Category: Articles

Regenative Labs announces groundbreaking Wharton’s Jelly research demonstrating HCT/P compliance after processing

This includes the analogous nature of articular cartilage, muscle fascia, and intervertebral disc confirmed by way of comparative Scanning Electron Microscope analysis

PENSACOLA, Fla., Aug. 15, 2022 /PRNewswire/ — Regenative Labs, a leading HCT/P manufacturer, has co-authored a pioneering paper together with experts from The Institute of Regenative Medicine and the Department of Pharmacology and Chemical Biology, Baylor College of Medicine.

 

“This paper is a market disruptor and will be our most significant paper released to date. This is the first literature that we are aware of to utilize Scanning Electron Microscope (SEM) images of actual tissue samples to objectively demonstrate on a qualitative and quantitative basis that collagen structural tissue matrices in our post-processed Wharton’s Jelly allografts and those in articular cartilage, muscle fascia, and intervertebral discs are analogous,” said Regenative Labs CEO, Tyler Barrett.

 

This research highlights our commitment to the Regenerative Medicine community. We believe the combination of our IRB-approved observational studies, peer-reviewed publications, ISO-certified laboratory processes, and our commitment to compliance with FDA and American Association of Tissue Banks (AATB) standards, sets the standard for HCT/P manufacturers. Regenative Labs has pioneered the use of perinatal tissue allografts and is pleased that this paper supports our current homologous use practices, consistent with our 361 status.

 

Currently, the treatments for the Intervertebral Disc (DDD) range in cost and effectiveness from an $8 bottle of Ibuprofen to $150,000 for spinal fusion (1). Neither of these treatment options target the foundational issue of ECM cartilage breakdown in the intervertebral discs. By age 35, 30% of people show signs of DDD; by age 60, this increases to 90% (2). That we are aware of, this is the first perinatal tissue allograft in the medical marketplace that may be applied in a homologous fashion per FDA 361 guidelines to replace or supplement missing or damaged connective tissue. All other non-surgical paradigms focus on symptom management and do not address the disc’s collagen structural degeneration. In collaboration with medical providers across the country, we are actively investigating additional homologous use applications for this technology in tissue defects associated with the load-bearing joints of the knee, hip, shoulder, spine, ankle, and foot.

 

Billions of dollars are spent annually on the surgical care and treatment of patients suffering from degeneration of load-bearing joints and intravertebral discs. We are honored to offer patients evidence-based and structural tissue defect-specific non-surgical applications on a global scale.

 

Additional Sources:

  1. How much does degenerative disc treatment cost? CostHelper. (n.d.). Retrieved August 10, 2022, from https://health.costhelper.com/degenerative-disc.html
  2. Degenerative disc disease. Columbia Neurosurgery in New York City. (2021, July 21). Retrieved August 10, 2022, from https://www.neurosurgery.columbia.edu/patient-care/conditions/degenerative-disc-disease

 

About Regenative Labs: Regenative Labs produces regenerative medicine products to address the root cause of a patient’s conditions using Wharton’s Jelly innovations rather than masking the pain with other treatments. Regenative Labs works closely with scientists, physicians, hospitals, and surgery centers to constantly monitor and improve patient progress and outcomes for new product development. Formed by veteran industry professionals familiar with daily challenges of innovations in healthcare, the company provides non-addictive, non-invasive options for patients. Regenative Labs’s expert product research and development team complies FDA guidelines of minimal manipulation for homologous use. The company adheres to AATB and FDA guidelines. Learn more at Regenative’s website: www.regenativelabs.com

 

SOURCE Regenative Labs

MolecuLight Secures Financing from BDC Canada and iGan Partners to Support its Commercial Expansion

New Financing to Meet Significant Growth in Global Demand for MolecuLight’s i:X® and DX™ Point-of-Care Imaging Devices for the Wound Care Industry

 

TORONTO, Aug. 11, 2022 /PRNewswire/ – MolecuLight Inc., the leader in point-of-care fluorescence imaging for real-time detection of wounds containing elevated bacterial loads, announced that it has completed a financing with BDC Capital and iGan Ventures. The funds are to support MolecuLight’s continued global expansion to meet growing customer demand for its MolecuLight i:X® and DX™ devices. Leonard Kofman and Jody Staggs, Managing Director of SWK Holdings will join MolecuLight’s Board of Directors as observers.

 

MolecuLight receives financing from iGan Partners and BDC Ventures (CNW Group/MolecuLight)

“With the continued growth in global demand for our i:X and DX platforms, we are happy to announce this financing from BDC Capital and iGan Ventures, who has been an early investor in MolecuLight,” says Anil Amlani, CEO of MolecuLight Inc. “The proceeds will support the continued growth of our commercial operations and infrastructure to meet market demand”.

 

“We have invested in MolecuLight since inception and are thrilled to see the company achieve global commercial success,” says Sam Ifergan, Founder and President of iGan Partners. “Their customers continue to generate a wealth of published data showing the improved outcomes and cost savings, which is supporting MolecuLight becoming the standard-of-care in wound care globally”.

 

“BDC is proud to participate in the financing of MolecuLight, an impressive Canadian company that is making a global impact in terms of improving healthcare outcomes,” says Leonard Kofman, Partner with BDC Capital’s Intellectual Property-Backed Financing practice. “MolecuLight solved an unmet clinical need – the need to detect bacterial burden in wounds, and has commercialized a suite of products that is positively impacting wound care globally. Demand for the technology is strong and growing and we believe the company is well positioned for continued growth and success”.

 

The MolecuLight devices are sold in North America through its direct sales and clinical applications team and internationally through MolecuLight’s 15 specialized distributors in 18 countries.

 

About MolecuLight Inc.
MolecuLight Inc. is a privately-owned medical imaging company that has developed and is commercializing its proprietary fluorescent imaging platform technology in multiple clinical markets. MolecuLight’s suite of commercial devices, which include the MolecuLight i:X® and DX™ fluorescence imaging systems and their accessories, are point-of-care handheld imaging devices for the real-time detection and localization of bacterial load in wounds and digital wound measurement. MolecuLight procedures performed in the United States benefit from an available reimbursement pathway which include two CPT® codes for physician work to perform “fluorescence imaging for bacterial presence, location, and load” and facility payment for Hospital Outpatient Department (HOPD) and Ambulatory Surgical Center (ASC) settings through an Ambulatory Payment Classification (APC) assignment. The company is also commercializing its unique fluorescence imaging platform technology for other global markets with relevant unmet needs in food safety, consumer cosmetics and other key industrial markets.

 

Tungsten Advisors served as the exclusive financial advisor to MolecuLight Inc.

 

About BDC Capital
BDC Capital is the investment arm of BDC, Canada’s bank for entrepreneurs. With over $3 billion under management, BDC Capital serves as a strategic partner to the country’s most innovative firms. It offers a full spectrum of capital, from seed investments to transition capital, supporting Canadian entrepreneurs who wish to scale their businesses into global champions. Visit bdc.ca/capital.

 

About iGan Partners:
Based in Toronto, iGan Partners is Canada’s leading health technology investors focused on disrupting the sector through breakthrough innovation that dramatically improve patent are while reducing costs. The firm focuses on identifying at an early-stage, then commercializing and scaling technological advancements in AI/Cloud-enhanced medical devices and digital health. iGan provides portfolio companies with smart-capital, active support, and access to a network of industry partners and sector-specific co-investors to help them grow and succeed.

 

About Tungsten Advisors:
Tungsten Advisors (www.tungstenadv.com) is an investment banking firm focused on strategic advisory and corporate finance for healthcare and technology companies. Tungsten provides transactional services including financings (private placements/PIPEs), corporate licensing and mergers and acquisitions (M&A). Tungsten also focuses on company incubation and makes direct investments alongside the creation of new companies in healthcare and technology.

 

Securities offered through Finalis Securities LLC Member FINRA/SIPC. Tungsten Partners LLC d/b/a Tungsten Advisors and Finalis Securities LLC are separate, unaffiliated entities.

 

SOURCE MolecuLight

REGENATIVE LABS RELEASES NEW STUDY TO REVOLUTIONIZE TREATMENT FOR PATIENTS WITH DIABETIC FOOT ULCERS

Future applications for the early, preventative use of amniotic membrane allografts in addition to the current standard of care for DFUs present a novel opportunity to reduce long-term morbidity and amputation risk in diabetic patients.

 

PENSACOLA, Fla., Aug. 8, 2022 /PRNewswire/ — A new MDPI study, co-authored by Regenative Labs signifies a huge win for patients suffering from diabetic foot ulcers (DFUs). DFUs are debilitating for an individual. They are painful, long lasting, and, even with proper care, can lead to amputation. The current standard of care for DFUs is debridement, the medical removal of dead, damaged, or infected tissue to improve the healing potential of the remaining healthy tissue. The increased healing time and augmented risk of amputation associated with the current standard of care only solidifies the need for new DFU treatment alternatives. Regenerative medicine is such an alternative.

 

With approximately 37.3 million diabetic adults in the United States, physicians are faced with an epidemic. Given the projected increase of 1.4 million new diagnoses of diabetes mellitus each year, advancing knowledge and care for the disease and its related conditions is especially relevant.

 

Regenative Labs’ AmnioText™, a dehydrated amniotic membrane allograft, was used to close a grade 5 wound according to the Curative Health Services (CHS wound grade scale), described as full thickness and subcutaneous tissues, exposed tendons, ligaments, and/or joints, plus necrotic tissue in the wound, in 7 weeks. Grade 5 wounds have a 91.5% rate of not healing at all. This unsettling outcome emphasizes the efficacy and importance of amniotic membrane allografts in revolutionizing the standard of care for DFUs.

 

The inability to heal DFUs presents a severe danger to patients as anywhere from 5 to 24% of untreated DFUs can lead to limb amputation within 6–18 months. These infections can lead to long-term impairment and possible lower-limb amputation without timely and correct management.

 

“Regenative Labs and our products are focused on ameliorating this problem with our outcomes-based approach. We provide the highest quality amniotic membrane allograft to allow doctors to provide predictable outcomes for their patients,” shared Regenative Labs CEO, Tyler Barrett.

 

Amniotic membrane allografts, such as those provided by Regenative Labs, have proven to augment the body’s ability to regenerate the structural tissue defects associated with DFUs; they are also comparable in cost to the standard of care, which averages about USD 17,245. Not only is the current standard of care for DFUs less effective, but it is also high in cost and typically relies on inpatient expenditures.

 

Medicare now recognizes the medical necessity of amniotic membrane allografts in the treatment of both DFUs and venous stasis ulcers. Consequently, many patients rely on Medicare to assist with the costs associated with DFU treatment. This presents the opportunity for human amniotic membrane allografts to be utilized in rural and underserved communities where DFU treatment is typically delayed due to high costs and a lack of supplies associated with traditional treatment. This could exponentially decrease the risk of amputations in diabetic patients in these rural and underserved communities.

 

About Regenative Labs: Regenative Labs produces regenerative medicine products to address the root cause of a patient’s conditions using Wharton’s Jelly innovations rather than masking the pain with other treatments. Regenative Labs works closely with scientists, physicians, hospitals, and surgery centers to constantly monitor and improve patient progress and outcomes for new product development. Formed by veteran industry professionals familiar with daily challenges of innovations in healthcare, the company provides effective, non-addictive, non-invasive options for patients. Regenative Labs has a laser-focused, expert product research and development team which follows FDA guidelines of minimal manipulation for homologous use. The company adheres to AATB and FDA guidelines.

 

Learn more at Regenative’s website: www.regenativelabs.com

 

SOURCE Regenative Labs

REGENATIVE LABS AND AAPC ANNOUNCE COLLABORATION TO FURTHER HEALTHCARE COMPLIANCE

PENSACOLA, Fla., Aug. 1, 2022 /PRNewswire/ — Regenative Labs, a leading HCT/P manufacturer, and AAPC, the nation’s largest medical coding, training, and certification association, are pleased to announce a strategic healthcare compliance collaboration. By combining AAPC’s medical training and credentialing expertise with Regenative Labs’ human tissue allografts, together both organizations will support the pioneering of the first Wharton’s jelly allografts to be assigned a Q code and be approved for application directly to a defect using a syringe.

 

“This is an important step in furthering the mission of educating providers and elevating healthcare outcomes and we’re proud to be a part of it,” shared AAPC CEO, Bevan Erickson.

 

Regenative Labs received approval from the Centers for Medicare & Medicaid Services (CMS) to cover CoreText™ and ProText™, the first Wharton’s jelly allograft products recognized as a 361 HCT/P by CMS regulated under 21CFR 1271.10, establishing a new Level II HCPCS code Q4246 “CoreText or ProText, per cc.” According to CMS, both solutions provide the extracellular matrix needed for the infiltration, attachment, and proliferation of cells required to repair damaged tissue. They are typically used for muscle and cartilage tears and help repair damaged tissue due to wounds and tissue defects and are applied directly to the defect using a syringe.

 

Regenative Labs, now seeking to collaborate to further HCT/P compliance, recognizes the value AAPC brings to the healthcare industry as the world’s leading healthcare association, with more than 200,00 members and 30+ years of supporting healthcare professionals, providers, payers, and health systems

 

AAPC will deliver healthcare providers important coding resources, including full skeletal illustrations and applicable DX codes for Regenative Labs Wharton’s jelly allografts products for specialties, including Orthopedics, Pain Management, Podiatry, and Rheumatology. In addition, AAPC will create a customized web-based training module to ensure providers understand how to utilize more specific homologous applications with current DX codes to support accurate procedural reimbursement for these products.

 

“We look forward to the clarity this collaboration will bring to the market allowing proper documentation of homologous use applications,” said Regenative Labs CEO Tyler Barrett.

 

Regenative Labs firmly believes that no other organization understands coding regulations and documentation requirements better than AAPC, leading AAPC to be the right partner for this important project.

 

About AAPC: AAPC’s mission is to advance the business of healthcare by providing professional training, industry-standard certifications, and comprehensive solutions to individuals and organizations across medical coding, billing, auditing, compliance, and practice management. As the most trusted source for driving accuracy, profitability, and peace of mind, AAPC helps healthcare organizations reach the full potential of their revenue cycle. Learn more at AAPC’s website: www.aapc.com

 

About Regenative Labs: Regenative Labs produces regenerative medicine products to address the root cause of a patient’s conditions using Wharton’s Jelly innovations rather than masking the pain with other treatments. Regenative Labs works closely with scientists, physicians, hospitals, and surgery centers to constantly monitor and improve patient progress and outcomes for new product development. Formed by veteran industry professionals familiar with daily challenges of innovations in healthcare, the company provides effective, non-addictive, non-invasive options for patients. Regenative Labs has a laser-focused, expert product research and development team which follows FDA guidelines of minimal manipulation for homologous use. The company adheres to AATB and FDA guidelines. Learn more at Regenative’s website: www.regenativelabs.com

 

SOURCE Regenative Labs

 

This article was originally published here

The Challenges of Wound Care… “Let’s Talk Health”

Learn about wound care and healing wounds with hyperbaric oxygen therapy.

Hosted by Brian Finestein, Chief Executive Officer of Saint Clare’s Health, ‘Let’s Talk Health’ is a FREE ONLINE community series which provides accurate, trusted, and current information on health issues.

Perceptive Solutions Integrates with Oracle Cerner

Joins Cerner Code Program

WoundZoom Digital Wound Management solution now available in Cerner’s App Gallery

 

STEVENS POINT, WI – July 27, 2022 – Perceptive Solutions, Inc., developer of WoundZoom Digital Wound Management, today announced its integration partnership with Oracle Cerner and the availability of WoundZoom in the Cerner Code Program App Gallery. This partnership provides a secure and reliable exchange of wound care data between WoundZoom and a facility’s Cerner EHR system.

 

Perceptive Solutions joins the Cerner Code Program as a trusted integration partner so our customers can leverage the benefits of our validated application, WoundZoom, while eliminating additional steps in their workflow. Data captured using WoundZoom at the bedside, such as precise wound measurements, images, and clinical assessments automatically sync to patients’ charts, creating a more efficient workflow and a complete patient record in the EHR.

 

“Our innovative digital wound management solution enables clinicians to spend more time with patients through automated charting, wound imaging, and elimination of the manual measurement process. Cerner is a leading EHR provider for inpatient facilities and we are excited to provide accessibility of WoundZoom to Cerner customers,” said Mark Lacerte, President of Perceptive Solutions. “The technology integration through Cerner’s validation process enables a secure and reliable data flow from our solution into Cerner’s clinical charts. This enables healthcare facilities to more efficiently share valuable wound care data between both clinical and administrative team members within their EHR.”

 

About Perceptive Solutions

Perceptive Solutions modernizes the practice of wound care with technology-enabled systems designed to increase clinical efficiency, improve care quality, and mitigate risk. Integrating smoothly with your EHR, WoundZoom utilizes the latest AI and imaging technology to capture accurate wound images and measurements from your smart device, automatically prompt and document appropriate actions, and create a continuous, standardized clinical record across shifts, floors, and facilities. For more information, visit https://perceptivesol.com/.

 

Media Contact
Karen Guzdzial
Director of Marketing
(727) 225 7944
karen.guzdzial@woundzoom.com

Newly Published RCT Shows MolecuLight Fluorescence Point-of-Care Imaging Improved 12-Week Wound Healing by 204% in Diabetic Foot Ulcers

Study Confirms the Utility of MolecuLight to Inform Clinicians to the Presence and Location of Clinically Significant Bacteria and Improves Treatment Plans & Outcomes over Conventional Diagnostic Methods

 

LEEDS, UK and TORONTO, July 13, 2022 /PRNewswire/ – MolecuLight Inc., the leader in fluorescence imaging for detection and localization of elevated bacterial load in wounds, announced the publication of an independent, blinded randomized controlled trial in Diabetes Care. The publication on this 56-patient trial, titled “The use of Point-of-Care Bacterial Autofluorescence Imaging in the Management of Diabetic Foot Ulcers: A Pilot Randomized Controlled Trial“1 reported that the use of a MolecuLight i:X® device to visualize the presence of elevated bacterial burden in wounds doubled 12-week wound healing rates (204%) in diabetic foot ulcer patients over standard-of-care alone.

 

Diabetes is a significant global health ailment: over 416 million people have diabetes worldwide2 and 25% of these patients develop a diabetic foot ulcer (DFU)3, greatly diminishing quality of life and increasing the need for costly and extended treatment. In the UK, the NHS spends £1 billion ($1.25 billion US) annually on DFU care and management24.

 

“As a clinician in wound care, especially when managing patients with chronic wounds, the holy grail is improvement in wound healing rates”, says David Russell, Associate Professor in Vascular Surgery at University of Leeds and lead author in the study. “In our randomized controlled trial, the results were impressive – the use of a MolecuLight device to inform our wound care decision-making helped us double the number of wounds that were healed at 12 weeks. This has benefits for the patient and our healthcare system.”

 

Patients were stratified into two groups, one in which the MolecuLight device was not used, and one in which clinicians used the MolecuLight device bi-weekly to assess diabetic foot ulcers for the presence of elevated bacterial burden. For the MolecuLight group, fluorescence imaging was performed after treatment. Fluorescence indicated the presence of elevated bacterial burden in over 80% of the wounds. Additional treatment based on imaging findings was performed as the discretion of the clinician, and most often included further debridement focused on the regions with elevated bacterial loads. Importantly, there was no increase in antibiotic prescribed in the MolecuLight group.

 

Alongside the impressive 2-fold improvement in healing rates, this study showed an association between baseline fluorescence and wound outcomes. Of the patients with negative fluorescence images at the baseline visit, 53.9% healed at 12-weeks, versus 37.5% with positive baseline fluorescence images. In other words, patients were 36% less likely to heal at 12 weeks if their wound was positive for high bacterial loads at the beginning of their treatment, as depicted by MolecuLight. Wound area reduction was superior in the MolecuLight arm and patient quality of life diverged toward improvement in the MolecuLight arm at 4 weeks and toward deterioration in the control arm at 12 weeks.

 

“To improve decision-making and care with DFU patients we must be able to measure what we manage. The MolecuLight i:X, as illustrated by the results in this RCT, is a powerful tool for screening DFUs for infection as well as monitoring new or worsening bacterial burden over time”, says David G. Armstrong, Professor of Surgery, Director of the Southwestern Academic Limb Salvage Alliance (SALSA) at Keck School of Medicine of the University of Southern California as well as the US-appointed delegate to the International Working Group on the Diabetic Foot (IWGDF). “This new study provides further data for the improved healing rates and improved patient care that can be achieved in a clinic with routine use of fluorescence imaging to detect wound bacteria.”

 

“We congratulate Dr. Russell and the team at Leeds for their excellent study and publication that shows the utility of MolecuLight to detect elevated bacterial burden and to inform clinical decision-making at the point-of-care”, says Anil Amlani, MolecuLight’s CEO. “A doubling of 12-week wound healing is a significant outcome and is consistent with what thousands of wound care clinicians are experiencing worldwide, that MolecuLight enables clinicians to deliver superior, proactive bacterial/infection management that improves wound outcomes”.

 

The Leeds Diabetes Limb Salvage service is now using the MolecuLight device to image all patients with wounds that are failing to achieve a healing trajectory within 4 weeks. To help manage patient volumes, patients who are negative with MolecuLight are triaged, and are then referred to community care as their wounds are considered manageable and able to achieve a healing trajectory.

 

This new RCT is part of a broad body of clinical evidence showing the many benefits of the MolecuLight i:X and DX devices across the range of wound care applications to help inform and improve clinical decision-making. This list of clinical evidence includes over 60 peer-reviewed publications and 1,500 studied wound patients.

 

  1. Rahma S et al. Diabetes Care 2022;45(7):1601–1609
  2. Diabetes UK: Diabetes Prevalence, www.diabetes.org.uk/professionals/position-statements-reports/statistics/diabetes-prevalence-2019
  3. Armstrong AG et al. The New England Journal of Medicine, 2017; 376:2367 – 75
  4. Kerr, M, 2017, www.diabetes.org.uk/resources-s3/2017-11/diabetes%20uk%20cost%20of%20diabetes%20report.pdf

 

About MolecuLight Inc.
MolecuLight Inc. is a privately-owned medical imaging company that has developed and is commercializing its proprietary fluorescent imaging platform technology in multiple clinical markets. MolecuLight’s suite of commercially released devices, including the MolecuLight i:X® and DX™ fluorescence imaging systems and their accessories, provide point-of-care handheld imaging devices for the global wound care market for the real-time detection and localization of elevated bacterial load in wounds and for digital wound measurement. MolecuLight procedures performed in the United States can benefit from an available reimbursement pathway including two CPT® codes for physician work to perform “fluorescence imaging for bacterial presence, location, and load” and facility payment for Hospital Outpatient Department (HOPD) and Ambulatory Surgical Center (ASC) settings through an Ambulatory Payment Classification (APC) assignment. The company is also commercializing its unique fluorescence imaging platform technology for other markets with globally relevant unmet needs including food safety, consumer cosmetics and other key industrial markets.

 

For more information, contact:
Rob Sandler
Chief Marketing Officer
MolecuLight Inc.
T. +1.647.362.4684
rsandler@moleculight.com
www.moleculight.com

HMP Global expands value for podiatry community with launch of PodiatrySource product guide and Podiatry Learning Network

The platform serves as a comprehensive resource for podiatry news and information to aid clinical decision-making and improve patient outcomes

 

MALVERN, Pa., July 12, 2022 /PRNewswire-PRWeb/ — As healthcare professionals across the podiatry community manage an ever-changing and complex field, HMP Global, the leading healthcare event and education company, today announced the launch of two value-added offerings, PodiatrySource and the Podiatry Learning Network.

 

The Podiatry Learning Network serves as the premier digital hub for podiatrists and offers direct access to clinically relevant news and information, expert perspectives, and continuing education. The network joins HMP Global’s portfolio of well-respected learning platforms dedicated to serving as online information hubs, and is a singular destination offering practical, relevant content and education guided by podiatry professionals.

 

Visitors to the new network can create a customized experience, selecting topic preferences most pertinent to them; receive regular e-mail updates with breaking news and carefully created content; grow professionally with the network’s repository of education; and connect with other podiatry colleagues around the world through the platform’s networking options.

 

“With the creation of the Podiatry Learning Network, HMP Global is delivering a single, definitive resource that podiatry professionals can rely upon to access important clinical knowledge on new therapies and treatments on a broad spectrum of topics, and enjoy a highly specialized content experience,” said David DePinho, President, HMP Global. “Healthcare professionals in the podiatry field will benefit from this comprehensive resource to receive ongoing professional development and provide the highest quality of patient care.”

 

PodiatrySource

 

HMP Global is also launching PodiatrySource, a one-stop resource with independent, clinically reviewed, and unbiased information to help clinicians make informed decisions about podiatry care products.

 

Powered by Podiatry Today, the award-winning, premier publication and online platform, PodiatrySource will reach buyers with the trusted information they need to act and make decisions about product selection and purchasing. It will provide 24/7 access to information on an interactive, user-friendly digital platform.

 

“The Podiatry Today audience is invested in providing patients optimal care and staying abreast of the latest product offerings across the field is part of how they achieve this goal,” said Jennifer Spector, DPM, FACFAS, Managing Editor of Podiatry Today, a trusted educational resource in podiatric medicine and surgery that provides engaging content to help clinicians improve patient care. “Creating PodiatrySource is a natural synergy of the education provided by Podiatry Today, with robust information about innovations provided by companies in the podiatric space.”

 

PodiatrySource currently highlights products focused on the office-based practitioner, and future updates will include more products and companies to best serve the full foot and ankle medical and surgical community, Spector said. PodiatrySource is open access with no subscription required for use. Industry contacts may submit product information through the website, and enhanced opportunities are available.

 

“PodiatrySource is designed to quickly become podiatry’s most relied upon tool to navigate the many options for products and services available to healthcare professionals in the podiatry community,” DePinho said. “It offers credible, trusted, non-biased clinically reviewed content that clinicians can use during the decision-making and purchasing processes.”

 

The new PodiatrySource resource guide is modeled after the highly successful WoundSource product reference guide. First published in 1998, WoundSource now includes more than 1,700 products manufactured by more than 200 wound care companies. Its digital companion, woundsource.com, includes product lists and reviews as well as articles, blogs by industry thought leaders, white papers, and other educational resources for wound care professionals.

 

For more information about PodiatrySource and the Podiatry Learning Network, visit hmpgloballearningnetwork.com/site/podiatrynet.com.

 

ABOUT HMP GLOBAL
HMP Global is the force behind Healthcare Made Practical — and is an omnichannel leader in healthcare content, events, and education, with a mission to improve patient care. The company produces accredited medical education events — in person and online via its proprietary VRTX virtual platform — and clinically relevant, evidence-based content for the global healthcare community across a range of therapeutic areas. Its brands include the HMP Global Learning Network, healthcare’s most comprehensive source for news and information; Psych Congress, the largest independent mental health meeting in the U.S.; the Evolution of Psychotherapy, the world’s largest independent educational event for mental health professionals; the Leipzig Interventional Course (LINC), the leading, global gathering for interdisciplinary cardiovascular specialists; EMS World Expo, North America’s largest EMT and paramedic event; and the Symposium on Advanced Wound Care (SAWC), the largest wound care meeting in the world. For more information, visit hmpglobal.com.

 

Media Contact

Sandi Beason, APR, HMP Global, (601) 573-1737, pr@hmpglobal.com

 

SOURCE HMP Global

Wounds UK Annual Conference 2022 – Abstract Submission

Wounds UK are pleased to announce the call for abstracts for the 2022 Wounds UK Annual Conference, held at the Harrogate Convention Centre, which will be held on 7-9 November 2022 at the Harrogate International Centre.

To submit your abstract use the following link: www.surveymonkey.co.uk/r/WUKH22Abstract

Poster presentations will be presented on electronic poster displays only, no hard copy posters will be on display.

Entries for the e-poster exhibition require you to submit an abstract. Every entry received will automatically be considered for the Wounds UK Award for Excellence 2022.

All abstracts will be reviewed by our judging panel, who will be looking to accept submissions that display high levels of innovation, relevance to current and/or best practice and provide high-quality research/evidence.

Award
The winner of the Wounds UK Award for Excellence will receive a free 3-day delegate pass with entrance to the gala dinner.

read more

Diabetes: Know it! Fight it!

NANCY MORGAN

 

Every wound-care clinician treats diabetic patients regardless of your care point. In this course, Nancy will help you evaluate the wound, identify the best plan of treatment and steer you away from the potential setbacks for better healing rates and overall patient outcomes.

