Advances in Skin & Wound Care最新文献

{"title":"Pay Attention Even if WISeR Does Not Currently Apply to You!","authors":"Kathleen D Schaum","doi":"10.1097/ASW.0000000000000354","DOIUrl":"10.1097/ASW.0000000000000354","url":null,"abstract":"","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":"455-456"},"PeriodicalIF":1.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144999408","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Artificial Intelligence-Enabled Staging Classification of Pressure Injuries.","authors":"Ayşe Silanur Demir Üçtepe, Ahmet Emin Battal, Cevat Güleç, Eren Ergün, Ahmet Bakcaci, Ayişe Karadağ, Çiğdem Gündüz Demir Üçtepe","doi":"10.1097/ASW.0000000000000352","DOIUrl":"https://doi.org/10.1097/ASW.0000000000000352","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to design an artificial intelligence (AI) tool that can more accurately and objectively identify different stages of pressure injuries (PIs).</p><p><strong>Methods: </strong>In this study, the authors proposed using AI and computer vision to classify PI images by stage. To this end, the authors implemented a classification network and trained it on a set of PIs images labeled with their stages. This dataset included images from 2 different sources, namely the publicly available Pressure Injury Image Dataset (1091 images), and a private dataset from Koç University Wound Research Laboratory (AY-Lab) (572 images). All images were resized to 224×224 and normalized according to the ImageNet-1K dataset before model input. Various deep learning architectures, including ResNet18, ResNet18-Transformer Encoder Hybrid Model, and DenseNet-121, were used for training and testing. Three-fold cross-validation was used to ensure more robust training and testing. Multiple configurations were tested for each model, and the best-performing configuration was identified. Grad-CAM was applied to visualize attention areas for further evaluation of the model results.</p><p><strong>Results: </strong>After 3-fold cross-validation, ResNet18 outperformed all tested models, achieving an average accuracy of 76.92 ± 0.92% on the 4-class classification task. The model demonstrated the highest precision of 87.35 ± 5.54% for Stage 1 and the lowest precision of 64.72 ± 2.66% for Stage 3.</p><p><strong>Conclusions: </strong>The results of using the proposed computational approach for PI staging are promising. The AI model can automate PI stage classification, making it a valuable tool for clinic experts.</p>","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":"38 9","pages":"480-486"},"PeriodicalIF":1.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145111725","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mobile Applications for People With Fecal Intestinal Stomas: A Scoping Review With Technological Prospection.","authors":"Isabelle Pereira da Silva, Rafael Moreira do Nascimento, Felipe Silva Ferreira, Silvia Kalyma Paiva Lucena, Iara Lorena Alves de Morais, Rhayssa de Oliveira E Araújo, Isabelle Katherinne Fernandes Costa","doi":"10.1097/ASW.0000000000000346","DOIUrl":"10.1097/ASW.0000000000000346","url":null,"abstract":"<p><strong>Objective: </strong>To map, in the literature and mobile app stores, mobile applications for health care support for individuals with fecal intestinal stomas.</p><p><strong>Data sources: </strong>The search was conducted in the Medical Literature Analysis and Retrieval System Online (MEDLINE), Cumulative Index of Nursing and Allied Health Literature (CINAHL), Scopus, Web of Science, Latin American and Caribbean Health Sciences Literature (LILACS), Brazilian Digital Library of Theses and Dissertations (Capes), Scientific Open Access Repository of Portugal (RCAAP), The National Library of Australia's Trove, and Academic Archive Online (DIVA).</p><p><strong>Study selection: </strong>Studies were initially selected based on titles and abstracts. Full-text studies were included if they addressed applications with content and functionalities aimed at the care of individuals with intestinal ostomies. The app store selection followed the same procedure: review of title and description, followed by download and analysis.</p><p><strong>Data extraction: </strong>From the selected studies, information was extracted regarding study objectives, app names, content, functionalities, and main conclusions. From the app stores, data were extracted on app names, developers, app size, latest update, content, and functionalities.</p><p><strong>Data synthesis: </strong>The final sample comprised 12 studies and 13 applications. Most aimed to provide self-care information for individuals with intestinal ostomies after hospital discharge. Others facilitated communication with health care professionals, with the primary function of enabling patient monitoring.