement Research Initiative Program (PEC 19-310). Conclusions Evaluation of the TWP will identify barriers and solutions to TeleWound implementation in a small number of sites that can be used to inform successful rollout of the TWP nationally. Our evaluation work will inform future efforts to scale up the TWP across VA and optimize reach of the program to veterans across the nation. International Registered Report Identifier (IRRID) DERR1-10.2196/20139
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Barnett, J. L., and E. A. Newman. "Review of welfare research in the laying hen and the research and management implications for the Australian egg industry." Australian Journal of Agricultural Research 48, no. 4 (1997): 385. http://dx.doi.org/10.1071/a96102.
Повний текст джерелаАнотація:
The scientific literature and research in progress since 1992 on poultry welfare were reviewed under the major headings of housing, management, health, and occupational health and safety. Throughout the review there are a number of recommendations for research and implications for the Australian egg industry arising from the current worldwide research. The main recommendations can be summarised as follows. Further economic analyses of perches in cages under Australian conditions are required if the welfare advantages of incorporating perches into cages are to be maximised by the Australian industry. To reduce bone breakage, depopulation should involve removing birds by both legs, and current research on dietary manipulation could lead to a reduction in the incidence of osteoporosis. Injuries and entrapment can be reduced by the application of an abrasive strip to limit claw length, and a simple way of reducing mortalities may be by using coloured plastic enrichment devices. If enriched modified cages are to be adopted, a survey of public attitudes on their acceptability and trialing them under Australian conditions are required. It is important that welfare recommendations from overseas research and development are validated under Australian conditions to prevent compromising bird welfare. Replicated experiments on the welfare implications of non-cage systems are urgently required. Beak trimming remains controversial, and determining the extent of single and double beak trimming and the reasons for their practice may lead to a reduced frequency of use. If beak trimming were to be disallowed in the future, the overseas knowledge on low light levels to reduce cannibalism and intermittent light schedules to maintain production would have to be reviewed, perhaps developed, and adopted. Also, a current common housing option of open-fronted sheds and exposure of hens to ambient light would have to be reassessed. While moulting via dietary restriction is not currently considered a significant welfare issue in Australia, a more sophisticated research approach to manipulate ovarian function that does not rely on food restriction should be researched. Cooling birds by providing cool water or cool radiators may be beneficial to welfare in hot weather. The slaughter process involves a number of potential welfare issues, such as heat-related problems during transport, stunning currents, and gas stunning, that require either a survey to identify problems or assessment. The human–animal relationship probably has an important role in poultry welfare. However, the current understanding of the human factors that regulate human–animal interactions in poultry is poor. Some basic research and considerable applied research are required in this area before it would be possible to benefit bird welfare. Flock health monitoring must be considered as an ongoing priority because of its impact on bird welfare. In the area of health and welfare, the interactions between diet and skeletal condition, disease resistance and transmission, and housing and handling and immunosuppression require further research. Any relevant improvements in technology that arise from overseas research in non-cage environments to improve working conditions should be assessed and, if appropriate, adopted by the Australian industry because of its potential impact on occupational health and safety, work ethic, and the implications this has for bird welfare.
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Soomro, Najeebullah, Daniel Redrup, Chris Evens, Luke Pieter Strasiotto, Shekhar Singh, David Lyle, Himalaya Singh, Rene E. D. Ferdinands, and Ross Sanders. "Injury rate and patterns of Sydney grade cricketers: a prospective study of injuries in 408 cricketers." Postgraduate Medical Journal 94, no. 1114 (July 26, 2018): 425–31. http://dx.doi.org/10.1136/postgradmedj-2018-135861.
