Pub Date : 2016-01-01DOI: 10.1016/j.jccw.2017.11.001
Adam Yee , John Harmon MD , Steven Yi PhD
There are approximately 6.5 million patients in the U.S. suffering from chronic wounds and approximately 140,000 patients hospitalized every year with new wounds. With a long healing process, this demands the need for a non-contact, low cost, and remote monitoring solution that can assist clinicians in diagnosing and treating a patient's wound. This will reduce the burden of countless office visits, especially for those who are elderly and incapacitated. We present a mobile platform based wound 3D imaging app. The app is the only integrated measurement solution encompassing wound area and volume through low cost yet accurate 3D imaging. Extensive experiments show the app has 1.14% and 4.41% relative errors for wound area and volume measurement respectively, far exceeding currently employed clinic methods. In addition, non-invasive volume measurement methods currently use expensive industrial 3D (>$20K) cameras, but our solution provides cheap and accurate results.
{"title":"Quantitative Monitoring Wound Healing Status Through Three-dimensional Imaging on Mobile Platforms","authors":"Adam Yee , John Harmon MD , Steven Yi PhD","doi":"10.1016/j.jccw.2017.11.001","DOIUrl":"10.1016/j.jccw.2017.11.001","url":null,"abstract":"<div><p><span>There are approximately 6.5 million patients in the U.S. suffering from chronic wounds and approximately 140,000 patients hospitalized every year with new wounds. With a long healing process, this demands the need for a non-contact, low cost, and remote monitoring solution that can assist clinicians in diagnosing and treating a patient's wound. This will reduce the burden of countless </span>office visits<span>, especially for those who are elderly and incapacitated. We present a mobile platform based wound 3D imaging app. The app is the only integrated measurement solution encompassing wound area and volume through low cost yet accurate 3D imaging. Extensive experiments show the app has 1.14% and 4.41% relative errors for wound area and volume measurement respectively, far exceeding currently employed clinic methods. In addition, non-invasive volume measurement methods currently use expensive industrial 3D (>$20K) cameras, but our solution provides cheap and accurate results.</span></p></div>","PeriodicalId":90358,"journal":{"name":"The journal of the American College of Clinical Wound Specialists","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jccw.2017.11.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36547518","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-01-01DOI: 10.1016/j.jccw.2018.01.001
Marvin Heyboer III MD, Joseph Byrne MD, Susan Wojcik PhD
{"title":"Use of In-chamber TCOM to Determine Optimal Hyperbaric Oxygen Treatment Pressure – Abstract of Presentation from ACCWS 7th Annual Symposium","authors":"Marvin Heyboer III MD, Joseph Byrne MD, Susan Wojcik PhD","doi":"10.1016/j.jccw.2018.01.001","DOIUrl":"10.1016/j.jccw.2018.01.001","url":null,"abstract":"","PeriodicalId":90358,"journal":{"name":"The journal of the American College of Clinical Wound Specialists","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jccw.2018.01.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46325251","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-01-01DOI: 10.1016/j.jccw.2018.01.004
Natallia Maroz MD, FASN, FACP
{"title":"Impact of Renal Failure on Wounds Healing","authors":"Natallia Maroz MD, FASN, FACP","doi":"10.1016/j.jccw.2018.01.004","DOIUrl":"10.1016/j.jccw.2018.01.004","url":null,"abstract":"","PeriodicalId":90358,"journal":{"name":"The journal of the American College of Clinical Wound Specialists","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jccw.2018.01.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36547516","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-01-01DOI: 10.1016/j.jccw.2018.01.003
Christopher L. Winters DPM
{"title":"Summary Article on Advanced Ulcer Treatments used in the Operating Room","authors":"Christopher L. Winters DPM","doi":"10.1016/j.jccw.2018.01.003","DOIUrl":"10.1016/j.jccw.2018.01.003","url":null,"abstract":"","PeriodicalId":90358,"journal":{"name":"The journal of the American College of Clinical Wound Specialists","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jccw.2018.01.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36547517","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-01-01DOI: 10.1016/j.jccw.2018.01.006
Richard Simman MD, FACS, FACCWS
{"title":"The Role of an Esterified Hyaluronic Acid Matrix in Wound Healing, a Case Series","authors":"Richard Simman MD, FACS, FACCWS","doi":"10.1016/j.jccw.2018.01.006","DOIUrl":"10.1016/j.jccw.2018.01.006","url":null,"abstract":"","PeriodicalId":90358,"journal":{"name":"The journal of the American College of Clinical Wound Specialists","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jccw.2018.01.006","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36547515","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-01-01DOI: 10.1016/j.jccw.2018.03.002
Dr. Basil Sunny Pharm.D (Doctor of Pharmacy), Dr. Lubna Sulthana, Mr. Apollo James, Dr. T. Sivakumar
The invasion of the skin and subcutaneous tissue by the larvae (Maggot) is known as Maggot infestation. It was found that farmers who are working in agricultural fields are more prone to this infestation. A case of 60 year old male patient with ulceration on leg for 10 days which was initially smaller and later developed into a larger wound, due to maggot larvae. This case report illustrates the importance and method of treating this cutaneous myiasis.
