Journal of tissue viability最新文献

{"title":"Development of an evidence-based protocol for the prevention of perioperative pressure injuries in pediatric cardiac surgery: A Delphi study","authors":"Xiangai Ma ,&nbsp;Jialu Fan ,&nbsp;Jiehui Wang ,&nbsp;He Lin","doi":"10.1016/j.jtv.2025.100948","DOIUrl":"10.1016/j.jtv.2025.100948","url":null,"abstract":"<div><h3>Aim</h3><div>Pediatric patients undergoing cardiac surgery are at high risk for perioperative pressure injuries (PPIs). This study aimed to develop an evidence-based protocol for the prevention of PPIs in pediatric cardiac surgery.</div></div><div><h3>Methods</h3><div>A literature review was conducted to identify and summarize the existing evidence on PPI prevention in pediatric cardiac surgery to construct an initial protocol. Two rounds of Delphi surveys were then performed to refine the protocol. The expert panel consisted of 20 multidisciplinary professionals from five tertiary hospitals, including nurses, surgeons, and anesthesiologists, 85 % of whom possess more than 20 years of clinical experience. The mean values of importance and feasibility of each indicator were calculated. Reliability of the Delphi method assessed by valid response rate, authority coefficient (Cr), coefficient of variation (CV) and Kendall’ W coefficient (Kendall’ W).</div></div><div><h3>Results</h3><div>Consensus was reached on 4 first-level items, 15 s-level items, and 27 third-level items for the PPI prevention protocol. The valid response rates for the two Delphi rounds were 83.3 % and 100 %, respectively, with Cr of 0.905 and 0.901, CV of less than 0.25, and Kendall’ W of 0.172 and 0.142 (<em>P</em> &lt; 0.001).</div></div><div><h3>Conclusion</h3><div>The developed PPI prevention protocol for pediatric cardiac surgery is both scientific and feasible, providing a reference for perioperative nurses to implement systematic and standardized PPI prevention care.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 4","pages":"Article 100948"},"PeriodicalIF":2.4,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144721656","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Silver dressings for treating diabetic foot ulcers: a systematic review and meta-analysis","authors":"Qinci Xie ,&nbsp;Jinying Wang ,&nbsp;Gaofeng Huang ,&nbsp;Jiezhi Dai","doi":"10.1016/j.jtv.2025.100956","DOIUrl":"10.1016/j.jtv.2025.100956","url":null,"abstract":"<div><h3>Background</h3><div>We performed this meta-analysis to evaluate the effects of effectiveness of silver-based dressings for the treatment of diabetic foot ulcer (DFU).</div></div><div><h3>Methods</h3><div>In the study, we searched electronic databases including PubMed, EMBASE, BIOSIS, Web of Science, Cochrane Central Register of Controlled Trials (CENTRAL), and Google Scholar internet. The study was carried out from inception to Sep 30, 2024, with English-language papers only being considered. We assessed eligible studies that comparing the effects of silver dressings with other dressings on wound healing in DFU. The primary outcomes included complete ulcer healing rate and healing time. The standard mean differences (SMDs) or the odds ratios (ORs) was calculated for continuous or dichotomous data, respectively.</div></div><div><h3>Results</h3><div>In our study, twelve trials with 808 patients and 857 ulcers were included. The meta-analysis showed a high ulcer healing rate in the silver dressing group compared with the control group (OR = 1.92, 95 % CI 1.36 to 2.72, P = 0.06), and the ulcer healing time in the silver dressing group was significantly shorter than that in the control group (SMD = -2.08, 95 % CI -2.92 to −1.25 P &lt; 0.00001, I² = 91 %).</div></div><div><h3>Conclusion</h3><div>silver dressing is effective in enhancing complete healing rate and shortening ulcer healing time in DFU, suggesting its potential as a superior adjunct in treatment of DFU. More high-quality and well-designed research is required in the future.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 4","pages":"Article 100956"},"PeriodicalIF":2.4,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145149718","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring resveratrol-enriched collagen dressings for diabetic foot ulcers: A retrospective study of wound healing outcomes","authors":"İsmail Sezikli,&nbsp;Murat Kendirci","doi":"10.1016/j.jtv.2025.100950","DOIUrl":"10.1016/j.jtv.2025.100950","url":null,"abstract":"<div><h3>Background</h3><div>Diabetic foot ulcers (DFUs) are a common and severe complication of diabetes mellitus, often leading to prolonged hospitalization, high treatment costs, and potential amputations. Despite advances in wound care, current dressing materials often lack bioactive properties to modulate chronic wound environments.