ABSTRACT
On the last day of the 12th Annual Clinical Symposium on Wound Management, a panel of clinicians from various disciplines, and with diverse experience in wound management, discussed the challenges and rewards of being part of a multidisciplinary team caring for patients with wounds. Panelists included Sharon Baranoski, MSN, RN, CETN; C. Andrew Salzberg, MD; Marlys J. Staley, MS, PT; and David R. Thomas, MD, FACP. Elizabeth A. Ayello, PhD, RN, CS, CETN, was the moderator. An excerpt from this session is published here.
Subject(s)
Patient Care Team/organization & administration , Pressure Ulcer/therapy , Wound Healing , Humans , Job Description , Job SatisfactionABSTRACT
Pressure has been used since the early 1970s by burn care provides to help minimize the formation of hypertrophic scars. Although the exact mechanism of action is unknown, pressure appears clinically to enhance the scar maturation process. Bandages that can be wrapped and unwrapped or are made of a soft material are used in early scar management. Custom-made pressure garments generally are used for definitive scar management. Inserts are placed in concavities to aid in compression. Whatever intervention is used for scar management, patient and family should be educated about the realistic, potential outcome.
Subject(s)
Bandages , Burns/therapy , Cicatrix, Hypertrophic/therapy , Burns/complications , Cicatrix, Hypertrophic/etiology , Cicatrix, Hypertrophic/prevention & control , Humans , PressureABSTRACT
A prospective study was performed to determine whether patterns of burn scar maturation varied among different pediatric age groups. Patients were divided into three groups according to age at the time of burn injury: birth to 3 years, 4 to 11 years, and 12 to 18 years. Scarring of sheet grafts on an extremity was assessed throughout the maturation process in three areas: vascularity, pliability, and height. A 1-inch square was selected on the graft edge adjacent to unburned skin. Two experienced therapists independently evaluated the test area and averaged their scores. There were no significant differences in rate of scar maturation between age groups. Burn scar maturation of sheet skin grafts in the pediatric patient with burns demonstrated a rapid peak of scarring (1 to 2 months) and scar maturation (9 to 13 months).
Subject(s)
Burns/physiopathology , Cicatrix/physiopathology , Skin Transplantation/physiology , Wound Healing , Adolescent , Age Factors , Bandages , Burns/epidemiology , Burns/surgery , Child , Child, Preschool , Cicatrix/epidemiology , Humans , Infant , Prospective Studies , Time FactorsSubject(s)
Burns/physiopathology , Physical Therapy Modalities , Burns/rehabilitation , Burns/surgery , Cicatrix/pathology , Female , Humans , Middle Aged , MovementABSTRACT
We report a case of carcinoid, diagnosed histochemically and biochemically, which was associated with grossly elevated serum prostatic acid phosphatase and normal serum prostate specific antigen.
Subject(s)
Acid Phosphatase/blood , Carcinoid Tumor/enzymology , Prostate/enzymology , Aged , Carcinoid Tumor/pathology , Humans , Immunohistochemistry , MaleABSTRACT
Plasma fructosamine and its relation to plasma total protein and albumin was examined in 40 non-diabetic pregnant women. Plasma fructosamine did not correlate with haemoglobin A1 or plasma albumin. The mean intra-individual ranges were plasma fructosamine 0.53 mmol/l (SD 0.17); haemoglobin A1 1.42% (SD 0.42); plasma fructosamine/g albumin 0.024 mmol (SD 0.005) and plasma fructosamine/g total protein 0.008 mmol (SD 0.003). A high degree of individuality for these variables was also observed.
Subject(s)
Hexosamines/blood , Pregnancy/blood , Adolescent , Adult , Blood Proteins/analysis , Female , Fructosamine , Hemoglobin A/analysis , Humans , Reference Values , Serum Albumin/analysis , Time FactorsABSTRACT
The mean fructosamine concentration in plasma of diabetics (n = 200) differed significantly (p less than 0.001) from those of a hospitalized nondiabetic population (n = 163)--the latter mean being essentially the same for ambulatory subjects (n = 145), expectant mothers (n = 58), and patients with renal failure (n = 31), regardless of sex. In the diabetic group, values for plasma fructosamine correlated with those for glycated hemoglobin (r = 0.767, p less than 0.01) and glycated protein (r = 0.817, p less than 0.01). Values for plasma fructosamine were stable from day to day in patients with controlled blood glucose, but fluctuated in certain patients receiving only parenteral nutrition, even when their concentrations of glucose were normal and stable. We conclude that measurement of plasma fructosamine is suitable for assessing intermediate-term control of blood glucose when the turnover of plasma proteins is normal.
Subject(s)
Diabetes Mellitus/blood , Hexosamines/blood , Blood Glucose , Diabetes Mellitus/diagnosis , Female , Fructosamine , Glycated Hemoglobin/blood , Humans , Male , Parenteral Nutrition , PregnancySubject(s)
Alcoholism/blood , Nutrition Disorders/blood , Prealbumin/analysis , Retinol-Binding Proteins/analysis , Adult , Aged , Female , Humans , Male , Middle AgedSubject(s)
Creatinine/blood , Adult , Autoanalysis , Diabetic Retinopathy/diagnosis , Female , Fluoresceins , HumansABSTRACT
Electical potentials across the membrane in a modified AutoAnalyzer dialyzer (Technicon) have been determined under various conditions and related to the dialysis of 45Ca. The results suggest that anomalies in the diffusion of calcium from protein and nonprotein containing streams could be due to factors other than "Donnan equilibrium effects."
