Advances in Skin & Wound Care最新文献_第8页

Evaluation of Clinical Outcomes and Quality of Life following the Karydakis Flap Procedure for Pilonidal Sinus Treatment. 核达基斯皮瓣治疗毛毛窦的临床疗效和生活质量评价。

IF 1.7 4区医学

Advances in Skin & Wound Care Pub Date : 2024-11-01 DOI: 10.1097/ASW.0000000000000220

David Breidung, Moritz Billner, Philipp Buben, Gerrit Grieb, Reiner Sievers, Bert Reichert, Ioannis-Fivos Megas, André A Barth

{"title":"Evaluation of Clinical Outcomes and Quality of Life following the Karydakis Flap Procedure for Pilonidal Sinus Treatment.","authors":"David Breidung, Moritz Billner, Philipp Buben, Gerrit Grieb, Reiner Sievers, Bert Reichert, Ioannis-Fivos Megas, André A Barth","doi":"10.1097/ASW.0000000000000220","DOIUrl":"10.1097/ASW.0000000000000220","url":null,"abstract":"Objective: To evaluate the clinical outcome of the Karydakis flap procedure performed by a single surgeon for the treatment of pilonidal sinus, focusing on postoperative complications, recurrence rate, wound healing time, and return to daily life.Methods: Authors performed a retrospective data analysis of patients who underwent reconstruction of pilonidal sinus using the Karydakis technique at the Department of Plastic, Reconstructive and Hand Surgery, Center for Severe Burn Injuries of Paracelsus Medical University, Klinikum Nürnberg, Germany, between 2014 and 2021. All cases were performed by a single surgeon. Patients were requested to attend a follow-up appointment in person or, if this was not possible, by telephone.Results: A total of 103 patients were enrolled in the study. The postoperative complication rate was 11.7%. Revision surgery was required in 4.9% of patients because of a complication. Wound healing time was on average 21.4 days postoperatively. A total of seven patients (6.8%) had a recurrence within 59 months postoperatively.Conclusions: The Karydakis flap is a robust reconstructive off-midline procedure for the treatment of pilonidal sinus. Relatively few postoperative complications and a low recurrence rate are advantages of the surgical procedure. Based on the results of quality-of-life factors, patients experience early functional return to daily life after the Karydakis flap procedure.","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":"37 11&12","pages":"1-6"},"PeriodicalIF":1.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142962094","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}

引用次数: 0

Generative Artificial Intelligence: Applications in Scientific Writing and Data Analysis in Wound Healing Research. 生成式人工智能：在创面愈合研究的科学写作和数据分析中的应用。

IF 1.7 4区医学

Advances in Skin & Wound Care Pub Date : 2024-11-01 DOI: 10.1097/ASW.0000000000000226

Adrian Chen, Aleksandra Qilleri, Timothy Foster, Amit S Rao, Sandeep Gopalakrishnan, Jeffrey Niezgoda, Alisha Oropallo

{"title":"Generative Artificial Intelligence: Applications in Scientific Writing and Data Analysis in Wound Healing Research.","authors":"Adrian Chen, Aleksandra Qilleri, Timothy Foster, Amit S Rao, Sandeep Gopalakrishnan, Jeffrey Niezgoda, Alisha Oropallo","doi":"10.1097/ASW.0000000000000226","DOIUrl":"10.1097/ASW.0000000000000226","url":null,"abstract":"Abstract: Generative artificial intelligence (AI) models are a new technological development with vast research use cases among medical subspecialties. These powerful large language models offer a wide range of possibilities in wound care, from personalized patient support to optimized treatment plans and improved scientific writing. They can also assist in efficiently navigating the literature and selecting and summarizing articles, enabling researchers to focus on impactful studies relevant to wound care management and enhancing response quality through prompt-learning iterations. For nonnative English-speaking medical practitioners and authors, generative AI may aid in grammar and vocabulary selection. Although reports have suggested limitations of the conversational agent on medical translation pertaining to the precise interpretation of medical context, when used with verified resources, this language model can breach language barriers and promote practice-changing advancements in global wound care. Further, AI-powered chatbots can enable continuous monitoring of wound healing progress and real-time insights into treatment responses through frequent, readily available remote patient follow-ups.However, implementing AI in wound care research requires careful consideration of potential limitations, especially in accurately translating complex medical terms and workflows. Ethical considerations are vital to ensure reliable and credible wound care research when using AI technologies. Although ChatGPT shows promise for transforming wound care management, the authors warn against overreliance on the technology. Considering the potential limitations and risks, proper validation and oversight are essential to unlock its true potential while ensuring patient safety and the effectiveness of wound care treatments.","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":"37 11&12","pages":"601-607"},"PeriodicalIF":1.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142962096","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}