{"title":"Maggot Infestation: Various Treatment Modalities","authors":"Dr. Basil Sunny Pharm.D (Doctor of Pharmacy), Dr. Lubna Sulthana, Mr. Apollo James, Dr. T. Sivakumar","doi":"10.1016/j.jccw.2018.03.002","DOIUrl":"10.1016/j.jccw.2018.03.002","url":null,"abstract":"<div><p><span>The invasion of the skin and subcutaneous tissue<span> by the larvae (Maggot) is known as Maggot infestation. It was found that farmers who are working in agricultural fields are more prone to this infestation. A case of 60 year old male patient with </span></span>ulceration on leg for 10 days which was initially smaller and later developed into a larger wound, due to maggot larvae. This case report illustrates the importance and method of treating this cutaneous myiasis.</p></div>","PeriodicalId":90358,"journal":{"name":"The journal of the American College of Clinical Wound Specialists","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jccw.2018.03.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36541688","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-01-01DOI: 10.1016/j.jccw.2017.09.001
Eric L. Johnson MD , Georgina M. Michael MSN, RNFA, FNP-BC , Yeabsera G. Tamire BS
Despite advances in surgical technique, postoperative complications may lead to refractory cutaneous sinus tracts or tunnels. Negative pressure wound therapy is difficult to apply in longer tracts with a narrow diameter opening and conservative treatment failures ultimately necessitate surgical revisions. The aim of this pilot study was a clinical utility assessment of two different commercial placental membrane products for refractory cutaneous sinus tracts of surgical origin. Patients were treated with viable cryopreserved placental membrane (vCPM, n = 6) or devitalized dehydrated amnion/chorion membrane (dHACM, n = 6). The primary outcome measurement was the proportion of complete sinus tract depth resolution without exudate. Secondary endpoints included 4-week percent reduction in sinus tract probing depth and peri-tract wound surface area, days and number of grafts to resolution, number of wound-related infections, and 1-year recurrence rate for closed sinus tracts. All vCPM patients demonstrated complete sinus tract resolution compared to zero closures in the dHACM group (p = 0.00216). The vCPM group achieved greater percent reduction in probing depth (73.3 ± 21.9 versus −4.4 ± 91.3) and surrounding wound surface area (34.8 ± 86.8 versus −279.3 ± 454.9) at 4 weeks than dHACM. The use of viable intact cryopreserved placental membrane has demonstrated positive clinical outcomes for the treatment for refractory exudative sinus tracts and may be an alternative to repeat surgical intervention.
尽管手术技术的进步,术后并发症可能导致难治性皮肤窦束或隧道。负压伤口治疗难以应用于较长的束和狭窄的直径开口,保守治疗失败最终需要手术翻修。本初步研究的目的是评估两种不同的商业胎盘膜产品用于手术源性难治性皮肤窦道的临床效用。患者分别接受活的低温保存胎盘膜(vCPM, n = 6)或失活的脱水羊膜/绒毛膜(dHACM, n = 6)治疗。主要观察指标为无渗出物的窦道深度完全溶解比例。次要终点包括4周窦道探探深度和窦道周围创面面积减少的百分比,移植物愈合的天数和数量,伤口相关感染的数量,以及封闭窦道1年的复发率。与dHACM组相比,所有vCPM患者均表现出完全的窦道溶解(p = 0.00216)。与dHACM相比,vCPM组在4周时探测深度(73.3±21.9比- 4.4±91.3)和周围创面面积(34.8±86.8比- 279.3±454.9)减少了更大的百分比。使用可存活的完整低温保存胎盘膜治疗难治性窦性渗出性瘘管已显示出积极的临床效果,可能是重复手术干预的替代方法。
{"title":"Placental Membranes for Management of Refractory Cutaneous Sinus Tracts of Surgical Origin: A Pilot Study","authors":"Eric L. Johnson MD , Georgina M. Michael MSN, RNFA, FNP-BC , Yeabsera G. Tamire BS","doi":"10.1016/j.jccw.2017.09.001","DOIUrl":"10.1016/j.jccw.2017.09.001","url":null,"abstract":"<div><p>Despite advances in surgical technique, postoperative complications may lead to refractory cutaneous sinus tracts or tunnels. Negative pressure wound therapy is difficult to apply in longer tracts with a narrow diameter opening and conservative treatment failures ultimately necessitate surgical revisions. The aim of this pilot study was a clinical utility assessment of two different commercial placental membrane products for refractory cutaneous sinus tracts of surgical origin. Patients were treated with viable cryopreserved placental membrane (vCPM, n = 6) or devitalized dehydrated amnion/chorion membrane (dHACM, n = 6). The primary outcome measurement was the proportion of complete sinus tract depth resolution without exudate. Secondary endpoints included 4-week percent reduction in sinus tract probing depth and peri-tract wound surface area, days and number of grafts to resolution, number of wound-related infections, and 1-year recurrence rate for closed sinus tracts. All vCPM patients demonstrated complete sinus tract resolution compared to zero closures in the dHACM group (p = 0.00216). The vCPM group achieved greater percent reduction in probing depth (73.3 ± 21.9 versus −4.4 ± 91.3) and surrounding wound surface area (34.8 ± 86.8 versus −279.3 ± 454.9) at 4 weeks than dHACM. The use of viable intact cryopreserved placental membrane has demonstrated positive clinical outcomes for the treatment for refractory exudative sinus tracts and may be an alternative to repeat surgical intervention.</p></div>","PeriodicalId":90358,"journal":{"name":"The journal of the American College of Clinical Wound Specialists","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jccw.2017.09.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36547520","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-01-01DOI: 10.1016/j.jccw.2018.02.002