Objectives:

  • Participant will identify the different types of Diabetes and Pre-diabetes and their effects on patients.
  • Participant will identify skin conditions prone to patients with Diabetes.
  • Participant will learn treatment options for Diabetic Foot Ulcers (DFU).
  • Participant will discuss the high incidence of infections on patients with Diabetes and the importance of prevention.

read more

Foot Ulcer and Risk of Lower Limb Amputation or Death in People With Diabetes:

A National Population-Based Retrospective Cohort Study

 

Rosemary C Chamberlain, Kelly Fleetwood, Sarah H Wild, Helen M Colhoun, Robert S Lindsay, John R Petrie, Rory J McCrimmon, Fraser Gibb, Sam Philip, Naveed Sattar, Brian Kennon, Graham P Leese

 

Objective: To describe incidence of foot ulceration and amputation-free survival associated with foot ulceration status in a national population-based cohort study of people with diabetes … Research design and methods: The study population included 233,459 people with diabetes who were alive in Scotland on 1 January 2012 identified from the national population-based register (national prevalence 4.9%). Characteristics of patients identified from linked hospital and mortality records during follow-up to the end of November 2017 were compared by outcome. Cox regression was used to assess the association between history of foot ulcer and amputation-free survival … Results: The population included 23,395 people with type 1 diabetes and 210,064 people with type 2 diabetes. In total there were 13,093 (5.6%) people who had a previous foot ulceration, 9,023 people who developed a first ulcer, 48,995 who died, and 2,866 … read more

A previously uncharacterized gene, PA2146, contributes to biofilm formation and drug tolerance across the ɣ-Proteobacteria

Matthew F. Kaleta, Olga E. Petrova, Claudia Zampaloni, Fernando Garcia-Alcalde, Matthew Parker & Karin Sauer

 

Bacteria preferentially grow as biofilm communities in diverse settings including the natural environment, industrial systems, and the medical sphere1,2,3. Growth within biofilms offers protection from adverse conditions, such as defense from protozoan grazing in the marine environments, resistance to antimicrobial agents during decontamination of industrial and medical equipment, and evasion of host immune responses during infections. Evidence of this protected mode of growth appears early in the fossil record (~3.25 billion years ago) and is common throughout a diverse range of organisms in both the Archaea and Bacteria lineages, suggesting biofilm growth to be an integral component of the prokaryotic life cycle8. Indeed, studies of biofilms formed by diverse prokaryotes have revealed common trends and phenotypic characteristics of biofilms, as addressed by several reviews. These common trends include cell-to-cell communication or quorum sensing (QS), the production of extracellular polymeric substances to form a protective matrix, the presence of eDNA … read more

Net Health Expands Predictive Analytics Resources for Wound Care Providers

Clinical and operational innovations better predict non-healing wounds and missed appointments

 

Further expanding its analytics capabilities and leadership position within the wound care marketplace, Net Health, a provider of specialty electronic health systems and advanced healthcare analytics, today announced the addition of two new predictive analytics resources to improve clinical and operational outcomes for wound care providers … The new Pressure Injury Deterioration Risk Indicator is built into Tissue Analytics, Net Health’s AI-powered wound imaging and analysis solution, which was recently granted breakthrough device status by the Food and Drug Administration (FDA). The Missed Visit Prediction Indicator is available in Net Health® Wound Care, one of the nation’s most widely used electronic health record (EHR) platforms for wound care. Both features are embedded in automated workflow processes and alert providers when risk is detected, enabling providers to intervene in real-time … read more

Off-Loading Devices Market to Witness Robust Expansion throughout the Forecast Forecoming Years

The Off-Loading Devices Market is expected to grow manifold in the upcoming period. With technological advancements like ML and AI being incorporated in abundance, the healthcare vertical is likely to reach the top pedestal in the years to come. There are Bluetooth-operated health monitors, which let doctors receive precise information, that too, from time to time … The unloading device is used to reduce physical stress on the ulcerative callus of diabetic patients, which is caused by poor circulation, lack of sensation in the foot, foot deformity or trauma. … These devices are designed to eliminate abnormal pressure points and promote healing … read more

Acral Amelanotic Melanoma Mimicking a Foot Ulcer

Harrison J. Shawa, Marat Kazak, Sara Dahle, Joshua M. Schulman

 

Amelanotic melanoma, accounting for less than 2% of melanomas, lacks typical clinical features of melanoma and mimics other lesions, frequently resulting in initial misdiagnosis and treatment delays and contributing to a poorer prognosis compared to conventional melanoma.

Amelanotic melanoma affects both men and women and, on average, affects older individuals than conventional melanoma, with an average age at diagnosis of 62 years. Although some risk factors overlap with melanoma, individuals with amelanotic melanoma are more likely to have red hair, freckles, or sunburn easily than patients with pigmented melanoma. Other risk factors include more than 10 large nevi, plantar nevi, and a history of a penetrating foot injury or a previous amelanotic melanoma.

When occurring on acral sites, amelanotic melanoma may mimic a variety of benign entities, including verrucae, calluses, poromas, hematomas, foreign bodies, fungal infections, blisters, ulcers, and pyogenic granulomas. We herein report a case of an acral amelanotic melanoma … read more

Treatments set to improve for lethal lung disease and ulcers following drug synergy data revelation

New data has been published today (July 7) evidencing findings that could lead to better treatment for people with lethal lung infections and infected diabetic foot ulcers caused by antimicrobial resistant (AMR) bacteria … Clinical stage biotechnology company, Destiny Pharma plc., focused on the development of novel products to prevent life-threatening infections, revealed the publication of the new data on XF-73 with Cardiff University in Frontiers in Cellular and Infection Microbiology a peer-reviewed publication … read more

Biofabrication of ZnO/Malachite nanocomposite and its coating with chitosan to heal infectious wounds

Zahra Rajabloo, Mohammad Reza Farahpour, Parvaneh Saffarian & Saeed Jafarirad

 

Skin wounds cause damage to healthcare systems and loss economic. Wounds are classified as acute and chronic based on the pathogenesis and consequences. Acute wounds induce molecular processes to obtain structural integrity. Immune cells and factors play pivotal roles in acute wound healing3. The faulted regulation of the immune response results in the formation of chronic wounds. Infectious wounds are a form of acute wounds characterized by the presence of bacteria in viable tissue and damage to tissues. The infections start with bacteria colonization and can cause systemic infection. Staphylococcus aureus and Pseudomonas aeruginosa are the most common bacteria in infected wounds. In infected wounds, the wound healing process is delayed. Infected wounds also cause overproduction of reactive oxygen species and induce faults in antioxidant systems … read more

INSTITUTIONAL REVIEW BOARD APPROVES REGENATIVE LABS’ PROTOCOL FOR KEY DATA COLLECTION

Regenative Labs CEO predicts this will have significant implications to advance multiple fields.

 

PENSACOLA, Fla., July 8, 2022 /PRNewswire/ — Regenative Labs, a leading FDA-registered and HTC/P manufacturer, confirms that the Institutional Review Board (IRB) of the Institute of Regenerative and Cellular Medicine (IRCM), an independent body which facilitates and validates regenerative and cellular medicine through collaborative and translational research, has approved its protocol for observational data of homologous use applications for Regenative’s products.

 

In noting receipt of the IRCM IRB letter, CEO Tyler Barrett observed that this is a key step in facilitating other studies for use of Regenative’s products. “We believe this will allow clinicians to explore new homologous use applications and make it easy to follow their patient outcomes,” he said, adding, “We are committed to advancing this field of research.”

 

The IRB letter confirms a key classification, known as 361, allowing Regenative to further studies for the use of its products.

 

“We are excited that this will allow us and our partner physicians to look for new uses,” said Barrett, pointing out that connective tissue is found throughout the body and that while the current use is heavily concentrated in addressing defects in the knee and specialties like orthopedics, Regenative has received queries and reports from specialties like podiatry and urology for cases of wound care and urinary incontinence.

 

In confirming receipt of the IRB’s letter, Regenative Labs confirmed their continued adherence to applicable state, local and federal regulations and requirements. They also look forward to a strong relationship with regulators.

 

The specific observational data collection approved is through MedngineTM of homologous use applications using ProTextTM, CryoTextTM,SecreTextTM, CoreTextTM and AmnioText.

 

Protocol number: RL-ME-002

 

IRB approval number: IRCM-2022-311

 

About Regenative Labs : Regenative Labs produces regenerative medicine products to address the root cause of a patient’s conditions using Wharton’s Jelly innovations rather than masking the pain with other treatments. Regenative Labs works closely with scientists, physicians, hospitals, and surgery centers to constantly monitor and improve patient progress and outcomes for new product development. Formed by veteran industry professionals familiar with the daily challenges of innovations in healthcare, the company provides effective, non-addictive, non-invasive options for patients. Regenative Labs has a laser-focused, expert product research and development team which follows FDA guidelines of minimal manipulation for homologous use. The company adheres to AATB and FDA guidelines. Learn more at: https://regenativelabs.com.

 

SOURCE Regenative Labs

This article was originally published here

Innovations That Work!

ActiGraft is an FDA-cleared wound care solution that enables health care providers to produce—in real time—in vitro blood clots from a patient’s whole blood. Once applied, the blood clot tissue serves as a protective covering and supports wound healing processes that naturally occur in the body. Testimonial: “I endorse ActiGraft as it uses the body’s own healing cascade to help initiate the wound healing process and has a unique role as a topical dressing in the wound care space.” —Dr. Bryan Doner, DO, D&P Medical Group … read more

Atypical causes of leg ulceration webinar

Sarah Gardner and Sweta Rai

 

This session will help you understand the diversity and complexity of leg ulcers and also the management of unusual causes of leg ulcers. She aims to expand your knowledge base on different presentations of leg ulcers and will talk about evidence based management and newer techniques of leg ulcer management.

Dr Rai has an interactive and inclusive style of speaking and therefore questions and discussion will be very welcome during and after her talk … read more

The impact of a vegan diet in the prevention and treatment of type 2 diabetes: A systematic review

Vegan diets have gained a lot of popularity around the world, mostly in America. About 6% of Americans claim that they are vegans. That is a 600% increase in veganism from 2017 to 2021. There are many reasons that people nowadays are adopting a vegan diet and it includes health and ethical reasons. One of the health reasons that this review refers to is type 2 diabetes. There have been previous studies of what a vegan diet has on the health and the prevention of metabolic syndrome. There have been studies that showed that the risk of cancer can be reduced on a vegan diet, but is still under debate that this is the main reason for it. The review aimed to show studies between vegan diets and see if there is a reduction in risk for type 2 diabetes … read more

Wound Bed Preparation: Important Terms to Know

Biofilm: A complex microbial community containing bacteria and fungi. The microorganisms synthesize and secrete a protective matrix that attaches the biofilm firmly to a living or non-living surface. The biofilm contributes to underlying wound infection, chronic inflammation, and delay in healing, and it is present in 80% to 90% of chronic wounds and 6% of acute wounds.

Epibole: Rolled or curled-under closed wound edges. These rolled edges are thickened epidermis that may be callused, dry, scaly, and/or hyperkeratotic. When epibole is present in a wound, it signals to the body that the wound has healed, even though the wound remains open. Epibole must be resolved to allow the wound to close … read more

The effect of tea tree oil on wound healing in diabetic rats

Aim This study was conducted as a randomised controlled study to determine the effect of tea tree oil on acute wound healing.

 

Yeliz Sürme, Gülsüm Nihal Çürük, Ayça Lekesizcan and Saim Özdamar

 

Methods Rats were divided randomly into two groups, non‑diabetic and ‘diabetic’; rats in the diabetic group were made diabetic by intraperitoneal streptozotocin induction at 50 mg/kg. Each group was then subdivided into sunflower oil, tea tree oil and saline (0.9% NaCl) groups. After incisional wound formation, rats were wound-dressed according to their treatment group every day for 15 days. On day 3, 7 and 15 following the wound formation, 0.5cmx0.5cm full thickness tissue samples were taken and examined histopathologically.

Results On day 3, the epithelisation and inflammatory cell density of the non‑diabetic tea tree oil group was found to be statistically significantly higher than the diabetic saline group. There was a statistical difference in favour of the non‑diabetic tea tree oil group in terms of procollagen and mature collagen density. In addition, the non‑diabetic tea tree oil group had a statistically higher angiogenesis amount than the diabetic and non‑diabetic saline and the diabetic sunflower oil groups on day 15 (p<0.05).

Conclusions It has been determined that tea tree oil has an accelerating effect on wound healing and is an alternative method that can be used in wound dressing … read more

Length of stay and readmissions for people with diabetes-related foot ulceration

admitted to two public tertiary referral hospitals in Australia

 

Sarah M Manewell, Sarah J Aitken, Vanessa L Nube, Anna M Crawford, Maria I Constantino, Stephen M Twigg, Hylton B Menz, Cathie Sherrington and Serene S Paul

 

Aims/hypothesis To identify hospital admissions and length of stay (LOS) and to investigate readmissions, cumulative LOS and associated factors for diabetes-related foot ulceration (DFU).

Methods Routinely-collected hospital admission data were used to identify DFU-related hospital admissions in two public hospitals between 2012–17. Readmission and cumulative LOS were investigated using negative binomial regression.

Results DFU-related admission was required by 749 patients. Median LOS was 8–10 days (stable across 2012–17). Readmission within 28 days was required by 62 patients (8%) and was significantly more likely with increasing comorbidities (incidence rate ratio [IRR] 1.38, 95% confidence intervals [95% CI] 1.02–1.88). Readmission within 1 year was required by 206 patients (28%), and was significantly more likely for males, unplanned admissions and increasing revascularisation requirements (IRR 1.34–1.70), and significantly less likely for those requiring minor and major amputation (IRR 0.33–0.64). The median cumulative LOS was 13 days (IQR 7–29), and was significantly longer for males, older age, unplanned admissions, those requiring dialysis, and those with increasing revascularisation requirements, comorbidities and mental health or behavioural disorders (IRR 1.02–2.30), and significantly shorter for those with more podiatry attendance (IRR 0.96, 95% CI 0.95–0.97) … read more

Top 10 Innovations in Podiatry 2022

Jennifer Spector, DPM, FACFAS

 

Each year, Podiatry Today hears from leaders in the world of foot and ankle medicine and surgery about important developments and significant strides being made in the field. Here is this year’s slate of the Top 10 Innovations in Podiatry (in no particular order) that could have an impact on your patients and practice … Pedilay med (Pedilay Care) is a ready-to-use secondary foot bandage that supports foot and ankle dressings associated with multiple conditions. The company explains that the bandage could save precious care time, as one can take it on and off in a swift and gentle fashion. The bandage, made up of a biocompatible, low-friction fleece material, has thin seams and can help protect the skin … read more

Back on His Feet – How a Serious Diabetic Foot Wound Was Healed

Kyong Kim, DPM

By his own admission, Norbert Perez is a stubborn man. He initially rebelled against the counseling he received after a diagnosis of Type 2 diabetes four years ago.

“They started giving me pills, but they weren’t working,” says Perez, 39, a forklift operator and Rahway resident. “They told me to change my eating habits, my lifestyle.

At first, I didn’t pay any attention to it. That typical man thing we do. We just go until we drop dead.”

But when a callus blistered and his foot swelled “beyond belief,” he ended up at the Center for Wound … read more

PIONEERING THE FUTURE OF EFFECTIVE WOUND CARE SOLUTIONS

In a recent article published by GHP (Global Health & Pharma), Kent Imaging presents SnapshotNIR, their portable and lightweight near-infrared imaging device that is replacing some outdated and cumbersome technologies of the past, pioneering the future of effective wound care solutions. Through case studies and customer stories, clinicians share their hands-on experience with SnapshotNIR and how they are providing a greater standard of care to patients with this innovative technology … read more

Managing the complicated vascular wound WEBINAR

FEATURED PRESENTERS: Mark Portou and Amelia Swift

 

What makes a wound complicated? Any non-healing wound can be described as complicated, but some are more complicated than others! Complicated wounds are usually found on patients with complex medical problems. Often complicated wound aetiology is multifactorial, but outcomes are significantly worse with underlying vascular disease. Medical optimisation and risk factor modification is required to treat the rest of the individual too … read more

MolecuLightDX™ Wins Award as a Top Innovation in Wound Care 2022 From Wound Management & Prevention Journal

TORONTO, July 7, 2022 /PRNewswire/ – MolecuLight Inc., the leader in point-of-care fluorescence imaging for real-time detection of wounds containing elevated bacterial loads, announces that it has been selected for a “Top Innovation in Wound Care 2022″ Award from Wound Management & Prevention (WMP) Journal for its MolecuLightDX™ device.

 

MolecuLightDX™ Wins Award as a Top Innovation in Wound Care 2022 From Wound Management & Prevention Journal (CNW Group/MolecuLight)

WMP provides news and information for professionals in wound care, ostomy care, incontinence care, and related skin and nutritional issues, and features ground-breaking research, peer-reviewed articles, and clinical discussions on topics relevant to the field. WMP and the Wound Care Learning Network are published by HMP Global, an omnichannel leader in healthcare content, events, and education.

 

MolecuLightDX was selected as a winner this year for its novel utility to provide a point-of-care tool to clinicians worldwide that enables the detection of elevated bacterial burden in wounds. Based on its extensive body of evidence and interviews with clinicians using it, the MolecuLight device is changing the standard of care in wound care.

 

“Wound Management & Prevention is dedicated to featuring the top innovations in wound care,” said Christiane Odyniec, Managing Editor. “Each July, the WMP Editorial Board nominates the newest innovations in the field of wound care, with the goal of sharing information to improve patient care. MolecuLightDX was nominated by our board for its innovation and practical applications, and we are pleased to recognize MolecuLight Inc. in this way.”

 

As part of WoundCon Summer 2022’s Technology Innovation Theatre, WMP will be hosting a webinar on “Wound Management & Prevention’s Top Innovations in Products & Care of 2022” on Thursday, July 14th at 1:30 PM EST. Five of the winning products will be featured, including the MolecuLightDX.
In this webinar, Dr. Charles A. Andersen, Medical Director of the Wound Care Clinic and Limb Salvage Program at Madigan Army Medical Center in Tacoma, WA will be speaking on his experience with MolecuLight and how it is changing his clinical practice. “Using MolecuLight has revolutionized our wound care practice and now allows us to provide proactive wound care,” says Dr. Andersen. “It’s a game-changer.”

 

Registration for the webinar is accessible here.

 

The MolecuLight i:X and DX devices are supported by a broad body of clinical evidence showing how they help to inform and improve clinical decision-making in wound care. This list of clinical evidence includes over 60 peer-reviewed publications and 1,500 studied wound patients.

 

About MolecuLight Inc.
MolecuLight Inc. is a privately-owned medical imaging company that has developed and is commercializing its proprietary fluorescent imaging platform technology in multiple clinical markets. MolecuLight’s suite of commercially released devices, including the MolecuLight i:X® and DX™ fluorescence imaging systems and their accessories, provide point-of-care handheld imaging devices for the global wound care market for the real-time detection and localization of elevated bacterial load in wounds and for digital wound measurement. MolecuLight procedures performed in the United States can benefit from an available reimbursement pathway including two CPT® codes for physician work to perform “fluorescence imaging for bacterial presence, location, and load” and facility payment for Hospital Outpatient Department (HOPD) and Ambulatory Surgical Center (ASC) settings through an Ambulatory Payment Classification (APC) assignment. The company is also commercializing its unique fluorescence imaging platform technology for other markets with globally relevant unmet needs including food safety, consumer cosmetics and other key industrial markets.

 

  • Image (Badge for a “Top Innovation in Wound Care 2022” Award from Wound Management & Prevention (WMP) Journal): Download
  • Image (MolecuLightDX point-of-care device for imaging elevated bacterial loads in wounds and for performing stickerless digital wound measurement): Download  

 

SOURCE MolecuLight

Treatment of Hematomas Using a Synthetic Hybrid-Scale Fiber Matrix

 

Eric W. Temple

 

Subcutaneous hematomas can result from trauma. At particular risk are elderly patients with multiple co-morbidities and those who may be taking medications such as anticoagulants [1-3]. Effective treatment of subcutaneous hematomas is important in order to avoid complications including skin necrosis, infection, scarring, hyperpigmentation, tissue edema, and prolonged recovery [1-5]. Hematoma evacuation may be done using a surgical approach, in which the hematoma is evacuated under general or regional anesthesia followed by treatment with a skin graft or skin substitute [3,5]. There are several traditional dermal treatment options, including autografts, allografts, and xenografts. However, these modalities are associated with limited availability and donor site morbidity in the case of autografts, as well as potential disease transmission and immunologic rejection in the case of allografts and xenografts … read more

The Role of Biofactors in Diabetic Microvascular Complications

 

Dan Ziegler, Massimo Porta, Nikolaos Papanas, Maria Mota, György Jermendy, Elena Beltramo, Aurora Mazzeo, Andrea Caccioppo, Elio Striglia, Victoria Serhiyenko, Alexandr Serhiyenko, László Rosta, Ovidiu Alin Stirban, Zsuzsanna Putz, Ildikó Istenes, Viktor Horváth and Peter Kempler

 

Microvascular complications are responsible for a major proportion of the burden associated with diabetes contributing to substantial morbidity, mortality, and healthcare burden in people with diabetes. Retinopathy, nephropathy, and neuropathy constitute the leading causes of blindness, end-stage renal disease, and lower-extremity amputations, respectively. Since the efficacy of causal therapies of diabetic microvascular complications is limited, especially in type 2 diabetes, there is an unmet need for adjunct treatments which should be effective despite ongoing hyperglycemia. Experimental studies have indicated that diabetic microvascular complications can be prevented or ameliorated by various biofactors in animal models by interfering with the pathophysiology of the underlying condition. Some of the findings related to biofactors, like α-lipoic acid and benfotiamine, could be translated into the clinical arena and confirmed in clinical trials, especially in those focusing on diabetic polyneuropathy. Given the micronutrient nature of these compounds … read more

Krystal Seeks FDA Approval of Vyjuvek Gene Therapy Gel for DEB

 

Patricia Inácio, PhD

 

Krystal Biotech is seeking U.S. Food and Drug Administration (FDA) approval of Vyjuvek (previously called B-VEC), its topical gene therapy for people with dystrophic epidermolysis bullosa (DEB). The request was made in the form of a biologics license application or BLA — a type of marketing approval — supported by data from two clinical trials that showed that Vyjuvek healed DEB wounds and kept them closed. “The unmet medical need for DEB patients remains very high and our relentless pursuit of a treatment for this disease continues with the same sense of urgency that we have always had since the founding of Krystal Biotech,” Suma Krishnan, president of research and development … read more

Living With Chronic Wounds: Trailer

Aurora Piaggesi

 

The Living With Chronic Wounds trailer introduces a series of videos that illustrates patients’ experiences and the various challenges and approaches to wound management experienced and undertaken by wound care professionals and their organisations. The videos are produced by filmmaker Aurora Piaggesi …

Practice Perfect 816 A Pearl for Residents (or Anyone) On Call

Jarrod Shapiro, DPM, FACFAS, FACPM, FFPM, RCPS Glasg

 

Being a physician is a busy endeavor, and taking call adds both busyness and complexity to a physician’s calendar. This is doubly true when the physician is a resident, with all of the extra educational responsibilities on top of clinic, surgery, and call. As a result, being efficient is a necessity when on call. Here’s a little pearl that has helped me during call: use a call bag … read more

Innovative Treatment Utilizing an Autologous Blood Clot for Diabetic Foot Ulcers

Marie Williams, David Davidson, Naz Wahab, Jessie Hawkins, Chinenye D. Wachuku, Robert Snyder

 

Diabetic foot ulcer is among the most common complications of uncontrolled diabetes and is associated with an increased risk of mortality.1 The annual incidence of DFUs worldwide ranges between 9.1 million and 26.1 million.1 It is estimated that approximately 15% to 25% of patients with diabetes will develop a DFU in their lifetime, resulting in increased incidence of hospitalizations and amputations.1,2 In the United States, the total annual medical cost for the management of DFUs ranges between $9 billion and $13 billion … read more

Surgical Debridement With a Scalpel

John C Lantis II

 

Hello, I’m John Lantis, vascular surgeon, and today I’d like to spend a little bit of time speaking to you about the benefits of debridement and some fundamentals of the technique. Very simple office-based debridement for the outpatient wound. The goals of debridement are to take away the skin edges that would be hyperkeratotic, which would be around the edges. Those cells are actually cells that usually don’t even know how to migrate across the wound bed and need to be removed. But one also doesn’t want to forget the base of the wound, where at the base of the wound you would have increased bacterial burden and cells, if they’re present, that are very senescent or quiescent, and that they’re not able to turn over. So there are various ways of debriding and methods, but we’re going to be talking about sharp debridement today, specifically. Sharp debridement you want to have a rounded blade; using an 11 blade … read more

Implant Salvage in Patients With Severe Post-Fracture Fixation Surgical Site Infection

Using Negative Pressure Wound Therapy With Intramedullary and Subcutaneous Antibiotic Perfusion

 

Keisuke Shimbo, Tatsuhiko Saiki, Haruka Kawamoto, Isao Koshima

 

Surgical site infection (SSI) after fracture fixation is associated with higher-grade Gustilo-Anderson open fractures (ie, type III).1,2 Patients with SSI that has progressed to deep infection or osteomyelitis must undergo multiple surgeries and may experience permanent dysfunction at the fracture site. Radical surgical debridement, orthopedic implant removal, and systemic antibiotic administration are generally performed to control SSIs. Orthopedic implant removal is considered to be an efficacious procedure. For example, 28% to 79% of orthopedic implants are removed after foot, ankle, or lower leg fracture surgery.3,4 After orthopedic implant removal, postoperative SSI rates are reportedly 0% to 20%.3-5 The standard-of-care therapeutic regimen is insufficient in the management of SSI after fracture fixation. Some studies have reported the use of negative pressure wound therapy … read more

A strain-programmed patch for the healing of diabetic wounds

 

Georgios Theocharidis, Hyunwoo Yuk, Heejung Roh, Liu Wang, Ikram Mezghani, Jingjing Wu, Antonios Kafanas, Mauricio Contreras, Brandon Sumpio, Zhuqing Li, Enya Wang, Lihong Chen, Chuan Fei Guo, Navin Jayaswal, Xanthi-Leda Katopodi, Nikolaos Kalavros, Christoph S. Nabzdyk, Ioannis S. Vlachos, Aristidis Veves & Xuanhe Zhao

 

Diabetic foot ulcers and other chronic wounds with impaired healing can be treated with bioengineered skin or with growth factors. However, most patients do not benefit from these treatments. Here we report the development and preclinical therapeutic performance of a strain-programmed patch that rapidly and robustly adheres to diabetic wounds, and promotes wound closure and re-epithelialization. The patch consists of a dried adhesive layer of crosslinked polymer networks bound to a pre-stretched hydrophilic elastomer backing, and implements a hydration-based shape-memory mechanism to mechanically contract diabetic wounds in a programmable manner on the basis of analytical and finite-element modelling. In mouse and human skin, and in mini-pigs and humanized mice, the patch enhanced the healing of diabetic wounds … read more

Disposable Mechanically-Powered Negative Pressure Wound Therapy: An Illustrative Case-Based Series

Christopher Barrett, DPM, Dot Weir, RN, CWON, CWS

 

Provided by HMP Education, an HMP Global Company.

 

For questions regarding this educational activity, please call 609-371-1137 or email accreditation@hmpglobal.com.

 

INTENDED LEARNERS
This activity is designed for physicians, nurses, nurse practitioners, physician assistants and podiatrists across all practice settings involved in the prevention, treatment, and management of patients with wounds.