Повний текст джерелаАнотація:
BackgroundThe grade cricket competition, also known as premier cricket, supplies players to the state and national teams in Australia. The players involved are generally high-performing amateur (subelite) club cricketers. However, to date, there is no study on the injury epidemiology of Australian grade cricket.AimTo conduct injury surveillance across all teams playing Sydney Grade Cricket (SGC) competition during the 2015–2016 season.MethodsA cohort study was conducted to track injuries in 408 male cricketers in 20 teams playing SGC competition. Players were tracked through the MyCricket website’s scorebook every week. Cricket New South Wales physiotherapists were alerted if there were changes to the playing XI from the last game. If any changes were made due to injury, then an injury incident was registered.ResultsDuring the course of the season, a total of 86 injuries were registered from 65 players, resulting in a loss of 385 weeks of play. The overall injury incidence rate was 35.54 injuries/10 000 playing hours with an average weekly injury prevalence of 4.06%. Lower back injuries (20%) were the most common injuries followed by foot (14%), hand (13.75%), knee (7.5%) and calf (7.5%). Linear regression analysis showed that the likelihood of injury increased as the mean age of the teams increased (R=0.5, p<0.05).ConclusionThe injury rate in SGC is lower than that reported at elite level. However, the high rate of lower back injuries (20%) highlights an area of concern in this cohort. High workloads or inadequate physical conditioning may contribute to such injuries. This study sets the foundation for understanding injury epidemiology in grade cricket and examines the links between injury and performance, these results may assist coaches and administrators to develop and implement cricket-specific injury prevention programmes.
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Khomenko, I. P., I. A. Lurin, S. O. Korol, V. Yu Shapovalov, and B. V. Matviichuk. "Conceptual principles of the wounded combatants’ evacuation, suffering military surgical trauma on the medical support levels." Klinicheskaia khirurgiia 87, no. 5-6 (July 24, 2020): 60–64. http://dx.doi.org/10.26779/2522-1396.2020.5-6.60.
Повний текст джерелаАнотація:
Objective. To improve the results of treatment of the wounded persons, suffering a combat surgical trauma, elaborating and introducing of objective scales of the trauma severity estimation into the medical evacuation system while conduction of Antiterroristic operation / Operation of Joint Forces.
Materials and metods. Complex medical-statistical investigation was performed, in which 684 wounded persons, suffering a combat surgical trauma were included. Dynamical medical control and determination of the trauma severity degree in accordance to AdTS (Admission trauma Scale) were applied on all levels of medical support.
Results. In the beginning of conduction of Antiterroristic operation / Operation of Joint Forces a mortallty have had occurred during transportation of wounded persons in unstable state (more than 9 points) to military-medical clinical centers. The wounded persons in a traumatic shock state were transported on forth level of medical support, what have been considered an organization defect in the help deliver process, which leaded to death of military persons. At the same time an unjustified delay of transportation of servicemen, suffering wounds of the wrist and foot (up to 5 points), on the first and second levels of medical support, leading to development of severe complications, have occurred. Taking into account the above mentioned, the authors have provided a differentiated approach for medical evacuation of wounded persons, suffering a combat surgical trauma, depending on its severity degree.
Conclusion. Evacuation of wounded persons, suffering a combat surgical trauma, constitutes an integral part of the medical support system of Antiterroristic operation/Operation of Joint Forces, closely connected with a medical support process during transportation. Medical evacuation of wounded persons with injuries of the vision organ, the wrist and foot must be accomplished urgently to specialized clinic of the fourth level of medical support.
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Kurnia, Anggraini Dwi, Nur Lailatul Masruroh, Nur Melizza, Yoyok Bekti Prasetyo, and Cici Indah Setyowati. "Efektivitas Perawatan Kaki Terhadap Gejala Neuropati Perifer Pada Penderita Diabetes Mellitus." Malahayati Nursing Journal 4, no. 6 (June 1, 2022): 1426–34. http://dx.doi.org/10.33024/mnj.v4i6.6468.
