Intraoperative Pressure Injury Prevention.

Pressure injury (PI) prevention in the operating room (OR) has unique considerations based on the patient, procedure, position for the surgical procedure, and available positioning devices. Patient-specific factors contribute to their risk of incurring an intraoperative PI from the American Society of Anesthesiologists classification, sex, body mass index, comorbidities, age, and nutritional status. Additionally, there are surgery-specific risk factors such as length of procedure, intraoperative hypotension, lack of normothermia, and intraoperative blood loss.

Wound Care in Venous Disease and Lymphedema.

The circulatory and lymphatic systems play vital roles at the capillary level and throughout our bodies. Venous disease can lead to water-rich edema which this fluid is removed by an intact lymphatic system. However, if the lymphatic system is constantly tasked with removing edema, it can becomes damaged over time.

Updates in Arterial Ulcers.

Arterial ulcers are a clinical symptom of a complex array of underlying comorbid factors, namely peripheral artery disease (PAD). Chronic limb-threatening ischemia is representative of end-stage PAD. Ulcers of other etiologies can carry an arterial component, mandating recognition of risk factors, a comprehensive history and physical examination, and appropriate diagnostic testing in lower extremity ulcers.

Wound Care in Children and Adolescents.

This article reviews the current state of pediatric wound care and the future of pediatric wound care and provides an overview of pediatric wound care and skin integrity maintenance. The article guides the dressing selection for wounds across the age spectrum in pediatrics and other conditions.

Complications of Wounds in the Acute Care Setting.

There is a significant care burden on wound care patients in the acute care space. During hospitalization, additional risk factors can cause wounds to develop, particularly in the emergency room, operating room, and intensive care units. This article will highlight common wound types, their potential complications in the acute care setting, and implications for practice.

Future Direction of Wound Care.

Chronic wounds are a common condition that affects a patient's quality of life and drives the cost of health care delivery high. Vigilant wound assessment and close monitoring using adequate and reliable methods and technology are vital to wound care management. Wound assessment, including visual evaluation of tissue and surrounding skin, and measurements are essential in developing an appropriate care plan.

Wound Care Education in Undergraduate and Graduate Nursing Settings.

Chronic wounds are a significant global health issue, yet they are not adequately addressed in nursing education. This lack of focus results in nursing students graduating with insufficient knowledge in chronic wound care, leading to inadequate clinical practice. Consequently, nurses often struggle to manage wounds effectively, which negatively impacts patient care quality.

The Role of the Wound, Ostomy, and Continence Nurse in an Earthquake.

The Wound, Ostomy, and Continence (WOC) nurses undertake critical duties after an earthquake. These tasks include emergency triage and treatment, prevention and management of infection, prevention of organ loss, psychological support to the injured, and close cooperation and support with other health care professionals. Although WOC nurses have received advanced training in wound management in the basic training and certified training programs they receive, wound management in earthquake conditions is not a part of their training.

The Multidisciplinary and Interdisciplinary Teamwork Across Care Settings and Transitions of Care.

The increasing complexity of health care and the growing demand for safe, high-quality health care have underscored the crucial need for interdisciplinary teams in health care. As people are living longer, a myriad of complex health care needs arise, necessitating specialized care from various health care professionals. Interdisciplinary teams include a group of health care professionals with various areas of expertise who work together to achieve mutual goals on behalf of a patient and their other significant individuals.

Ethnicity, Skin Tones, and Cultural Considerations in Wound Care: Challenges and Solutions.

Wound care patients often have a variety of chronic medical conditions that result in poor outcomes, such as delayed healing and nontraumatic limb loss. Many of these suboptimal patient outcomes result from healthcare disparities linked to social determinants of health (SDOH). Race and ethnicity influence SDOH by impacting patients' access to consistent quality healthcare.

Transition of Care Challenges and Opportunities for Chronic Wounds.

The transition of care (TOC) from acute to community-based settings presents significant challenges, especially for patients with chronic wounds. Effective communication and standardized discharge planning are critical to prevent readmissions and adverse events. This article explores the complexities of TOC, the role of skilled nursing and community-based long term care facilities, and the importance of interdisciplinary team approaches in wound care.

Postacute Overview of Burn Injuries: Pathophysiology, Management, and Future Directions.

This article provides a comprehensive overview of the pathophysiology, treatment methods, outpatient rehabilitation, and future directions related to burn injuries. It details the classification of burns, treatment strategies, wound care management, and rehabilitation processes. Modern approaches, such as AI-supported models and telemedicine, are highlighted in burn treatment.

Surgical Site Infection Arising from the Operating Room.

