Early clinical performance of an adaptive self-assembling barrier scaffold in nonhealing chronic wounds: a review of six cases.

Introduction: Chronic nonhealing wounds pose a serious concern for patient health and the health care system. Management of chronic wounds becomes especially challenging in the setting of systemic comorbidities and patient nonadherence.

Objective: Authors evaluated the performance of a proprietary adaptive self-assembling barrier scaffold (aSABS) in the management and healing of complex chronic wounds.

Relationship between maximum voided volume obtained by bladder diary compared to contemporaneous uroflowmetry in men and women.

Introduction: The 24-hour bladder diary is considered to be the gold standard for evaluating maximum voided volume (MVV). However, we observed that patients often have a greater MVV during office uroflowmetry than that seen in the bladder diary. The purpose of this study is to compare these two non-invasive methods by which MVV can be determined - at the time of uroflowmetry (Q-MVV), or by 24hour bladder diary (BD-MVV).

EBV-negative Aggressive NK-cell Leukemia/Lymphoma: Clinical, Pathologic, and Genetic Features.

Aggressive natural killer cell leukemia (ANKL) is a systemic NK-cell neoplasm, almost always associated with Epstein-Barr virus (EBV). Rare cases of EBV-negative ANKL have been described, and some reports suggested more indolent behavior. We report the clinicopathologic, immunophenotypic, and molecular characteristics of 7 EBV-negative ANKL.

Methods in leukocyte cytochemistry.

During the development and maturation of hematopoetic precursors, certain enzymes and associated substances, such as glycogen, are produced in the developing cells (1,2), which, if detected, can provide important clues to the lineage and classification of leukemias. Although the evaluation of abnormal populations of white blood cells has been greatly refined by the use of immunohistochemistry, flow-cytometric analysis (3), and molecular studies, cytochemistry still plays an important role in the assessment of the abnormal marrow and peripheral blood smear. Cytochemical studies, therefore, still have a role to play in the evaluation of leukemias and other hematological diseases see Fig.

Overtime reduction with the press of a button. An unexpected outcome of computerized documentation.

Overtime takes its toll on the staff and creates an opportunity to control cost. The purpose of this research was to investigate actual and perceived overtime amounts of nursing staff members before and after the implementation of a handheld computerized patient documentation system. Overtime amounts have decreased 29% since implementation of the system.

A comparison of demand-valve and bag-valve ventilations in a swine pneumothorax model.

Objective: Two means of delivering artificial ventilation readily available to out-of-hospital personnel are the bag-valve (BV) and the O2-powered demand-valve (OPDV). However, use of the OPDV has been limited because of concerns that it may worsen an underlying pneumothorax. This study compared the changes in size of pneumothorax in swine ventilated with the 2 devices.

Focus group feedback from breast cancer patients.

Wayne Memorial Hospital uses focus groups to elicit feedback from clients. One group involved 11 women with breast cancer. Aspects of interest included screening and detection, diagnostic evaluation, treatment, life after cancer, and general perceptions of cancer care.

Radiology uses of the Internet.

The Internet promises to be an essential resource for radiology administrators. In addition to offering remarkable access to colleagues all over the world, the Internet offers specialized information resources for radiology, many of which are described in this article. The Internet is many networks that communicate with each other and whose general purpose is to share information.