 

LEARNING OBJECTIVES
After participating in this activity, learners should be better able to:

Examine the efficacy and usability of disposable mechanically powered negative pressure wound therapy
Review best practices for using dNPWT in a variety of wound types
Explore illustrative case studies using dNPWT in a variety of wound types

read more

PRESENT 5-Minute Podiatry Clinical Challenge – Week 25

Robert G Smith, DPM, MSc, RPh, CPRS

 

This Week’s Topic: Diabetic Foot Ulcer in Complex Patient

This week’s 5MinClinChallenge contributed by Robert G. Smith DPM MSc RPh FNAP, focuses on a complex diabetic ulcer patient involving alcohol and nicotine abuse, complaining of painful neuropathy. See if you agree with Dr Smith’s approach to this difficult case … read more

Everything Old Is New Again

Terry Treadwell

 

This past weekend I was invited to be part of a group of wound care practitioners from the United States, Europe, Australia, and South Africa to design a manuscript to assist health care practitioners from around the world treat hard-to-heal wounds. At the meeting, cases were presented, and treatments were discussed, and it dawned on me that everything we were discussing was information that had been discussed many times before. It seems that no matter where in the world one treats wounds, the problems are the same and solving old problems is a major issue. As one who has had the privilege to teach and write about wound treatment in Sub-Saharan Africa, for me, the old topics became new again … read more

In development: A synthetic foam that heals chronic wounds by suppressing inflammation and spurring blood vessel growth

Delthia Ricks

 

Scientists have engineered a synthetic biodegradable foam that can suppress inflammation, promote blood vessel growth and support the rapid healing of chronic skin wounds, an innovation that may one day improve treatment for ailing patients and possibly reduce costs of a major global health problem … The new material, tested in pigs with chronic skin wounds, matched or outperformed a clinical wound-healing product considered the “gold standard” of care. The research suggests that the investigational material may one day accelerate tissue repair among patients with skin wounds that have defied healing … read more

Comparative Study of Limberg Flap Reconstruction With Wide-Open Excision and Healing by Secondary

Intention in the Management of Pilonidal Sinus: Our Experience at a Tertiary Care Center in India

 

Swapnil P. Chopde, Geet R. Adhikari

 

A pilonidal sinus (PNS) is a small passageway in the subcutaneous tissue which develops most frequently in the sacrococcygeal area. In terms of postoperative outcomes, the decision on the best surgical treatment for PNS is still a challenge for a surgeon. Prevention of the disease recurrence and improving quality of the life can be considered primary goals of the treatment. The current study intends to compare two commonly practiced surgical treatments for PNSes-Rhomboid excision with Limberg flap repair against wide-open excision with healing by secondary intention … read more

Made Easy: Emollients

Ayesha Marshall

 

Individuals with compromised skin integrity are at greater risk of skin damage or sustaining a wound, which may create a vicious circle of hard-to-heal wounds if underlying factors are present (Beeckman et al, 2020). Such hard-to-heal wounds are adding to the cumulative burden of wounds on patients, clinicians, families/carers and healthcare systems (Guest et al, 2020). Emollient therapy has been shown to reduce the risk of skin damage or sustaining a wound in individuals with fragile or at-risk skin (Wounds UK, 2015). This Made Easy aims to highlight the importance of preserving skin integrity, particularly in individuals with vulnerable skin, and how use of an emollient such as Hydromol® (Alliance) can help to reduce the risk of damage in a range of clinical scenarios … read more

Limb salvage surgery in diabetic foot infection: encouraging early results with a local antibiotic carrier

NL Vasukutty, S Mordecai, A Tarik, M Subramaniam, B Srinivasan

 

Diabetic foot disease is associated with high morbidity and is one of the leading causes of lower limb amputation. The use of a local antibiotic carrier to augment debridement and reconstructive procedures is presented. Methods: The authors present early results of 48 feet in 47 patients from two centres in the UK. Their multidisciplinary protocol involved pre-operative assessment, debridement, culture-specific antibiotics and local antimicrobial management with an antibiotic-loaded biocomposite (CERAMENT G®, BONESUPPORT, Lund, Sweden). Of the 48 feet, 22 (46%) had various foot reconstructive procedures. Six patients had pre-operative revascularisation procedures. All patients were graded as either University of Texas 3B or 3D ulcers. Results: At a mean follow-up of 33 months (range 13–49 months), 42 feet (88%) were free of infection and 39 patients (83%) were mobilising. There were 28 wounds healed by secondary intention, 17 with primary closure and three required skin grafting. Three patients had non-healing and persisting ulcers at the most recent follow-up. Three patients had undergone below–knee amputation. The average time to wound healing was 16 weeks (range 3–24 weeks). A limb salvage rate of 94% was achieved … read more

Violence against clinicians: It’s more than the Tulsa shooting

By Joe Hannan

 

The mass killing at a Tulsa hospital is the most recent example of a well-documented trend of violence against US healthcare workers … Data indicate that the pandemic exacerbated the issue, and that HCPs may be underreporting violent incidents … Clinicians should report all incidents, and employers must provide adequate training and support. Pending congressional legislation could make the consequences of attacking an HCP similar to those for attacking an airline or airport worker … read more

Vitamin D: Another Important Nutritional Metric in DFU

David G. Armstrong, DPM, MD, PhD

 

A recent meta-analysis in the International Wound Journal took a closer look at vitamin D deficiency and patients with diabetic foot ulcers (DFUs). Lin and colleagues’ literature search initially included over 7,500 subjects with diabetes.1 They found that those subjects with diabetic foot ulcers had significantly lower levels of vitamin D, higher prevalence of vitamin D deficiency (less than 50 nmoL/L) and more severe vitamin D deficiency than those without DFU … read more

Effectiveness of a Pressure Injury Prevention Care Bundle; Prospective Interventional Study in Intensive Care Units

Tuba Yilmazer, PhD, RN and Hilal Tuzer, PhD, RN

 

The purpose of this study was to assess the effectiveness of a pressure injury prevention care bundle. Participants were 13 nurses and 104 patients cared for in the intensive care unit for at least 24 hours in a university hospital in Ankara, Turkey. The study was conducted in 2 stages: the pre-care and post-care bundle stages. In the pre-care bundle stage, the pressure injury incidence of the patients was followed by the nurses. At the end of the third month, the researcher held a 1-day training program for the nurses about the care bundle use to promote correct implementation. In the post-care bundle stage, the nurses provided care according to the bundle. Compliance with the care bundle was assessed. Pressure injury incidence rates in the pre- and post-care bundle stages were compared … read more

From Centralized to Decentralized Model of Simulation-Based Education:

Curricular Integration of Take-Home Simulators in Nursing Education

 

Brenda Barth, Artur Arutiunian, Julia Micallef, Mithusa Sivanathan, Zhujiang Wang, Dana Chorney, Elaine Salmers, Janet McCabe, Adam Dubrowski

 

Simulation laboratories support the teaching and learning of required competencies and skills for professional nursing practice [1]. They provide experiential classrooms where nursing students learn and practice several skills in an environment that offers the practicality of a clinical setting without the risks to patient safety. This will be referred to as the centralized model of simulation-based education (Ce-SBE), where learners must congregate at a simulation lab to practice their skills under supervision and expert feedback using commercially available simulators … Before March of 2020, when the World Health Organization declared a coronavirus disease (COVID-19) pandemic, these specific regulated clinical skills were taught and practiced in simulation laboratories. However, during the pandemic, access to these simulation laboratories became limited due to physical distancing, and to continue skills development, other options needed to be considered [2]. This will be referred to as the decentralized model of simulation-based education (De-SBE), where learners can practice clinical, hands-on skills outside of the simulation laboratories from the comfort of their homes or other locations … read more

Merakris CEO To Discuss Dermacyte® Development Program As Part of Advanced Wound Care Summit Panel in July

RESEARCH TRIANGLE PARK, N.C., June 28, 2022 (GLOBE NEWSWIRE) — About five years ago, the U.S. Food and Drug Administration (FDA) announced plans to toughen its guidelines around the development and oversight of regenerative medicine products. The goal was to make sure these therapies – which are growing rapidly in numbers – are safe and effective for consumers, while also providing a framework to encourage innovation … The changing regulatory landscape provided the impetus for Merakris Therapeutics to immediately engage with the FDA on its technology and the steps required to meet the new requirements, according to the Research-Triangle headquartered company’s CEO, Chris Broderick. Merakris was one of the first companies in its industry to do so … read more

Granulox for managing chronic non-healing wounds

Medtech innovation briefing [MIB296]Published: 10 May 2022

The technology described in this briefing is Granulox … Granulox is a topical sterile haemoglobin spray for managing chronic non-healing wounds … The innovative aspects are that, unlike other oxygen delivery technologies, it is designed to allow oxygen to diffuse through wound exudate … It can also be used in various settings without costly consumables, electrical power or full or partial body coverage in a chamber … The intended place in therapy would be alongside standard care for people with chronic non-healing wounds … The main points from the evidence summarised in this briefing are from 8 studies (1 meta-analysis, 2 randomised controlled trials and 5 observational studies) including a total of 530 people … Seven studies were based in the UK and are generalisable to the NHS … The evidence suggests that Granulox may improve the management of chronic non-healing wounds … Key uncertainties around the evidence are that sample sizes are small, and most studies were not randomised and had a short follow-up period … read more

Uncommon Approach to Nano-Enabled Wound Healing Holds Promise

By Bhavna Kaveti

 

Although several novel interventions were explored for wound healing, treating non-healing and chronic wounds is challenging in clinical management. In an article recently published in the journal ACS Applied Materials and Interfaces, researchers loaded RL-QN15 pro healing peptide into hollow silica nanoparticles, followed by their integration with zinc alginate (ZA) gels to form HSN@RL-QN15/ZA hydrogel … The researchers observed that the fabricated hydrogels were biocompatible, hemocompatible, porous, and exhibited antimicrobial activity against broad-spectrum microorganisms. The hydrogels showed release of bioactive RL-QN15, which was advantageous to accelerating the healing process … read more

FDA 510(k) Clearance Expands Labelling of MolecuLight i:X® to Include the Ability

to Identify Regions Containing Elevated Load and More Bacterial Species

 

New FDA Clearance Illustrates the Utility of the i:X to Reliably Detect
Clinically Significant Bacteria that Impedes Wound Healing

 

TORONTO, June 29, 2022 /PRNewswire/ – MolecuLight Inc., the leader in point-of-care fluorescence imaging for real-time detection of wounds containing elevated bacterial loads, announces that it has received an expansion to its FDA 510(k) clearance for the MolecuLight i:X® imaging device’s ability to detect the location of elevated bacterial loads (>104 CFU/g) in wounds. The expanded labelling also includes the device’s ability to identify areas of wounds containing more bacterial species, including key target pathogens of interest to the CDC that are major causes of antimicrobial resistance1. Detectable species include gram-negative and gram-positive species, aerobes and anaerobes. This expanded labeling is based on a detailed retrospective statistical analysis of over 350 patients.

 

Targeted debridement of wound using the MolecuLight point-of-care imaging device for detection of elevated bacterial burden (CNW Group/MolecuLight)

 

“We are thrilled with the FDA’s new clearance for MolecuLight’ ability to determine the location of elevated bacterial loads in wounds, in addition to the ability to identify regions with more bacterial species of interest”, says Anil Amlani, MolecuLight’s CEO. “Clinicians worldwide are using the MolecuLight device to visualize regions with clinically significant bacterial loads and more species of concern. With point-of-care information on bacterial load and its locations through use of a MolecuLight device, clinicians can act immediately to tailor their cleaning, debridement, antimicrobial strategies and treatments accordingly.”

 

This video (courtesy of Rose Raizman) illustrates the importance of visualizing the location of elevated bacterial load in a wound. In this scenario, the clinician is using MolecuLight i:X to inform their decision-making and target their wound hygiene to the areas of red fluorescence. Regions of red, indicating that the wound contains clinically significant (>104 CFU/g) levels of bacterial burden, are clearly visible on the patient’s diabetic foot ulcer (see image).

 

In addition, the FDA has also recognized MolecuLight’s ability to visualize regions containing troublesome bacterial species at the point-of-care. The MolecuLight device can be used to enable fluorescence-guided tissue biopsies to these regions to detect a higher number of pathogens of interest (defined by the CDC as increasing risk to develop antibiotic resistance) compared to standard-of-care-guided biopsies. The CDC has identified antibiotic resistance as “one of the greatest global public health challenges of our time”1. Strategies to combat antibiotic resistance include containing emerging threats through early detection and aggressive response and improving appropriate antibiotic use through antimicrobial stewardship programs. The expanded use of diagnostic tools, like MolecuLight, to improve accuracy and speed of pathogen detection has been called out to help improve appropriate antibiotic selection and reduce unnecessary antibiotic use1.

 

MolecuLight was the first to receive FDA de novo clearance for its MolecuLight i:X imaging platform and has subsequently received three additional FDA 510(k) clearances for the device.

 

About MolecuLight Inc.
MolecuLight Inc. is a privately-owned medical imaging company that has developed and is commercializing its proprietary fluorescent imaging platform technology in multiple clinical markets. MolecuLight’s suite of commercially released devices, including the MolecuLight i:X® and DX™ fluorescence imaging systems and their accessories, provide point-of-care handheld imaging devices for the global wound care market for the real-time detection and localization of elevated bacterial load in wounds and for digital wound measurement. MolecuLight procedures performed in the United States can benefit from an available reimbursement pathway including two CPT® codes for physician work to perform “fluorescence imaging for bacterial presence, location, and load” and facility payment for Hospital Outpatient Department (HOPD) and Ambulatory Surgical Center (ASC) settings through an Ambulatory Payment Classification (APC) assignment. The company is also commercializing its unique fluorescence imaging platform technology for other markets with globally relevant unmet needs including food safety, consumer cosmetics and other key industrial markets.

 

www.moleculight.com

 

Image: Download at: https://moleculight.box.com/s/ax8758gz0f8amouhcjjvs4xzkfa9vofo
Video: https://youtu.be/HKOCGBlIQj4

 

SOURCE MolecuLight

 

 

Researchers report higher three-year amputation and reintervention rates in Black and Hispanic CLTI patients

In a study of over 7,000 chronic limb-threatening ischaemia (CLTI) patients, researchers found that Black and Hispanic patients had higher three-year amputation and reintervention rates; survival, however, was higher among Black patients and similar between Hispanic and White patients. Aderike Anjorin (Duke University Medical Center, Durham, USA) delivered these findings at this year’s Society for Vascular Surgery (SVS) Vascular Annual Meeting (VAM 2022; 15–18 June, Boston, USA) … Framing the research, Anjorin stated that Black and Hispanic patients have higher rates of CLTI and suffer worse outcomes after lower extremity bypass compared with White patients. The underlying reasons for these disparities are unclear, she said, specifying that data on long-term outcomes are limited. In order to address this gap in the literature, Anjorin and colleagues examined differences in three-year outcomes after open infrainguinal … read more

FedEx and Direct Relief Deliver 52 Tons of Critical Medical Aid for Ukrainians

MEMPHIS, Tenn.–(BUSINESS WIRE)–FedEx Corp. (NYSE: FDX) and Direct Relief continue to support those affected by the conflict in Ukraine. On Sunday, June 26, FedEx Express safely delivered 52 tons of critical medical aid to Poland from the United States via a FedEx humanitarian relief flight. This follows FedEx and Direct Relief’s first charter flight of aid for Ukrainian refugees in March and is the latest in a continuous series of shipments from Direct Relief … Aid aboard the FedEx Express Boeing 777 cargo aircraft included substantial quantities of emergency medicines and supplies, including health kits, trauma and wound care items, chronic disease and chemical exposure medications, and antibiotics. All items were provided at the request of, and approved by, Ukraine’s Ministry of Health and local Ukrainian organizations. Direct Relief team members were on site for the offload and the aid will be distributed to health facilities within Ukraine … read more

Building a wound army: the importance of grass roots advocacy in driving systemic change

Hayley Ryan and Helen Jentz

 

Wounds Australia celebrated its 28th anniversary this year. Like many peak national organisations, over the course of our history, Wounds Australia has had to evolve and adapt to the ever-changing health and social landscapes in which we operate. Central to our ongoing success as a peak body is the commitment of our members, the health professionals who have chosen to dedicate themselves to the highly specialised and complex area of wound prevention, diagnosis, treatment, care, healing and research … As an organisation that is focussed on effective, real and sustainable systemic change that will result in significant improvements in the lives of Australians living with wounds, we are also dedicated to broadening the ways in which we, as the peak national body for wound prevention, treatment and healing, can support and assist those living with wounds and the families who love and care for them … read more

Needed: A Prevention Strategy To Stop Amputations Among Minority Populations Living With Complex Diabetes

Allyson Y. Schwartz, Jon Bloom, M.D.

 

Lower limb amputations are devastating for people living with diabetes, particularly for Black Americans facing poor access to comprehensive care. A coordinated, data-driven national prevention strategy is the only way to curb this growing epidemic for all at-risk populations … When President Joe Biden rightly called out the unsustainably high price of insulin in his 2022 State of the Union Address, he wasn’t saying anything new for most industry observers. Rising insulin prices have been the subject of national conversation for years, and the push for a reasonable cap on out-of-pocket expenses has been a perennial rallying point among providers and patient advocates … Capping insulin costs is an important step, but it is just a start if we are going to stop people living with early diabetes from experiencing a worsening of their condition … The statistics and the people behind those numbers demand greater attention, smarter care, and a life free of the serious consequences of uncontrolled, complex diabetes … Consider these numbers. More than 37 million people are living with diabetes in the United States — and a further 96 million individuals have prediabetes … read more

2022 Military Medical Device Technologies Report – Easy-to-Use and Quick Wound Sealing

Hemostatic Solutions for Trauma Injuries Presents Opportunities – ResearchAndMarkets.com

The “Growth Opportunities in Military Medical Device Technologies” report has been added to ResearchAndMarkets.com’s offering … Over the years, the healthcare industry has developed several unique technologies for emergency medical services and critical care. An important user of critical care healthcare products is the military or the defense forces. Advanced medical technologies have improved the care that is offered, and they also enable safer and quicker care for soldiers … Severe hemorrhages can result in hemodynamic instability, hypoxemia, multiple organ failure, or death. A key reason for patient fatality is blood loss due to trauma or injury on the battlefield. Typically, intravenous (systemic) or local (topical) hemostatic agents are used to control excessive bleeding … read more

Unsalvageable: Preventable Amputations Rise During COVID

Eli Cahan

 

Leafer Miller didn’t hear much after the doctor told him they had to “sacrifice the leg.” … Lying on the emergency room gurney, the self-proclaimed video game nerd and former athlete struggled to comprehend life without the leg that had propelled him on the track and to the turf for tackles on the soccer field … “It was always in the back of my mind as a worst-case scenario,” the 35-year-old Fresno, CA, native says. “But I wasn’t expecting that to be the case.”
read more

Wounds Secondary to Sleep Position Part 2: Using Mattresses and Other Modalities to Prevent Pressure Injuries

Robin Lenz and Fahad Hussain

 

For the patient, the prevention of sores and injuries is better than treating them. Pressure-relieving mattresses may be essential for preventing pressure injuries (bed sores). These mattresses aid in relieving and redistributing pressure and can thereby cause a reduction of friction and shearing. Pressure-relieving mattresses provide support for the body and reduce the amount of force applied to a given area. Thus, for bedbound patients and patients who are unable to reposition themselves, these types of beds can be especially beneficial … read more

Strategies to reduce practice variation in wound assessment and management: The T.I.M.E. Clinical Decision Support Tool

Zena Moore, Dot Weir, Shinobu Ayabe, Andrea Bellingeri, Keryln Carville, Alison Garten, Rolf Jelnes, Lee Ruotsi, Henri Post, Joanna Swan, Terry Swanson, Ewa Sturmer, Gulnaz Tariq, Kevin Woo, Michael Clark

 

This document seeks to help clinicians support those who do not have specialist wound training to accurately assess patients and their wounds and arrive at a broad-based, systematic rationale that will ultimately help reduce variations in clinical decision-making. The T.I.M.E. Clinical Decision Support Tool provides a structured approach to wound bed preparation … read more

Amputation risk up for Black, rural residents with diabetic foot ulcers

Rural patients identifying as Black have more than a 10 percent absolute increased risk for major leg amputation or death compared with the overall cohort of adult Medicare patients hospitalized with a diabetic foot ulcer, according to a study published online April 21 in JAMA Network Open … Meghan B. Brennan, M.D., from the University of Wisconsin in Madison, and colleagues examined the associations of race, ethnicity, rurality, and/or neighborhood disadvantage with outcomes among U.S. patients with diabetic foot ulcers. The analysis included 124,487 patients hospitalized with diabetic foot ulcers (2013 to 2014) identified through the U.S. National Medicare Claims Data Database … read more

The ActivHeal® Academy Higher Tier Modules

We (The Society of Tissue Viability) have over 100 resources, free for everyone to browse and read and share. These resources are suitable for a range of skin and wound care disciplines, roles, and educational purposes.

 

The university-level modules are aimed at supporting Continuing Professional Development and cover a range of topics from basic skin anatomy and physiology through to wound healing and dressing selection.

 

The five higher tier modules are fully endorsed by the Society of Tissue Viability.

 

You will need to sign up to the ActivHeal Academy to access these courses

 

Module 1: Anatomy & physiology of the skin
To understand how wounds heal, it is important to have a basic knowledge of the anatomy and physiology of the skin and the structures that lie within it. ESTIMATED TIME REQUIRED: 60 MINUTES

 

Module 2: Wound healing
After an injury to the body has occurred, healing of the wound takes place in order to restore the intact barrier provided by the skin. ESTIMATED TIME REQUIRED: 60 MINUTES

 

Module 3: Patient and wound assessment
This module looks at the important criteria to consider including wound assessment tools to encourage you to critically analyse established wound assessment tools used within the clinical environment. ESTIMATED TIME REQUIRED: 90 MINUTES

 

Module 4: Wound classification and wound management
This module will look at different wound types and the most frequently used methods by which they are staged and managed. This is meant as a guide and may compel you to look at the research behind your current practice.

 

Module 5: Dressing selection
As the number of wound care dressings available on the market continues to grow this course looks to ensure that the correct treatment is carried out. ESTIMATED TIME REQUIRED: 90 MINUTES

 

https://academy.activheal.com/

Global focus: MASD

Special Report on MASD written by Elizabeth Faust, MSN, CRNP, CSWS, CWOCN-AP, MAPWCA; Siobhan McCoulough, CNS; and Patricia Idensohn, CNS

 

Moisture-associated Skin Damage (MASD), as the name suggests, occurs when exposure to a moisture source results in a breakdown of skin integrity. MASD is an umbrella term for a number of conditions including incontinence-associated dermatitis, peri-stomal skin damage, peri-wound skin damage and intertrigo. These conditions can impact greatly on patients so protecting the skin from damage and promoting wound healing are integral parts of skin and wound care. This area contains a variety of different resources to help aid understanding of MASD, so please sign up to our events, and explore to learn more!
read more

Measuring Pressure Redistribution Properties of 4 Hospital Bed Surfaces: A Quality Improvement Project

Oleg Teleten, MS, RN, CWCN
Tatyana S. Polyak, MD
Jessica Espinoza, OTS
Andrew I. Li
Ariel J. Rodgers, MD
Holly Kirkland-Kyhn, PhD, FNP, GNP, CWCN, FAANP

 

Pressure ulcers/injuries (PU/Is) are still highly prevalent in the acute care setting. According to the Joint Commission Center for Transforming Healthcare (2021), more than 2.5 million patients in US acute care facilities are estimated to have PU/Is each year, and 60,000 die of their associated complications.1 PU/I development has many contributing factors, including prolonged pressure over bony prominence due to inactivity/immobility, shearing between skin surface and mattress/seating surface,2 poor perfusion,3 tissue ischemia, and prolonged high surface interface pressure.4-6 Incidence of PU/Is has been shown to be associated with increased disease burden, financial burden, and increased in-hospital mortality rates … read more

Gelling Fiber Dressings: How Structure and Function Relate to Healing

Biomedical engineer Amit Gefen, BSc, MSc, PhD, discusses dressings in general and gelling dressings in particular from an engineering and clinical use perspective.

Amit Gefen, BSc, MSc, PhD, is a professor of biomedical engineering at Tel Aviv University and a board member of Wound Management & Prevention. His research interests include mechanobiology, tissue engineering, cell and tissue biomechanics and applications in chronic wound research … read more

Are You Ready? The New Medicare Advance Beneficiary Notice (ABN)

Medicare covers many products and services that are needed to manage chronic wounds. However, Medicare does not always cover the products for all indications, at the frequency that physician or the patient would like, etc. When a wound care clinic and/or practitioner believes that Medicare covers the product of service, but does not believe Medicare will cover it for a particular patient, that patient should be given an Advanced Beneficiary Notice (ABN). In addition, if a product or service, the practitioner is required to give the patient an ABN prior to treatment. If the patient is not given an ABN, and Medicare denies coverage of the product or service, the clinic and/or practitioner cannot collect payment from the patient. To help readers understand the new Medicare ABN, I interviewed Donna Cartwright, MPH, RHIA, CCS, RAC, one of new editorial board members for Today’s Wound Clinic. Donna is a professional coder who brings over 27 years … read more

Dr. Paul Kim Discusses Clinical Implications and Considerations of Using Negative Pressure Wound Therapy with Instillation

In this video, Paul Kim, DPM, MS, FACFAS, discusses the clinical implications and considerations of using negative pressure wound therapy with instillation in wound care.

Paul Kim, DPM, MS, FACFAS, is a professor in the Department of Plastic Surgery and Orthopedic Surgery and is the Medical Director of the Wound Program at the University of Texas Southwestern in Dallas, Texas. For more content, visit the Negative Pressure Wound Therapy topic center … watch video

Practice Perfect 815 Documentation: Boring but Important

Jarrod Shapiro, DPM, FACFAS, FACPM, FFPM, RCPS Glasg

 

At the risk of scaring all of our readers away, I’d like to talk a bit about charting and documentation today. I know what you’re thinking: “Could there be a more boring topic?” Maybe not, but the importance of documentation is inversely proportional to how boring it is. First, remember that the chart note is your medicolegal shield. The note has to be of excellent quality, and the better the note, the better the shield. If you were a knight of the round table, would you have wanted your shield to be weak so your opponent could skewer you with their sword? Of course not … read more

Conservative Management of Full-thickness Burn Wounds Using Advanced Moist Dressings: A Case Report

Shigenori Masaki, Itaru Maeda, Takashi Kawamoto

 

Burn injuries are the most common type of skin injury.1 Initial evaluation of burn depth and size is essential in determining treatment strategies.1,2 Burn depth is conventionally classified into 3 main categories: superficial, partial-thickness, and full-thickness. Burn size is evaluated by estimating the patient’s total body surface area (TBSA) percentage. Minor burns, such as superficial or partial-thickness burns less than 10% of TBSA, can be managed by a primary care physician using topical agents or wound dressings in an outpatient setting.3 Full-thickness burns, however, require evaluation by a specialist in a burn center for excision and skin grafting.1-3 Clinicians occasionally encounter patients who decline operative procedures. If the full-thickness burn in such a patient is minor, conservative treatment may be acceptable.4 Few published studies have reported the use of … read more

Chargemaster Template for Hospital Outpatient Wound Care Services

This table illustrates common wound care services and procedures performed at hospital outpatient settings, and refers to Centers for Medicare & Medicaid Services (CMS) facility fees. For Medicare Physician Fee Schedule, see topic “HCPCS/CPT Codes Commonly Utilized in Wound Care and HBOT”.