</div></div><div><h3>Aim</h3><div>To evaluate the clinical efficacy of resveratrol-enriched collagen dressings compared to standard collagen dressings in the management of Wagner grade 2 diabetic foot ulcers.</div></div><div><h3>Methods</h3><div>This retrospective study included 41 patients with Wagner grade 2 DFUs treated at a diabetic foot clinic. Nineteen patients received resveratrol-enriched collagen dressings, while 22 received standard collagen dressings. Patients were matched based on age, glycemic control (HbA1c), and arterial supply (ABPI). Primary and secondary outcomes included wound size reduction, hospitalization duration, and dressing frequency. Statistical analyses included Student's t-test, Mann–Whitney <em>U</em> test, and Kaplan–Meier survival analysis.</div></div><div><h3>Results</h3><div>The resveratrol group demonstrated significantly greater wound size reduction (49.2 % ± 9.1 vs. 32.8 % ± 8.5; p = 0.021), shorter hospital stay (12.3 ± 2.8 vs. 14.5 ± 3.2 days; p = 0.045), and fewer dressing changes (19.8 ± 5.2 vs. 24.3 ± 6.7; p = 0.038). No adverse events were reported. Improved outcomes were attributed to resveratrol's antioxidant, anti-inflammatory, and antimicrobial effects.</div></div><div><h3>Conclusions</h3><div>Resveratrol-enriched collagen dressings significantly improved clinical outcomes in DFUs, suggesting a promising adjunctive treatment strategy. Further prospective studies are warranted to confirm these findings and explore long-term benefits.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 4","pages":"Article 100950"},"PeriodicalIF":2.4,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144932116","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prognostic factors for incontinence-associated dermatitis (IAD): Results of an international expert survey","authors":"Julie Deprez ,&nbsp;Jan Kottner ,&nbsp;Alexandra Eilegård Wallin ,&nbsp;Carina Bååth ,&nbsp;Ami Hommel ,&nbsp;Lisa Hultin ,&nbsp;Anna Josefson ,&nbsp;Dimitri Beeckman","doi":"10.1016/j.jtv.2025.100952","DOIUrl":"10.1016/j.jtv.2025.100952","url":null,"abstract":"<div><h3>Background</h3><div>Incontinence-associated dermatitis (IAD) is a prevalent and distressing form of irritant contact dermatitis caused by prolonged exposure to urine and/or faeces. Not all incontinent individuals develop IAD, suggesting that additional prognostic factors contribute to its onset. The quality of empirical evidence supporting risk factors for IAD development is moderate to very low. Therefore, it is necessary to systematically compile and analyse expert knowledge on this topic.</div></div><div><h3>Aim</h3><div>This study aimed to identify and prioritise key prognostic factors for IAD development through an international expert consultation.</div></div><div><h3>Materials and methods</h3><div>A cross-sectional expert survey was conducted among international experts using an electronic survey platform. Participants rated the importance of 26 pre-identified prognostic factors, ranked relevant factors and suggested additional factors. Data were analysed to determine expert consensus and factor rankings.</div></div><div><h3>Results</h3><div>A total of 45 experts participated, with a response rate of 39 %. The highest-ranked prognostic factors included double incontinence, faecal incontinence, loose stools, stool frequency, urinary incontinence, and impaired mobility. Other important factors were advanced age, friction and shear forces, cognitive impairment, and poor nutrition. In addition, experts highlighted systemic factors such as caregiver knowledge gaps and staff shortages as potential contributors to IAD risk.</div></div><div><h3>Conclusion</h3><div>Study results support established risk factors for IAD development such as stool frequency and limited mobility. Experts also identified factors, such as higher age and the presence of loose or liquid stool, that are considered relevant by experts but are not yet fully supported by empirical evidence. Findings will inform a future large-scale cohort study.