Development of a Manual on the Technique of Applying the Unna Boot in Patients With Venous Leg Ulcers.

Introduction: Providing adequate care for people with venous leg ulcers (VLUs) can be a challenge. Numerous publications have discussed the importance of compression therapies on the treatment of VLUs, but few have described the necessary materials and techniques for applying the Unna boot, contributing to the underutilization of this therapy. The use of manuals is one of the strategies in the training of health professionals.

Experimental models of scald burns. A scope review.

Purpose: To conduct a scope review of the experimental model described by Walker and Mason, by identifying and analyzing the details of the method.

Methods: The authors searched Pubmed-Medline, Cochrane-Bireme and PEDro databases for articles published between January 2016 and December 2018, using the following search queries: burns, burn injuries, models animal, and animal experimentation. All articles whose authors used Walker and Mason's model - with or without changes to the method in Wistar rats - were included in this study.

Development of an Illustrated Guide to Techniques of Dressing Application in the Patient With Burns.

Introduction: Burns are complex, difficult-to-treat wounds associated with high rates of morbidity and mortality.

Objective: The aim of this study is to develop and validate an illustrated guide to techniques of dressing application for use in the initial management of the patient with burn wounds.

Methods: The construction of the illustrated guide was based on a literature review conducted of publications between 2001 to 2017 in MEDLINE/PubMed, Scientific Electronic Library Online, Cochrane Library, and Google Scholar.

Development and Validation of a Manual of Skin Care for Persons Deprived of Liberty in the São Paulo State Prison System: A Descriptive Study.

Unlabelled: Brazil has the third largest prison population in the world. Studies on the health status of prisoners have shown that skin diseases, especially infectious skin diseases, are prevalent in this population. Because some skin diseases can be prevented, strategies to inform and guide incarcerated persons may be helpful.

Hydrocellular Foam Versus Hydrocolloid Plate in the Prevention of Pressure Injuries.

Introduction: Pressure injury is one of the most prevalent skin injuries and a great challenge in the hospital environment. The implementation of preventive measures contributes to reducing its occurrence.

Objective: This study compares the protective effect of 2 adhesive dressings used in the prevention of pressure injuries in at-risk patients.

Development of a Manual for the Prevention and Treatment of Skin Tears.

Unlabelled: A skin tear is a partial-thickness wound whose main characteristic is the presence of a skin flap. There are many contributing factors to skin tears, but few practical guidelines are available in the literature for their prevention and management.

Objective: The aim of this study is to develop a manual for the prevention and treatment of skin tear injuries.

Prevalence and incidence of pressure injuries in pediatric hospitals in the city of São Paulo, SP, Brazil.

Objective: To identify the incidence and prevalence of pressure injuries (PIs) in children admitted to hospitals in the city of São Paulo, and assess the association between sociodemographic and clinical characteristics with hospital-acquired pressure injuries (HAPIs).

Materials And Methods: A total of 543 children were evaluated, and their sociodemographic and clinical data were recorded. Student's t, Wilcoxon, chi-square, and Fisher's exact tests were used to assess associations between risk factors and the occurrence of HAPIs.

Direct variable cost of the topical treatment of stages III and IV pressure injuries incurred in a public university hospital.

Aim: to estimate the direct variable costs of the topical treatment of stages III and IV pressure injuries of hospitalized patients in a public university hospital, and assess the correlation between these costs and hospitalization time.

Materials And Methods: Forty patients of both sexes who had been admitted to the São Paulo Hospital, São Paulo, SP, Brazil, from 2011 to 2012, with pressure injuries in the sacral, ischial or trochanteric region were included. The patients had a total of 57 pressure injuries in the selected regions, and the lesions were monitored daily until patient release, transfer or death.

Translation and cross-cultural adaptation of the Cardiff Wound Impact Schedule to Brazilian Portuguese.

Aim: To translate into Brazilian Portuguese and cross-culturally adapt the Cardiff Wound Impact Schedule, a specific measure of health-related quality of life (HRQoL) for patients with chronic wounds. Chronic wounds have a relevant impact on the HRQoL of patients. However, there are few instruments cross-culturally adapted and validated in Brazil to assess HRQoL in patients with wounds.

Health-related Quality of Life and Self-esteem Among Burn Patients.

Pyoderma gangrenosum is an unusual cause of skin ulcerations that wound specialists must be prepared to recognize. There is no diagnostic test since it is a diagnosis of exclusion, and if the disease is not recognized it can quickly become much worse. Pathergy, whereby a lesion begins or worsens due to trauma, such as a scrape, bite, debridement, surgery, or biopsy, is seen with pyoderma and requires special consideration.

The impact of skin grafting on the quality of life and self-esteem of patients with venous leg ulcers.

Background: The assessment of health-related quality of life in patients with venous leg ulcers provides important information for clinical decision making, evaluation of therapeutic benefits, and prediction of survival probabilities.

Methods: Health-related quality of life and self-esteem were assessed using the Medical Outcomes Study 36-Item Short Form Health Survey (SF-36) and the Rosenberg self-esteem (RSE) scale, respectively, in patients with venous leg ulcers treated with split-thickness skin grafts. One hundred patients with venous leg ulcers and indication for skin grafting were divided into two groups of 50 patients each: the control group (patients who received conservative treatment) and surgery group (patients who received split-thickness skin grafts).

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Unlabelled:  Objective. To assess sleep quality in a population of patients with diabetic foot ulcers.

Methods: This was an exploratory, descriptive, cross-sectional study.

Sleep Quality Among Patients With Venous Ulcers: A Cross-sectional Study in a Health Care Setting in São Paulo, Brazil.