Instructions for the interactive Tool below: 1. Select number of entries (rows) to be displayed on the table. 2. Use the “Search” field to find a specific code or description. For educational purposes only. Your hospital chargemaster, Medicare Administrative Contractor (MAC) and Coverage Determinations should serve as the definite source of billing guidelines … read more

Patients with SSc-related digital ulcers use ‘significantly more’ health care resources

Patients with systemic sclerosis who demonstrate digital ulcers use “significantly more” health care resources annually than patients without digital ulcers, according to data published in Arthritis Care and Research … “[Digital ulcers (DUs)] are slow to heal, specially if there is calcinosis, and can be complicated by soft tissue infections, wet and dry necrosis, eschar, underlying tissue exposure, gangrene, osteomyelitis, and amputation,” Tatiana Nevskaya, MD, PhD, of the Schulich School of Medicine and Dentistry, in Ontario, and colleagues wrote … read more

Photocatalytic Cu2WS4 Nanocrystals for Efficient Bacterial Killing and Biofilm Disruption

Heng Dong, Kaili Yang, Yu Zhang, Qiang Li, Weijun Xiu, Meng Ding, Jingyang Shan, Yongbin Mou

 

Antibiotic-resistant bacteria have become both a worldwide problem and major hidden danger that threatens global public health. Currently, the abuse of antibiotics is a particularly serious problem, often leading to the emergence of drug-resistant bacteria and even “superbacteria”, such as Staphylococcus aureus (S. aureus).1,2 Bacterial infections are very challenging to treat, as the actions and penetration of antibiotics are largely limited by the dormant lifestyle of bacteria and the extracellular polymeric substance (EPS) matrix in bacterial biofilms.3,4 Bacterial biofilms with an EPS matrix can resist host immune defenses and induce persistent inflammation, thus allowing the bacteria to become highly resistant to traditional antibiotics.5 Ineffective treatment with traditional antibiotics not only causes the rapid emergence of drug-resistant S. aureus strains but could also result in the formation of S. aureus biofilms.6 Therefore, the development of a new strategy to inhibit S. aureus biofilm formation is urgently needed … read more

Welcome to LeaRn on Demand

By signing up to LeaRn On Demand today you will have access to:

  • E-learning modules covering wound care, compression therapy and much more, that can contribute to the non-participatory hours of CPD required for revalidation
  • L&R brand videos, resources and information
  • A new community where you can connect with others in your profession
  • A platform to ask questions at any time!

read more

Peripheral Neuropathy and All-Cause and Cardiovascular Mortality in U.S. Adults : A Prospective Cohort Study

Caitlin W Hicks, Dan Wang, Kunihiro Matsushita, B Gwen Windham, Elizabeth Selvin

 

Growing evidence indicates that peripheral neuropathy (PN) is common even in the absence of diabetes. However, the clinical sequelae of PN have not been quantified in the general population … To assess the associations of PN with all-cause and cardiovascular mortality in the general adult population of the United States … read more

Polymer-Based Wound Dressing Materials Loaded with Bioactive Agents: Potential Materials for the Treatment of Diabetic Wounds

Sibusiso Alven, Sijongesonke Peter, Zintle Mbese, Blessing A. Aderibigbe

 

Diabetes is a chronic condition with a high incidence of mortality and numerous complications that include diabetic foot ulcers (DFU) [1]. In 2013, it was reported that approximately 366 million individuals suffered from diabetes worldwide and in 2019, 1.5 million deaths were caused by diabetes [2]. Diabetes is a medical condition due to the inability of the pancreas to produce sufficient insulin or the inability of the body to effectively use the insulin produced [3]. Diabetic patients usually suffer from chronic injuries such as DFU and diabetic ulcers/leg ulcers. These wounds display features of a prolonged wound healing process and result in hospitalization and limb amputations [4]. About 50–70% of limb amputations are caused by diabetic injuries, and it has been reported globally that one leg is amputated every 30 s because of diabetic wounds … read more

Top Ten Things You Need to Know About HBOT #5: HBOT Is Mostly for Emergency Indications

Denise Nemeth, MPAS, CWS
Jayesh B. Shah, MD, MSc, UHM ABPM, CWSP, FAPWCA, FCCWS, FACHM FUHM, FACP

 

HBOT is most commonly known by health care professionals in the setting of wound healing, but did you know that the majority of the Food and Drug Administration (FDA)-approved indications for HBOT are emergency indications? As of July 2021, there are 13 approved indications for HBOT. These indications include emergencies like air emboli, crush injuries, decompression sickness, central retinal artery occlusion, idiopathic sensory neural hearing loss, iatrogenic gas embolism, gas gangrene, necrotizing fasciitis, and carbon monoxide poisoning … read more

Human cells take in less protein from a plant-based meat than from chicken

Many people have now embraced the plant-based meat movement. Plants high in protein, such as soybeans, are common ingredients, but it’s been unclear how much of the nutrient makes it into human cells. In ACS’ Journal of Agricultural and Food Chemistry, researchers report that proteins in a model plant-based substitute were not as accessible to cells as those from meat. The team says this knowledge could eventually be used to develop more healthful products … read more

MXenes-integrated microneedle combined with asiaticoside to penetrate the cuticle for treatment of diabetic foot ulcer

Pei Wang, Yun Wang, Yang Yi, Yan Gong, Haoran Ji, Yuci Gan, Fei Xie, Jinchen Fan & Xiansong Wang

 

Without an efficient and transdermal drug delivery system, patients who have skin disorders of various causes tend to experience incomplete or improper wound healing. Diabetic foot ulcer (DFU) resulting from decreased neurovascular response and multi-antibiotic-resistant bacterial infection [4] are an example of chronic wound healing. DFUs are accompanied by high morbidity and mortality and can lead to limb amputations [6] and hospitalization. Unfortunately, most treatments for diabetic skin disorders, including the application of acellular dermal matrix (ADM), electrospun nanofiber, are administered by smearing and are incapable of efficiently delivering drugs through the cuticle. Thus, to promote skin regeneration in patients with diabetes mellitus, it is necessary to develop a better drug delivery system … read more

Food as Medicine: What is the Impact on Foot and Ankle Surgery?

Kelsey Millonig, DPM, MHA, AACFAS

 

Preventable chronic diseases currently overwhelm the US health care system. Physicians experience this firsthand daily, yet Western medicine places little priority on lifestyle modification as a treatment modality. There is not the time nor a support system in place for physicians to prioritize these concepts with patients, least of all nutritional counseling. Even if we had the time, our general medical education system does not educate physicians in-depth on nutrition.1 Instead, we must find the time to educate ourselves on these topics, and with widely available misinformation available on nutrition, we begin to question any resource … read more

Foot Disease: The Most Feared Of All The Consequences Of Diabetes

During (National) Diabetes Awareness Week from 13 to 19 June 2022, Neuropad® a 10-minute pain-free screening test for the early detection of diabetic foot syndrome, a condition which can lead to serious complications such as foot ulceration, and amputation is raising awareness about this condition. Foot complications are the most feared of all the complications of diabetes, however, alarmingly, 30% of people with diabetes are unaware that foot complications are common and serious if detected late. Another sobering statistic is that the five-year mortality post amputation is worse than most common cancers and much higher than breast cancer … Nerve damage to the feet is a common complication of diabetes, but often goes unnoticed. Neuropad helps solve this problem with a simple colour change test, that provides an early warning sign … read more

Analysis of Bias Criteria Checklist for Wound Care Registries & EHRs

Chronic wounds affect nearly 15% of Medicare patients (8.2 million people) and may cost as much as $96.8 billion per year. The most common are not venous or diabetic, even though they are the most often studied in prospective trials. The most common chronic wounds are surgical incisions that dehisce and the “wounds with no name” due to the patients’ underlying medical conditions. That is because wounds are not a disease – they are a symptom. The US Wound Registry (USWR), a 501 (c)(3) non-profit organization, has been a patient registry since 2005. Since 2014, the USWR has been recognized by the Centers for Medicare and Medicaid Services (CMS) as a Qualified Clinical Data Registry (QCDR) that collects medical and/ or clinical data for the purpose of improving the quality of patient care. While we understand that randomized, controlled trials are needed to demonstrate efficacy in a perfect world, real-world patients have an average of 6 serious co-morbid conditions and take 10 medications. These complicated patients are invariably excluded from clinical research studies, which makes it impossible to know what treatments work best … read more

Changes in wound management since the establishment of EWMA in 1991 | Podcast

In this episode, you can listen to a conversation between EWMA Podcast Host Samantha Holloway and two key figures in wound healing coming out of Scandinavia; Professor Finn Gottrup and Professor Jan Apelqvist. The discussion initiates this season’s focus on the historical development of EWMA since its inception in 1991. The major question addressed in this episode is what has changed in wound management since EWMA was established 30 years ago? The podcast provides and overview of the tremendous change the discipline of wound healing and management has went through since the foundation of EWMA … listen

When a Patient Presents With Multiple Ulcerations on the Lower Extremity

Christi Druskovich, BS and Kurt A. Ashack, MHS, MD

 

A 73-year-old male with well-controlled rheumatoid arthritis and hyperlipidemia presented to the office for evaluation and management of multiple ulcers located on the right lower extremity. The lesions started 2 to 3 months prior as small, painful erythematous papules that began to enlarge and ulcerate. The patient denied any lower extremity swelling, related no new medications, and no changes to his current medications. He denied any trauma to the area, as well as recent illness or vaccination … read more

Case series: 3M™ Kerramax Care™ Super-Absorbent Dressing and 3M™ Coban™ 2 Two-Layer Compression System

Author(s) : Maria Hughes, Helen Strapp, Alita Jaspar, Bram Balduyck

 

Venous leg ulcers (VLUs; also known as varicose or stasis ulcers) pose significant challenges to patients and healthcare systems: they are the most common type of leg ulcer, costly to manage, recurring, and may persist for months or years (Harding et al, 2015). This can significantly impact patient quality of life, leading to depression, anxiety and social isolation. Other issues associated with VLUs that can negatively impact on quality of life include the following:

  • Pain
  • Leaking exudate
  • Odour
  • Restricted mobility
  • Sleep disturbance.

read more

Important news about Cochrane Wounds funding

We have recently been informed by our long-term funder, the NIHR, that funding for all the review groups they currently fund will terminate on 31 March 2023, and at that point Cochrane Wounds will also cease to exist. This means that we have to make difficult decisions about which reviews we will support between now and then, as our resources are limited in amount and duration.

Unfortunately, we will not be able to accept new titles and we will only proceed with high priority, high quality reviews that meet deadlines and can be produced relatively independently by author teams in an efficient way … read more

Non-Cytotoxic Wound Cleansers: What Should I Use?

Why Do Chronic Wounds Contain Biofilm?
The process of wound healing ideally progresses from inflammation to epithelialization and, finally, remodeling. If at any point bacterial (or fungal) colonization becomes prominent, the process of wound healing is disrupted. The creation of biofilm is a microbial defense mechanism that stalls the trajectory of healthy wound healing and can contribute to the development of a chronic wound. It is estimated that 90% of chronic wounds and 6% of acute wounds contain biofilms generated by microbes.1,2 Epidemiologically, chronic wounds impact 2% of the entire US population.2 Because of this large impact, knowledge of proper wound healing and use of clinical tools to assist the wound healing process are essential … read more

Skin health & wound care for children

Keynote Speakers: Sarah Gardner, Kristina Stiles, Paul Hardy

 

Free service specific/specialist days promote the best practices in skin health and wound healing … Caring for children with a chronic illness or disability can pose many challenges to healthcare professionals. Frequently this includes the risks associated with maintaining skin integrity and wound healing when faced with complex factors that can impact on patient outcomes … This advanced study day will explore some of the factors that need to be considered when assessing children with complex skin and wound care needs and will also provide insight into managing specific conditions such as pilonidal sinus, pressure ulceration and leg ulceration … read more

CTP Coding Confusion

Kathleen Schaum, D. MS

 

Just when the coding for cellular and/or tissue- based products (CTPs) for skin wounds (outdated term, “skin substitutes”), had stabilized, the CMS began to inconsistently award different Healthcare Common Procedure Coding System (HCPCS) codes to new CPTs. This inconsistency has caused physicians and other qualified healthcare professionals (QHPs), hospital-wined outpatient wound/ulcer management provider-based departments (PBDs), coders, balers, and Charge Description Master directors to submit many questions to this author. Therefore, this article will answer the most frequently asked questions, which should address some of the coding confusion surrounding the application of CTPs … read more

Implant Salvage in Patients With Severe Post-Fracture Fixation Surgical Site Infection

Using Negative Pressure Wound Therapy With Intramedullary and Subcutaneous Antibiotic Perfusion

 

Surgical site infection (SSI) after fracture fixation is associated with higher-grade Gustilo-Anderson open fractures (ie, type III).1,2 Patients with SSI that has progressed to deep infection or osteomyelitis must undergo multiple surgeries and may experience permanent dysfunction at the fracture site. Radical surgical debridement, orthopedic implant removal, and systemic antibiotic administration are generally performed to control SSIs. Orthopedic implant removal is considered to be an efficacious procedure. For example, 28% to 79% of orthopedic implants are removed after foot, ankle, or lower leg fracture surgery.3,4 After orthopedic implant removal, postoperative SSI rates are reportedly 0% to 20%.3-5 The standard-of-care therapeutic regimen is insufficient in the management of SSI after fracture fixation. Some studies have reported the use of negative pressure wound therapy with instillation and dwell time … read more

What’s New in Wound Care

Chronic and nonhealing wounds are a worldwide issue and are becoming more difficult to treat. In the United States alone, according to Medicare, over 8 million Americans have chronic wounds that cost the national health care system between $18.1 and $96.8 billion per year.1 If standard treatment does not adequately heal a wound, additional methods of wound care treatment may be required, and the underlying disorder must be examined to determine the need for advanced wound care modalities. Advanced wound care therapies are interventions that are used after standard wound care has failed … read more

Effect of Topical Application and/or Systemic Use of Red Ginseng Extract on Wound Healing

in Rats With Experimentally Induced Diabetes

 

Mehmet Esat Duymus MD, Hulya Ayik Aydin MD, Abdullah Bulgurcu MD, Zeynep Bayramoglu MD, Abdullah Durhan MD, Salih Tuncal MD, Mevlut Recep Pekcici MD, Kemal Kismet MD

 

Red ginseng (Rg) is traditional medicine that has been used for many years in Asian and European countries, especially Korea, China, and Japan. The major components of Rg are ginsenosides, Rg1, Rb1, Rb2, and Rb3, each with its own pharmacological effect. In vivo studies have been conducted to evaluate the hepatoprotective effect of Rg in chronic liver disease and its vasoprotective effect in heart disease. In addition, an in vitro study revealed that Rg extract may stimulate wound healing by increasing growth factors on fibroblast obtained from diabetic patients. A similar effect of Rg extract has been observed on full-thickness skin wounds in rats. In another study conducted in patients with colorectal cancer, oral intake of Rg was shown to have no effect on blood cytokine levels and biochemical parameters, but oral Rg used in combination with chemotherapy regimen was found to reduce cancer-related fatigue … read more

Smith+Nephew Wound Club Online – Module 1: The Skin

Module 1: The Skin

 

This forms part of a series of modules you can access to develop your knowledge and understanding of wound care. This module is endorsed by The Society of Tissue Viability

 

By the end of this module, you will be able to:

  • Name the different layers of the skin
  • Recognise how the different layers interact with each other
  • Recall the functions of the skin
  • Recognise the effects of ageing on the skin
  • Complete the 15 minute version of this module to download a training certificate which can go towards CPD revalidation: https://youtu.be/BcImfXNwwK4

 

This video is intended for health care professionals. It is offered for informational and educational purposes only and is not intended as medical advice. Viewer discretion is advised.

 

read more

Wound care following MMS critical in preventing hyperpigmentation in skin of color

Nonabsorbable sutures or tissue adhesives used in combination with surgical strips and liquid adhesives are safe and effective means to minimizing hyperpigmentation in skin of color following Mohs micrographic surgery, according to a study … Ramone F. Williams, MD, MPhil, of the department of dermatology at Massachusetts General Hospital and Harvard Medical School, and David Ciocon, MD, of the division of dermatology at Albert Einstein College of Medicine and Montefiore Medical Center, highlighted the increasing diversity of the U.S. population … read more

Diabetic Foot Ulcer Clinical Validation Study Initiated

Validation study to assess up to 200 adult subjects with participation from leading U.S. principal investigators.

 

DALLAS, June 14, 2022 (Newswire.com) – Spectral MD Holdings, Ltd. (AIM: SMD), a predictive analytics company that develops proprietary AI algorithms and optical technology for faster and more accurate treatment decisions in wound care, announces the start of its clinical validation study to support the development of its Diabetic Foot Ulcer (“DFU”) application for the DeepView® Wound Imaging System. The proprietary technology combines multi-spectral imaging and Artificial Intelligence (AI) to provide clinicians with an immediate healing assessment for DFU, which enables clinicians to provide a more accurate and timely diagnosis for therapeutic intervention.

 

The study will collect data from up to 200 adult subjects across seven potential clinical sites to further develop DeepView®’s AI algorithm. Patient enrollment for the validation study began this month and is expected to complete in November 2022.

 

Building upon promising results from the clinical training study, where the current diagnostic accuracy is 81%, the data collected from the validation study will be used to bolster the Company’s existing clinical database of DFU images and physiologic information to train and improve the DeepView® AI algorithm. Additionally, the validation study will collect data from a broader population set of up to 200 subjects to increase geographic and ethnic variability. Importantly, data collected will support the Company as it prepares FDA and CE mark submissions for DeepView®’s DFU indication, planned in 2023.

 

Participating investigators include: Dr. Alisha Oropallo, MD, Director of Comprehensive Wound Healing Center at Northwell Health; Dr. Brock Liden, DPM, Podiatry Specialist at Circleville Foot & Ankle Center, LLC; and Dr. Babajide Ogunllana, DPM, West Houston Foot and Ankle Center. Additional clinical sites are being evaluated and will be incorporated into the validation study in the near future.

 

Dr. Alisha Oropallo, M.D., FACS, FSVS, Director of Comprehensive Wound Healing Center at Northwell Health and National Principal Investigator for the study, commented: “For patients with diabetes, foot ulcers can impact their quality of life and lead to complicated infections and potential amputation. I look forward to participating in this study as DeepView® has significant potential to improve the current standard of care, resulting in faster application of advanced therapy, better wound healing and reduced overall hospital visits and utilization.”

 

Mary Regan, Ph.D., VP of Clinical Affairs at Spectral MD, said: “We are very pleased to have initiated the Clinical Validation Study, the next critical step towards the completion of development for the DFU application for DeepView® Wound Imaging System. To obtain robust clinical data, the Spectral MD team has selected leading wound care providers to advance and develop our DeepView® Wound Imaging technology. I look forward to working with all participating clinical sites to ensure high-quality data and clinical engagement.”

 

About Spectral MD:

We are a dedicated team of forward-thinkers striving to revolutionize the management of wound care by “Seeing the Unknown”® with our DeepView®Wound Imaging System.

 

www.spectralmd.com

 

info@spectralmd.com

 

This article was originally published here

Comments to Novitas Draft LCD/LCA “Skin Substitutes for the Treatment of Diabetic Foot Ulcers & Venous Leg Ulcers”

The Alliance submitted detailed comments and recommendations to Novitas on its Draft LCD on Skin Substitutes for the Treatment of Diabetic Foot Ulcers and Venous Leg Ulcers (DL35041) and accompanying draft Local Coverage Article (DA54117). In April oral comments submitted at Novitas’ public meeting, the Alliance had flagged – among other issues – provisions in the policy not supported by scientific evidence, as well as conficting and/or clinically incorrect policy language. In written comments, the Alliance submitted a chart (attachment A) detailing the specific provisions/policy language it flagged as problematic, the issues of concern underlying to those provisions, specific language changes to address the concern, and the clinical evidence supporting these recommendations. The chart was accompanied by additional attachments, including HCPCS and ICD-10 Codes to be added and a red-lined mark-up of suggested line edits (attachments B-E). See comments and attachments below … read more

Developing a ‘Cheat Sheet’ for Wound Assessment

Frank Aviles Jr., PT, CWS, FACCWS, CLT-LANA, ALM, AWCC, DAPWCA.

I’ve had the pleasure of meeting more people this year alone than at any other time in my life who’ve shared more remarkable stories about how they’ve overcome adversity … One such story comes from Captain Charles Plumb, a United States Navy jet pilot veteran who during the Vietnam War his plane was shot down over enemy territory. He ejected and was captured after parachuting to the ground. He spent six years as a prisoner of war (POW), but what really caught my attention was how thankful he is to this day that his parachute actually opened despite the nightmare that he endured. As a POW, he had to form his own method of communication although he spent most of his time alone inside an 8-by-8 cell … read more

Pherecydes Pharma Organizes a Scientific Symposium During the 23rd National Days of Infectiology

Pherecydes Pharma (FR0011651694 – ALPHE, PEA-PME eligible), a biotech company specializing in precision phage therapy to treat resistant and/or complicated bacterial infections, today announces it will participate to the scientific symposium “Phage therapy: French experience”, which will be held on June 15, 2022 from 5:15 pm to 6:30 pm in the amphitheater A of the Palais des Congrès in Bordeaux, as part of the 23rd National Days of Infectiology (NDI).

 

The symposium, moderated by Dr. F.-A. Dauchy from the Bordeaux University Hospital, will host the following presentations:

 

Phagotherapy and IOA. Compassionate cases and clinical studies including PhagoDAIR: Pr. T. Ferry (Lyon)
Phage therapy and Infections of the Diabetic Foot Ulcer. State of knowledge. PhagoPied: Pr. A. Sotto (Nîmes)
Phage therapy and pulmonary infections. Preclinical results. Planned clinical studies: Dr. A. Bleibtreu (Paris)
Pascal Birman, Medical Director of Pherecydes Pharma, comments: “Antibiotic resistance is a major public health issue and is a central theme at this 23rd edition of the NDI. This symposium is an opportunity to highlight the interest of phage therapy through several clinical studies that will be conducted in different indications and through compassionate treatments already performed with our phages. Pherecydes Pharma and its partners are doing their utmost to ensure that these studies provide useful answers to improve the treatment of patients suffering from antibiotic resistant infections.”

 

About Pherecydes Pharma

Founded in 2006, Pherecydes Pharma is a biotechnology company that develops treatments against resistant bacterial infections, responsible for many serious infections. The Company has developed an innovative approach, precision phage therapy, based on the use of phages, natural bacteria-killing viruses. Pherecydes Pharma is developing a portfolio of phages targeting 3 of the most resistant and dangerous bacteria, which alone account for more than two thirds of hospital-acquired resistant infections: Staphylococcus aureus, Escherichia coli and Pseudomonas aeruginosa. The concept of precision phage therapy has been successfully applied in several dozen patients in the context of compassionate use, under the supervision of the French National Agency for the Safety of Medicines (ANSM). Headquartered in Nantes, Pherecydes Pharma has a team of around twenty experts from the pharmaceutical industry, biotechnology sector and academic research.

 

For more information, www.pherecydes-pharma.com

 

Contacts
Pherecydes Pharma
Thibaut du Fayet
Deputy CEO
investors@pherecydes-pharma.com

 

NewCap
Dusan Oresansky
Investor Relations
pherecydes@newcap.eu
T.: +33 1 44 71 94 92

 

NewCap
Arthur Rouillé
Media Relations
pherecydes@newcap.eu
T.: +33 1 44 71 00 15

 

This article was originally published here

Thinking Differently about Pressure Injury Treatment Part 2

Once a pressure injury has appeared, you need to take immediate action. Contact your health professional for all pressure injuries regardless of the stage. You may be referred to a wound care specialist to help heal your wound. Do not be embarrassed as you know pressure injuries develop for a variety of reasons, many of which do NOT include lack of care on your part. A pressure injury usually occurs due to combinations of reasons that can include self-care issues but also metabolic reasons … You need to be evaluated for treatment. If the wound is open, a treatment plan will be made for you to follow. If you see a change in pigmentation without an opening in the skin that you have dealt with previously, you may already know your plan. You will need to work with your healthcare professional if an area is repeating pressure injuries … read more

Electro-chemical bandages could be an effective alternative to antibiotics for managing wound infections

According to new research by investigators at the Mayo Clinic and Washington State University, e-bandages could be an effective alternative to antibiotics for managing wound infections. The findings are presented at ASM Microbe 2022, the annual meeting of the American Society for Microbiology … In a recent study conducted in mice, novel hydrogen peroxide producing bandages with electrical/chemical properties (electro-chemical bandages or e-bandages), under the control of wearable voltage devices, reduced methicillin-resistant Staphylococcus aureus (MRSA) biofilm bacteria present in the wound by 99 percent after 2 days of treatment … read more

Orpyx launches Orpyx SI Flex Sensory Insoles and Diabetes Healthspan Extension care model

13-Jun-2022 8:05 AM EDT, by Orpyx Medical Technologies Inc.

 

Newswise — CALGARY, AB, June 13, 2022 /PRNewswire/ — Orpyx® Medical Technologies Inc. (Orpyx), a digital health company focused on extending the health span of patients with diabetes, announced the launch of the Orpyx SI® Flex Sensory Insole system and Orpyx Remote Patient Monitoring (RPM) services. This remote monitoring program drives engagement and extends mobility for people living with diabetes by transforming patient care through real-world patient data, analytics, and coaching.

The Orpyx SI® Flex Sensory Insoles help reduce the risk of plantar complications by monitoring plantar pressure, adherence, step count, and temperature data for patients that need preventative care.

“The launch of Orpyx SI Flex is our next step in enabling Diabetes Healthspan Extension™,” stated Dr. Breanne Everett, CEO and co-founder of Orpyx. “In North America, one-third of people are living with diabetes or pre-diabetes which often requires juggling an overwhelming number of actions, measurements, and appointments. By taking a holistic approach through a digital care platform we can dramatically improve upon the current standard of care. We are starting with foot care through robust data generation via our sensory insoles, and supporting patient engagement through RPM and coaching.”

 

The Orpyx SI Flex Sensory Insole system is a wearable technology designed to help prevent plantar foot complications for at-risk patients with peripheral neuropathy. “It is like having a supercomputer on the bottom of each foot,” said Denis Brisson, Chief Operating Officer at Orpyx. “Plantar pressure is a leading cause of foot ulceration so by measuring sustained high pressure we can help eliminate the root cause of many of these wounds before they happen.”

 

Along with pressure, the system captures wear time to determine how compliant the patient is to their provider’s treatment plan, step count to help dose activity levels, and temperature the last line of defense to indicate when inflammation is present and tissue damage is occurring. The ultra-thin, prefabricated sensory insoles fit in most every-day footwear, making them practical and comfortable for a broad range of patients.

 

Orpyx is changing the conversation by initially focusing on preventing foot ulceration by generating the most robust set of real-world plantar data. Historically, the focus has been on how to treat patients’ foot ulcers after they have already formed, with disappointing results as 25% of people with diabetes will develop an ulcer during their lifetime. These ulcers have a detrimental impact on patients’ mobility often resulting in life-shortening events such as amputation which can cause a ripple effect of social isolation, mental health challenges, and in the most complex situations death. Most diabetic foot ulcers (DFUs) are preventable, so we are on a mission to help patients and providers achieve improved, sustainable outcomes.

 

“Healthcare systems cannot sustain the current clinical strain of managing the 34 million people with diabetes in the US and the resulting $176B in financial costs. One third of this cost is attributed to lower limb care which is why this is such important work,” continued Dan Hughes, Orpyx’s Chief Commercial Officer. “Orpyx SI Flex Sensory Insoles and our new RPM services were specifically developed to meet these challenges head-on. Our insoles will play a significant role in the diabetic care pathway enabling patients to take proactive steps to manage their diabetes while reducing the total cost of care for Commercial Payers and Integrated Delivery Networks across the United States. Ultimately, this technology drives alignment and better outcomes for patients, providers, payers, and physicians.”

 

Healthcare providers seeking additional information to help their patients prevent DFUs can learn more about the new Orpyx SI Flex Sensory Insoles at https://www.orpyx.com/orpyx-si-flex-sensory-insoles.

 

About Orpyx Medical Technologies Inc.

 

Founded in 2010, Orpyx® Medical Technologies Inc. (“Orpyx”) is a Calgary-based digital health company. We take a holistic approach to remote “anywhere” care, which includes the company’s proprietary, imperceptible sensory insole platform that detects pressure, temperature, gait, activity, and movement symmetry. Our comprehensive Orpyx SI® Sensory Insole system enables continuity of care between visits to provide optimal remote care for people living with diabetes or recovering from surgery. The patient’s data is uploaded to the Orpyx SI cloud-based dashboard, where accredited healthcare practitioners remotely monitor it. The remote monitoring team communicates directly with the patient between care visits to ensure ongoing continuity and quality of care.

 

Visit www.orpyx.com for more information.

MRSA in Wounds Reduced 99% by E-Bandages

Electrochemical bandages (e-bandages) that contain hydrogen peroxide could be an effective alternative to antibiotics when managing wound infections, according to a presentation at ASM Microbe 2022, the annual meeting of the American Society for Microbiology held in Washington, DC (abstract 2281) … Researchers from Mayo Clinic and Washington State University conducted experiments in mice. They created wounds on mice and infected them with methicillin-resistant Staphylococcus aureus (MRSA) to establish wound MRSA biofilms … read more

Effectiveness of a fluid immersion simulation system in the acute postoperative management of pressure ulcers:

A prospective, randomized controlled trial

 

Chitang J. Joshi MD,Miguel Carabano MD,Laura C. Perez MD,Peter Ullrich,Abbas M. Hassan MD,Rou Wan MD,Jing Liu MD,Rachna Soriano DO,Robert D. Galiano MD, FACS

 

The Fluid Immersion Simulation system (FIS) has demonstrated good clinical applicability. This is the first study to compare surgical flap closure outcomes of FIS with an Air-Fluidized Bed (AFB), considered as standard of care. The success of closure after 14 days post-op was the primary endpoint. Secondary endpoints were incidences of complications in the first two weeks after surgery and the rate of acceptability of the device. 38 subjects were in the FIS group while 42 subjects were placed in the AFB group. Flap failure rate was similar between groups (14% vs 12%; P= 0.84). Complications, notably dehiscence and maceration, were significantly higher in the FIS group (40% vs 17%; P=0.0296). The addition of a microclimate regulation device … read more

Do Vacations Improve Health?