引用次数: 0

In-Person and Video-Based Education: Do They Affect Pressure Injury Knowledge in Nursing? 面对面教育和视频教育：会影响护理中的压力损伤知识吗？

IF 1.7 4区医学

Advances in Skin & Wound Care Pub Date : 2024-11-01 DOI: 10.1097/ASW.0000000000000240

Demet İnangil, Nilüfer Ertürk, Elif Lale Pakdil, İlayda Türkoğlu, Özgül Torun, Ayşe Kabuk

{"title":"In-Person and Video-Based Education: Do They Affect Pressure Injury Knowledge in Nursing?","authors":"Demet İnangil, Nilüfer Ertürk, Elif Lale Pakdil, İlayda Türkoğlu, Özgül Torun, Ayşe Kabuk","doi":"10.1097/ASW.0000000000000240","DOIUrl":"10.1097/ASW.0000000000000240","url":null,"abstract":"Objective: To determine how training on the nursing care of pressure injuries (PIs) affects knowledge levels and satisfaction.Methods: This study was semiexperimental, conducted in the form of a pretest and posttest in one group of 105 nurses working in a training and research hospital. The training took place in person and via video. All nurses included in the study group first received in-person training in 15-person groups followed by weekly video training for 4 consecutive weeks. Before training, investigators assessed the nurses' PI knowledge using the Nurses' Knowledge Level Assessment for PI Care (NKLAPIC; pretest). After the in-person module (posttest 1) and video-based module (posttest 2), investigators provided the NKLAPIC again. The independent-sample test, one-way analysis of variance, repeated-test-measures analysis of variance, Bonferroni test, and pairwise comparisons were used in data analysis.Results: Mean NKLAPIC scores were 47.71 ± 13.5 (out of 100 points) at pretraining, 68.5 ± 12.32 after the in-person training, and peaked at 72.38 ± 4.74 after video-based training (P < .001). Video-based training appeared to lead to a larger increase in knowledge levels than in-person training alone (P < .001). Further, although the average satisfaction score given to the in-person training was 3.97 ± 0.93, the same score for the online training was 4.12 ± 0.95 (P > .05).Conclusions: Outcomes suggest that in-person training and video-based training regarding PI care improve the knowledge levels of nurses.","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":"37 11&12","pages":"1-7"},"PeriodicalIF":1.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142962101","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}

引用次数: 0

2025: Who Can Separately Charge Medicare for Wound and Lymphedema Supplies? 2025：谁可以单独向医疗保险收取伤口和淋巴水肿用品费用？

IF 1.7 4区医学

Advances in Skin & Wound Care Pub Date : 2024-11-01 DOI: 10.1097/ASW.0000000000000230

Kathleen D Schaum

引用次数: 0

Unlocking Excellence: Improving Nursing Students' Knowledge of Pressure Injury Prevention through an Escape Room Experience. 解锁卓越：通过密室逃生体验提高护生预防压力伤害的知识。

IF 1.7 4区医学

Advances in Skin & Wound Care Pub Date : 2024-11-01 DOI: 10.1097/ASW.0000000000000228