Повний текст джерелаАнотація:
ABSTRACT Diabetes mellitus foot care is a foot examination carried out every day, carried out after bathing or before using socks and shoes. Foot care behaviour is a very important part of self-management in Diabetes mellitus patients. It aims to increase blood circulation to the legs and is also able to reduce complications of gangrene wounds in people with Diabetes Mellitus. The purpose of this study was to analyse the effectiveness of foot care on symptoms of peripheral neuropathy in patients with diabetes mellitus in Malang, Indonesia. The design used in this study was a quasi-experimental pre and post one group. The number of samples was 15 people with one intervention group in the working area of the Ciptomulyo Health Center. The sampling technique used was purposive sampling with inclusion criteria: willing to be a respondent, diagnosed with type 2 DM, not suffering from gangrene injuries. Exclusion criteria were patients with total bed rest. During pre and post intervention using Michigan Neuropathy Screening Instrument questionnaire to determine symptoms of peripheral neuropathy. The intervention carried out modifies and complements Pinzur's foot care behavior intervention. Data analysis using Wilcoxon Sign rank. The results showed that the average pre-test score of respondents was 20.5, while the average post-test score was 23.5. There was a significant difference between the symptoms of neuropathy before and after foot care treatment. Foot care is very effective in preventing the symptoms of neuropathy in Diabetes Mellitus patients. Keywords: Food care, Model, Diabetes Mellitus ABSTRAK Perawatan kaki diabetes melitus yaitu pemeriksaan kaki yang dilakukan setiap hari, dilaksanakan selepas mandi atau sebelum menggunakan kaos kaki dan sepatu. Perilaku perawatan kaki merupakan salah satu bagian dari management diri pada pasien Diabetes mellitus yang sangat penting dilakukan. Hal ini bertujuan untuk meningkatkan sirkulasi darah ke kaki dan juga mampu untuk menurunkan komplikasi luka gangrene pada penderita Diabetes Mellitus. Tujuan dari penelitian ini adalah untuk menganalisa efektivitas perawatan kaki terhadap gejala neuropati perifer pada penderita diabetes mellitus di Malang, Indonesia. Desain yang digunakan dalam penelitian ini adalah Quasi eksperimental pre dan post one group. Jumlah sampel sebanyak 14 orang dengan satu kelompok intervensi di wilayah kerja Puskesmas Ciptomulyo. Tehnik sampling yang digunakan dengan purposive sampling dengan kriteria inklusi: bersedia menjadi responden, didiagnosa penderita DM Tipe 2, tidak menderita luka gangrene. Kriteria eksklusi yakni pasien dengan bed rest total. Selama pre dan post intervensi menggunakan kuesioner Michigan Neuropathy Screening Instrument untuk mengetahui gejala neuropati perifer. Intervensi yang dilakukan memodifikasi dan melengkapi intervensi perilaku perawatan kaki dari Pinzur. Analisa data menggunakan Wilcoxon Sign rank. Hasil penelitian menunjukkan rata-rata nilai pre-test responden mempunyai nilai 20.5, sedangkan rata-rata nilai poss test sebesar 23,5. Ada perbedaan yang signifikan antara gejala neuropati sebelum dan sesudah perlakuan perawatan kaki. Perawatan kaki sangat efektif untuk mencegah gejala neuropati pada pasien Diabetes Mellitus. Kata Kunci: Perawatan Kaki, Model, Diabetes Mellitus
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Эліна, Т. В., та Л. Є. Галавська. "РОЗРОБКА КОНСТРУКЦІЇ ТА ТЕХНОЛОГІЇ ВИГОТОВЛЕННЯ АДАПТИВНИХ ШКАРПЕТОК ДЛЯ ЛЮДЕЙ З ВАДАМИ ГОМІЛКОСТОПУ". Fashion Industry, № 1 (25 травня 2021): 43–50. http://dx.doi.org/10.30857/2706-5898.2021.1.2.
Повний текст джерелаАнотація:
Development of functional socks for people with special needs who have diseases associated with ankle defects, including patients with diabetes.Methodology. The analytical method of reviewing scientifi c, technical, and patent documentation in the fi eld of research is used in the work. An experimental method for determining the elongation on a tensile tester WDW-05M, unfolding method. Analysis of problems associated with the elimination of excess pressure of the sock on the foot in people with increased measurements of the feet and ankles due to gunshot wounds, injuries or chronic diseases, including varicose veins, diabetes, edema, tumors, etc. confi rms the need to deve lop a new range of functional sock products. In the course of the research, the properties of weft-knitted structures were analyzed and a scientifi cally substantiated design of adaptive socks for home use was proposed. The design includes at least two sections, the elastic properties of which diff er. The back side of the leg, heel, sole, and toe are made of 1x1 rib knit, the instep and the front part of the leg are made of 3x3 rib knit. The section with higher stretchability and elasticity, made of 3x3 rib knit, softly maintains the shape of the socks’ leg, practically without creating pressure on the ankle and allowing to signifi cantly increase the perimeter of the sock in the area of the foot, toes, and/or heel. A sam ple of adaptive socks made of PAN yarn 32x2 tex х4 by knitting according to the shape of the unfolding of its 3D surface was made on the fl at knitting machine PVRK of the 8-th gauge. The connection of the product's parts in order to give the product a three-dimensional shape is made on a linker machine Hague D280E.Practical value. The design and technology of manufacturing functional socks have been developed. It is proposed to use industrial and semi-industrial double-bed fl at-knitting machines as technologic al equipment for their production. The use of various rib knit patterns for diff erent functional zones o f a sock allows providing the set value of conditional tension of threads when using the sock on a foot of atypical measurements.