Jarrod Shapiro, DPM, FACFAS, FACPM, FFPM, RCPS Glasg

 

Recently, I had the pleasure to take my first real vacation since the pandemic started. Three years is definitely long enough to wait for a fun trip! But being on vacation had me wondering if a short time off is actually beneficial? Do vacations improve health? Or are we fooling ourselves into thinking short breaks from work do anything to improve long-term health? Let’s see what the research tells us … read more

Best Practice Statement – Addressing complexities in the management of venous leg ulcers

Author(s): Jacqui Fletcher, Leanne Atkin, Caroline Dowsett, Sarah Gardner, Alison Schofield, Karen Staines, Kathryn Vowden

 

This document builds on the Best Practice Statement: Holistic Management of Venous Leg Ulcers to address complexities in the management of venous leg ulcers … The aim of this document is to help ensure consistent clinical practices in relation to the assessment and management of people with VLUs who are outside the scope of the leg ulcer treatment pathway developed by Atkin and Tickle (2016). It will provide guidance based on relevant evidence and the experiences and opinions of clinicians, with a focus on practical, holistic and patient-centred strategies … read more

Low-Pressure Portable Hyperbaric Chambers: The Pandora’s Box of Hyperbaric Oxygen Therapy

W.T. Workman, BS, MS, CAsP, CHT-Admin, FAsMA, FUHM

 

On August 8, 2000, the US Food and Drug Administration (FDA) cleared the first of eight low-pressure, portable fabric hyperbaric oxygen therapy (HBOT) chambers, based upon the Gamow Bag, which was developed for the treatment of acute mountain sickness. Since then, these types of hyperbaric chambers have become endemic.

When I learned of the FDA’s decision, I called the FDA’s Deputy Director of Compliance for devices at the time and stated that the FDA has just opened Pandora’s Box … read more

 

Related: Portable (Inflatable) Hyperbaric Chambers – Where Unsafe Meets Unethical
by Caroline Fife, M.D.

Brandon A. Bosque, DPM, Highlights the Challenges of Facial Burns

In an interview with Wound Care Learning Network, Brandon A. Bosque, DPM, Aroa Biosurgery, spoke about challenges encountered when treating facial burns, especially when considering thinner facial tissue and airway management. Brandon A. Bosque, DPM, works as the Medical Science Liaison at Aroa Biosurgery. Dr. Bosque is highly trained in all facets of foot and ankle medicine and surgery treating patients of all ages. With a particular interest in sports medicine, biomechanics, and custom orthotics, he regularly utilizes state-of-the-art, modern treatment options such as the use of stem cells, PRP injections, laser, and hyperbaric oxygen therapy … read more

debritom+ by Medaxis: A New Treatment Method Shows Promise In Wound Healing

PLANO, Texas, June 6, 2022 /PRNewswire/ — Non-healing diabetic foot wounds are increasing in prevalence, and create a higher risk for infection, osteomyelitis and amputation. To facilitate appropriate wound healing processes, proper debridement of the wound bed is critical to remove non-viable tissue and bacterial biofilm. Traditional debridement methods involve the use of a sharp blade, a method that often results in the removal of healthy, viable tissue and pain for the patient. In contrast, the Swiss wound care company, Medaxis has developed the debritom+ to precisely clean acute and chronic wounds in a tissue-preserving manner. By using Micro Water Jet technology, the debritom+ removes the unhealthy tissue such as fibrin, necrosis, and biofilm efficiently while performing a precise mechanical cleaning and stimulation of the wound base to enhance granulation and healing.

 

Results from the interim analysis of a Multicenter Randomized Control Trial (NCT04564443) that has been accepted for presentation this week at the American Diabetes Association annual meeting in New Orleans, showed that weekly debridement using the debritom+ nearly doubled the rate of wound healing from 40% to 72% compared to the use of traditional methods. Also shown was a significant improvement in wound size reduction (87% versus 35%), while also reducing the frequency of infections and complications.

 

Study Chair, Professor David Armstrong DPM MD PhD of Keck School of Medicine of University of Southern California noted “The early data suggests great promise that better debridement tools can improve wound closure and decrease diabetic foot related complications and infections. This study supports that improved debridement methods, combined with good quality dressings and offloading, is beneficial and possibly synergistic to achieve wound healing in non-healing diabetic foot ulcers.”

 

“To initiate wound healing, a quality debridement is key to success. In contrast to traditional debridement methods that remove both the non-viable and healthy tissue, the debritom+ by Medaxis removes only the non-viable tissue while preserving the healthy tissue underneath. By creating microbleeding and providing the oxygenation to the wound that is necessary for starting the healing process, the debritom+ has now been proven to initiate healing in nearly twice as many wounds as with traditional methods with six-times fewer infections and complications” stated Dr. Mark Cregan, Managing Director of Medaxis USA.

 

Beat Moser, CEO of Medaxis said “These results validate the design philosophy of the Medaxis debritom+. The use of our patented Micro Water Jet Technology has now been proven to significantly improve wound healing outcomes. I have always believed that clean wounds heal better, and now we have the hard evidence.”

 

To view the study results, or for more information about the debritom+ by Medaxis, please see www.medaxis.us, email info@medaxis.us, or call (312) 483-6214

 

SOURCE Medaxis LLC

 

This article was originally published here

Skin biopsy? Here are tips on wound care

A skin biopsy is often used to diagnose skin cancer and other skin conditions … It involves the removal of a small amount of skin, which is examined under a microscope. Afterwards, you’ll need to look after the biopsy location to make sure it heals properly … Your dermatologist will treat the small wound from the skin biopsy during your visit,” said dermatologist Dr. Rajiv Nijhawan, an associate professor at UT Southwestern Medical Center in Dallas … read more

Microbion Corporation Receives up to $2.1 million in Funding Support from the US Navy

in Partnership with CUBRC, Inc. to Advance Topical Pravibismane

 

Funding will support exploratory phase 2 proof-of-concept study in patients hospitalized for moderate to severe diabetic foot ulcer infection (DFI)

 

BOZEMAN, Mont. and VANCOUVER, BC, June 7, 2022 /PRNewswire/ – Microbion Corporation of Bozeman, MT, today announced that it has received non-dilutive funding through its strategic partnership with CUBRC, Inc., a Buffalo-based, independent not-for-profit research company, of up to $2.1 million from the US Navy through the Medical Technology Enterprise Consortium (MTEC) partnership. The funding project is titled “Pravibismane Suspension as a Topical, Broad Spectrum Anti-Infective Wound Care Treatment and Prevention for Combat Injury-Related Infections”. The funding received will be used to support the conduct of an exploratory phase 2 proof of concept trial in patients hospitalized for moderate to severe diabetic foot ulcer infection with enrollment expected to begin in Q2 2022.

 

“We are pleased to be supported by the US Navy and MTEC and are working closely with them to advance our topical pravibismane through phase 2 proof-of-concept studies,” said Karim Lalji, CEO of Microbion Pharma Corp. “Our topical diabetic foot ulcer infection program is well aligned to the Navy’s interest in innovative wound care technologies to treat and prevent biofilm-related infections, since biofilm contamination is a hallmark characteristic of chronic foot ulcer infections. Further exploration of pravibismane’s safety and efficacy in overcoming biofilm-related DFI may potentially expand the clinical utility of topical pravibismane to treat combat wound infections in a variety of settings, including in the field and hospital.”

 

Lester Martinez, MD, MPH, Major General (Retired), U.S. Army, President and Chairman of MTEC Board commented on the importance of Microbion’s research. “Though diabetic foot ulcer infections aren’t traditionally thought of as a combat related wound suffered in the field, diabetes is a serious disease that affects a significantly high percentage of our veterans and its complications such as DFI contributes to decline in health, quality of life and are responsible for the vast majority of non-combat amputations among veterans. Microbion’s research into healing these wounds with the ultimate goal of preventing or delaying amputations can potentially improve the daily lives of these patients and return normal mobility,” Dr. Martinez stated.

 

Pravibismane is the first in a new class of anti-infective drugs structurally unrelated to other clinically utilized antibiotics. With a novel mechanism of action, pravibismane shuts down bacterial ATP production thereby halting global bacterial cellular metabolism. In in vitro studies, pravibismane exhibits broad-spectrum, potent activity against DFI-relevant pathogens and their biofilms including MRSA and drug resistant P. aeruginosa.

 

In a randomized, double-blind, placebo-controlled Phase 1b trial treating patients with chronic moderate to severe diabetic foot ulcer infection, topical pravibismane treatment plus standard of care demonstrated a numeric 85% wound size reduction versus 30% placebo plus standard of care. Pravibismane also demonstrated a numeric reduction in ulcer-related amputation (2.6% in the pravibismane group vs 15.4% placebo).

 

DFIs are a major health concern in the Veterans Health Administration as DFUs are associated with a substantial mortality rate (five-year mortality rates are as high as 45% for neuropathic ulcers and 55% for ischemic ulcers1) and often require amputation to fully address the nidus of infection.2 Approximately 28.5 million adults in the US are diagnosed with diabetes, of whom 15 – 25% are at risk of developing a foot ulcer.3,4 More than half of diabetic foot ulcers become infected.5 DFIs remain the most frequent diabetic complication requiring hospitalization and are the most common precipitating event leading to lower extremity amputation.6 Furthermore, recent studies suggest that many DFIs are caused by bacteria in a biofilm mode.6 In 2018, there were ~8.25 million hospital discharges with diabetes reported, including 154,000 for a lower-extremity amputation.3 US Veterans Affairs estimates there were 20.3 million living Veterans in 2018.7 The overall prevalence of diabetes among US veterans is ~25%, which is higher than the US civilian population at ~9%.8

 

References:

  1. Del Core MA, Ahn J, Lewis RB, et al. The evaluation and treatment of diabetic foot ulcers and diabetic foot infections. Foot & Ankle Orthopaedics. 2018;3:3. doi:10.1177/2473011418788864
  2. Sundararajan PP, Porter BM, Grant KA, et al. Foot infections in the Veterans Health Administration. The Foot and Ankle Online Journal. 2015;8(3):1. doi:10.3827/faoj.2015.0803.0001
  3. Centers for Disease Control and Prevention. National Diabetes Statistics Report website. https://www.cdc.gov/diabetes/data/statistics-report/index.html, accessed June 6, 2022
  4. Lavery LA, Davis KE, Berriman SJ, et al. WHS guidelines update: Diabetic foot ulcer treatment guidelines. Wound Repair Regen. 2016;24(1):112–26. doi: 10.1111/wrr.12391
  5. Armstrong, DG, Boulton, AJM, and Bus, SA. Diabetic foot ulcers and their recurrence. N Engl J Med. 2017;376:2367-75. doi: 10.1056/NEJMra1615439
  6. Lipsky et al. Guidelines on the diagnosis and treatment of foot infection in persons with diabetes (IWGDF 2019 update). Diab Metab Res Rev. 2020. e3280. doi: 10.1002/dmrr.3280
  7. VETPop2018: A Brief Description. Web: https://www.va.gov/vetdata/docs/Demographics/New_Vetpop_Model/VP_18_A_Brief_Description.pdf, accessed June 6, 2022
  8. Liu Y, Sayam S, Shao X, et al. Prevalence of and trends in diabetes among veterans, United States, 2005–2014. Prev Chronic Dis. 2017;14:170230. doi: 10.5888/pcd14.170230

 

About Microbion
Microbion is a clinical-stage pharmaceutical company developing a new class of therapeutic compounds to improve the lives of patients with rare and serious diseases. Microbion’s lead drug candidate, pravibismane, is the first product in this new class and has a novel mechanism of action offering unique potential to address the unmet needs of chronic and severe health conditions. The Company is advancing inhaled pravibismane in Phase 1 clinical development for the treatment of chronic lung diseases, including non-tuberculous mycobacteria (NTM) and cystic fibrosis-related lung infections. Topical/local pravibismane is in Phase 2 development for the treatment of chronic wounds and orthopedic infections. Pravibismane has received backing from the Cystic Fibrosis Foundation, NIH, US DoD, and CARB-X with over $21 million in grants. The FDA has granted pravibismane with Orphan Drug, Fast Track, and QIDP designations. Microbion Pharma Corp. is a wholly owned subsidiary of Microbion Corporation. For more information visit: www.microbioncorp.com.

 

About CUBRC
CUBRC is an independent not-for-profit scientific corporation that executes Research, Development, Testing and Systems Integration programs in Medical Sciences, Chemical and Biological Defense, Data Science and Information Fusion, Command and Control, and Hypersonics. For more information visit: www.cubrc.org.

 

Safe Harbor Statement
Certain of the statements made in this press release are forward-looking, such as those, among others, relating to the success of clinical development of pravibismane and preparation for potential commercialization. These statements are subject to risks and uncertainties that could cause actual results and events to differ materially from those anticipated, including, but not limited to, risks and uncertainties related to: our ability to enroll patients in our clinical trials at the pace that we project; the size and growth of the potential markets for pravibismane or any future product candidates and our ability to serve those markets; our ability to obtain and maintain regulatory approval of pravibismane or any future product candidates; and our expectations regarding the potential safety, efficacy or clinical utility of pravibismane or any future product candidates. Actual results or developments may differ materially from those projected or implied in these forward-looking statements. Microbion Corporation disclaims any intention or obligation to update or revise any forward-looking statements, whether as a result of new information, future events or otherwise.

 

US Government Funding Disclaimer
Efforts described herein were partially sponsored by the Government under Other Transactions Number W81XWH-15-9-0001. The U.S. Government is authorized to reproduce and distribute reprints for Governmental purposes notwithstanding any copyright notation thereon. The views and conclusions contained herein are those of the authors and should not be interpreted as necessarily representing the official policies or endorsements, either expressed or implied, of the U.S. Government.

 

SOURCE Microbion Corporation

This article was originally published here

Compression Therapy to Manage Edema for Patients With Diabetic Ulcers

Lucian G. Vlad, MD

 

The use of compression in controlling venous reflux is well known. Less well-known is the use of compression wraps to manage edema associated with diabetic ulcers, which may or may not be combined with venous conditions.1,2 It was estimated that 38% to 55% of patients with diabetic foot ulcers have lymphedema complications.3,4 Among patients with venous leg ulcers, at least 23% to 27% have diabetes.5,6 It is clear there is an overlap between these two types of chronic wounds as they share some common pathophysiologic conditions such as obesity, decreased physical activity, and cardiovascular concerns. The use of compression wraps to control edema and reduce venous congestion could facilitate wound healing by improving microcirculatory skin changes associated with diabetes. Wounds in patients with diabetes have varying degrees of lymphedema related to periwound swelling and glycocalyx dysfunction. According to the International Working Group on Diabetes,7 the use of knee-high offloading boots … read more

Device-related pressure ulcers: SECURE prevention. Second edition

Amit Gefen, Catherine T Milne, Fiona Coyer, Guido Ciprandi, Karen Ousey, Nicola Waters, Norihiko Ohura, Paulo Alves, Peter Worsley

 

We have over 100 resources, free for everyone to browse and read and share. These resources are suitable for a range of skin and wound care disciplines, roles, and educational purposes

Although great strides have been made to tackle hospital-acquired pressure ulcers (HAPUs), there is a need for greater recognition of device-related pressure ulcers (DRPUs), including their causes, management and prevention. This consensus statement, an updated second edition, aims to continue raising awareness of these largely preventable injuries and, crucially, to stimulate action … read more

Negative pressure wound therapy for surgical wounds healing by primary closure

Cochrane Wounds Group, Gill Norman, corresponding author Chunhu Shi, En Lin Goh, Elizabeth MA Murphy, Adam Reid, Laura Chiverton, Monica Stankiewicz, and Jo C Dumville

 

Indications for the use of negative pressure wound therapy (NPWT) are broad and include prophylaxis for surgical site infections (SSIs). Existing evidence for the effectiveness of NPWT on postoperative wounds healing by primary closure remains uncertain … To assess the effects of NPWT for preventing SSI in wounds healing through primary closure, and to assess the cost‐effectiveness of NPWT in wounds healing through primary closure … read more

How to Treat and Prevent Medical Device–Related Pressure Injuries

By Margaret Heale, RN, MSc, CWOCN

 

How to Help Patients Protect the Skin They’re In
Medical device–related pressure injuries (MDRPIs) are recognized as a significant problem, evidenced by the inclusion in the National Pressure Injury Advisory Panel pressure injury definitions and described by Pitman and Gillespie in 2020.1 Prevention of medical device-related pressure injuries is a goal that may be achieved through meticulous patient care … read more

Prosthetic Management of the Partial Foot Amputation

Widely published data show that prosthetic outcomes for PFAs have not been satisfactory, either from a medical outcome or from a patient satisfaction point of view.
In June 2021 a post from an O&P practitioner was listed on the O&P list serve1 asking for recommendations on managing a Chopart amputation. There were an incredible array of answers including:

  • (Go to) BKA—don’t even waste your time
  • Gauntlet style AFO
  • … abbreviated CROW walker
  • Custom molded total contact partial foot orthotic / depth inlay shoe with rocker soles
  • Matching shoe for the other side with lift
  • Gauntlet style AFO with toe filler, made into a walking boot
  • SACH heel and rocker bottom on shoe—soft custom-made silicone foot bed

read more

Pyoderma Gangrenosum Masquerading as Wound Infection in the Early Postoperative

Period After Lumbar Spine Deformity Correction Surgery

 

Bryce S. Owen, Mark A. Pacult, Bryan S. Lee

 

Pyoderma gangrenosum (PG) is a rare immunologic phenomenon that mimics a surgical site infection (SSI). PG typically manifests as painful skin pustules that can rapidly progress to large necrotic ulcers with raised violaceous borders [1]. Because skin conditions caused by PG may appear to be necrotic, PG is often misdiagnosed as an SSI, which can lead to delays in definitive treatment, unnecessary procedures, and significantly increased healthcare costs [2]. The pathogenesis of PG, which occurs in tandem with other autoinflammatory diseases, is thought to be due to the dysfunctional activation of neutrophils and aberrant T cell activation and cytokine stimulation [3-5]. This hypersensitivity reaction may be triggered by skin trauma, which is a phenomenon known as pathergy, and it occurs in less than 1% of patients with PG [6-8]. Postoperative PG is most commonly described after surgery involving the abdomen or breast [9-14]. Only three studies note PG appearing in the postoperative setting after spine surgery … read more

Three Nutritional Indices Are Effective Predictors of Mortality in Patients With Type 2 Diabetes and Foot Ulcers

Jing Hong, Qi-Qi Huang, Wen-Yue Liu, Xiang Hu, Fei-Fei Jiang, Ze-Ru Xu, Fei-Xia Shen, and Hong Zhu

 

Patients with diabetic foot ulcers (DFUs) are considered to be with an excess risk of all-cause mortality (1), facing a 5-year mortality as high as 30.5% which is comparable to cancer (2). Additionally, the mortality of patients with DFUs is more than 2-folds higher than patients with diabetes but without DFUs (3). The excess all-cause mortality in patients with DFUs cannot fully be explained by traditional cardiovascular risk factors (4). The importance of other factors, such as nutritional status, needs to be further elucidated.

Patients with DFUs, especially those with Wagner grade 4 and 5, were more vulnerable to malnutrition compared to patients without DFUs (5). Malnutrition was found to be associated with higher complications, longer hospital stays, and increased mortality in hospitalized patients (6). Malnutrition is often ignored but modifiable. Identifying patients at risk of malnutrition is important … read more

Net Health’s Tissue Analytics for Wound Care Granted Breakthrough Device Status by FDA

First time an EHR company has received Breakthrough Device Status

 

PITTSBURGH, June 2, 2022 /PRNewswire/ — Net Health, a provider of specialty electronic healthcare record (EHR) and predictive analytics software, announced today that Tissue Analytics, the company’s AI-powered wound imaging and analysis software, has been granted Breakthrough Device Status by the U.S. Food & Drug Administration (FDA). Tissue Analytics received the rare designation because of its novel diagnostic algorithms. The Company believes the FDA designation represents the first time an EHR company has been granted such designation.

 

Breakthrough Status indicates that the FDA believes the Company’s novel diagnostic Software as a Medical Device (SaMD) could provide more effective treatment or diagnosis of a life-threatening or debilitating condition, such as hospital-acquired pressure injuries (HAPIs), venous and diabetic foot ulcers and other non-healing wounds. Breakthrough Status is not granted solely on the severity of the device’s applicable condition. The submission must also meet one of the following criterion: the proposed device represents “breakthrough technology” as defined by the FDA; no other approved or cleared alternatives exist; the device offers significant advantages over existing approved or cleared alternatives; or the device availability is in the patient’s best interest.

 

Net Health’s Tissue Analytics Technology Pushes the Boundaries

“Finding ways to help our clients more quickly and accurately identify potentially life-threatening wounds and manage associated costs has been a priority for more than 20 years,” said Josh Pickus, CEO of Net Health. “The FDA designation highlights that Net Health is redefining EHRs as much more than simple documentation systems. Our intelligent AI-driven analytics solutions are pushing the boundaries of EHRs and helping change healthcare outcomes.”

 

Thu, June 2, 2022, 8:00 AM·3 min read
First time an EHR company has received Breakthrough Device Status

 

PITTSBURGH, June 2, 2022 /PRNewswire/ — Net Health, a provider of specialty electronic healthcare record (EHR) and predictive analytics software, announced today that Tissue Analytics, the company’s AI-powered wound imaging and analysis software, has been granted Breakthrough Device Status by the U.S. Food & Drug Administration (FDA). Tissue Analytics received the rare designation because of its novel diagnostic algorithms. The Company believes the FDA designation represents the first time an EHR company has been granted such designation.

 

(PRNewsfoto/Net Health Systems, Inc.)
(PRNewsfoto/Net Health Systems, Inc.)
Breakthrough Status indicates that the FDA believes the Company’s novel diagnostic Software as a Medical Device (SaMD) could provide more effective treatment or diagnosis of a life-threatening or debilitating condition, such as hospital-acquired pressure injuries (HAPIs), venous and diabetic foot ulcers and other non-healing wounds. Breakthrough Status is not granted solely on the severity of the device’s applicable condition. The submission must also meet one of the following criterion: the proposed device represents “breakthrough technology” as defined by the FDA; no other approved or cleared alternatives exist; the device offers significant advantages over existing approved or cleared alternatives; or the device availability is in the patient’s best interest.

 

Net Health’s Tissue Analytics Technology Pushes the Boundaries

 

“Finding ways to help our clients more quickly and accurately identify potentially life-threatening wounds and manage associated costs has been a priority for more than 20 years,” said Josh Pickus, CEO of Net Health. “The FDA designation highlights that Net Health is redefining EHRs as much more than simple documentation systems. Our intelligent AI-driven analytics solutions are pushing the boundaries of EHRs and helping change healthcare outcomes.”

 

Deployed by hundreds of healthcare organizations, including leading hospitals, health networks, and independent wound care clinics, Tissue Analytics’ novel diagnostic solution analyzes skin injury images and patient data using machine learning technology. This new level of analysis will allow Tissue Analytics to eventually provide new diagnostic elements as a complement to its current measurement generation imaging software, pending approval of its forthcoming marketing submission.

 

In granting the Breakthrough Device Status, the FDA recognized that the software could help wound care providers improve care by standardizing the diagnosis and care process of triaging patients with chronic, non-healing wounds with poor healing trajectories. In addition, the Agency noted that the “product will aid clinicians throughout the referral process with additional diagnostic information that can inform the wound care experts’ ultimate diagnosis and plan of care for chronic, non-healing wounds.”

 

“A first of its kind advancement like Tissue Analytics’ novel imaging functionality will make the clinical workflow for wound care safer, more effective, and ultimately more efficient,” said Alex Cadotte, Ph.D., ex-FDA Team Lead and now Director of Software and Digital Health at MCRA, LLC. “The FDA’s breakthrough designation acknowledges that Tissue Analytics is a first-of-its-kind device in Wound Care. The designation will also facilitate a collaborative conversation with FDA, which will ultimately be a win for public health.”

 

For more information on Tissue Analytics, visit https://www.nethealth.com/solutions/wound-care-tissue-analytics/ or https://www.tissue-analytics.com/ .

 

Net Health’s mission is to harness data for human health. Net Health solutions are trusted in over 23,000 facilities across the continuum of care. Our EHR software enables caregivers and their organizations to engage effectively with patients, streamline documentation, staff efficiently, secure maximum appropriate reimbursement and maintain regulatory compliance. Our unique approach to analytics seamlessly presents insights in clinical and operational workflows to improve care and business performance. Net Health is a portfolio company of The Carlyle Group, Level Equity and Silversmith Capital Partners. www.nethealth.com.

 

View original content to download multimedia:https://www.prnewswire.com/news-releases/net-healths-tissue-analytics-for-wound-care-granted-breakthrough-device-status-by-fda-301560059.html

 

SOURCE Net Health Systems, Inc.

The Growing Risk of Wound Care Negligence for Home Health Providers

With wound care services becoming more prevalent in the home health care world, the risk of being liable for negligence has become greater for providers … Due to the Patient-Driven Groupings Model (PDGM) and changing demographics — among other reasons — wound care has gotten more popular among home health care providers of late. And yet, it comes alongside cautionary tales that many providers may not be completely attuned to … read more

Low Vitamin D Links With Increased Diabetic Foot Ulcers

Researchers published the study covered in this summary on researchsquare.com as a preprint that has not yet been peer reviewed.

Key Takeaways

  • Low serum levels of vitamin D were significantly associated with a higher prevalence of diabetic foot ulcers in elderly patients with diabetes.
  • Average serum levels of 25-hydroxy-vitamin D (25-OH-D) (vitamin D3, the major circulating form of vitamin D in people) steadily decreased as the severity of diabetic foot ulcers increased, as measured by the Wagner classification.
  • Elderly people with diabetes should undergo routine vitamin D screening or receive vitamin D supplementation to prevent the onset or improve the prognosis of diabetic foot ulcers, the authors say.

read more

Healogics aims to educate the community during wound care awareness week

JACKSONVILLE, Fla., June 1, 2022 /PRNewswire/ — Healogics® the nation’s leading provider of world-class wound care, is helping raise awareness of the risks of chronic wounds during the ninth annual Wound Care Awareness Week, June 6-10.

 

Healogics established Wound Care Awareness Month in 2014 to bring attention to the growing need for wound care and the nearly 7 million Americans currently living with chronic wounds. Leaders across the nation are dedicating the entire week to educating physicians, patients and the general public about the prevalence of chronic wounds and the advanced wound care solutions that are available.

 

The incidence of chronic wounds is rising due to our aging population and increasing rates of disease. Various conditions like diabetes, PAD, cardiovascular disease, COPD, and obesity increase the likelihood of a person having a chronic wound. The most common wounds that Americans experience include:

  • Pressure Ulcers (43%)
  • Diabetic Foot Ulcers (31%)
  • Venous Stasis Ulcers (12%)
  • Surgical Wounds or Trauma (8%)
  • Arterial Ulcers (6%)

 

If left untreated, chronic wounds contribute to a diminished quality of life and can lead to complications, such as infection, hospitalization, and even amputation of the affected limb. Even more alarming, more than half of people die within five years of amputation.

 

The effects of the COVID-19 pandemic have brought the amputation risk to the forefront, as many suffering from chronic wounds have not sought needed care during the past two years. The result has been a steep rise in amputations, according to a study from the American Diabetes Association.

 

“The rising rate of amputation continues to drive our education efforts in the community. Wound Care Awareness Month is an opportunity to come together with new resources, tools and educational materials with the goal to improve access to wound care for all who need it,” said David Bassin, Chief Executive Officer.

 

With this in mind, now is the perfect time for those suffering from chronic wounds to seek advanced wound care available at a Healogics Wound Care Center®.

 

“Wound Care Centers continue providing the necessary and important care that patients need through COVID-19. It’s imperative we continue educating the community about the advanced therapies for patients suffering from chronic wounds,” said William Ennis, D.O., Chief Medical Officer. “I celebrate Wound Awareness Week in my community, and I applaud my fellow colleagues who continue to change the lives of the patients we serve.”

 

Visit www.woundcareawareness.com to learn more about Wound Care Awareness Week and hear from patients about how wound healing changed their lives.

 

ABOUT HEALOGICS
Headquartered in Jacksonville, Fla., Healogics, LLC is the nation’s wound healing expert. Last year over 300,000 patients received advanced wound care through a network of over 600 Wound Care Centers. Healogics also partners with over 300 skilled nursing facilities to care for patients with chronic wounds and provides inpatient consults at more than 60 partner hospitals. As the industry leader, Healogics has the largest repository of chronic wound-specific patient data in the country. The Healogics Wound Science Initiative offers peer-reviewed research and advanced analytics in the pursuit of not only better outcomes, but a better way to provide care.

 

This article was originally published here

6 skin biopsy wound care tips from dermatologists

Dr. Rajiv Nijhawan, MD, FAAD

 

Skin cancer is the most common form of cancer. It is estimated that one in five Americans will develop skin cancer in their lifetime. As Skin Cancer Awareness Month continues, it’s important to check your skin regularly, and if you notice a spot on your skin that is different from others or that changes, itches, or bleeds, make an appointment to see a board-certified dermatologist.

If you notice anything suspicious on your skin, your dermatologist will examine it and may perform a skin biopsy. For many skin diseases and conditions — including skin cancer and some rashes — a skin biopsy is the best way to confirm the diagnosis. A skin biopsy can be done during an office visit with your dermatologist using local anesthesia to numb the area. During a skin biopsy, your dermatologist removes a small amount of skin, which will be looked at under a microscope to make a diagnosis.