</p><p><strong>Conclusions: </strong>There is a promising landscape for the development of new mobile technologies to support individuals with intestinal ostomies. However, there is a lack of studies on this topic, particularly on the impact of these technologies on the target population.</p>","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":"38 9","pages":"E107-E113"},"PeriodicalIF":1.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145111652","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Promoting Physical and Psychological Well-being in People With Chronic Wounds: Pathways to Resilience.","authors":"","doi":"10.1097/ASW.0000000000000355","DOIUrl":"https://doi.org/10.1097/ASW.0000000000000355","url":null,"abstract":"","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":"38 9","pages":"E114"},"PeriodicalIF":1.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145111665","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development of a Three-dimensional Spacer Mattress for Pressure Relief in Cardiac Surgery and Evaluation of Its Efficacy: A Feasibility Study.","authors":"Yeşim İşler Işildak, Fatma Eti Aslan, Evin Korkmaz, Levent Çömez, İsmail Toygar","doi":"10.1097/ASW.0000000000000368","DOIUrl":"10.1097/ASW.0000000000000368","url":null,"abstract":"<p><strong>Objective: </strong>To develop a three-dimensional (3D) spacer mattress for pressure relief and to evaluate its effectiveness during cardiac surgery.</p><p><strong>Methods: </strong>This study consisted of 3 phases: development, initial assessment, and randomized controlled trial (ClinicalTrials.gov, NCT06071039). Sixty patients underwent cardiac surgery divided into 2 groups, 30 patients each. The data were collected in a public hospital in Istanbul Provincial Health Directorate Sancaktepe Sehit Prof Dr Ilhan Varank Training and Research Hospital between February and September 2023. A 3D spacer mattress was used for the intervention group, and a standard operating theatre mattress (foam) was used for the control group. Pressures on the sacrum, left heel, and right heel were measured throughout surgery using a continuous pressure measurement system.</p><p><strong>Results: </strong>The mean pressure values were 49.73 ± 17.40, 15.65 ± 5.19, and 18.01 ± 9.34 mm Hg for sacrum, left heel, and right heel, respectively, in the control group, whereas the mean pressure values were 28.21 ± 11.70, 5.88 ± 1.88, and 6.56 ± 2.81 mm Hg for the sacrum, left heel, and right heel, respectively, in the intervention group. The means of the maximum pressure values were 90.36 ± 8.63, 62.51 ± 13.77, and 54.19 ± 16.71 mm Hg for sacrum, left heel, and right heel, respectively, in the control group, whereas the means of the maximum pressure values were 49.31 ± 12.61, 28.82 ± 13.56, and 31.17 ± 16.65 mm Hg for the sacrum, left heel, and right heel, respectively, in the intervention group. There were statistically significant differences between the groups for mean and maximum pressure on the sacrum, left heel, and right heel ( P < .05).</p><p><strong>Conclusions: </strong>The use of a 3D spacer mattress is an effective method to relieve pressure during cardiac surgery.</p>","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145211408","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Alterations in the Quality of Life in Older People With Foot Problems: A Retrospective Case-Control Study.","authors":"Luis López López, María Victoria Andreo García, Daniel López-López, Marta Elena Losa Iglesias, Israel Casado Hernández, Ricardo Becerro de Bengoa Vallejo, Carlos Romero Morales, Emmanuel Navarro-Flores, Carmen de Labra","doi":"10.1097/ASW.0000000000000369","DOIUrl":"10.1097/ASW.0000000000000369","url":null,"abstract":"<p><strong>Background: </strong>Foot pathologies among older people have increased considerably, especially as life expectancy has increased, becoming a common reason for podiatric and medical foot care. The purpose of this investigation was to determine the variances in the quality of life (QoL) linked to overall foot health in older population with presence or absence of foot problems.</p><p><strong>Methods: </strong>A retrospective case-control investigation was performed in an outpatient health center, where a senior clinician recorded information linked to clinical and sociodemographic features. Besides, self-reported information on QoL and overall foot health were analyzed through the specific tool known as Foot Health Status Questionnaire in all older participants.