Joy E. Schank RN, MSN, ANP, CWOCN
{"title":"The Kennedy Terminal Ulcer – Alive and Well","authors":"Joy E. Schank RN, MSN, ANP, CWOCN","doi":"10.1016/j.jccw.2018.02.002","DOIUrl":"10.1016/j.jccw.2018.02.002","url":null,"abstract":"","PeriodicalId":90358,"journal":{"name":"The journal of the American College of Clinical Wound Specialists","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jccw.2018.02.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36541689","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-01-01DOI: 10.1016/j.jccw.2018.01.005
Marvin Heyboer III MD, FACEP, FACCWS, FUHM
{"title":"Hyperbaric Oxygen Therapy Side Effects – Where Do We Stand?","authors":"Marvin Heyboer III MD, FACEP, FACCWS, FUHM","doi":"10.1016/j.jccw.2018.01.005","DOIUrl":"10.1016/j.jccw.2018.01.005","url":null,"abstract":"","PeriodicalId":90358,"journal":{"name":"The journal of the American College of Clinical Wound Specialists","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jccw.2018.01.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36547513","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-01-01DOI: 10.1016/j.jccw.2017.02.001
Edoardo Raposio MD, PhD, FICS , Francesco Simonacci MD , Davide Gorni MSc , Michele P. Grieco MD
Oxidative stress is hypothesized to be one of the main causes of the pathophysiologic alterations observed during impaired healing of wounds. In the present study, we aimed to measure systemic levels of free radicals in blood and anti-oxidant (AO) activity in the plasma of patients with chronic ulcers (venous stasis ulcers and arterial insufficiency ulcers) of lower extremities (CULEs). Oxidants and AO activity were measured in eighty-five consecutive patients with CVSUs of the lower extremities as they arrived randomly for routine visits to our ambulatory clinic. Values of oxidant and AO status in patients with CULEs were significantly different from normal. No significant differences in oxidant and AO values were found between patients with arterial ulcers or those with venous ulcers. A significant difference was found in AO values of diabetic patients with chronic venous ulcers compared with non-diabetic patients with chronic venous ulcers. No significant differences were observed when evaluating oxidant/AO values and smoking habits. Precise reasons why the association of diabetes and venous (but not arterial) ulcers was correlated with defective AO status in plasma are not known. Other data were also intriguing: diminished AO activity was observed in female patients, no significant differences in oxidant and values were found between patients with arterial ulcers or those with venous ulcers, no significant correlation was found between age and oxidant, as well as no significant differences were observed when evaluating oxidant/AO values and smoking habits.
{"title":"Plasma Oxidative Stress in Patients With Chronic Vascular Cutaneous Ulcers","authors":"Edoardo Raposio MD, PhD, FICS , Francesco Simonacci MD , Davide Gorni MSc , Michele P. Grieco MD","doi":"10.1016/j.jccw.2017.02.001","DOIUrl":"10.1016/j.jccw.2017.02.001","url":null,"abstract":"<div><p><span>Oxidative stress<span><span><span> is hypothesized to be one of the main causes of the pathophysiologic alterations observed during impaired healing of wounds. In the present study, we aimed to measure systemic levels of </span>free radicals in blood and anti-oxidant (AO) activity in the plasma of patients with </span>chronic ulcers<span> (venous stasis ulcers and arterial insufficiency ulcers) of lower extremities (CULEs). Oxidants and AO activity were measured in eighty-five consecutive patients with CVSUs of the lower extremities as they arrived randomly for routine visits to our ambulatory clinic. Values of oxidant and AO status </span></span></span>in patients<span> with CULEs were significantly different from normal. No significant differences in oxidant and AO values were found between patients with arterial ulcers<span> or those with venous ulcers. A significant difference was found in AO values of diabetic patients with chronic venous ulcers compared with non-diabetic patients with chronic venous ulcers. No significant differences were observed when evaluating oxidant/AO values and smoking habits. Precise reasons why the association of diabetes and venous (but not arterial) ulcers was correlated with defective AO status in plasma are not known. Other data were also intriguing: diminished AO activity was observed in female patients, no significant differences in oxidant and values were found between patients with arterial ulcers or those with venous ulcers, no significant correlation was found between age and oxidant, as well as no significant differences were observed when evaluating oxidant/AO values and smoking habits.</span></span></p></div>","PeriodicalId":90358,"journal":{"name":"The journal of the American College of Clinical Wound Specialists","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jccw.2017.02.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36851180","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}