Advances in Skin & Wound Care最新文献

Objective: To translate and validate the content of the Skin Tears Knowledge Assessment Instrument (OASES) into Chilean Spanish.

Methods: A cultural adaptation was carried out using a simplified methodology. The process began with a forward translation conducted by 2 bilingual translators. Review by an expert panel comprising 10 judges, 8 of whom were wound care specialists. The panel assessed the content validity of the consensually translated version using the content validity ratio (CVR). Subsequently, a back-translation into English was performed and reviewed by one of the original authors of the instrument.

Results: Out of 113 items in the consensually translated version, 7 items initially demonstrated low agreement, with CVR values between 0 and 0.4. Following a second round of evaluation by the expert panel, all items achieved a CVR of 1, except for 1 item, which received a CVR of 0.8, still within acceptable limits. The final translated and validated version was approved by one of the original OASES authors.

Conclusions: The Chilean Spanish version of the OASES instrument meets local linguistic and cultural requirements while offering a validated, standardized tool for assessing knowledge about skin tears. This adaptation enhances the quality of training and supports prevention efforts across various clinical settings. Future work may include adapting the instrument for use in other Spanish-speaking countries, thereby fostering a more unified and culturally sensitive approach to skin tear prevention and management across Latin America.

Abstract:

Objective: Ablative fractional carbon dioxide laser (CO 2 -AFL) and intense pulsed light (IPL) are noninvasive light-based therapies that have demonstrated efficacy for various dermatological conditions. However, their application in the treatment of hidradenitis suppurativa (HS) remains relatively unexplored.

Methods: This retrospective case series presents the patient-reported outcomes of 4 patients with HS who were treated with CO 2 -AFL-assisted triamcinolone delivery (n=2) or IPL+CO 2 -AFL-assisted triamcinolone delivery (n=2).

Results: Patients treated with CO 2 -AFL alone (n=2) experienced a mean reduction in POSAS of 9±1.4 and DLQI of 6.6±0.7. Patients treated with IPL+CO 2 -AFL (n=2) experienced a mean reduction in POSAS of 30 and DLQI of 9. All patients reported high levels of satisfaction, and no adverse effects were observed.

Conclusions: CO 2 -AFL, either alone or in combination with IPL, followed by topical and intralesional triamcinolone, may be an effective treatment modality for HS. Prospective studies with larger cohorts, standardized treatment protocols, and extended follow-up periods are needed to further validate these findings.

Objective: To evaluate the efficacy and safety of composite ovine forestomach matrix and hyaluronic acid (OFM-HA) graft in facilitating tissue regeneration in atypical wounds secondary to calciphylaxis.

Methods: This retrospective case series included 3 patients with a total of 4 wounds (n = 4) who were diagnosed with wounds secondary to calciphylaxis in an outpatient setting. All wounds were treated with surgical debridement and a composite OFM-HA graft. Healing progress was monitored, and the total time to wound closure was assessed.

Results: All 4 wounds in the study achieved 100% wound healing, with a 12-week incidence of closure of 75%. The mean wound area at the time of OFM-HA treatment was 28.6 ± 26.9 cm 2 , with a mean depth of 0.2 ± 0.1 cm. The mean time to wound closure was 43.5 ± 37.0 days and all patients experienced a marked reduction in pain. No adverse events were reported, and all wounds remained healed after achieving 100% closure at final follow-up.

Conclusions: Ovine forestomach matrix and hyaluronic acid, in combination with wound bed preparation, were found to be safe and effective treatments for wounds associated with calciphylaxis; they may reduce the time to wound closure compared with traditional wound care and reduce complications associated with calciphylaxis-related wounds.

Objective: The relationship between the knowledge levels of agriculture faculty students regarding skin cancer risk and their protective behaviors was examined.

Methods: This study is a descriptive and cross-sectional research conducted to evaluate the knowledge and behaviors of agriculture faculty students regarding skin cancer and sun protection. Research data were collected with the Personal Information Form, Skin Cancer and Sun Knowledge Scale, and Sun Protection Behavior Scale.

Results: The mean scores obtained on the Skin Cancer and Sun Knowledge Scale were 10.95 ± 3.02, and the mean scores of the Sun Protection Behavior Scale were 24.79 ± 6.95. A statistically significant relationship was found between sun protection behaviors and various factors such as sex, hair color, skin color, and mole-checking methods ( P < .05). More specifically, students who described their skin color as dark had lower scores in sun protection, which was a statistically significant difference ( P < .05). In addition, a weak negative relationship was discovered between the subscale of skin cancer risk factors and the subscale of sun avoidance ( P < .05).

Conclusions: The study indicates that agriculture faculty students possess insufficient knowledge about skin cancer and sun protection, and their preventive behaviors are inadequate. It is important to develop educational programs and implement strategies to provide students with the necessary behaviors regarding skin cancer and sun-related health.

Objective: Numerous studies have examined the epidemiology of skin tears; however, inconsistent definitions, classification systems, and data collection methods have highlighted the need for a validated and standardized tool. The primary objective of this study was to validate a data collection tool for skin tears. A secondary aim was to provide a freely accessible tool for health care providers or researchers to collect consistent and reliable data on skin tears.

Methods: The development of the tool was guided by the 2018 International Skin Tear Advisory Panel (ISTAP) Best Practice Recommendations for the prevention, assessment, and management of skin tears in aged skin. Between June and October 2024, a multimethod validation process was undertaken. Content validity ratio and content validity index calculations were used to quantify content validity, supported by qualitative feedback from 15 experts to assess face validity and provide suggestions for refinement.

Results: The final tool consists of 22 questions addressing a patient's demographics, clinical features of the skin tear, associated risk factors, and contextual data. The content validity index was calculated at 0.72, indicating an acceptable level of content validity. International experts reached consensus following a 2-round qualitative review, resulting in subsequent adjustments to the tool.

Conclusions: The ISTAP DC-Tool was developed based on evidence-informed recommendations and validated by an international panel of experts. Its implementation will support health care providers and researchers in gathering standardized epidemiological data contributing to clinical practice improvements, quality initiatives, and further research in skin tear prevention and management.

Objective: 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.

Methods: 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.

Results: 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.

Conclusions: 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.