</p><p><strong>Results: </strong>A total sample consisted of 120 older people (60 controls and 60 cases), with a median age of 73.50 years and recorded the interquartile range as 23 years of age. The older adults recorded lower values for all domains related with foot health and the overall health compared with the control group.</p><p><strong>Conclusions: </strong>Older people with foot problems such as hallux abducto valgus, pes planus, metatarsalgias, keratotic disorders, heel pain, toenail deformities, deformed toes, Morton neuroma, and cavus foot present a negative influence linked to QoL and to overall foot health, which seems to be marked with the aging process and the presence of alterations on the foot in the older population.</p>","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145211420","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Feasibility and Safety of Utilizing Air Ultrafine Bubble Water for Preoperative Skin Cleaning Before Foot and Ankle Surgery.","authors":"Yuki Tabuse, Makoto Hirao, Takaaki Noguchi, Gensuke Okamura, Shigeyoshi Tsuji, Yuki Etani, Kosuke Ebina, Hyota Takamatsu, Shiro Ohshima, Seiji Okada, Jun Hashimoto","doi":"10.1097/ASW.0000000000000367","DOIUrl":"https://doi.org/10.1097/ASW.0000000000000367","url":null,"abstract":"<p><strong>Objective: </strong>The surgical site infection (SSI) rate is reportedly higher with foot and ankle surgeries than with other parts. This is problematic for rheumatoid arthritis and diabetes mellitus patients. Ultrafine bubble (UFB) technology is expected to elongate the duration for which the surgical site can remain disinfected, thanks to its stable nanobubble structure and disinfection effects by its own radical actions. This study evaluated the feasibility and safety of preoperative skin cleaning utilizing UFB water before foot/ankle surgery.</p><p><strong>Methods: </strong>This observational study retrospectively examined 219 extremities in 217 patients who had undergone foot/ankle surgery. Preoperative skin cleaning was performed using either conventional alcohol (concentration 80%) (conventional group; 113 extremities) or 500 mL of UFB water and conventional alcohol (UFB group; 106 extremities). Frequencies of postoperative events such as blister formation, eschar formation (width >10 mm) on the wound, and wound dehiscence after suture removal were compared, as was the time until suture removal.</p><p><strong>Results: </strong>Rates of eschar formation and wound dehiscence after suture removal were significantly reduced in the UFB group. Time to suture removal was significantly shorter in the UFB group (12.9 d) than in the conventional group (15.5 d). All 3 cases with infected open wounds in the UFB water group achieved complete cure with wound closure within 2 weeks.</p><p><strong>Conclusions: </strong>Preoperative skin cleaning using air UFB water appears safe and might help prevent eschar formation and wound dehiscence after foot/ankle surgeries. These effects could improve wound healing for patients undergoing foot and ankle surgery.</p>","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145123958","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Use of Oral Antibiotics for Diabetic Foot Osteomyelitis: A Systematic Review.","authors":"Siddhartha Sood, Ryan Geng, Jihad Waked, Asfandyar Mufti, Aswen Sriranganathan, Ronald Gary Sibbald","doi":"10.1097/ASW.0000000000000343","DOIUrl":"https://doi.org/10.1097/ASW.0000000000000343","url":null,"abstract":"<p><p>The optimal treatment modality for diabetic foot osteomyelitis (DFO) remains unclear. The current guidelines from Diabetes Canada recommend the use of oral antibiotics and/or intravenous antibiotics with no preferred agent or route of administration. This report aimed to evaluate the current evidence surrounding oral antibiotic therapy for DFO. Embase and MEDLINE databases were searched for original articles written in English that reported efficacy and safety data on oral antibiotic use for this indication. Twenty-six unique studies were included, encompassing 972 patients treated with oral antibiotics. The mean age was 64.6 years (range: 30 to 90 y). When used as monotherapy, the complete resolution and partial resolution rate for oral antibiotic therapy were 75.2% (539/717) and 3.2% (23/717), respectively. When used as a step-down therapy after intravenous antibiotics, the complete and partial resolution rate for oral antibiotics were 56.5% (155/255) and 20.4% (52/255), respectively. No resolution of DFO resulting in refractory infection or amputation was observed in 155 (21.6%) cases of oral antibiotics monotherapy and 59 (23.1%) of step-down therapy. Recurrence rates for oral antibiotics monotherapy and step-down therapy were 5.4% (39/717) and 3.9% (10/255), respectively. Oral antibiotic therapy demonstrates favorable outcomes in DFO comparable to intravenous treatment. Oral antibiotic therapy may be especially useful in low-resource settings where hospital beds are limited and in situations where patients require ambulation. Nonetheless, patients should be counselled on the vital importance of adherence, and resource stewardship should be practiced by health care providers to avoid antibiotic resistance.