Tuba Sengul, Nurten Kaya

{"title":"Unlocking Excellence: Improving Nursing Students' Knowledge of Pressure Injury Prevention through an Escape Room Experience.","authors":"Tuba Sengul, Nurten Kaya","doi":"10.1097/ASW.0000000000000228","DOIUrl":"10.1097/ASW.0000000000000228","url":null,"abstract":"Objective: To determine if an escape room game approach, which has emerged as a novel and engaging education tool, is an effective method to improve nursing students' knowledge of pressure injury (PI) prevention and attitudes toward the care of patients with a PI.Methods: This study evaluated 33 university nursing students using a quasi-experimental pretest/posttest design. Students completed five questionnaires before the escape room experience and again 1 month after.Results: After the intervention, the students' mean scores on their self-reported PI knowledge level, Pressure Ulcer Knowledge Assessment Tool 2.0, Pressure Injuries Prevention Knowledge Questionnaire, and Attitude towards Pressure Ulcer Prevention Instrument all significantly increased (Ps < .001). Further, the mean score on the State-Trait Anxiety Inventory was significantly lower postintervention (P < .001), indicating decreased anxiety.Conclusions: The results indicate that the escape room game approach is an effective method to improve nursing students' knowledge of PI prevention and attitudes toward the care of patients with PIs. This method also improved students' knowledge retention by promoting facilitated learning in solving complex cases.","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":"37 11&12","pages":"1-8"},"PeriodicalIF":1.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142961976","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}

引用次数: 0

An Early-Stage Economic Evaluation of Superabsorbent Wound Dressings for the Management of Moderately to Highly Exuding Leg Ulcers in Slovakian Settings. 高吸收性伤口敷料用于斯洛伐克中度至高度渗液腿部溃疡治疗的早期经济评估。

IF 1.7 4区医学

Advances in Skin & Wound Care Pub Date : 2024-11-01 DOI: 10.1097/ASW.0000000000000232

Vladica M Veličković, Anna Serafin, Yana Arlouskaya, Thurid-Christiane Milde, Beáta Grešš Halász

{"title":"An Early-Stage Economic Evaluation of Superabsorbent Wound Dressings for the Management of Moderately to Highly Exuding Leg Ulcers in Slovakian Settings.","authors":"Vladica M Veličković, Anna Serafin, Yana Arlouskaya, Thurid-Christiane Milde, Beáta Grešš Halász","doi":"10.1097/ASW.0000000000000232","DOIUrl":"10.1097/ASW.0000000000000232","url":null,"abstract":"Background: The management of chronic leg ulcers, including venous leg ulcers (VLUs), causes a considerable economic and clinical burden to healthcare systems. Factors such as nursing time, hospital care, and wound dressings account for approximately 85% of the total cost. Superabsorbent dressings (eg, superabsorbent polymers [SAPs]) are recommended as a first-line treatment for moderately to highly exuding VLUs.Objective: To assess the cost-effectiveness of utilizing SAPs compared with the standard of care (SoC) for managing patients with moderately to highly exuding VLUs within the Slovakia healthcare settings.Methods: The decision-analytic modeling method used a Markov process as microsimulation, with a time horizon of 6 months, from the perspective of the third-party payer in Slovakia. All model inputs were based on data identified through systematic literature reviews.Results: According to model predictions, the use of SAPs instead of SoC in patients with moderately to highly exuding leg ulcers in Slovakian settings would lead to an improved healing rate of 2.2%, incremental health-related quality of life of 0.143 quality-adjusted life-weeks, and total direct cost savings of €75 (USD $82) per patient over a 6-month period.Conclusions: The evaluation's results align with clinical recommendations that endorse superabsorbent wound dressings as the preferred first-line treatment for moderately to highly exuding VLUs. The findings support the use of these dressings as a cost-saving solution for the National Insurance in Slovakia, when compared with SoC.","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":"37 11&12","pages":"594-600"},"PeriodicalIF":1.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142962086","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}

引用次数: 0

Hidradenitis Suppurativa: Radical Surgical Excisions with Staged Reconstructions: A Single-Surgeon Retrospective Review of 71 Patients. 化脓性汗腺炎：根治性手术切除并分阶段重建：71例患者的回顾性分析。

IF 1.7 4区医学

Advances in Skin & Wound Care Pub Date : 2024-11-01 DOI: 10.1097/ASW.0000000000000237