“Your dermatologist will treat the small wound from the skin biopsy during your visit,” said board-certified dermatologist Dr. Rajiv Nijhawan, MD, FAAD. “Continuing to care for your wound once you get home is important because it will help it heal, reduce scarring, and decrease chances of infection.”
read more

What Are the Advantages of Multilayer Compression Bandaging for Chronic Venous

Insufficiency, Lymphedema, and Phlebolymphedema?

 

by Tia Gray, PTA, CLT, CWT and Donald Thomas, PT, DPT, CLT-LANA, CWT

 

As lymphedema and wound care therapists at Penn Therapy & Fitness, we often see scenarios like those in the cases described in our abstract presented as a poster at the recent Symposium on Advanced Wound Care. Conditions such as lymphedema, chronic venous insufficiency, and phlebolymphedema that manifest in patients with wounds can lead to catastrophic and life-threatening skin breakdown (degradation). Complications of infections associated with lymphedema include cellulitis, lymphangitis, lymphadenitis, and ulcerations where protein-rich fluid provides a perfect medium for microbial growth. Challenges can also develop when there are … read more

Blood Clots, and What?

Terry Treadwell

 

We in wound care are always concerned with blood clotting because venous clotting (deep vein thrombosis [DVT]) can be associated with chronic venous disease, chronic edema, lymphedema, and venous ulcers. When a person presents to the wound clinic for evaluation with any of the above problems, they are examined for known or unrecognized thrombophlebitis. A new association with blood clotting has been noted, which many in wound care may not realize—the patient using marijuana. Yes, hypercoagulation and blood clotting have been associated with the use of marijuana, especially in trauma patients.1-4 I am sure others may think this is not a problem in their wound clinic … read more

Facebook live: improving hard-to-heal wounds by managing oedema and fibrosis

Join us Thursday 30th June, for a clinical training session on improving hard-to-heal wounds with a specific focus on oedema and fibrosis, brought to you by Journal of Community Nursing in partnership with Thuasne.
‘Improving hard-to-heal wounds by managing oedema and fibrosis’ will be presented by Julie Stanton, Director of Nursing, Pioneer Wound Healing & Lymphoedema Centres.
You will have the opportunity to ask Julie any questions you may have during the real-time Q&A following the presentation. You will also receive a certificate of attendance upon completion of the session, which can be used towards your CPD revalidation portfolio.
Click ‘Going’ to register and receive further updates … read more

Wounds Australia 2022 Conference

2022 is a time to heal, a time to unite and a time to innovate.

In September 2022 leading experts and delegates from around the world will come together to explore the current developments, innovations, practice and research that unite and heal at the Wounds Australia 2022 Conference.

A unique opportunity for professionals working in the field of wound management and care to participate in an exciting and challenging program. Delegates will actively engage with industry leaders and experts across a range of fields to reflect and critically assess the history of wound care, investigate current practise and the progress that has been made and explore opportunities for future innovations.

We are excited that the Wounds Australia 2022 Conference will enable delegates to reconnect, in person, after nearly two years of incredible challenges. The Conference will deliver a scientific and social program that is all about healing, uniting and innovating for the future … read more

5-Minute Podiatry Clinical Challenge Week 25 – Diabetic Foot Ulcer in Complex Patient

Robert G Smith, DPM, MSc, RPh, CPRS

 

A 48-year-old male returns to the outpatient podiatry clinic seven months after initial evaluation of a plantar ulcer beneath the second metatarsal head of his right foot. During the subjective interview, he explains that he waited to come back to the clinic until his foot sore was “healed”. He feels his “sugar diabetes” is better because his “hemoglobin sugar” is now 11 mg/dL down from 12.9 mg/dL. He admits to smoking one pack of cigarettes per day and … read more

Sampling the skin surface chemistry for diagnosis and prognosis

Guy H. M. Stanley MS, Katie Wang MD, BSc, Patrick Daly MB BCH BAO, Christopher Lau BPharm (Hons) MD, Aoife M. O’Brien MB BCH BAO, Cheryl Hamill, Mark Fear PhD, Fiona M. Wood MBBS FRACS

 

Skin and wound blotting are non-invasive techniques used to sample the skin and wound surface chemistry, whereby a nitrocellulose membrane is applied to an intact or broken cutaneous surface to detect biomarkers. However, there has been no comprehensive review of the evidence for the techniques used and data obtained to date. The primary aim of this study was to review the utilities of surface blotting for the diagnosis and prognosis of physiological, pre-disease, and pathological states. The secondary aim was to summarise the procedural steps. A systematic literature search was conducted on 9 July 2021 using Medline, Embase, and Google Scholar databases. Investigators used McMaster’s Critical Review Form for Quantitative Studies to assess quality, then performed a narrative synthesis reporting according to Preferred Reporting Items … read more

Chronic Wounds: Economic Impact & Costs to Medicare

A new study, “An Economic Evaluation of the Impact, Cost, and Medicare Policy Implications of Chronic Nonhealing Wounds,” published in the International Society For Pharmacoeconomics and Outcomes Research’s Value in Health journal (Jan. 2018) demonstrates the economic impact and full burden of chronic nonhealing wounds in the Medicare population. The study analyzed the Medicare 5% Limited Data Set for CY2014 to determine the cost of chronic wound care for Medicare beneficiaries in aggregate, by wound type, and by setting. Topline findings show that chronic wounds impact nearly 15% of Medicare beneficiaries (8.2 million) at an annual cost to Medicare conservatively estimated at $28.1 to $31.7 billion … read more

Top Ten Things You Need to Know About HBOT #8: HBOT Mechanism: More Than Correction of Hypoxia

Denise Nemeth, MPAS, CWS
Jayesh B. Shah, MD, MSc, UHM ABPM, CWSP, FAPWCA, FCCWS, FACHM FUHM, FACP

 

Hyperbaric oxygen therapy (HBOT) is an accepted therapeutic modality for use in several medical conditions including problem wounds. HBOT enhances oxygen supply to hypoxic tissues and increases wound healing and tissue remodeling capacity. Currently, HBOT therapy is applied in a wide range of clinical conditions.

In the third in a series of articles, these authors continue counting down the top ten things you need to know about HBOT.
read more

Accuracy of the Ankle-brachial Index in the Assessment of Arterial Perfusion of Heel Pressure Injuries

Abstract: Background. The evaluation and treatment of heel pressure injuries are a significant and expensive sequela of the aging population. Although the workup of patients with lower extremity tissue loss usually involves an assessment of the arterial blood flow by means of noninvasive vascular testing, the results may be misleading in patients with heel pressure injuries when the ankle-brachial index (ABI) does not provide direct information about perfusion of the rearfoot. The objective of this retrospective, observational investigation was to determine if noninvasive vascular testing provides accurate and reliable results in patients with heel pressure injuries … read more

Analysis of the Effect of Wound-Edge Microgranular Skin Grafting in the Treatment of Various Small Wounds

Tiannan Chen, Yuesen Lin, Chengshuo Cui, Fangfang Zhang, Tingting Su, Kaiyu Guo, Jialin Hu

 

In recent years, people have paid more and more attention to beauty, and the healing of various small wounds has attracted more and more attention.1 If there is no intervention, only a simple dressing change may end up with a large scar on the affected area, which will affect the function, and at the same time, the infection may become worse or even difficult to heal. Such wounds routinely require surgery such as abdominal embedment, skin grafting or skin flap transfer to avoid aggravation of infection, heal the wound, and restore the function of the affected area. However, patients are generally unwilling to perform such operations, especially in patients with acute and chronic wounds or third-degree burns in various parts of the body. Burns and chronic wounds are independent risk factors affecting wound healing. For patients with burns or chronic wounds complicated with type 2 diabetes, the difficulty of wound healing is greatly increased. How to repair lower limb ulcer wounds in patients with burns or chronic wounds and diabetes has become a clinical challenge. However, because some patients with large-area burns have less autologous skin sources, postoperative wound repair is more difficult,2 or because the physical conditions cannot tolerate anesthesia, when the wound condition … read more

Nanotechnology Effective in Chronic Wound Healing?

The incidence of chronic wounds is increasing due to aging population and the augment of people afflicted with diabetes. Knowledge on the biological mechanisms underlying these diseases, there is a lot of medical technologies to conventionally treat the wound however wound healing differs from person to person … Several nanotechnologies have been developed demonstrating unique characteristics that address specific problems related to wound repair mechanisms. A review in Advance wound care journal, focused on the most recently developed nanotechnology-based therapeutic agents and evaluated the efficacy of each treatment in diabetic models … The success of topically administered growth factors in chronic wounds is limited. Due to their short in vivo half-life, low absorption rate through the outermost skin later around the wound, as well as rapid elimination by exudation before reaching the wound bed, might limit the efficacy of growth factors topical application … Conventional medications containing growth factors need to be applied in high doses and/or be repeatedly administrated over a long period, leading to important side effects and increasing the cost of the therapy. Presently, platelet-derived growth factor , fibroblast growth factor, and epidermal growth factor are widely studied for their application … read more

MolecuLight Added to the ISWCAP 2022 Consensus Guidelines for Optimising Prevention of Surgical Wound Complications

Authors of International Consensus Suggest that Fluorescence Imaging of Bacterial Burden is Positioned to Change Contemporary Paradigms of Post-Surgical Wound Management

 

Toronto, CANADA and London, UK – (June 1, 2022) MolecuLight Inc., the leader in point-of-care fluorescence imaging for detection and localization of elevated bacterial load in wounds, announced that it has been added to the new 2022 Consensus Guidelines of the International Surgical Wound Complications Advisory Panel (ISWCAP). The document, “Optimising Prevention of Surgical Wound Complications: Detection, Diagnosis, Surveillance and Prediction”1 presents an international consensus recommending approaches for the early detection, diagnosis and prediction of surgical wound complications in order to optimise incisional wound healing outcomes for patients.

 

Surgical wound complications remain a significant challenge for clinicians around the globe, representing one of the leading global causes of morbidity following surgery. The incidence of surgical wound complications, including surgical site infections (“SSI”), continues to rise. The development of a SSI is associated with a marked increase in morbidity, a 2-to 11-fold increase in mortality rate, and prolonged hospital stays2. Approximately 2-5% of surgical wounds in the US develop a SSI3 – 6 at an annual cost of up to $10 billion6-9. This includes extended hospital stays, readmissions and additional resources to manage complications.

 

In the consensus guidelines, the ISWCAP expert group noted that “the role of diagnostic technology is of particular importance in identification of surgical wound complications as it provides an objective means of detecting infection or another surgical wound complication without having to rely on clinician judgement – i.e. it helps to remove the subjective ‘human factor’ from identification and diagnosis”10.

 

MolecuLight’s point-of-care fluorescence imaging system is identified in the consensus because of its proven utility to quickly and non-invasively identify surgical site infections:

The ISWCAP expert group agreed that point-of-care fluorescence imaging is a diagnostic technology that could be of significant benefit in early identification of surgical site infections and may be a useful tool for early detection of other surgical wound complications10

 

The consensus also notes how fluorescence imaging is being used to guide detection of pathogenic activity and is providing useful insights and potentially changing current clinical assessment and diagnosis paradigms.11 Numerous studies have established the utility of the MolecuLight point-of-care technology in chronic wounds12, 13 (Le et al, 2020; Price, 2020). “The use of this technology in detection of SSI is an emerging field showing promising results”, notes the consensus. An example is “a recent study, ’Uncovering the high prevalence of bacterial burden in surgical site wounds with point-of-care fluorescence imaging’14, illustrated an 11-fold sensitivity in detection of infection by the MolecuLight device compared to clinical signs and symptoms alone (Sandy-Hodgetts et al, 2021)”.11

 

“Due to its ability to quickly and reliably detect bacterial burden at the point-of-care, fluorescence imaging using the MolecuLight device is positioned to change contemporary paradigms of post-surgical wound management”, says lead author Kylie Sandy-Hodgetts, PhD, Founder and inaugural President of the ISWCAP. “Early detection and prevention of surgical wound complications, including SSIs, are the ISWCAP’s key areas of focus. Novel diagnostic technology for earlier detection and intervention is imperative to optimise surgical wound outcomes. MolecuLight’s point-of-care fluorescence imaging of critical bacterial burden is at the forefront of that much needed initiative.”

 

References:

1Sandy-Hodgetts K et al, “Optimising prevention of surgical wound complications: Detection, diagnosis and prediction”, Wounds Intl., 2022
2Hatch MD et al. J Shoulder Elbow Surg. 2017;26(3):472-4777 3 Ban KA et al. J Am Coll Surg. 2017;224(1):59-74
4 Berrios-Torres SI et al. JAMA Surg. 2017;152(8):784-791 5 Institute CPS. Canadian Surgical Site Infection Prevention Audit. 2016 6 Si D et al. BMC Infect Dis. 2014;14:318
7 Badia JM, et al. J Hosp Infect. 2017;96(1):1-15
8 McLaws ML et al. J Hosp Infect. 2003;53(4):259-267
9 Sullivan E et al. Surg Infect (Larchmt). 2017;18(4):451-454 10 Sandy-Hodgetts K et al, Wounds International, 2022, pp. 9
11Sandy-Hodgetts K et al, Wounds International, 2022, pp. 16
12 L. Le, Advances in Wound Care, 25 Sep 2020 13N. Price, Diagnostics, 2020
14 Sandy Hodgetts, K. et al., Int Wound J. 2021;1–11.

 

About MolecuLight Inc.

MolecuLight Inc. is a privately-owned medical imaging company that has developed and is commercializing its proprietary fluorescent imaging platform technology in multiple clinical markets. MolecuLight’s suite of commercially released devices, including the MolecuLight i:X® and DX™ fluorescence imaging systems and their accessories, provide point-of-care handheld imaging devices for the global wound care market for the real-time detection and localization of elevated bacterial load in wounds and for digital wound measurement. The company is also commercializing its unique fluorescence imaging platform technology for other markets with globally relevant, unmet needs including food safety, consumer cosmetics and other key industrial markets.

 

For more information, contact:
Rob Sandler
Chief Marketing Officer
MolecuLight Inc. T. +1.647.362.4684
rsandler@moleculight.com
www.moleculight.com

 

Image (Download): https://moleculight.box.com/s/4tsj23g59tsesh8uwgnbhoow5aikbrjz

Guided nursing electives – wound care at Roper Hospital

by Xiang Liu, a student at the Medical University of South Carolina

 

Ever since I enrolled in the BSN program, I have heard a lot about specialized nursing. I became interested in wound care right after I did my first “wet to dry” dressing change in the Simulation lab … Wound care is a science and is accompanied by its own pathology, language, nursing skill set and patient education. Fortunately, the Guided Nursing Electives course at Medical University of South Carolina gave me an opportunity to better understand wound care, and I was blessed with wonderful mentors and preceptors who provided me with a great start for becoming a wound care nurse … By working with my mentor at Roper Hospital, SC, I saw a variety of wounds … read more

Emerging Wound Healing and Regeneration Technologies

The pipeline for wound healing technologies includes lasers that kill bacteria and fluorescence imaging to aid in diagnostics.

 

FREMONT, CA: A skin wound is typically considered to be of little concern to the average person; however, a variety of disorders can cause or contribute to the severity of a wound that necessitates the use of specific technologies for proper healing.

Patients are predisposed to chronic wounds due to underlying factors ranging from malnutrition and stress to metabolic syndrome, necessitating intervention to accelerate a sluggish healing process.

In the United States, 3 percent of the population over the age of 65 has open wounds, and 2 percent of the entire population suffers from chronic wounds, according to a recent scholarly article that examined the magnitude of the problem.

Medicare cost forecasts for all wounds, including costs for infection treatment, range from $28.1 billion to $96.7 billion, with surgical wounds and diabetic ulcers being the most expensive to treat … read more

PTR-01 Promotes Wound Healing, Eases Pain in Phase 2 RDEB Trial

Treatment with the experimental protein replacement therapy PTR-01 promoted wound healing and decreased pain in people with recessive dystrophic epidermolysis bullosa (RDEB), new results from a Phase 2 clinical trial show.

The findings were presented by BridgeBio Pharma and its affiliate, Phoenix Tissue Repair, the therapy’s developer, at the annual meeting of the Society for Investigative Dermatology, in Portland, Oregon in May.

“In patients with recessive dystrophic epidermolysis bullosa (RDEB) even minor friction or trauma can cause debilitating blistering, tearing and scarring of the skin, along with severe pain … read more

The Importance of Technology in Wound Care

Advancements in technology has helped healthcare enterprises deliver better wound care over the past few years.

 

Long-term care (LTC) wound management can provide a number of problems in achieving the ultimate aim of complete wound healing. Pressure ulcers, ischemic ulcers, venous ulcers, and diabetic foot (neuropathic) ulcers are all common conditions that healthcare providers see and treat. The risk of developing an ulcer should be examined in all residents. If a person is at high risk for developing an ulcer, staff should take aggressive measures such as nutritional support or pressure reduction. If an ulcer forms, the main goal is to heal it fully as soon as feasible and at a fair cost. Providers should distinguish between pressure, ischemia, venous, and neuropathic ulcers, keeping in mind that they might be combined and contain two or more components. Providers should assure appropriate foundational care, adequate nutrition, proper blood supply, edoema control, and great topical wound care in order to attain this goal. Topical wound care promotes wound healing by moisturizing the area and reducing necrotic tissue … read more

Biomolecular film adheres to sensitive tissue and releases active ingredients

Researchers at the Technical University of Munich (TUM) have developed a film that not only protects wounds similar to the way a bandage does, but also helps wounds to heal faster, repels bacteria, dampens inflammation, releases active pharmaceutical ingredients in a targeted manner and ultimately dissolves by itself. This is all made possible by its dedicated design and the use of mucins, molecules which occur naturally in mucous membranes … read more

How to Implement Diabetic Foot Ulcer Prevention

Diabetic foot ulcers (DFUs) are open sores or wounds caused by a combination of factors that include neuropathy (lack of sensation), poor circulation, foot deformities, friction or pressure, trauma, and duration of diabetes with complication risks. DFUs occur in 34% of people with diabetes,1 and approximately 14% to 24 % of patients with diabetes who develop a DFU will require an amputation … Diabetic complications cause 40% to 60% of nontraumatic lower limb amputations worldwide, and 80% of these amputations follow DFUs.2 However, a DFU is a preventable condition, despite being the leading cause of nontraumatic lower extremity amputations in the United States … read more

The Courage to Do the Right Thing

by Caroline Fife, M.D.

 

Nearly 200 years ago, the brilliant French historian Alexis de Tocqueville traveled the fledgling United States and observed that in lieu of hereditary wealth and aristocracy, we were building a society on individualism, market capitalism, and honoring the hard-working common man. However, in his 1835 book, he cautioned that laws could never be a substitute for public morality and that such a society was less endangered by “the great profligacy of a few”, but by the “laxity of morals amongst all.” Those words were prophetic. Individualism and market capitalism have enabled us to create the most technologically advanced healthcare system in the world, but Medicare will be bankrupt in less than 10 years. Although there are a lot of reasons for this dire situation, they include “a laxity of morals amongst all and the great profligacy of a few.” … read more

Education to Move Knowledge, Not Patients

R. Gary Sibbald, MD, DSc (Hons), MEd, BSc, FRCPC (Med Derm), FAAD, MAPWCA, JM
Elizabeth A. Ayello, PhD, MS, BSN, RN, CWON, ETN, MAPWCA, FAAN

 

The world has changed dramatically over the past few years. We need to revise education methods and accelerate knowledge transition into clinical practice. Project ECHO (Extension for Community Healthcare Outcomes)1 was designed by Dr Sanjeev Arora at the University of New Mexico to provide virtual education to healthcare professional teams in their own community for the purposes of “moving knowledge, not patients.” The Ontario ECHO Skin & Wound Project is designed to provide new knowledge to interprofessional teams across Ontario, Canada (population nearly 15 million), through weekly broadcasts arranged in two 8-session cycles. Topics include leg and foot ulcers as well as pressure injuries and miscellaneous wounds … read more

A Rare Case of Cutaneous T-Cell Lymphoma in the Foot: Woringer-Kolopp Disease

Vilayvanh Saysoukha, DPM, MS, FASPS, FACPM, AACFAS

 

I received a consult for an 84-year-old male with worsening appearance and malodor of a full-thickness ulcer on his right medial foot. The patient had dementia and had been at the hospital’s behavioral unit for several weeks. The patient and hospital staff could not give any history about the wound, such as the chronicity, or any previous treatment. Surprisingly, his lab work was unremarkable. He did have positive methicillin-sensitive Staphylococcus aureus (MSSA) blood cultures, most likely from the foot wound. A magnetic resonance imaging (MRI) study was contraindicated due to metal present from a hip replacement. Computed tomography (CT) with and without contrast did not show any bone involvement, subcutaneous emphysema or abscess. For infection source control, I planned to excise the entire ulcer plus some normal skin margins and send it to pathology. I contacted the patient’s daughter to obtain more history of the wound … read more

Innovations in Wound Care Webinar

The role of wound cleansing in the management of wounds

 

This 30-minute presentation features learning opportunities that will provide in-depth instruction and demonstration in wound care treatments. After this webinar, the learner will be able to:

Identify the role of proper wound cleansing
Discuss how to select and use non-toxic wound cleansers
Describe advantages of collagen for managing a chronic wound
read more

Mechanism revealed for spread of antibiotic resistance among bacteria

Researchers from the University of Tsukuba show that antibiotic resistance can be transferred between Staphylococcus bacteria by a process known as natural transformation … A bacteria called Staphylococcus aureus is widespread and generally harmless, but can cause infections known as “opportunistic infections”. These occur when the bacteria take advantage of certain situations, such as a weakened immune system or the presence of an open wound, to cause a harmful infection. These infections become particularly dangerous when the bacterial strain is resistant to treatment with antibiotics. Strains of Staphylococcus aureus known as MRSA, which are resistant to an antibiotic called methicillin, are becoming a significant problem worldwide. Now, a team from the University of Tsukuba have revealed the mechanism by which this methicillin resistance can be passed between bacteria … read more

Exploring the Benefits of Metal Ions in Phage Cocktail for the Treatment of

Methicillin-Resistant Staphylococcus aureus (MRSA) Infection

 

Xinxin Li, Yibao Chen, Shuang Wang, Xiaochao Duan, Fenqiang Zhang, Aizhen Guo, Pan Tao, Huanchun Chen, Xiangmin Li, Ping Qian

 

The Gram-positive Staphylococcus aureus, an important zoonotic pathogen caused bacteremia, endocarditis, and tissue infection in humans and animals, are listed as a “high priority” pathogen by the World Health Organization (WHO). It is estimated that in the absence of new antibiotic alternatives, by 2050, antibiotic-resistant pathogens will cause around 10 million deaths worldwide. The emergence of methicillin-resistant S. aureus (MRSA) and vancomycin-resistant S. aureus (VRSA) have brought challenges to clinical treatment … Bacteriophages (phages), first discovered in the early 20th century, are the most abundant organism in the world … read more

Toils From the Wound Wizard: Things I Wish I Knew When I Got Started

Traci A. Kimball, MD, CWSP

 

Wound medicine is a vital, youthful, evolving—yet highly underserved—medical specialty practiced by passionate, experienced providers. The credentialing pathway is long, arduous, and ambiguous. Many times this pathway is not recognized by payers, credentialing committees, or medical boards nationally and on a local level.

Many organizations and individuals “hang a shingle” to practice wound management but are not adjudicated by an accepted credentialing authority (ie, American Board of Wound Management, American Board of Wound Medicine and Surgery). This places those organizations and individuals at risk for reimbursement denial from payers … read more

Regenative Lab’s mission is to facilitate predictable patient outcomes by ….

providing the highest quality human tissue allografts available. We demonstrate our commitment to quality by collecting data from patient outcomes and analyzing the data for statistical significance, ensuring physicians make the most informed decision for the health of their patients. With the goal of addressing the root cause, rather than masking the pain, Regenative Labs birth tissue allografts provide an effective, non-addictive, non-invasive option for patients in debilitating situations.

 

Submit your contact information below and a representative will reach out shortly. Are you ready to create a new account? Click here to signup (please list Wound Care Weekly in the distributor field).

 

    Local problems need global solutions – the metabolic needs of regenerating organisms

    Ines C. Kübler, Jenny Kretzschmar, Marko Brankatschk, Tatiana Sandoval-Guzmán

     

    The vast majority of species that belong to the plant or animal kingdom evolved with two main strategies to counter tissue damage – scar formation and regeneration. Whereas scar formation provides a fast and cost-effective repair to exit life-threatening conditions, complete tissue regeneration is time-consuming and requires vast resources to reinstall functionality of affected organs or structures. Local environments in wound healing are widely studied and findings have provided important biomedical applications. Less well understood are organismic physiological parameters and signaling circuits essential to maintain effective tissue repair. Here, we review accumulated evidence that positions the interplay of local and systemic changes in metabolism as essential variables modulating the injury response. We particularly emphasize the role of lipids and lipid-like molecules as significant components long overlooked … read more

    Quality Care and Implications for the Limb Salvage Center

    Kevin G Kim, BS; Manas Nigam, MD; Jenna C Bekeny, BA; Cameron M Akbari, MD, MBA; John S Steinberg, DPM; Christopher E Attinger, MD; Kenneth L Fan, MD; Karen K Evans, MD

     

    Chronic wounds are those that do not regain normal functional and anatomic characteristics within 3 months, and they can be broadly classified into the following 4 categories: pressure ulcers, diabetic ulcers, venous ulcers, and arterial insufficiency ulcers.[1] Data indicate that chronic wounds affect 1% to 2% of the population in economically developed countries, with rates as high as 15% in certain populations, namely Medicare beneficiaries in the United States.[1,2] Patient-reported outcomes for physical functioning and pain are consistently low in the setting of a chronic lower extremity wound, which has broad implications for quality of life, mortality, and cost.[3] Chronic wounds are also a significant driver of cost in the US health care system. Estimated Medicare spending for all wound types was $28.1 billion to $96.8 billion … read more

    Why Is Debridement Coding Such a Mystery?

    Kathleen D. Schaum, MS

     

    At the 3-hour Symposium on Advanced Wound Care (SAWC) Spring reimbursement post-conference, this author/speaker prepared more than 40 interactive coding, payment, and coverage scenarios for the attendees to assess their knowledge. The topics of the scenarios were carefully selected and included a balance of coding for frequently performed services, coding that is typically denied or recouped upon audits, coding and payment for new services and procedures, and new coding, coverage, and payment for new procedures … Surprisingly, the attendees spent the most time asking questions about a topic that should be well-known and understood by all wound/ulcer management physicians and other qualified healthcare professionals (QHPs): coding and payment for debridement … read more

    Low-Pressure Portable Hyperbaric Chambers: The Pandora’s Box of Hyperbaric Oxygen Therapy

    W.T. Workman, BS, MS, CAsP, CHT-Admin, FAsMA, FUHM

     

    On August 8, 2000, the US Food and Drug Administration (FDA) cleared the first of eight low-pressure, portable fabric hyperbaric oxygen therapy (HBOT) chambers, based upon the Gamow Bag, which was developed for the treatment of acute mountain sickness. Since then, these types of hyperbaric chambers have become endemic.

    When I learned of the FDA’s decision, I called the FDA’s Deputy Director of Compliance for devices at the time and stated that the FDA has just opened Pandora’s Box.