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McIntyre, James Alexander, Ian A. Jones, Alla Danilkovich, and C. Thomas Vangsness. "The Placenta: Applications in Orthopaedic Sports Medicine." American Journal of Sports Medicine 46, no. 1 (April 4, 2017): 234–47. http://dx.doi.org/10.1177/0363546517697682.
Повний текст джерелаАнотація:
Background: Placenta has a long history of use for treating burns and wounds. It is a rich source of collagen and other extracellular matrix proteins, tissue reparative growth factors, and stem cells, including mesenchymal stem cells (MSCs). Recent data show its therapeutic potential for orthopaedic sports medicine indications. Purpose: To provide orthopaedic surgeons with an anatomic description of the placenta, to characterize its cellular composition, and to review the literature reporting the use of placenta-derived cells and placental tissue allografts for orthopaedic sports medicine indications in animal models and in humans. Study Design: Systematic review. Methods: Using a total of 63 keyword combinations, the PubMed and MEDLINE databases were searched for published articles describing the use of placental cells and/or tissue for orthopaedic sports medicine indications. Information was collected on placental tissue type, indications, animal model, study design, treatment regimen, safety, and efficacy outcomes. Results were categorized by indication and subcategorized by animal model. Results: Outcomes for 29 animal studies and 6 human studies reporting the use of placenta-derived therapeutics were generally positive; however, the placental tissue source, clinical indication, and administration route were highly variable across these studies. Fourteen animal studies described the use of placental tissue for tendon injuries, 13 studies for osteoarthritis or articular cartilage injuries, 3 for ligament injuries, and 1 for synovitis. Both placenta-derived culture-expanded cells (epithelial cells or MSCs) and placental tissue allografts were used in animal studies. In all human studies, commercial placental allografts were used. Five of 6 human studies examined the treatment of foot and ankle pathological conditions, and 1 studied the treatment of knee osteoarthritis. Conclusion: A review of the small number of reported studies revealed a high degree of variability in placental cell types, placental tissue preparation, routes of administration, and treatment regimens, which prohibits making any definitive conclusions. Currently, the clinical use of placenta is limited to only commercial placental tissue allografts, as there are no placenta-derived biological drugs approved for the treatment of orthopaedic sports medicine conditions in the United States. However, this review shows that the application of placental cells or tissue allografts appears to be safe and has potential to improve outcomes for orthopaedic sports medicine indications.
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Aljuboori, Zaid. "Surgical removal of a spinal intrathecal projectile led to a significant improvement of cauda equina syndrome." Surgical Neurology International 11 (August 1, 2020): 227. http://dx.doi.org/10.25259/sni_434_2020.
Повний текст джерелаАнотація:
Background: Penetrating gunshot wounds of the spine are common and can cause severe neurological deficits. However, there are no guidelines as to their optimal treatment. Here, we present a penetrating injury to the lower thoracic spine at the T12 level that lodged within the canal at L1, resulting in a cauda equina syndrome. Notably, the patient’s deficit resolved following bullet removal. Case Description: A 29-year-old male sustained a gunshot injury. The bullet entered the right lower chest, went through the liver, entered the spinal canal at T12, fractured the right T12/L1 facet, and settled within the canal at the L1 level. The patient presented with severe burning pain in the right leg, and perineum. On exam, he had right-sided moderate weakness of the iliopsoas and quadriceps femoris muscles, a right-sided foot drop, decreased sensation throughout the right leg, and urinary retention. Computed tomography myelography showed the bullet located intrathecally at the L1 level causing compression of the cauda equina. The patient underwent an L1 laminectomy with durotomy for bullet removal. Immediately postoperatively, the patient improved; motor power returned to normal, the sensory exam significantly improved; and he was left with only mild residual numbness and burning pain in the right leg. Conclusion: With gunshot injuries, there is a direct correlation between the location/severity of the neurological injury and the potential for recovery. In patients with incomplete cauda equina syndromes, bullet extraction may prove beneficial to neurological outcomes.