10 results on '"Wound characteristics"'
Search Results
2. Influence of environmental risk factors on the development of wounds associated with squamous cell carcinoma.
- Author
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Jia, Yulei, Chen, Fengchao, Yan, Tongtong, Zhang, Siya, Salem, Mohamed M., Singh, Soumya, Salem‐Bekhit, Mounir M., Kumar, Sanjay Kirshan, and Ali, Muhammad Mehr
- Subjects
INJURY risk factors ,SQUAMOUS cell carcinoma ,RISK assessment ,CROSS-sectional method ,T-test (Statistics) ,LOGISTIC regression analysis ,DESCRIPTIVE statistics ,CHI-squared test ,MULTIVARIATE analysis ,ENVIRONMENTAL exposure ,DATA analysis software ,DISEASE risk factors - Abstract
The incidence of squamous cell carcinoma (SCC) is on the rise, making it a significant global health concern. Environmental risk factors are crucial to the development of SCC. This study sought to examine comprehensively the impact of these factors on the onset of SCC. We conducted a cross‐sectional study involving 480 participants at Beijing tertiary care hospital. Utilizing structured questionnaires, data on demographics, environmental exposures, medical history and clinical characteristics were collected. The cohort was composed of 272 men (56.67%) and 208 women (43.33%). The majority (44.38%) were between ages of 41 and 60, and Type III skin predominated (34.79%). Most of the participants belonged to the middle socioeconomic class (60.83%). 'Vegetarian' dietary habits (46.67%) were prevalent, as was the 'Sedentary' lifestyle (49.79%). Regarding environmental exposures, moderate sun exposure of 3 to 5 h per day (54.58%) and UV protective eyewear (30.83%) were prevalent. The majority (69.58%) of respondents indicated 'Never' exposure to carcinogens. A variety of wound characteristics were observed, with 'non‐smokers' (64.17%) dominating. Most SCC lesions were located on the extremities (40.21%), lasted less than 6 months (44.38%) and measured 1–3 cm (39.79%). The majority (54.58%) did not have a history of cutaneous injuries. Our research uncovered substantial relationships between SCC and numerous environmental variables, gender, Fitzpatrick skin type, occupation, duration of sun exposure, exposure to carcinogens, dietary practices, history of skin wounds, wound location, duration, size and depth were significantly associated with the onset of SCC. These results highlighted the complexity of SCC aetiology and need for individualized prevention and treatment strategies. [ABSTRACT FROM AUTHOR]
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- 2024
- Full Text
- View/download PDF
3. Best practices for managing malodorous and infected wounds in advanced cervical cancer.
- Author
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Hamid, Habibah Abdul, Lin, Xiaoqian, Qin, Yuan Kun, Akim, Abdah Md, Zhang, Longjiu, Wang, Jue, Wang, Hui, Li, Ying, Teng, Xiaofei, Zhang, Shangmeng, Xu, Huanyu, and Lin, Xiaoqing
- Subjects
STRATEGIC planning ,WOUND infections ,CROSS-sectional method ,PHOTODYNAMIC therapy ,REGRESSION analysis ,PATIENT satisfaction ,TUMOR classification ,DESCRIPTIVE statistics ,PHYSICIAN practice patterns ,ODORS ,CERVIX uteri tumors ,EDUCATIONAL attainment ,WOUND care - Abstract
This cross‐sectional study was conducted to examine the most effective strategies for managing malodorous and infected wounds in patients who have been diagnosed with advanced cervical cancer. The research was conducted in Liupanshui, China. The study specifically examined demographic profiles, wound characteristics and effectiveness of wound management approaches. The study incorporated the heterogeneous sample of 289 participants who fulfilled the inclusion criteria. Data collection was conducted via structured questionnaires and medical record evaluations. Descriptive statistics and statistical analyses, such as regression analysis, were utilized to evaluate demographic attributes, wound profiles and effects of different approaches to wound management. The findings unveiled the heterogeneous demographic composition of patients, encompassing differences in socioeconomic standing, educational attainment and age. A wide range of wound characteristics were observed, as 65.7% of lesions during the acute phase with diameter between 2 and 5 centimetres, while 41.5% of lesions had this range. The most prevalent types of infections were those caused by fungi (48.4%), followed by bacterial infections lacking resistance (38.1%). A moderate degree of odour intensity was prevalent, affecting 45.0% of the cases. With maximal odour reduction of 80%, a mean healing time of 25 days and patient satisfaction rating of 4.5 out of 5, Negative Pressure Wound Therapy demonstrated itself to be the most efficacious treatment method. Additional approaches, such as photodynamic therapy and topical antibiotic therapy, demonstrated significant effectiveness, as evidenced by odour reductions of 70% and 75%, respectively, and patient satisfaction ratings of 4.3 and 4.2. Thus, the study determined challenges associated with management of malodorous and infected lesions among patients with advanced cervical cancer. The results underscored the significance of individualized care approaches, drew attention to efficacious wound management techniques and identified critical determinants that impacted patient recuperation. The findings of this study hold potential for advancing palliative care for individuals diagnosed with advanced cervical cancer. [ABSTRACT FROM AUTHOR]
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- 2024
- Full Text
- View/download PDF
4. Wounding characteristics and treatment principles of ground anti-armored vehicle ammunition against armored crew
- Author
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Yue Li, Guang-Ming Yang, Yong-Bo Zhao, and Bing-Cang Li
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Ammunition ,Armored vehicles ,Wound characteristics ,Treatment principle ,Medicine (General) ,R5-920 - Abstract
The wound mechanism, injury characteristics and treatment principles of anti-armored vehicle ammunition against armored crew in the past 20 years are summarized in this paper. Shock vibration, metal jet, depleted uranium aerosol and post armor breaking effect are the main factors for wounding armored crew. Their prominent characteristics are severe injury, high incidence of bone fracture, high rate of depleted uranium injury, and high incidence of multiple/combined injuries. During the treatment, attention must be paid on that the space of armored vehicle is limited, and the casualties should be moved outside of the cabin for comprehensive treatment. Especially, the management of depleted uranium injury and burn/inhalation injury are more important than other injuries for the armored wounds.