    At the time, I did not appreciate how prophetic that statement was. Why should anyone worry about the fact that there are a lot of inflatable “altitude sickness” hyperbaric chambers … read more

    Pain Management & Anxiety With Wound Chronicity Patients

    Pain Management and anxiety intermingled in the minds of patients suffering from failed-to-heal wounds. The legendary saying is, “out of sight and out of mind.” Relating to the accuracy of the statement based on healthy, unwounded people in the world. However, in the special populations: of wound care clinics, nursing homes, and hospital facilities, anticipatory pain is a reality in the minds of patients who have experienced excruciating injuries. Fear orchestrates raw emotions associated with calamitous events’ injuries to the body (Fardin & Masumeh, 2020). Fear also creates future scenarios of horrific moments which have not happened (Fardin & Masumeh, 2020). Moreover, the anticipation of awful, painful experiences makes pain management reach a zero-improvement rate … read more

    Understanding the Zebras of Wound Care: An Overview of Atypical Wounds

    Elizabeth Ansert, Anthony Tickner, Donald Cohen, Weldon Murry, Samuel Gorelik

     

    Atypical etiologies account for approximately 5% to 20% of chronic ulcerations, whereas 43% of chronic ulcerations are infected ulcerations, 22% are diabetic ulcerations, and 19% are vascular ulcerations. Because of the lower proportion of atypical etiologies, research and industry interest in these ulcerations is lower than in the more common ulceration etiologies. The ability to recognize these so-called zebras, or wounds that are epidemiologically rare, can be critical to the treatment course and the patient’s overall well-being. An uncommon etiology should be suspected clinically when a wound does not show signs of healing with conventional care, when pain is out of proportion to the clinical presentation, or for the wound with an atypical clinical appearance … read more

    Nutrition Interventions in Adults with Diabetic Foot Ulcers

    • Diabetic foot ulcers (DFU) are chronic wounds in the foot or feet associated with neuropathy and/or peripheral artery disease (PAD) of the lower limb in patients with diabetes mellitus.
    • Reports from the Centers for Disease Control and Prevention show that in the United States there are nearly one in four adults living with diabetes, which indicates that a large number of Americans are at risk of DFU.
    • DFUs will develop in up to 34% of patients with diabetes at some time in in their lives, and of those, approximately 15%–25% will require an amputation.
    • Moderate or severe malnutrition has been identified in over half of patients with DFU, and malnutrition in DFU is correlated with increased lower-extremity amputation.
    • Improvements in wound care therapy, including nutrition interventions, can reduce the financial burden of DFUs and increase life expectancy and quality of life.

    read more

    Silk route to scar-free skin

    BY BECKY DEY – from OCTOBER 2018

     

    A wound dressing made from the silk protein sericin can help skin recover without scar tissue forming, new research shows … Millions of people worldwide suffer serious skin wounds caused by burns or trauma that are unable to self-heal. The main complication surrounding skin regeneration is scar tissue, which has different functional and mechanical properties to normal physiological tissue, often causing pain and discomfort for those affected … read more

    Healthy diet helps obese people with chronic inflammation and skin wound healing

    Scientists in Leipzig identify new mechanisms for chronic inflammation and wound healing disorders

    In everyday clinical practice, it has been observed that chronic inflammatory diseases like psoriasis occur earlier and more severely in overweight people. In addition, they are more difficult to treat in patients with obesity. Experts at Leipzig University Hospital therefore wanted to find out why chronic inflammatory diseases and chronic non-healing wounds occur more frequently in obese patients.

    In a study recently published in the journal Theranostics, the scientists investigated how saturated fatty acids contribute to the increased occurrence of inflammation or disrupt wound healing. When the skin is inflamed or injured, danger molecules are released. “Our focus was on the danger molecule S100A9. S100A9, together with many saturated fatty acids, causes abnormal activation and differentiation of macrophages and ultimately leads to the fact that inflammatory reactions do not subside or skin injuries are not properly repaired,” explains study leader Dr Anja Saalbach, scientist and working group leader at the Department of Dermatology, Venerology and Allergology at Leipzig University Hospital. Macrophages are important cells to initially fight infection. Later, they help inflammation to subside and the tissue to be repaired … read more

    HMC promotes diabetic limb salvage through awareness activities

    Building on the previous success of education and awareness activities, Hamad Medical Corporation (HMC) recently joined the American Diabetic Awareness Alert Day to promote Diabetic Limb Salvage and launch a nationwide Awareness Campaign themed ‘Early diagnosis leads to early intervention: save a leg, save a life’ … The initiative was aimed at educating the general public and specifically diabetic patients at risk of feet ulcers and leg amputation, increasing their knowledge of signs and symptoms of this disease, and encouraging them to take care of their own feet … Diabetic foot is a substantial public health issue that affects people worldwide. Statistics show that twenty-five percent of people with diabetes are at risk of developing diabetic foot ulcers (DFUs). Limb salvage is the endeavour to save a limb from amputation, such as the foot … read more

    BridgeBio Pharma’s (BBIO) Phoenix Tissue Repair Reports Positive Results from Phase 2 Trial of PTR-01

    BridgeBio Pharma, Inc. (Nasdaq: BBIO) and affiliate company Phoenix Tissue Repair, which is focused on advancing a novel systemic treatment for recessive dystrophic epidermolysis bullosa (RDEB), announced data from the Phase 2 trial of PTR-01, an intravenously-administered recombinant collagen 7 (rC7) protein replacement therapy, in patients with recessive dystrophic epidermolysis bullosa (RDEB). The data are being shared in a poster at the Society for Investigative Dermatology (SID) Annual Meeting 2022 between May 18 – 21, 2022 in Portland, Oregon … read more

    How effective are dressings and topical agents in the management of wounds after surgical

    treatment for pilonidal sinus of the buttocks?

     

    Philip J Herrod, Brett Doleman, Edward J Hardy, Paul Hardy, Trevor Maloney, John P Williams, Jon N Lund

     

    – Platelet-rich plasma (part of the participant’s own blood that promotes tissue regeneration) may reduce time to wound healing compared with sterile gauze
    – Lietofix skin repair cream may help wounds to heal by 30 days compared with a dressing with iodine (which helps to reduce bacteria in the wound)
    – It is not clear whether hydrogel dressings (designed to keep the wound moist) reduce time to wound healing compared with wound cleaning with iodine

    Pilonidal sinus disease of the buttocks is a common painful condition that mainly affects young adults … read more

    Brooke Gautreaux Joins RestorixHealth At-Home Wound Healing Services

    RestorixHealth is pleased to announce that Brooke Gautreaux, FNP-C, has joined RestorixHealth as a wound care provider in Thibodaux, LA, its newest service area.

     

    Designed to address the needs of patients with non-healing wounds, RestorixHealth At-Home Wound Healing Services provides comprehensive, advanced wound care in the convenience and comfort of the patients’ home. This leads to lower direct care costs, reduced hospital admissions, improved outcomes and increased patient satisfaction.

     

    “Our At-Home Wound Healing Services is just one way we are working toward making wound healing accessible for all,” said Douglas Cogliano, Senior Vice President At-Home Wound Healing Services. “We are extremely pleased that Brooke has joined our wound healing team to help us bring this essential service to the Thibodaux community.”

     

    Brooke Gautreaux, FNP-C, received both her Bachelor of Science in Nursing and Master of Science in Nursing from Nicholls State University in Thibodaux, LA. She has five years of nursing experience, primarily in emergency medicine. She is excited to begin providing care at home because she can see the end goal with her patients and ensure their needs are met. The ability to offer hands-on, in-home wound care increases access to care for many people, and Brooke is proud to now serve her community this way.

     

    Physicians may refer their patients by calling 855.228.0790 or faxing 866.422.3202. Self referrals are accepted. Associates are available to address any questions and assist in coordinating patient appointments.

     

    About RestorixHealth
    RestorixHealth recently joined with American Medical Technologies (AMT) to become the nation’s leading wound care solutions company, developing and operating advanced wound healing centers, providing wound healing direct-care services and education, and delivering advanced wound supplies directly to patients nationwide. Forging strong relationships with their partners, RestorixHealth provides customized wound healing programs and solutions that increase the access to care, lower or avoid direct care costs, reduce hospital admissions, improve outcomes and increase patient and partner satisfaction. For more information, visit http://www.RestorixHealth.com.

    This article was originally published here

    USPTO Grants Foundational Patent to Amferia for Antimicrobial Technology

    The antimicrobial hydrogel rapidly kills all types of bacteria, including antimicrobial-resistant types, without harming the body. The technology will be applied to wound-care products for human and animal use … Swedish medical device startup Amferia AB has been granted a foundational patent by the US Patent and Trademark Office (USPTO) for an antimicrobial material based on an amphiphilic antimicrobial hydrogel. The company said it is now in the final development stage for wound-care applications and aims to launch the first product within the animal health sector during 2022 … read more

    UTSW orthopedic surgeon honored for his work on diabetic limb salvage

    Hip and knee replacements, sports injuries, trauma. That’s typically what comes to mind when one thinks of orthopedic surgery, not diabetes. Yet in the U.S., 73,000 lower limb amputations are performed every year on people with diabetes, and many of those patients will die within two years due to decreased activity and other factors … But at UT Southwestern, a multidisciplinary team of physicians is proving that many amputations are preventable through coordinated intervention and innovative treatments. Over the past decade, the percentage of patients who arrive with a diabetic foot infection and have an amputation has been cut in half, thanks to the coordinated care provided through the diabetic limb salvage program and Wound Care Clinic … read more

    Topical Tranexamic Acid Reduces Postop Bleeding Following Mohs Surgery

    The use of adjunctive topical tranexamic acid (TXA) showed benefits in significantly reducing postoperative bleeding with second intention healing, or allowing wounds to heal naturally without sutures, following Mohs micrographic surgery, in a double-blind, randomized, controlled trial.

    The findings suggest that “topical TXA application is an inexpensive and easy topical preventative measure to consider adding to the wound care of granulating defects in the setting of Mohs micrographic surgery,” first author Brianna Castillo, MD … read more

    Diabetes Center Berne Selects XtremedX Diabetic Shoe Insole as Top 20 New Diabetic Device for 2022

    GREENVILLE, S.C., May 18, 2022 /PRNewswire/ — A revolutionary temperature and pressure (TAP) sensing insole for diabetics, created by XtremedX, was recently named a TOP 20 New Diabetic Device for 2022 by the Diabetes Center Berne (DCB) in Berne, Switzerland. This is an international competition with the winners chosen by a panel of judges who are leading experts in diabetes care. XtremedX’s TAP sensing insole was one of only two products selected from the US as a leading innovative device for the management of diabetes.

     

    Failure to heal a diabetic foot ulcer is a leading cause of hospitalization, amputation, disability, and death among people with diabetes. XtremedX TAP sensing insole for diabetics helps with daily monitoring of the feet, which can reduce diabetic foot ulcers by up to 85%. The sensor detects differences over time between both feet. Accumulated data from the sensor is then sent to the patient, caregiver, and/or physician via Bluetooth, Wi-Fi, or cellular technology for monitoring. An alert is provided by the insole at the first sign that an ulcer could potentially develop – often 4-6 weeks before the onset of symptoms. This allows the patient to take preventative measures to avoid an ulcer or further complications including amputation of lower extremities.

     

    “We’re honored that we’ve been selected by the Diabetes Center Berne for this innovation challenge among all of the other incredible ideas and inventions to improve diabetes care,” said Carl Marshbanks, CEO of XtremedX. “It’s been an exciting time for our team, as we also recently were recognized as a first-place winner of the WeaRAcon 2022 international wearable robotics association conference this year. We’ve set out to create a product that will truly impact the management of diabetes and we’re glad to see that leaders in our industry believe in our mission as well.”

     

    Each of the 20 companies with devices selected by Diabetes Center Berne participated in a pitch round this May where they presented their devices to a panel of DCB judges. These judges will select the top three finalists to participate in a bootcamp taking place on June 20 – 24 in Switzerland to develop their ideas with the help of the experts at DCB. After the bootcamp, a winner will be chosen on November 30 to be awarded $100,000 to fund further development of their innovation.

     

    Diabetes Center Berne was created to advance diabetes care by bringing together some of the world’s leading experts to drive thought and innovation and provide access to clinical research facilities, laboratories, workspaces, and financial resources. Their innovation challenge provides an opportunity for companies with forward thinking ideas from around the world to make the greatest impact on the future of diabetes management.

     

    ABOUT XTREMEDX

    XtremedX LLC strives to develop the most technically advanced products, improving the quality of patient’s lives. They innovate technologically advanced products for Orthopedics, Surgery, DME (Durable Medical Equipment), and Smart Sensor Technology. Their mission is to create products that help to improve patient outcomes and reduce overall health care costs. As a Top Biomechanics Solutions Provider of 2021, they are also named a TOP 20 New Diabetic Device for 2022 by the Diabetes Center Berne, and a recipient of first-place award at the international wearable robotics association conference, WeaRAcon 2022. For more information, please visit www.xtremedx.com.

     

    ABOUT DIABETES CENTER BERNE

    Diabetes Center Berne is a private, independent Swiss foundation established in 2017. It helps research projects and business ideas to grow. Based in Switzerland, DCB provides expertise, access to clinical research facilities and its own laboratories and workspaces, and funding to projects around the world. It is located on the Insel Campus in the Swiss capital Bern. DCB works in close scientific partnership with the Department of Diabetology, Endocrinology, Nutritional Medicine and Metabolism of the Inselspital Bern (UDEM), a university hospital with a stellar international reputation in the field of diabetes technology.

     

    Diabetes Center Berne
    Freiburgstrasse 3
    CH-3010 Bern
    www.dcberne.com

     

    SOURCE XtremedX

    This article was originally published here

    Weight management and weight stigma: Why these are everyone’s responsibility

    Pam Brown, Joint Editor-in-Chief, outlines the mechanisms that drive obesity, discusses the negative impacts of weight stigma and challenges healthcare professionals to improve the management of this chronic, relapsing disease … Attending this year’s European Congress on Obesity (ECO) from Maastricht, as a virtual delegate with colleagues on the Royal College of General Practitioners GP Leadership in Obesity and Weight Management (GLOW) Programme, was a wonderful opportunity to network, update my knowledge, and to refocus and reflect on obesity and weight management … read more

    Look Beyond the Treatment Chair: Involving Family in Care Education

    David G. Armstrong, DPM, MD, PhD

     

    Information about foot care provided to people with diabetes with or without their partners can have an impact on recommended foot care behavior. Think about this the next time you’re educating your patient and his/her family!

    A recent study published in Applied Psychology: Health and Well-Being looked at these potential behavior differences. In a randomized parallel arm design trial, they split the cohort into two groups: one where providers gave information sheets to patients with diabetes and their spouses (dyad, n=64) and one where the information only went to the patients (individual, n=69). The patients then self-reported how many days a foot check occurred, and how many days foot protection measures took place … read more

    Transcriptomic analysis of human sensory neurons in painful diabetic neuropathy

    reveals inflammation and neuronal loss

     

    Bradford E Hall, Emma Macdonald, Margaret Cassidy, Sijung Yun, Matthew R Sapio, Pradipta Ray, Megan Doty, Pranavi Nara, Michael D Burton, Stephanie Shiers, Abhik Ray-Chaudhury, Andrew J Mannes, Theodore J Price, Michael J Iadarola, Ashok B Kulkarni

     

    Pathological sensations caused by peripheral painful neuropathy occurring in Type 2 diabetes mellitus (T2DM) are often described as ‘sharp’ and ‘burning’ and are commonly spontaneous in origin. Proposed etiologies implicate dysfunction of nociceptive sensory neurons in dorsal root ganglia (DRG) induced by generation of reactive oxygen species, microvascular defects, and ongoing axonal degeneration and regeneration. To investigate the molecular mechanisms contributing to diabetic pain, DRGs were acquired postmortem from patients who had been experiencing painful diabetic peripheral neuropathy (DPN) and subjected to transcriptome analyses to identify genes contributing to pathological processes and neuropathic pain. DPN occurs in distal extremities resulting in the characteristic “glove and stocking” pattern. Accordingly, the L4 and L5 DRGs, which contain the perikarya of primary afferent neurons innervating the foot, were analyzed from five DPN patients and compared with seven controls. Transcriptome analyses identified 844 differentially expressed genes. We observed increases in levels of inflammation-associated transcripts from macrophages in DPN patients that may contribute to pain hypersensitivity and, conversely, there were frequent decreases in neuronally-related genes. The elevated inflammatory gene profile and the accompanying downregulation of multiple neuronal genes provide new insights into intraganglionic pathology and mechanisms causing neuropathic pain in DPN patients with T2DM … read more

    Miller School Researchers Identify Molecule that Suppresses Skin Tumors and May Promote Wound Healing

    Damian McNamara

     

    We’re one step closer to solving a mystery of why diabetic foot ulcers rarely develop skin tumors. It turns out that a molecule called microRNA 193b-3p has the potential to both suppress skin cancer and promote wound healing, Irena Pastar, Ph.D., Marjana Tomic-Canic, Ph.D., and colleagues at the University of Miami Miller School of Medicine reveal in new research … The new findings were published May 11 as the cover story in the prestigious journal Science Translational Medicine. Dr. Pastar and Tomic-Canic are both corresponding authors … Non-healing or chronic wounds, such as diabetic foot ulcers (DFUs), and malignant tumors, such as squamous cell carcinomas, share common biological traits, said Dr. Tomic-Canic, professor and vice chair of research and the Director of Wound Healing … read more

    Podimetrics Announces Expansion of Leadership Team with Four New Strategic Growth Hires

    Longtime Congresswoman and former President and CEO of the Better Medicare Alliance, Allyson Schwartz, also joins Podimetrics’ Advisory Board

     

    SOMERVILLE, Mass., May 12, 2022 /PRNewswire/ — Podimetrics, creator of the FDA-cleared SmartMat™ and integrated clinical care services that can help save the limbs and lives of complex patients with diabetes, today announced four new leadership hires aimed at helping the company scale and support even more health plans and providers serving patients living with complex diabetes: Matthew Scalo as Chief Financial Officer, Kyle Bray as Chief Operating Officer, Kim Nguyen as Vice President of Financial Planning and Analysis, and Elizabeth Hogan Hamacher as Vice President of Clinical Services and Support. Podimetrics also added a new member to their advisory board, Allyson Schwartz, a long-time Congresswoman and also the former President and CEO of the Better Medicare Alliance.

     

    These key hires and advisory board appointment follow Podimetrics’ recent announcement of their Series C. The company also experienced unprecedented growth in 2021, including doubling the patients under management with the Veterans Health Administration; doubling revenue for the third year in a row; and also doubling the size of the Podimetrics team. Dr. Jon Bloom, CEO and co-founder of Podimetrics, shared the following insights on the company’s growth trajectory for the year ahead: “We are in high-growth mode, and these leadership hires and the appointment of Allyson Schwartz to Podimetrics’ advisory board reinforce our focus on helping even more at-risk, underserved patients avoid the unnecessary health toll and financial burden associated with amputations resulting from complex diabetes.”

     

    In just the first quarter of 2022, Podimetrics rounded out their leadership team with a series of strategic new hires that position the company for strong growth in the year ahead:

     

    • Matthew Scalo, Chief Financial Officer — With nearly two decades of experience spanning banking and financial services, he most recently served as the senior vice president of finance at Cancer Treatment Centers of America;
    • Elizabeth Hogan Hamacher, Vice President of Clinical Services and Support — A registered nurse with more than 12 years of clinical operations experience, she most recently served as senior director of clinical operations at ConsumerMedical; and
    • Kim Nguyen, Vice President of Financial Planning and Analysis — With more than a decade of experience, she most recently served as associate vice president for financial planning and analysis for vRad (Virtual Radiologic).

     

    The company’s latest addition to their advisory board, Allyson Schwartz, also brings unprecedented experience in healthcare, as well as policy. As a former member of the House of Representatives and former President and CEO of the Better Medicare Alliance, she is a nationally recognized leader on healthcare issues and was also instrumental in the passage of the Affordable Care Act. Schwartz shared the following insights about joining the advisory board at Podimetrics: “Podimetrics serves some of our nation’s most vulnerable patients — patients who have been ignored for far too long. It’s an honor to join their advisory board. The research and innovation they are leading will help drive a new preventive and proven approach to helping reduce amputations in patients living with complex diabetes.”

     

    Podimetrics invented the SmartMat, which has already been used by thousands of patients through partnerships with leading risk-based healthcare providers and regional and national health plans. The SmartMat is the only easy-to-use, at-home mat that a patient steps on for only 20 seconds per day. The mat detects temperature changes in the foot, which are often a precursor to diabetic foot ulcers (DFUs). Patient temperature data from the SmartMat is then remotely monitored by Podimetrics’ in-house nurse support team. If the data from the mat is indicative of potential health issues, Podimetrics’ nursing team swiftly connects both with the patient and the patients’ provider.

     

    For more information on Podimetrics and how its SmartMat and clinical care services can help prevent diabetic foot ulcers and improve patient outcomes, please visit Podimetrics.com.

     

    About Podimetrics

    Podimetrics is the creator of the FDA-cleared SmartMat™ and integrated clinical care services that can help save the limbs and lives of complex diabetic patients. Through partnerships with regional and national health plans and at-risk providers, such as the Veterans Health Administration, Podimetrics has helped prevent amputations associated with complex diabetes. By combining cutting-edge technology with best-in-class clinical care services, Podimetrics earns high engagement rates from patients and allows clinicians to save limbs, lives, and money — all while keeping vulnerable populations healthy in their own homes. For more information, visit Podimetrics.com or follow us on LinkedIn and Twitter.

    Contact: press@Podimetrics.com

    Cision View original content to download multimedia:https://www.prnewswire.com/news-releases/podimetrics-announces-expansion-of-leadership-team-with-four-new-strategic-growth-hires-301545591.html

    Adjunct Topical TXA Acid Shows Efficacy for Granulating Surgical Wounds

    Sandra Fyfe

     

    Topical tranexamic acid is an effective additional treatment for granulating wounds in Mohs micrographic surgical settings … Brianna Castillo, MD, of the University of Missouri in Columbia, and colleagues presented abstract data demonstrating the potential for adjuvant tranexamic acid (TXA) in treating granulating surgical wounds at the 2022 American College of Mohs Surgery Annual Meeting. Researchers performed a double-blind randomized controlled trial on the effectiveness of TXA in preventing bleeding in granulating surgical wounds. TXA is a drug that prevents blood clots from breaking down … “Postoperative bleeding is one of the more common complications when a wound is healing by second intent and can lead to patient distress and unnecessary return visits including possibly to emergency rooms after hours, thus generating increased cost to patients in the form of copays for emergency care,” the researchers wrote … read more

    Moving the chronic wound along the healing trajectory

    Emilio Galea (from September 2018) 

     

    Chronic wounds are an ever-growing challenge for clinicians and represent a huge burden on healthcare resources (Harding, 2002). They have been referred to as a silent epidemic that is affecting a large number of people in the world population (Gottrup, 2004). However, due to a better understanding of what makes a wound chronic, several new treatments that offer better outcomes for the patient and a broader choice for the clinician have been developed (Harding, 2002). A sterile, non-adherent, slough-trapping, poly-absorbent fibre dressing with the technologie lipido-colloïde (TLC) healing matrix to promote wound healing and enable pain-free dressing changes, which can be used for gentle desloughing, has been developed by Urgo. The slough-trapping fibres (poly-absorbent) have been shown to bind and trap the slough within the dressing, providing safe and effective desloughing (Kelly et al, 2013), while the silver lipido-colloid matrix in the antimicrobial version, has been established in its efficacy in the management of chronic wounds presenting with a risk of infection as demonstrated through previous randomised controlled trials … download PDF

    The Exploding Incidence and Prevalence of Diabetes

    BY LEONARD A. LEVY, DPM, MPH (from April 2021)

     

    Podiatric Medical Practice, People with Diabetes, and the Relationship to Primary Care The typical practice of podiatric medicine includes a population that receives care on a more frequent basis than perhaps most patients seen by other medical specialists (e.g. surgeon, ophthalmologist, dermatologist, and otorhinolaryngologist). Patients who receive care from podiatric physicians very often do so several times yearly and often follow such a regimen over several years. Because of this, podiatric physicians with their education and training appropriately could be among the physicians who provide a major segment of primary care … read more (PDF)

    How Dietary Protein and Collagen Dipeptides Improve Wound Healing

    Nancy Collins, PhD, RDN, LD, NWCC, FAND

     

    Nutrition is a critical factor in the wound healing process, with adequate protein intake essential to successful healing. Patients with chronic and acute wounds, such as postsurgical wounds or pressure injuries, require increased protein to ensure complete and timely healing. Older patients with multiple comorbidities present a particular challenge. They often do not consume the necessary quality and quantity of dietary protein. In addition, this population may have a heightened stress response and resultant muscle loss due to a reduction in muscle protein synthesis. The all too frequent result is compromised wound healing, decreased ability to fight infections, and longer recovery time from illnesses and surgeries. It is imperative to address the increased protein needs of patients with wounds, especially older patients, to promote a full recovery … read more

    “We have met the enemy, and he is us…” Musing on Robert’s Pearl’s New Book:

    “Uncaring: How the Culture of Medicine Kills Doctors and Patients”

     

    by Caroline Fife, M.D.

     

    I’ve been venting about my experiences with a broken healthcare system – both as a doctor and a caregiver. My friend, colleague, plastic surgeon and Renaissance man, Dr. Aron D. Wahrman alerted me to Robert Pearl’s book, Uncaring: How the Culture of Medicine Kills Doctors and Patients (a follow up to his book, Mistreated: Why We Think We’re Getting Good Health Care — and Why We’re Usually Wrong. I’ve recently talked about the experience of my friend and patient Dr. Richard Maddy, who lost both of his legs to cutaneous polyarteritis nodosa– in part because my pleas to start high dose steroids based on his clinical presentation were ignored, and my husband who died (albeit indirectly) from an adverse drug reaction that I diagnosed but for whom I could not the proper intervention from his inpatient team … read more

    COVID-19 infection linked to higher risk of neuropathy symptoms

    Symptoms persisted for months after a positive test for COVID-19

     

    Adding to a growing body of evidence that, for many, problems related to COVID-19 linger longer than the initial infection, researchers at Washington University School of Medicine in St. Louis have found that some people infected during the pandemic’s early months experienced symptoms of peripheral neuropathy — pain, tingling and numbness in the hands and feet — during and following their bouts with the virus … read more

    The role of non-medicated dressings for the management of wound infection

    Author(s): Thomas Bjarnsholt, Val Edwards-Jones, Matthew Malone, Karen Ousey, Mark Rippon, Alan Rogers, Samantha Westgate, Sabine Eming, Isabelle Fromantin, Astrid Probst, Hans Smola, Hui-Mei Yang, Jiun-Ting Yeh, Steven Percival

     

    Every wound type has the potential to develop serious infection, which in some cases can lead to chronicity, bone infections, long-term disabilities or even death. Bacteria within a wound will exist in either planktonic or biofilm forms, with treatment mostly by use of topical antimicrobials or antibiotics. Alarmingly, there is growing concern regarding the treatment of infection, caused by the rise of antimicrobial resistance in many common bacterial pathogens and the misuse of antimicrobial agents … read more

    How the Identification of Chronic Wound Infection Can Be Improved With Technology

    by Liping Tang

     

    Infection is the single most likely cause of delayed healing in chronic wounds. In most cases, identification of chronic wound infection (e.g., diabetic foot ulcers and venous leg ulcers) is not obvious because chronic wounds do not exhibit the same classic inflammatory signs of infection as those found in acute wounds. More arduously, those common signs of infection—pain, erythema, heat, and purulent exudate— vary as we age and occur differently in those with underlying diseases or weakened immune systems. Diagnosis is generally based on the doctors’ experience and could be confirmed with microbiological culture of tissue biopsy. However, culture could take a few days, and the results may not always be reliable because of sampling error. A fast and accurate diagnosis of wound infection would relieve the patient of significant discomfort and improve the treatment outcome … read more

    Virtual Events in the Era of COVID-19: Perspectives From a Virtual Interdisciplinary Wound Care Symposium

    Jose Palacios, BS, Nissim Hazkour, BA, Amit Rao, MD, Mary Brennan, RN, Alisha Oropallo, MD

     

    Travel restrictions during the coronavirus disease-19 (COVID-19) pandemic have made in-person conference attendance difficult, if not impossible; however, the need for organized events remains. Conferences serve as important events for exchanging knowledge, learning new skills, and socializing with peers.1 Virtual conferences have been adopted for academic events outside of the medical field and serve as an alternative to in-person events that allow people to gather despite travel restrictions.2,3 As restrictions continue to be lifted and in-person events resume, the fate of virtual events becomes unclear. While in-person conferences and symposiums had been the norm before 2020, they require abundant time commitment … read more

    How Effective are Nano-Based Dressings in Diabetic Wound Healing? A Comprehensive Review of Literature

    Chronic wound caused by diabetes is an important cause of disability and seriously affects the quality of life of patients. Therefore, it is of great clinical significance to develop a wound dressing that can accelerate the healing of diabetic wounds. Nanoparticles have great advantages in promoting diabetic wound healing due to their antibacterial properties, low cytotoxicity, good biocompatibility and drug delivery ability. Adding nanoparticles to the dressing matrix and using nanoparticles to deliver drugs and cytokines to promote wound healing has proven to be effective. This review will focus on the effects of diabetes on wound healing, introduce the properties, preparation methods and action mechanism of nanoparticles in wound healing, and describe the effects and application status of various nanoparticle-loaded dressings in diabetes-related chronic wound healing … read more

    Spectral MD Shortlisted for Two European Mediscience Awards

    ‘Best Technology Award’ and ‘Best Newcomer Award’

     

    PRESS RELEASE MAY 10, 2022

    DALLAS, May 10, 2022 (Newswire.com) – Spectral MD Holdings, Ltd. (AIM: SMD), a predictive analytics company that develops proprietary AI algorithms and optical technology for faster and more accurate treatment decisions in wound care, has been recognized for two prestigious European technology awards.