Abigail C Judge, Amir H Tahernia

{"title":"Hidradenitis Suppurativa: Radical Surgical Excisions with Staged Reconstructions: A Single-Surgeon Retrospective Review of 71 Patients.","authors":"Abigail C Judge, Amir H Tahernia","doi":"10.1097/ASW.0000000000000237","DOIUrl":"10.1097/ASW.0000000000000237","url":null,"abstract":"Background: Hidradenitis suppurativa is a chronic, inflammatory disease involving the pilosebaceous unit of apocrine gland-bearing skin. Wide surgical excision, wherein margins extend beyond active lesions, is considered curative.Objective: To evaluate the safety and efficacy of wide surgical excision in the treatment of hidradenitis suppurativa.Methods: This single-surgeon, single-site analysis included all patients undergoing radical surgical excision of hidradenitis suppurativa between 2015 and 2019. Using paper case notes and electronic health records, researchers identified a total of 71 patients who underwent 262 surgeries.Results: The mean number of surgeries per patient was 3.7, and the total number of sites addressed was 309. Wound dehiscence, infection, and flap necrosis were the most common complications. Disease recurrence in surgically treated areas was noted in two patients (3%).Conclusions: For patients with failed medical management of hidradenitis suppurativa or who have otherwise developed severe disease, wide surgical excision remains a safe, effective treatment with comparatively low recurrence rates. Surgeons should consider staging surgeries, rather than performing a single-stage reconstruction, and anticipate complications.","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":"37 11&12","pages":"1-8"},"PeriodicalIF":1.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142962098","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}

引用次数: 0

Celebrating the Discovery of Insulin and Pressure Injury Awareness Day, and Reexamining Irritant Contact Dermatitis Due to Incontinence. 庆祝发现胰岛素和压力损伤意识日，并重新检查因失禁引起的刺激性接触性皮炎。

IF 1.7 4区医学

Advances in Skin & Wound Care Pub Date : 2024-11-01 DOI: 10.1097/ASW.0000000000000231

引用次数: 0

The 2023 Update on Pressure Injuries: A Review of the Literature. 2023年压力性损伤最新进展：文献综述

IF 1.7 4区医学

Advances in Skin & Wound Care Pub Date : 2024-11-01 DOI: 10.1097/ASW.0000000000000225

引用次数: 0

Fungal Osteomyelitis of a Diabetic Foot Infection Caused by Trichosporon asahii: A Case Report. 糖尿病足真菌性骨髓炎1例由刺毛丝虫病引起。

IF 1.7 4区医学

Advances in Skin & Wound Care Pub Date : 2024-11-01 DOI: 10.1097/ASW.0000000000000223

Livia Frost, Ya Xu, Yuriko Fukuta

{"title":"Fungal Osteomyelitis of a Diabetic Foot Infection Caused by Trichosporon asahii: A Case Report.","authors":"Livia Frost, Ya Xu, Yuriko Fukuta","doi":"10.1097/ASW.0000000000000223","DOIUrl":"10.1097/ASW.0000000000000223","url":null,"abstract":"Abstract: Diabetic foot bacterial osteomyelitis is a serious infection that can lead to major amputations. However, fungal osteomyelitis in a diabetic foot ulcer is uncommon and has been underrecognized. It typically occurs in patients with underlying immunocompromised status and is associated with poor outcomes. Fungal osteomyelitis might be overlooked or diagnosed late because of underrecognition and the inability to differentiate it from bacterial osteomyelitis without specific laboratory testing, such as fungal culture of bone and histopathology including fungal stain. Treating fungal osteomyelitis involves a long course of antifungal treatment, along with surgical management and intensive wound care. In this report, the authors describe the case of a 78-year-old woman with peripheral arterial disease and diabetes who developed dry gangrene complicated by osteomyelitis due to the fungus Trichosporon asahii in the distal phalange of her right hallux. Initially, her pain and erythema around the gangrene improved with voriconazole; however, her gangrene worsened, likely because of nonadherence to wound care and offloading, and her comorbidities. Ultimately, she underwent a right foot guillotine transmetatarsal amputation. The authors also review the literature on fungal osteomyelitis, particularly in the context of diabetic foot infections and Trichosporon asahii infections.","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":"37 11&12","pages":"1-4"},"PeriodicalIF":1.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143055748","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}

引用次数: 0