</p><p><strong>General purpose: </strong>To present a systematic review article evaluating the utility of oral antibiotics for the treatment of diabetic foot osteomyelitis.</p><p><strong>Target audience: </strong>This continuing education activity is intended for physicians; physician assistants; nurse practitioners; podiatrists/other foot specialists; and nurses with an interest in skin, wound, and diabetic foot care.</p><p><strong>Learning objectives/outcomes: </strong>After completing this continuing education activity, the participant should be better able to:Summarize the evidence the authors considered when evaluating the utility of oral antibiotics for diabetic foot osteomyelitis.Select the characteristics of the participants and settings in which oral antibiotic therapy was utilized.Identify the results of the authors' study assessing the use of oral antibiotics.Discuss potential situations in which oral antibiotic therapy may provide favorable outcomes as monotherapy or in conjunction with intravenous antibiotics for diabetic foot osteomyelitis.</p>","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145123942","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Infectious Wound Healing After Surgical Resection of Giant Sacrococcygeal Teratoma in an Infant: A Case Report.","authors":"Zeyao Shi, Xiaowen Li, Shulin Hou, Bihua Wang, Ru Yang","doi":"10.1097/ASW.0000000000000365","DOIUrl":"https://doi.org/10.1097/ASW.0000000000000365","url":null,"abstract":"<p><p>An infant diagnosed with sacrococcygeal teratoma was referred to the authors' hospital. On day 5 of admission, the infant underwent complete surgical resection of the tumor. Unfortunately, the wound was infected by Enterobacter cloacae and dehisced. Advanced dressings combined with vacuum sealing drainage were applied to facilitate wound healing. Eighteen days postsurgery, the wound showed good epithelialization, and the patient was discharged. The patient received regular dressing changes at a local hospital, and follow-up was conducted through telephone for 3 months. After 3 months, scar tissue formation was observed, and no complications were reported.</p>","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145123921","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Turkish Adaptation of the Pressure Injury Prevention Barriers Questionnaire: Validity and Reliability Study.","authors":"Bahar Karakoç, Nuray Turan","doi":"10.1097/ASW.0000000000000360","DOIUrl":"https://doi.org/10.1097/ASW.0000000000000360","url":null,"abstract":"<p><strong>Objective: </strong>The presence or absence of pressure injury is generally considered a quality measure of nursing care performance. This study aimed to adapt the Pressure Injury Prevention Barriers questionnaire to the Turkish version and to determine its validity and reliability.</p><p><strong>Methods: </strong>A methodological study design was used. The instrument was translated into Turkish and back-translated into English. The questionnaire's language equivalence, content validity, test-retest reliability, internal consistency, and construct validity were evaluated. The research was conducted with 600 nurses at a university hospital who volunteered to participate. The number, percentage distributions, intraclass correlation coefficient, kappa coefficient test, and Mann-Whitney U test were used to analyze the data.</p><p><strong>Results: </strong>Ten experts in wound care evaluated content validity, and the content validity index was 0.92. The intraclass correlation coefficients obtained for all subdimensions of the questionnaire and the overall questionnaire were high. As a result of factor analysis, the questionnaire was grouped under 3 factors as in the original questionnaire. The questionnaire's overall internal consistency coefficient (Cronbach α) was highly reliable, with a coefficient of 0.914.</p><p><strong>Conclusions: </strong>This questionnaire is a valid and reliable tool for cross-cultural studies to identify barriers faced by nurses in preventing pressure injuries in patients. It will contribute to the identification of barriers and the determination of strategies for solutions.</p>","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145123924","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}