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 4","pages":"Article 100952"},"PeriodicalIF":2.4,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145003666","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cognitive gaps and educational needs in foot self-care among patients with diabetic foot from a health literacy perspective: A qualitative study","authors":"Xiaodan Lin ,&nbsp;Xianghao Chen ,&nbsp;Yuantian Li ,&nbsp;Shumin He ,&nbsp;Haidan Xie ,&nbsp;Xiaozhou Zhou","doi":"10.1016/j.jtv.2025.100960","DOIUrl":"10.1016/j.jtv.2025.100960","url":null,"abstract":"<div><h3>Objective</h3><div>From both the healthcare provider and patient perspectives, this study explores the specific cognitive gaps and educational needs related to health literacy in the self-care behaviors of patients with Wagner grade 0 diabetic foot (DF), to provide a basis for optimizing intervention strategies.</div></div><div><h3>Method</h3><div>This study adopted a descriptive phenomenological qualitative research design. Based on the International Working Group on the Diabetic Foot (IWGDF) guidelines for foot ulcer prevention, we constructed a guideline for proper foot self-care behaviors. We conducted semi-structured interviews based on this guideline with 13 healthcare professionals with varying levels of clinical experience and 6 patients with Wagner grade 0 diabetic foot (DF). The data were analyzed using Colaizzi's 7-step method to extract the core themes.</div></div><div><h3>Results</h3><div>We extracted three core themes: (1) Deficits in Knowledge and Risk Perception (fragmented understanding of foot pathology, impaired causal reasoning); (2) Limitations in Self-care Ability and Social Support (physical limitations, inadequate social support); (3) Failures in the Communication and Information Environment (lack of terminology comprehension, unmet needs and inaccessible resources, spread of misinformation and desensitization to risks).</div></div><div><h3>Conclusion</h3><div>The self-care difficulties of Wagner stage 0 DF patients stem from a multi-dimensional deficit in health literacy: a disconnect between risk perception and the understanding of the behavioral cause-and-effect chain at the cognitive level, behavioral capabilities restricted by both physical and social factors, a communication gap due to a lack of terminology and resource discontinuity, and the vicious cycle of misinformation and risk insensitivity. This study moves beyond the previous focus solely on 'knowledge deficiency,' proposing the key roles of 'causal health literacy deficiency' and 'systemic ecological dysfunction.' It calls for a paradigm shift in health literacy education from imparting 'fragmented knowledge' to fostering 'causal internalization,' and from emphasizing 'individual responsibility' to enabling 'systemic empowerment,' providing a basis for the precise design of educational strategies centered on 'causal logic and system support.'</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 4","pages":"Article 100960"},"PeriodicalIF":2.4,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145218968","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An exploration of barriers to and enablers of offering treatments to prevent recurrence of venous leg ulcers","authors":"Abeer Muflih Alkahtani ,&nbsp;Jo C. Dumville ,&nbsp;Lily Mott ,&nbsp;Christopher J. Armitage","doi":"10.1016/j.jtv.2025.100954","DOIUrl":"10.1016/j.jtv.2025.100954","url":null,"abstract":"<div><h3>Aim</h3><div>To: (1) explore the factors influencing the offering of venous leg ulcer (VLU) recurrence preventative treatments from the perspective of NHS nurses, and (2) recommend potential intervention strategies to ameliorate inhibitors to offering those preventative treatments.</div></div><div><h3>Methods</h3><div>This qualitative study used semi-structured online interviews with seventeen NHS nurses who provide wound care. The interviews were guided by the Capabilities, Opportunities and Motivation model of Behaviour change (COM-B). Framework Analysis, incorporating inductive coding to capture emergent themes and deductive coding informed by the Theoretical Domains Framework (TDF) was conducted. NVivo software aided data management, and coding was conducted collaboratively by an interdisciplinary team.</div></div><div><h3>Results</h3><div>Data were mapped to six relevant TDF domains. Three of these domains were found to influence offering of both preventative treatments. While nurses understood the importance of VLU care post-healing, there was a perception of limited provision of prophylactic treatments in NHS organisations (environmental context and resources), which can be reflected in the lack of embedding national guidelines into local pathways (memory, attention and decision processes). Nevertheless, some nurses acknowledged the significance of their role in offering those prophylaxis with their patients (social/professional role and identity).