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Int J Low Extrem Wounds
November 2024
Department of Medical-Surgical Nursing, School of Nursing at the University of Sao Paulo in Sao Paulo, Sao Paulo, Brazil.
The aim of this study was to identify and analyze the incidence rate of amputations and their risk factors in people with Diabetes Mellitus (DM) in two specialized outpatient clinics in Brazil. This is an epidemiological, retrospective cohort study using data collected from electronic health records of 281 adult diabetic patient types 1 or 2; attended in specialized outpatient service between 2015 and 2020. Statistical analyses were performed using the 2 sample t-test or Wilcoxon-Mann-Whitney test, for quantitative variables, and the Pearson's χ2 test or Fisher's exact test for categorical variables.
View Article and Find Full Text PDFColorectal Dis
November 2024
Department of Surgery, Linköping, Sweden, and Department of Biomedical and Clinical Sciences, Linköping University, Linköping, Sweden.
Aim: The aim of this work was to investigate the incidence of enterocutaneous fistula (ECF), including both small bowel and colonic fistulas, in a defined population of 1.04 million during a 10-year period and to describe aetiology, treatments, care consumption and outcome.
Method: A comprehensive search algorithm including diagnostic and procedural codes, enterostomal therapy nurse notes and in-hospital care for >60 days yielded 1970 search hits.
Healthcare (Basel)
September 2024
Health Professions Research and Development Unit, IRCCS Policlinico San Donato, 20097 San Donato Milanese, Italy.
This study, employing an interim analysis, investigates the effects of the Dermamecum protocol, a structured educational and tailored approach that stratifies ostomy patients into risk paths (green, yellow, red) based on pre-operative and post-operative characteristics. The green path indicates a low risk of peristomal skin complications (PSCs), focusing on sustaining healthy behaviours and basic stoma care. The yellow path represents a moderate risk, emphasizing the need for patients to self-monitor and recognize early signs of complications.
View Article and Find Full Text PDFAdv Skin Wound Care
September 2024
Yongli Cao, MSN, is Graduate Student in Oncology Nursing, Fujian Medical University, Fuzhou, Fujian Province, China. In the Clinical Oncology School of Fujian Medical University, Fujian Cancer Hospital, Changhui Zhu, BSN, RN, is Deputy Chief Nurse and Enterostomal Therapist; Hongyu Zhu, MSN, RN, is Clinical Nurse; Xiumei Chen, BSN, RN, is Head Nurse, Department of Radiation Oncology; and Huiyu Luo, BSN, RN, is Director of Nursing Department, Chief Nursing Office.
In this case report, the authors summarize their experience of using hydrogel combined with alginate dressings in the wound care of a patient with grade 4 acute radiation dermatitis. With the combination of hydrogel and alginate dressings, the authors achieved autolytic debridement of the wound and created a moist healing environment to facilitate wound closure. Hydrogel helps the dressing adhere better to the wound bed, ensuring that it does not easily detach during the wound healing process.
View Article and Find Full Text PDFJ Clin Med
August 2024
Departments of Medicine, Division of Gastroenterology, Schulich School of Medicine & Dentistry, Western University, London, ON N6A 5C1, Canada.
Acute Severe Ulcerative Colitis (ASUC) is a severe form of ulcerative colitis relapse which requires hospitalization and intensive medical intervention to avoid colectomy. The timely recognition of patients at risk of corticosteroid failure and the early initiation of medical rescue therapy are paramount in the management of ASUC. The choice of medical rescue therapy is influenced by multiple factors, especially patient's prior treatment history.
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