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- 2023
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5. Wounding characteristics and treatment principles of ground anti-armored vehicle ammunition against armored crew.
- Author
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Li, Yue, Yang, Guang-Ming, Zhao, Yong-Bo, and Li, Bing-Cang
- Abstract
The wound mechanism, injury characteristics and treatment principles of anti-armored vehicle ammunition against armored crew in the past 20 years are summarized in this paper. Shock vibration, metal jet, depleted uranium aerosol and post armor breaking effect are the main factors for wounding armored crew. Their prominent characteristics are severe injury, high incidence of bone fracture, high rate of depleted uranium injury, and high incidence of multiple/combined injuries. During the treatment, attention must be paid on that the space of armored vehicle is limited, and the casualties should be moved outside of the cabin for comprehensive treatment. Especially, the management of depleted uranium injury and burn/inhalation injury are more important than other injuries for the armored wounds. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
6. Wound characteristics and infiltration with immune globulin for rabies postexposure prophylaxis in the emergency department.
- Author
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Iso, Tomona, Yuan, Fangzheng, Rizk, Elsie, Tran, Anh Thu, Saldana, R. Benjamin, Boyareddigari, Prasanth R., Nguyen, Ngoc-anh A., Espino, Daniela, and Swan, Joshua T.
- Abstract
Objective: This study described characteristics of wounds caused by animal exposures and evaluated patient factors and wound factors associated with wound infiltration of human rabies immune globulin (HRIG).Materials and Methods: This retrospective cohort study evaluated wound characteristics among patients who had visible wounds and received HRIG or rabies vaccine for rabies postexposure prophylaxis (PEP) at 15 emergency departments from May 2016 to June 2018.Results: Of 110 included patients (9 children, 82 adults, and 19 older adults), 21% (n = 23) had ≥2 wounds, and 10% (n = 11) had infected wounds. Twenty-eight (25%) patients had severe wounds, defined as receiving sutures (n = 20) or reaching subcutaneous tissue or bone (n = 20). Wounds were present on upper extremities for 42% (n = 46) of patients, lower extremities for 35% (n = 38), head/face for 3% (n = 3), and in multiple locations for 21% (n = 23). Wounds were < 3 cm in length for 64% (n = 70) of patients. Puncture wounds were present in 60% (n = 66) of patients, abrasions in 45% (n = 49), and lacerations in 38% (n = 42). Among 108 wounds from 82 patients with documented HRIG administration sites, 57% (n = 62) of wounds received HRIG infiltration. Infiltration occurred less frequently for wounds on the face/head/torso (adjusted odds ratio [aOR] = 0.07, 95% confidence interval [CI] = 0.01 to 0.49), wounds on hands/fingers (aOR = 0.20, 95% CI = 0.06 to 0.65), and abrasion-only wounds (aOR = 0.26, 95% CI = 0.08 to 0.80) after adjusting for age.Conclusions: Upon presentation for rabies PEP, most patients did not have severe wounds and did not require emergency services or complex wound management. Wounds on the face, head, torso, hands, or fingers and abrasions were less likely to receive HRIG infiltration. [ABSTRACT FROM AUTHOR]- Published
- 2022
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7. The profile of patients with venous leg ulcers: A systematic review and global perspective.
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Gethin, G., Vellinga, A., Tawfick, W., O'Loughlin, A., McIntosh, C., Mac Gilchrist, C., Murphy, L., Ejiugwo, M., O'Regan, M., Cameron, A., and Ivory, J.D.