</div><div>In addition to the primary three domains, two more domains were identified influencing offering of prophylactic compression. While some nurses lacked confidence in offering the strongest tolerated compression (beliefs about capability), working within an experienced team was perceived to enhance their confidence and support optimal prescription of prophylactic compression. Furthermore, with the primary three domains, one additional domain was identified influencing referrals to vascular services. Nurses interviewed were largely unaware of endo-venous ablation surgery as a prophylactic treatment option for people with healed VLUs (knowledge). Five intervention functions (environmental restructuring, enablement, education, modelling and persuasion), and nine behaviours change technique groupings (goals and planning, antecedents, associations, self-belief, comparison of behaviour, repetition and substitution, comparison of outcomes, social support and shaping knowledge) were identified.</div></div><div><h3>Conclusions</h3><div>The identified intervention functions and the behaviour change techniques can inform the design of future intervention. Key targets for change include service-focused elements on VLU care after healing and the integration of national guidelines with local resources to aid decision-making and boost opportunities to offer evidence-based approaches to reduce or prevent recurrence of VLUs.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 4","pages":"Article 100954"},"PeriodicalIF":2.4,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145095144","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Wound-care decision-making and dilemmas at different stages among patients with Wagner grade 2–3 diabetic foot ulcers: A longitudinal qualitative study","authors":"Min Huang ,&nbsp;Suzhen Fang ,&nbsp;Kai Li ,&nbsp;Binglei Li ,&nbsp;Bin Jia ,&nbsp;Yanqun Zhang ,&nbsp;Yuling Luo ,&nbsp;Jia Huang ,&nbsp;Xiangrong Luo ,&nbsp;Cuihua Xie","doi":"10.1016/j.jtv.2025.100958","DOIUrl":"10.1016/j.jtv.2025.100958","url":null,"abstract":"<div><h3>Aims</h3><div>This study aimed to explore the evolving decision-making processes and dilemmas in wound care among patients with diabetic foot ulcers (DFUs) across different stages, with the goal of informing the design of continuous, patient-centered wound care interventions.</div></div><div><h3>Methods</h3><div>Using purposive sampling, twelve patients with DFUs hospitalized at a tertiary hospital in Guangzhou, China, between December 2024 and February 2025 were recruited. Semi-structured interviews were conducted at three distinct time points: 48 h post-admission, one day prior to discharge, and within one month following discharge. Data were analyzed using Colaizzi's method.</div></div><div><h3>Results</h3><div>Five overarching themes and eight subthemes were identified:</div></div><div><h3>Conclusions</h3><div>Patients with Wagner grade 2–3 DFUs exhibit dynamic, stage-specific changes in wound care decision-making. These decisions are influenced by time and individual factors. Tailored, stage-specific, and navigable wound care interventions are essential to promote sustained treatment adherence, enhance self-management capabilities, and improve overall quality of life.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 4","pages":"Article 100958"},"PeriodicalIF":2.4,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145258558","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Risk factors and predictive model for pressure injuries in ICU patients with a Braden score ≤9 based on initial serum biomarkers at admission","authors":"Jiang Yifan ,&nbsp;Li Juan ,&nbsp;Tai Rui ,&nbsp;Wang Li ,&nbsp;Sheng Yi ,&nbsp;Yang Lina ,&nbsp;Ma Rong ,&nbsp;Xu Jianlei ,&nbsp;Xu Jianwen ,&nbsp;Fei Kaihong ,&nbsp;Wang Wenjie","doi":"10.1016/j.jtv.2025.100955","DOIUrl":"10.1016/j.jtv.2025.100955","url":null,"abstract":"<div><h3>Objective</h3><div>To explore the association between initial serum biomarkers at admission and the development of pressure injuries (PIs) in intensive care unit (ICU) patients with a Braden score ≤9, and to construct a predictive model for PI risk. The goal is to support early identification and personalized nursing interventions for high-risk individuals.