Surgical site infections (SSIs) pose a significant challenge in surgical care, leading to increased patient morbidity, mortality, and health care costs. This article examines the risk factors for SSIs, particularly within the operating room environment, and highlights effective prevention strategies. Key pathogens, such as Staphylococcus aureus, are identified, and the role of infection control practices, including hand hygiene, surgical techniques, and environmental controls, is discussed.

Common Oncologic Wounds.

This article presents clinically focused, evidence-based summary of common wounds and alterations in tissue/skin associated with oncologic treatment, with a focus on risk factors, identification, prevention, and management of acute radiation dermatitis and chemotherapy-induced extravasation.

Wounds in the Unhoused Population.

This study investigates the unique challenges of wound care among the unhoused population, focusing on assessment, treatment, and documentation strategies in low-resource settings. The research underscores the prevalence of trauma, chronic illnesses, and environmental exposures that complicate wound management. The paper illustrates the diverse and complex nature of wounds encountered in this population through detailed case studies, providing practical insights for health care providers.

Tropical Diseases Wounds.

Tropical diseases are no longer restricted to the tropics, and we have seen an emergency for many diseases in the United States. Increasing migration, international travel, tourism, and work visits to the tropical regions have contributed to the increase. Climate change and global warming may be causing tropical diseases and vectors to spread to areas previously spared.

Chronic Wounds and Dressings: An Overview of Management and Effectiveness.

Chronic wounds are complex conditions categorized into pressure injuries, diabetic foot ulcers, venous leg ulcers, and arterial ulcers. In managing these wounds, the selection of appropriate wound care products is of critical importance. Commonly used dressings include hydrocolloid, hydrogel, alginate, foam, and silver-containing dressings.

Accelerated epigenetic aging worsens survival and mediates environmental stressors in fibrotic interstitial lung disease.

Background: The role of epigenetic aging in the environmental pathogenesis and prognosis of fibrotic interstitial lung disease (fILD) is unclear. We evaluated whether ambient particulate matter ≤2.5 μm (PM) and neighbourhood disadvantage exposures are associated with accelerated epigenetic aging, and whether epigenetic age is associated with adverse clinical outcomes in patients with fILD.

Efficacy and safety of the activin signalling inhibitor, sotatercept, in a pooled analysis of PULSAR and STELLAR studies.

Introduction: Pulmonary arterial hypertension (PAH) is a progressive disease associated with significant morbidity and mortality. Sotatercept is a first-in-class activin signalling inhibitor that acts to restore the balance between the growth-promoting and growth-inhibiting signalling pathways.

Methods: This post-hoc, exploratory, pooled analysis combines data from the double-blind placebo periods of the phase 2 PULSAR (NCT03496207) and phase 3 STELLAR (NCT04576988) studies.

A proof-of-mechanism trial in asthma with lunsekimig, a bispecific nanobody® molecule.

Background: Monovalent biologics blocking thymic stromal lymphopoietin or interleukin-13 have been shown to elicit pharmacodynamic responses in asthma following a single dose. Therefore, dual blockade of these cytokines may result in an enhanced response compared to single targeting and has the potential to break efficacy ceilings in asthma. This study assessed the safety and tolerability of lunsekimig, a bispecific NANOBODY molecule that blocks thymic stromal lymphopoietin and interleukin-13, and its effect on Type 2 inflammatory biomarkers and lung function in asthma.

A Latent Trait-based Measure as a Data Harmonization and Missing Data Solution Applied to the Environmental Influences on Child Health Outcomes Cohort.

Background: Collaborative research consortia provide an efficient method to increase sample size, enabling evaluation of subgroup heterogeneity and rare outcomes. In addition to missing data challenges faced by all cohort studies like nonresponse and attrition, collaborative studies have missing data due to differences in study design and measurement of the contributing studies.

Methods: We extend ROSETTA, a latent variable method that creates common measures across datasets collecting the same latent constructs with only partial overlap in measures, to define a common measure of socioeconomic status (SES) across cohorts with varying indicators in the Environmental influences on Child Health Outcomes Cohort, a consortium of pregnancy and pediatric cohorts.

Internalized Sexism and Well-Being in the United States.

Although structural sexism in state-level institutions is harmful to women's and men's health, less is known about how micro-level structural sexism relates to well-being. Using the 2017 and 2021 Gallup Values and Beliefs of the American Public surveys (N = 1,501 in 2017; N = 1,248 in 2021), we investigate diverse approaches to internalized sexism. Although we find no significant associations with self-rated health, gender traditionalism is linked to greater depressive and anxiety symptoms for women and men, providing the first population evidence for its universal harm in the United States.

Helping Teens Move + Thrive: Adolescents' Preferences for Online Exercise Videos.

Online exercise videos can reach adolescents who lack access to in-person physical activity (PA). Yet, health professionals are wary of recommending online exercise resources because most free videos fail to represent diverse teens and perpetuate harmful norms. Our study had two purposes.