- Abstract
A holistic profile that includes demographic, medical history and wound characteristics of individuals with venous leg ulceration is lacking. Lack of such a profile negatively impacts the ability to develop interventions to improve patient outcomes. To describe the profile of the patient population with venous leg ulceration from published observational (non-interventional) studies and to identify gaps in the knowledge base for future research in this area. A systematic review of observational studies that included more than 50 patients, from any world region, of any age and in any care setting. twenty studies, involving 3395 patients, from all world regions met our criteria. Demographic characteristics were well reported and showed a female to male ratio of 1.2:1, average age of 47–65 years, high levels of co-morbidities including hypertension (53–71%) and diabetes (16–20%), and only one study reporting ethnicity. When reported, approximately 4–30% had high levels of depression. The average wound size was 18.6–43.39 cm
2 ; mean wound duration was 13.8–65.5 months, mean number of recurrences was four. No study reported on demographic factors plus medical history plus wound characteristics together. a comprehensive, holistic profile of the population with VLU is lacking. There is a critical need for more comprehensive profiling to enable the development of targeted interventions to improve outcomes. • Venous leg ulcer patient profiles from five global regions vary in comprehensiveness. • Overall, a comprehensive characterisation of this population has not been documented. • Profile: female, >65, obese, multiple comorbidities, risk of cardiovascular events. [ABSTRACT FROM AUTHOR]- Published
- 2021
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8. The profile of patients with venous leg ulcers: A systematic review and global perspective
- Author
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Caroline McIntosh, Louise Murphy, Akke Vellinga, Wael Tawfick, Adam Cameron, John D. Ivory, Marion O'Regan, M. Ejiugwo, Georgina Gethin, Aonghus O'Loughlin, and C. Mac Gilchrist
- Subjects
Male ,medicine.medical_specialty ,Patient profile ,Population ,Psychological intervention ,Ethnic group ,Dermatology ,Pathology and Forensic Medicine ,Varicose Ulcer ,Care setting ,030207 dermatology & venereal diseases ,03 medical and health sciences ,0302 clinical medicine ,Diabetes mellitus ,Internal medicine ,Medicine ,Humans ,Medical history ,education ,Aged ,education.field_of_study ,030504 nursing ,business.industry ,Leg Ulcer ,Targeted interventions ,Middle Aged ,medicine.disease ,Wound characteristics ,Venous leg ulcers ,Systematic review ,Observational study ,Female ,0305 other medical science ,business - Abstract
Background A holistic profile that includes demographic, medical history and wound characteristics of individuals with venous leg ulceration is lacking. Lack of such a profile negatively impacts the ability to develop interventions to improve patient outcomes. Objectives To describe the profile of the patient population with venous leg ulceration from published observational (non-interventional) studies and to identify gaps in the knowledge base for future research in this area. Methods A systematic review of observational studies that included more than 50 patients, from any world region, of any age and in any care setting. Results twenty studies, involving 3395 patients, from all world regions met our criteria. Demographic characteristics were well reported and showed a female to male ratio of 1.2:1, average age of 47–65 years, high levels of co-morbidities including hypertension (53–71%) and diabetes (16–20%), and only one study reporting ethnicity. When reported, approximately 4–30% had high levels of depression. The average wound size was 18.6–43.39 cm2; mean wound duration was 13.8–65.5 months, mean number of recurrences was four. No study reported on demographic factors plus medical history plus wound characteristics together. Conclusion a comprehensive, holistic profile of the population with VLU is lacking. There is a critical need for more comprehensive profiling to enable the development of targeted interventions to improve outcomes.
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- 2020
9. Pressure ulcers and prognosis: Candid conversations about healing and death.
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Takahashi, Paul Y.
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PRESSURE ulcers , *HEALING , *DEATH , *PROGNOSIS , *WOUND healing , *DEATH rate , *DIAGNOSIS - Abstract
Patients face the unwelcome diagnosis of pressure ulcers in hospitals and nursing homes around the world. Health care providers impart advice not only about treatment but also about prognosis and expectations. Accurate and informative prognosis at the initial consultation provides a framework for realistic patient expectations about wound healing and potential mortality. Many factors contribute to the prognosis in this multi-component equation. These factors include advancing age, the size and stage of the pressure ulcer, the current nutritional situation, and the chronic disease burden the patient suffers. Patients with pressure ulcers are often frail, resulting in 6-month mortality rates that are often high in this population. [ABSTRACT FROM AUTHOR]
- Published
- 2008
10. Mechanism of Injury in Gunshot Wounds: Myths and Reality.
- Author
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Silvia, A. J.
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BALLISTIC instruments ,TECHNICAL reports ,MEDICAL misconceptions - Abstract
Despite technological advances, ballistic literature in the 20th century remains replete with errors, misconceptions, half truths, and false representations. In the majority of the literature, there has not been a deliberate attempt to distort or misrepresent the facts but rather a reliance on myth and misconception. It is this author's goal to impart a sound, scientifically supported overview of gunshot wounds and their mechanism of injury. In doing so, critical care nurses can care better for individuals suffering from gunshot wounds and more effectively assist the criminal justice system. [ABSTRACT FROM AUTHOR]
- Published
- 1999
- Full Text
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