</div></div><div><h3>Methods</h3><div>A retrospective study of 290 ICU patients with a Braden score ≤9 admitted to six tertiary hospitals in Shanghai between January 2020 and January 2024. Patients were divided into a PI group (n = 115) and a non-PI group (n = 175) based on whether they developed a pressure injury. Demographic characteristics, clinical interventions, and laboratory data on the day of admission were collected. Univariate and multivariate logistic regression analyses were used to identify independent risk factors and to build a predictive model, with model performance evaluated via receiver operating characteristic (ROC) analysis.We developed a bedside-applicable logistic prediction model using admission-day variables and, after model estimation, derived risk thresholds from the ROC coordinate table to enable three-tier risk stratification.</div></div><div><h3>Results</h3><div>Independent risk factors for pressure injury included older age, lower serum sodium and calcium levels, elevated white blood cell count, increased glutamate and alanine levels, positive intestinal pathogen colonization, use of mechanical ventilation, and application of physical restraints (all <em>P</em> &lt; 0.05). The final logistic regression model showed good fit (Hosmer–Lemeshow test, <em>P</em> = 0.807) and strong discrimination (AUC = 0.910, 95 % CI: 0.877–0.943), with a sensitivity of 81.7 % and specificity of 86.9 %.The model showed excellent discrimination (AUC 0.910) and was operationalized into low (P &lt; 0.3426), intermediate (0.3426≤P &lt; 0.5720), and high risk (P ≥ 0.5720), each mapped to specific bedside actions.</div></div><div><h3>Conclusion</h3><div>Among ICU patients with a Braden score ≤9, initial serum biomarkers combined with key clinical features can effectively identify individuals at high risk of pressure injuries. The predictive model developed in this study demonstrates strong clinical applicability and discriminative power, providing scientific support for precision nursing interventions.This study provides a clear, clinically actionable risk-to-action protocol for ICU patients with Braden scores ≤9.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 4","pages":"Article 100955"},"PeriodicalIF":2.4,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145239052","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dynamic microcirculation characteristics of plantar skin in response to life-like pressure in diabetes patients","authors":"Zhenming Zhang ,&nbsp;Xiaoyu Tang ,&nbsp;Xiaoming Zhu ,&nbsp;Zhaolin Teng ,&nbsp;Wen-Ming Chen ,&nbsp;Jian Yu ,&nbsp;Xin Sun ,&nbsp;Qiaoli Cui ,&nbsp;Xiang Geng ,&nbsp;Xin Ma","doi":"10.1016/j.jtv.2025.100933","DOIUrl":"10.1016/j.jtv.2025.100933","url":null,"abstract":"<div><div>Diabetic foot ulcer (DFU) is a severe complication of diabetes associated with high mortality. Elevated plantar pressure and impaired microcirculation are considered as primary contributions to DFU. The International Working Group of Diabetic Foot (IWGDF) has recommended an increase in the level of walking‐related weight‐bearing daily activity by an extra 1000 steps/day, but has not provided specific exercise prescription due to limited data on the relationship between pressure and plantar microcirculation. In this study, we aimed to figure out the influence of cyclic life-like pressure on plantar DFU formation from microcirculation perspective. 20 healthy young subjects, 20 healthy middle-aged and elderly subjects, and 20 diabetes patients were recruited. A novel technique was developed to measure real-time skin blood flow (SBF) under cyclic life-like plantar pressure stimulus at plantar 1st metatarsal head. The exerted plantar force was adjusted from 10N (127.3 kPa) to 40N (509.3 kPa), increasing in an increment of 5N (63.7 kPa). Post-load SBF was measured for comparison after each level of pressure. We found all levels of cyclic pressure significantly increased plantar immediate-load and post-load SBF. Furthermore, a pressure threshold emerged at which the increasing magnitude of immediate-load SBF began to diminish. This altered microcirculatory response may serve as a valuable marker for identifying DFU risk and inform precise exercise prescriptions for patients with diabetes.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 4","pages":"Article 100933"},"PeriodicalIF":2.4,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144632641","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"ADVERTISEMENT - JTV - CONFERENCE 2026 210X280MM ABSTRACTS","authors":"","doi":"10.1016/S0965-206X(25)00119-6","DOIUrl":"10.1016/S0965-206X(25)00119-6","url":null,"abstract":"","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 4","pages":"Article 100971"},"PeriodicalIF":2.4,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145568494","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}