 This was an exploratory, descriptive, cross-sectional study to assess sleep quality in 100 patients with venous ulcers using the Pittsburgh Sleep Quality Index (PSQI). Thirty-six (36%) patients had a global PSQI score < 5, indicating that they were good sleepers, while 64 (64%) patients were considered poor sleepers. Fifty-three (53%) patients reported going to bed between 9:00 pm and 11:00 pm, 63 (63%) taking from 16 to 30 minutes to fall asleep, and 41 (41%) waking up after 4 to 5 hours of sleep.

Assessment of depressive symptoms in people with diabetes mellitus and foot ulcers.

Objective: To evaluate the intensity of symptoms of depression in patients with diabetic foot ulcers.

Methods: a exploratory, descriptive, analytical and cross-sectional study was held at the wound clinic of a public hospital in Sorocaba, São Paulo State, Brazil. Fifty patients with diabetes mellitus and foot ulcers were enrolled.

Health-related quality of life and self-esteem in patients with diabetic foot ulcers: results of a cross-sectional comparative study.

To evaluate health-related quality of life (HRQoL) and self-esteem in patients with diabetic foot ulcers (DFUs), a cross-sectional, comparative study was conducted among 35 consecutive patients with diabetes mellitus (DM) attending outpatient clinics in Pouso Alegre, Brazil. Fifteen (15) patients with and 20 without a DFU participated in the study. Demographic variables were obtained and HRQoL and self-esteem were assessed using the Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36) and Rosenberg Self-Esteem Scale.

Self-esteem in patients with diabetes mellitus and foot ulcers.

Aim: To evaluate self-esteem in individuals with diabetes mellitus (DM) and foot ulcers.

Methods: This was a controlled, cross-sectional, analytical study. We selected 50 individuals with DM and foot ulcers (study group), as well as 50 with DM and without foot ulcers (control group).

Prevalence of pressure ulcers in a Brazilian hospital: results of a cross-sectional study.

Technological advances in recent decades have extended survival time of critically ill hospitalized patients but their unstable physiological state and limited mobility increase their risk for pressure ulcers. On two different days (June 16 and October 20, 2004), pressure ulcer prevalence in patients hospitalized at the São Paulo Hospital, Brazil was assessed. On study day 1, 43 of the 376 inpatients (prevalence, 11.

Orotracheal intubation: physicians knowledge assessment and clinical practices in intensive care units.

Objectives: To assess the physician’s knowledge on intubation techniques and to identify the common practices.

Methods: This was a prospective study, involving three different intensive care units within a University hospital: Anesthesiology (ANEST), Pulmonology (PULMO) and Emergency Department (ED). All physicians working in these units and consenting to participate in the study completed a questionnaire with their demographic data and questions on orotracheal intubation.

Effects of topical application of 10,000 IU heparin on patients with perineal dermatitis and second-degree burns treated in a public pediatric hospital.

Background: High-molecular-weight sodium heparin (10,000 IU) has been developed based on studies conducted on burn patients; it has anti-inflammatory, antigenic and anticoagulant properties.

Objectives: The aim of this paper was to evaluate the effects of topical application of sodium heparin spray on two immunosuppressed patients (a child and a young person) with perineal dermatitis and an immunosuppressed child with second-degree burns.

Methods: This is a report of three clinical cases treated in a pediatric hospital.

Pressure Ulcer Risk Factors Among the Elderly Living in Long-term Institutions .

Unlabelled:  Although many intrinsic and extrinsic risk factors are involved, pressure is the most important factor in the development of pressure ulcers. The elderly are more susceptible to the development of these skin lesions as a result of changes associated with the aging process. The aim of this study was to identify the risk factors for pressure ulcers in the elderly living in long-term institutions.

 Health-related Quality of Life and Depression in Older Patients With Pressure Ulcers.

Unlabelled:  Objectives. To evaluate health-related quality of life (HRQoL) and depression in older patients with pressure ulcers who were living at home in the community.

Methods: A cross-sectional analytical study conducted in southern Minas Gerais, Brazil.

Prevalence of pressure ulcers among the elderly living in long-stay institutions in São Paulo.

Context And Objective: The prevalence of pressure ulcers varies according to geographic region and population group, such as the institutionalized elderly. The aim of this study was to identify the prevalence of pressure ulcers among elderly people living in long-stay institutions.

Design And Setting: Cross-sectional study in six long-stay institutions for the elderly in São Paulo, Brazil.

Clinical and socio-demographic characteristics of persons with traumatic paraplegia living in São Paulo, Brazil.

Objective: To evaluate the clinical profile of individuals with paraplegia living in São Paulo, Brazil.

Method: The sample consisted of 60 outpatients with traumatic paraplegia from whom clinical and demographic data were obtained.

Results: The patients were predominately men (86.

Hemicellulose dressing versus rayon dressing in the re-epithelialization of split-thickness skin graft donor sites: a multicenter study.

The aim of this study was to compare the effectiveness of a hemicellulose dressing with that of rayon dressing in the healing of split-thickness skin graft donor sites. Twenty-eight patients were selected from five different hospitals and randomized into two groups: hemicellulose dressing group and rayon dressing group. All patients underwent split-thickness skin grafting for various reasons, and the skin graft donor site wounds were covered with hemicellulose dressing (n=14) or rayon dressing (n=14).

Cellulose Dressing Versus Rayon Dressing in Skin Graft Donor Sites: Aspects of Patients' Health-related Quality of Life and Self-esteem .

Unlabelled:  Objective. The aim of this study was to compare the health-related quality of life (HRQoL) and self-esteem of patients who underwent split-thickness skin grafting, when either cellulose dressings or rayon dressings were applied to the donor sites.

Methods: A total of 25 patients, who were enrolled at five participant hospitals and required split-thickness skin grafting for various clinical reasons, were randomized into two treatment groups, the rayon dressing group (n = 13), or the cellulose dressing group (n = 12).