     

    Spectral MD has been shortlisted for two awards at this year’s European Mediscience Awards for:

    Best Technology Award
    Best Newcomer Award

     

    The European Mediscience Awards is the largest annual gathering of private and publicly quoted healthcare, biotech and life science companies in Europe recognizing achievements in the life sciences industry. The European Mediscience Awards recognizes success and achievement amongst both private and publicly quoted companies throughout Europe and, as such, is attended by European life science companies and their corporate advisers, analysts, fund managers, commentators and peers.

     

    Nooman Haque, Managing Director, Lifescience & Healthcare, Silicon Valley Bank, commented:

    “The shortlist reflects the continuing strong growth of the European Mediscience industry and, in these challenging economic times, highlights those companies best positioned to manage through the turbulent cycle. We’re delighted to see such continuing enthusiasm for the industry.”

     

    Wensheng Fan, CEO of Spectral MD, said:

    “We are honored that Spectral MD has received nominations for ‘Best Technology Award’ and ‘Best Newcomer Award.’ This recognition further validates the promising potential of our DeepView® Wound Imaging Technology. DeepView® has the potential to be transformative in wound care. We look forward to building on this support and the exceptional results obtained thus far to expand into other important indications for our artificial intelligence for wound healing diagnostics.”

     

    The winners will be announced at the celebratory dinner, to be held at the Hotel InterContinental, London W1, on Thursday, June 16, 2022.

     

    About Spectral MD:

    We are a dedicated team of forward-thinkers striving to revolutionize the management of wound care by “Seeing the Unknown”® with our DeepView® Wound Imaging System.

    www.spectralmd.com

    info@spectralmd.com

    New Study Finds XPERIENCE™ No Rinse Solution Has Persistent Efficacy Against

    Both Planktonic Bacteria and Bacterial Biofilms

     

    Highlights

    • In vitro testing of XPERIENCE™ demonstrated 4-log to 6-log reductions in planktonic (free-floating) bacteria and 4-log to 8-log reductions in biofilm bacteria (colonies of bacteria)
    • XPERIENCE was shown to inhibit biofilm formation for up to five hours after application
    • Study published in The Journal of Arthroplasty

     

    JACKSONVILLE, Fla.–(BUSINESS WIRE)–Next Science Limited (ASX:NXS) (Next Science / the Company) is pleased to report that XPERIENCE™ No Rinse Solution has been shown to have persistent efficacy against both planktonic bacteria and bacterial biofilms in a new study published in The Journal of Arthroplasty. The study, “A Novel Irrigant to Eliminate Planktonic Bacteria and Eradicate Biofilm Superstructure With Persistent Effect During Total Hip Arthroplasty,” also found that XPERIENCE produced minimal cytotoxic effects to human tissue, allowing the solution to remain in the body without need for subsequent rinse. Additionally, XPERIENCE – cleared by the FDA for U.S. sale in April 2021 – was shown to inhibit biofilm formation for up to five hours after application.

     

    Prosthetic joint infection (PJI) remains a significant burden in total hip arthroplasty (THA) and total knee arthroplasty (TKA) in the United States. Estimates indicate that, by 2030, the annual hospital costs related to PJI of the hip and knee will be $1.85 billion.1 Interventions to reduce or prevent the occurrence of PJI continue to be at the forefront of research efforts and commercial development.

     

    “The minimum standard of care for irrigation in orthopedic surgical cases includes normal saline, but an increasing amount of literature in recent years has suggested that different solutions or additives may be needed to prevent PJI,” said orthopedic surgeon Ravi K. Bashyal, MD, the study’s lead author. “Combatting planktonic bacteria and the formation of biofilm is especially important given the high negative consequence of developing a PJI in the total joint arthroplasty setting.”

     

    In the in vitro study, XPERIENCE demonstrated 4-log to 6-log reductions in planktonic bacteria after five minutes, and 4-log to 8-log reductions in biofilm bacteria. Future research using large-series in vivo data is necessary to further establish the irrigant’s efficacy in reducing primary and recurrent surgical site infections (SSIs). An estimated 1.5 million SSIs in the United States each year2 contribute $3.3 billion to the cost of U.S. healthcare.3

     

    The study also found that XPERIENCE showed higher in vitro antimicrobial efficacy than three other commercially available adjuvants. The comparative treatments each reduced biofilm in all bacterial strains tested by approximately 1-log or less when the application times in their respective instructions for use were followed. However, XPERIENCE reduced biofilm by approximately 3-log to 8-log when used as directed.

     

    About Next Science

    Next Science is a medical technology company headquartered in Sydney, Australia, with a research and development center in Florida, USA. Established in 2012, the Company’s primary focus is on the development and continued commercialization of products powered by its proprietary XBIO Technology. For further information visit: www.nextscience.com.

     

    Forward looking statements

    This announcement may contain forward looking statements which may be identified by words such as “believes”, “considers”, “could”, “estimates”, “expects”, “intends”, “may”, and other similar words that involve risks and uncertainties. Such statements are not guarantees of future performance and involve known and unknown risks, uncertainties, assumptions and other important factors, many of which are beyond the control of Next Science or its Directors and management, and could cause Next Science’s actual results and circumstances to differ materially from the results and circumstances expressed or anticipated in these statements. The Directors cannot and do not give any assurance that the results, performance or achievements expressed or implied by the forward-looking statements contained in this announcement will actually occur and investors are cautioned not to place undue reliance on these forward-looking statements.

     

    1Premkumar A., Kolin D.A., Farley K.X., et al. “Projected Economic Burden of Periprosthetic Joint Infection of the Hip and Knee in the United States.” J Arthroplasty, 2021;36(5):1484-1489 e1483.

    2Darouiche, R. (2019). “Surgical Site Infections.” Retrieved from: https://www.infectiousdiseaseadvisor.com/home/decision-support-in-medicine/ hospital-infection-control/surgical-site-infections

    3Zimlichman, E., et al. “Health Care-Associated Infections. A Meta-Analysis of Costs and Financial Impact on the US Health Care System.” JAMA Intern Med, 173(22): (2013): 2039-46.

     

    Contacts
    Judith Mitchell
    Managing Director, Next Science Limited
    Phone: +61 2 9375 7989
    Email: investorqueries@nextscience.com

     

    Anthony Priwer
    Dalton Agency
    Phone: +1 615-515-4891
    Email: apriwer@daltonagency.com

    Dichotomous role of miR193b-3p in diabetic foot ulcers maintains inhibition

    of healing and suppression of tumor formation

     

    Jelena Marjanovic, Horacio A. Ramirez Ivan Jozic, Rivka C. Stone, Tongyu C. Wikramanayake, Cheyanne R. Head, Beatriz Abdo Abujamra, Nkemcho Ojeh, Robert S. Kirsner Hadar Lev-Tov, Irena Pastar, Marjana Tomic-Cani

     

    Diabetic foot ulcers (DFUs) are poorly healing wounds characterized by a hyperproliferative microenvironment with overexpression of c-myc and activation of the β-catenin signaling pathway. However, despite these cancer-like features, DFUs rarely undergo malignant transformation. Here, Marjanovic and colleagues identified the tumor suppressor miR193b-3p as being overexpressed in DFUs but not acute wounds, venous leg ulcers, or cutaneous squamous cell carcinomas. In addition to suppressing drivers of tumor formation, miR193b-3p was found to inhibit keratinocyte migration and wound reepithelialization, even in the presence of promigratory microRNAs. These findings may explain why DFUs heal poorly but do not undergo malignant transformation … read more

    Devitalized Tissue: What to Look For | Tuesday, May 24, 2022

    Wound debridement is an essential component of wound care and is integral to healing in chronic wounds to remove devitalized tissue from a wound. This removal of devitalized tissue is essential to promote granulation tissue formation and epithelization for wound closure. There are different kinds of devitalized tissue that may be debrided in a variety of ways. The type of debridement selected may be dependent on the characteristics of the wound, the clinician’s skill level, the treatment settings, and the patient’s needs at the time of care … register

    Speaker:
    Kelly McFee, DNP, FNP-C, CWS, CWCN-AP, FACCWS, DAPWCA
    Director of Wound Care
    Mosaic Life Care

    Mobile Wound Management System Application: A Three-year Retrospective Study

    of its Effect on Quality of Coding Pressure Injury at Three Acute Care Hospitals

     

    Nancy Estocado, Lattrice Dickson

     

    The consistency of coding the reported severity of pressure injuries (PIs) present on arrival and hospital-acquired PIs remains unknown. Objective. The authors conducted a 3-year retrospective review of hospitalized patients from 200-, 400-, and 700-bed acute care facilities before (preimplementation, year 1) and after (postimplementation, years 2 and 3) introduction of the mobile wound management system application (WMS app). Materials and Methods. On October 1, 2018, the WMS app and an accompanying educational initiative were rolled out to hospital staff at all 3 facilities. Results. The number of PIs determined to be present on arrival was significantly different between years 1 and 2 at both the 200-bed facility (P =.0221) and the 400-bed facility (P =.0138) and between years 2 and 3 at the 400-bed facility (P <.0001). There was a significant difference in the number of stage 3 and stage 4 … read more

    Transcutaneous Electrical Nerve Simulator Burn Wound

    In this case study, the authors (John L. Gwin, MD, FACS, CWSP; Julia Vervantes Aguilar, MSN, APRN, FNP-BC) discuss a case of a patient with diabetic neuropathy without sensation, for whom therapy was done using such a device.1 This poster abstract, “Burn Wound after use of a Transcutaneous Electrical Nerve Simulator,” was presented at the Symposium on Advanced Wound Care (SAWC) Spring | Wound Healing Society.

    A 62-year-old male presented to an outpatient wound center with a burn wound of his left foot.1 The authors note that the patient was affected by type 2 diabetes and associated neuropathy. The treatment plan for his sensory neuropathy involved therapy with an immersion TENS unit … read more

    Hidradenitis suppurativa: an up-to-date review of clinical features, pathogenesis and therapeutic approaches

    Hidradenitis suppurativa (HS) is a chronic autoinflammatory disease characterised by recurrent painful nodules, abscesses, sinus tracts and scars at apocrine gland-bearing sites. Treatment is universally challenging and sufferers may live with chronic and recurrent draining wounds. This review provides an up-to-date, evidence-based summary of HS, including clinical features, severity assessment, disease pathogenesis and current and emerging therapeutic approaches … read more

    The impact of patient health and lifestyle factors on wound healing, part 2

    Part two of the EWMA document ‘The impact of patient health and lifestyle factors on wound healing’ focuses on two factors: physical activity and nutrition. In this paper, the pathophysiological understanding of how physical activity and nutrition either increase the risk for wounding or impact the healing process will be presented. We review current evidence for the effectiveness of interventions in improving healing outcomes and offer some recommendations for practice and further research. This part of the document should be read in conjunction with Part 11, which discussed stress, sleep, smoking, illicit drug use and alcohol misuse and described how some commonly used medications impact the healing process … read more

    Effects of the COVID-19 pandemic on the outcome and mortality of patients with diabetic foot ulcer

    The outbreak of the coronavirus disease 2019 (COVID-19) led to events that significantly impaired the treatment and management of patients with chronic diabetes. Therefore, elective treatments at hospitals were cancelled and patients with chronic ailments were instructed to stay at home and minimise the time spent in public areas. The second was due to COVID-19-induced anxiety that deterred many patients from seeking care and adhering to periodic out-patient visits. In this study, we examined the short-term effects of the COVID-19 pandemic on patients with chronic diabetes who suffered from contaminated diabetic ulcers. We conducted a retrospective study with patients who had undergone amputations following diabetic ulcers during 2019-2020. The research group included diabetic amputees during the COVID-19 outbreak period ranging from March 2020 to December 2020. The control group included diabetic amputees from the corresponding period … read more

    Study shows amputation, hospitalization rates fell among minorities following Medicaid expansion

    Rates of hospitalization and major amputations among racial and ethnic minority adults with diabetic foot ulcers decreased in states that adopted Medicaid expansion under the Affordable Care Act (ACA), according to researchers at the University of Arizona Health Sciences … Diabetic foot ulceration and amputation have serious health and financial implications, and the disproportionate rate at which it occurs among patients in lower socioeconomic groups is a largely recognized issue within the fields of medicine and vascular surgery … read more

    HMP Global launches Great Debates & Updates program focusing on Diabetic Foot Syndrome

    HMP Global, the omnichannel leader in healthcare events and education, today announced the launch of a new program offering professionals who treat diabetic foot syndrome the opportunity to debate the most controversial topics in treatment options and gain knowledge from one another.

     

    Great Debates & Updates in Diabetic Foot will be held December 2-3 in San Antonio, Texas. The unique, debate-style format will include dynamic presentations and interactive debates, while also diving into the long history of podiatry culture in San Antonio.

     

    “The agenda will feature a mix of clinical updates and lively debates on provocative scientific topics impacting the field, including emerging concepts and treatment options for the diabetic foot,” said Dr. Lawrence A. Lavery, UT professor, board-certified podiatrist at UT Southwestern Medical Center, and event co-chairman. “We are excited to lead this inaugural event and provide a unique, interactive experience to the attendees, with several opportunities to network with faculty, industry, and colleagues.”

     

    This year is the 50th anniversary of the podiatry residency program at the University of Texas Health Science Center in San Antonio, Lavery said, a milestone which will be celebrated at the GDU in Diabetic Foot event.

     

    “There is a rich history of podiatry culture and diabetic foot research in Texas,” said Dr. Lee C. Rogers, event co-chairman and Chief of Podiatry and Associate Professor in the Department of Orthopedics at the University of Texas Health. “The Diabetic Foot Ulcer Classification System is a proven, effective, and widely used classification system for predicting hospitalization and lower extremity amputation. We look forward to discussing this, along with other important treatment tools and techniques, during the new program.”

     

    GDU in Diabetic Foot is designed for the wide spectrum of medical professionals who diagnose and manage the diabetic foot, including podiatrists, wound care physicians, physical therapists, physicians-in-training, nurse practitioners, and physician assistants. The in-person meeting will allow attendees more opportunities for networking and engaging with colleagues and faculty experts.

     

    “The GDU brand offers an educational experience unlike any other,” said Tiffney Oliver, Vice President, Wound Care Learning Network, HMP Education. “These unique, debate-style conferences provide a comprehensive learning experience covering the latest scientific updates and controversial issues emerging in different fields. We are excited to introduce the GDU brand through important education about managing and treating the diabetic foot.”

     

    GDU in Diabetic Foot offers a maximum of 9 hours of continuing education credit. Exhibit space, attendee engagement options, and branding opportunities are available to organizations interested in participating in the event.

     

    For more information or to register, visit gdudiabeticfoot.com.

     

    About HMP Global
    HMP Global is the force behind Healthcare Made Practical — and is an omnichannel leader in healthcare content, events, and education, with a mission to improve patient care. The company produces accredited medical education events — in person and online via its proprietary VRTX virtual platform — and clinically relevant, evidence-based content for the global healthcare community across a range of therapeutic areas. Its brands include the HMP Global Learning Network, healthcare’s most comprehensive source for news and information; Psych Congress, the largest independent mental health meeting in the U.S.; the Evolution of Psychotherapy, the world’s largest independent educational event for mental health professionals; the Leipzig Interventional Course (LINC), the leading, global gathering for interdisciplinary cardiovascular specialists; EMS World Expo, North America’s largest EMT and paramedic event; and the Symposium on Advanced Wound Care (SAWC), the largest wound care meeting in the world. For more information, visit hmpglobal.com.

    Probiotic supplementation aids wound healing in diabetic foot ulcer

    Patients with a diabetic foot ulcer who received probiotic supplementation for 12 weeks experienced faster wound healing coupled with an improved glycemic and lipid profile compared with patients assigned placebo, according to findings from a randomized controlled trial … Sima Mohseni, of the infectious diseases and tropical medicine research center at Babol University of Medical Sciences in Iran, and colleagues analyzed data from 60 adults aged 40 years to 85 years with grade 3 diabetic foot ulcer, who randomly received either probiotic supplementation (n = 30) or placebo (n = 30) daily for 12 weeks … read more

    Post-Procedure Infection Prevention – video

    Scott Freeman, PA-C, talks post-procedure infection prevention at the current New Wave Dermatology conference.

     

    Scott Freeman, PA-C, in a video for Dermatology Times®, highlighted the importance of making sure patients adhere to good wound care at the Florida Society of Dermatology Physician Assistants New Wave Dermatology Conference being held this week in Coral Gables, Florida. Additionally, he gave pearls on infection prevention.
    watch

    The matricellular protein decorin delivered intradermally with coacervate improves wound

    resolution in the CXCR3-deficient mouse model of hypertrophic scarring

     

    Kyle Sylakowski PhD,Mintai Peter Hwang PhD,Amritha Justin BA,Diana Whaley MS,Yadong Wang PhD,Alan Wells MD DMSc

     

    Cutaneous wound healing is an intricate orchestration of three overlapping phases of repair that encompass numerous cell types, signalling cascades, and microenvironment modifications to reach a successful resolution. Disruption of any of these steps will create an abnormal healing response resulting in either ulceration or excessive scarring. It has become evident that the extracellular matrix and its associated components are key orchestrators during this process. One of these essential matrix proteins is decorin, a small leucine-rich proteoglycan (SLRP) that acts as a regulator of collagen fibrillogenesis and a non-competitive inhibitor of multiple growth factors signalling cascades. Decorin is a necessary shut-off switch for the pro-reparative mechanism of the tissue replacement phase and limits the occurrence of hypertrophic scarring by preventing excessive repair … read more

    Human Amniotic Membrane vs Collagen in the Treatment of Superficial Second-degree Burns in Children

    Aureen Ruby DCunha, Susan Jehangir, Grace Rebekah, Reju J. Thomas

     

    A prospective, blinded, internally randomized trial of 43 children was conducted. Fresh HAM (prepared in-house at the Christian Medical College, Vellore) and bovine collagen were applied to different halves of each wound and dried naturally to form a hard, shell-like, so-called exoskeleton. The shell was shed as epithelialization occurred beneath it. Clinical examination and serial photographs were used to track progress until the wound healed completely, as well as at 3 and 6 months after the burn injury. Two burns surgeons blinded to the material used evaluated the resulting scars using the Vancouver Scar Scale. Results. The 43 children presented 3 hours after burn injury on average. A 1-time application was successful in 40 children … read more

    NPIAP Receives Outstanding Recognition at WUWHS

    Barbara Delmore, PhD, RN, CWCN, MAPWCA, IIWCC-NYU, FAAN; Michelle Deppisch, PT, CWS, FACCWS; Jill Cox PhD, RN, APN-c, CWOCN, FAAN; David Newton, M.Eng, C.Eng, MIET, MIEEE; Carroll Gillespie, MS, BSN, RN, CWOCN; Jackie Todd, MBA, BS, BSN, RN, CWCN, DAPWCA; Sharon Eve Sonenblum, PhD

     

    We are pleased to share that the National Pressure Injury Advisory Panel was recognized with two of the four Supporting Society Projects at the World Union World Healing Society (WUWHS) Congress last month. In addition, NPIAP Past President and Alum, Dr. Elizabeth Ayello was recognized with a Lifetime Achievement Award … The first winning project was: Necessary Products Required for the Prevention and Treatment of Pressure Injuries: Lessons Learned that Translate Beyond COVID-19 Pandemic … read more

    Why do we prevent pressure ulcers and treat a leg ulcers?

    It is beginning to feel — just a little, as if the world may be returning to normal and we are once again starting to focus on our business as usual activities — improving the quality of care for patients with or at risk of wounds.

    I have been reflecting on the importance of standardising care and following best practice and it seems there is a growing number of pathways put forward to help achieve both of these, but as I reviewed the existing pathways it became very clear to me that they differ in how they view the patient journey … read more

    Wound Care for Patients With Diabetes: Why Have Outcomes Not Matched Innovations?

    Desmond Bell, DPM, CWS, FFPM RCPS

     

    My career in medicine has spanned approximately 26 years. My first year of residency training was 1996. This year also marked my first real exposure to the then emerging specialty of wound care. To put things into perspective, during that first year of training, I recall noting approximately 300 to 500 wound care products on the market. That may seem like a lot, especially considering there are now thousands of products that wound providers and others may choose from. Consider, however, that when I began clinical practice, the resources available were considerably different when compared to what is available today … read more

    The impact of patient health and lifestyle factors on wound healing, part 1

    Stress, sleep, Smoking, alcohol, common Medications and Illicit drug use

     

    Georgina Gethin, Sebastian Probst, Evelien Touriany, Georgina Gethin, Jaap J van Netten, Luboš Sobotka

     

    Health and a healthy lifestyle are the aspirations of many, but achieving such goals is influenced by a complex interplay of individual choices, intrinsic factors, external influences and context. In 1948, the World Health Organization (WHO) defined health as a ‘state of complete physical, mental and social well-being and not merely the absence of disease or infirmity’, and this definition has not changed since.1 The definition is equally applicable to people with chronic wounds as it is to the general population. The health of those with chronic wounds or at risk of a wound is important to understand so that interventions for prevention and management can be developed with the goal of improving the lives of those impacted by wounds … read more

    Top Ten Things You Need to Know About HBOT #10: Oxygen’s Long History of Wound Healing

    Denise Nemeth, MPAS, CWS
    Jayesh B. Shah, MD, MSc, UHM ABPM, CWSP, FAPWCA, FCCWS, FACHM FUHM, FACP

     

    Hyperbaric oxygen therapy (HBOT) is an accepted therapeutic modality for use in several medical conditions including problem wounds. HBOT enhances oxygen supply to hypoxic tissues and increases wound healing and tissue remodeling capacity. Currently, HBOT therapy is applied in a wide range of clinical conditions.

    In the first in a series of articles, these authors count down the top ten things you need to know about HBOT
    read more

    Experience in the use of dalbavancin in diabetic foot infection

    Gema Navarro-Jiménez, Cristina Fuentes-Santos, Leonor Moreno-Núñez, Jesús Alfayate-García, Carolina Campelo-Gutierrez, Sira Sanz-Márquez, Elia Pérez-Fernández, María Velasco-Arribas, Rafael Hervás-Gómez, Oriol Martín-Segarra, Juan Emilio Losa-García

     

    Objective: To describe the clinical experience with dalbavancin in the treatment of diabetic foot infection in a multidisciplinary unit of a second level hospital.

    Methods: A retrospective, descriptive study was made with all patients with diabetic foot infection treated with dalbavancin in the Diabetic Foot Unit of Hospital Universitario Fundación Alcorcón, covering the period from September 2016 to December 2019. Demographic parameters and comorbidities, characteristics of the infection and treatment with dalbavancin were recorded. The cure rate is estimated at 90 days after finishing the treatment … read more

    CūtisCare Launches Second Annual Hyperbaric Aware™ National Campaign

    To Elevate Awareness Of Hyperbaric Oxygen Therapy

     

    BOCA RATON, Fla., May 2, 2022 /PRNewswire/ — CūtisCare, a leader in wound care and hyperbaric management, launches its second annual Hyperbaric Aware™ national campaign to elevate awareness of hyperbaric oxygen therapy. Hyperbaric Oxygen Therapy is an effective healing option for many different chronic conditions. Still, many go years without this treatment because they are unaware of treatment indications, benefits, and the patient selection criteria of hyperbaric medicine.

     

    Hyperbaric oxygen therapy (HBOT) is a proven treatment option for wounds, infections, or injuries that have not responded to standard treatment. There are currently fourteen indications for HBOT recognized by the Centers for Medicare and Medicaid Services (CMS) and other third-party payors. Hyperbaric oxygen therapy is most commonly used for the treatment of diabetic ulcers of lower extremities, radiation injury to bone or tissue, compromised grafts and flaps, and chronic refractory osteomyelitis.

     

    Hyperbaric Awareness USA™ designated May Hyperbaric Awareness Month. Throughout this month (and beyond), the Hyperbaric Aware™ campaign aims to promote hyperbaric oxygen therapy benefits, which will help people prolong lives, reduce amputations, and reduce the cost of care while improving quality of life.

     

    There are more than eight million people in the United States who are living with chronic wounds. Twenty-five percent of the 34 million people in the US with Diabetes will develop a foot ulcer, possibly leading to amputation. Hyperbaric oxygen therapy provides necessary oxygenation, which is critical in preventing amputation.

     

    In the US, almost half of the 17 million people diagnosed with cancer will receive radiation therapy, and 10-15% will experience late effects of radiation. Many patients who undergo radiation therapy discover a hidden complication that may not come to light until years after they complete treatments. Radiation therapy can restrict oxygen in the body’s healthy tissue which is needed for the tissue to thrive. If there is a break in the integrity of the tissue, infection and non-healing wounds can occur. Hyperbaric oxygen therapy is a treatment option for patients who suffer from late radiation tissue injury stimulating the growth of new blood vessels following radiation-induced damage.

     

    CūtisCare Board Chairman and CEO Jim Patrick said, “As an industry leader, we are addressing the lack of awareness of hyperbaric oxygen therapy, a critical modality for chronic wound healing and limb preservation.”

     

    The Hyperbaric Aware website, in collaboration with the Undersea and Hyperbaric Medical Society (UHMS) and physician leaders, will share articles, latest research, and expert insight for physicians, patients, and the general public.

     

    About CūtisCare
    Headquartered in Boca Raton, Florida, CūtisCare works with hospitals, academic medical centers, hospital systems, and physicians to design customized outpatient wound care and hyperbaric oxygen (HBOT) solutions. With more than 25 years of management experience, a commitment to research, and driven by ethics and a culture of compliance, CūtisCare collaborates with its partners to reach and heal people with chronic wounds.

     

    For more information, visit https://cutiscareusa.com and https://hyperbaricaware.com

     

    Follow us CutisCare LLC | LinkedIn and Hyperbaric Aware|LinkedIn.

    Media Contact:

    Kelly Caceres
    kcaceres@cutiscareusa.com
    904-446-0708
    SOURCE CutisCare LLC

     

    This article was originally published here

    Do You Know the Six Pillars of Chronic Wound Care?

    Emily Greenstein, APRN, CNP, CWON, FACCWS

     

    After attending the Spring Symposium for Advanced Wound Care and hearing many great lectures, I got to thinking, “What are the pillars of chronic wound care?” We have all heard of the concept “look at the whole patient and not the hole in the patient.” Heck, I have even written about it. But we also need to have a good foundation for how to implement this phrase or where to even start. I did a quick Internet search and came up with some interesting articles that talked about the basics of wound care and management. I found discussions on everything from maintaining a moist wound environment to being financially responsible. All of this information leads me to the concept of developing easy-to-understand pillars or categories to consider when caring for a patient with a chronic wound … read more

    Fundamentals of lower limb care

    Keynote Speakers Sarah Gardner and Gill Sykes

     

    Date & Time
    15 June 2022, 9.00 am – 12.30 pm

     

    There are currently approximately 75,000 people living with a leg ulcer each year with many more experiencing other lower limb conditions such as lymphoedema or foot ulceration. Many of these conditions can be avoided if signs are detected early and the right action taken … This session will provide delegates with the fundamentals of lower limb and foot care. You will learn about the common conditions, the underlying causes and how to recognise them. You will also learn what to do to prevent some of these conditions occurring and about your role in maintaining lower limb and foot health … register

    Optimizing Time With Your Patients: Healing Wounds and Empowering Patients

    Through Treatment Selection to Optimize Clinical and Economic Outcomes (webinar)
    Date: Thursday, May 12, 2022
    Time: 02:00 PM Eastern Daylight Time

     

    Ferne Elsass, MSN, RN, CPN, CWON

     

    Time is precious. Right now, we are witnessing a growing, aging population with multiple health issues and an increase in chronic wounds. The economic and human costs to treat wounds are high and can quickly spiral out of control. Health care providers are asked to do more with less.

    Did you know, 70% of dressing changes are driven by schedules? Unnecessary dressing changes consume valuable time that could be used for patients’ other clinical needs, thus impacting their well-being. A total of 24% of patients with chronic wounds have lived with their wound for at least 6 months, with almost 16% of these wounds remaining unhealed for a year or more. It’s time to take control of chronic wound care while empowering our patients in their care … register

    Evaluating the Effect of Omega-3–rich Fish Skin in the Treatment of Chronic, Nonresponsive …

    Diabetic Foot Ulcers: Penultimate Analysis of a Multicenter, Prospective, Randomized Controlled Trial

     

    Eric J. Lullove, Brock Liden, Patrick McEneaney, Allen Raphael, Robert Klein, Christopher Winters, John C Lantis II

     

    This is the second of 3 planned articles reporting on a prospective, multicenter, randomized controlled trial assessing the efficacy of fish skin graft in the management of diabetic foot ulcers in comparison with the standard of care (collagen alginate dressing). Materials and Methods. The primary end point of this prospective randomized trial is the number of closed wounds at 12 weeks. Results. As of the time of this writing, 94 patients had completed the protocol. At 12-week follow-up, healing was achieved in 63.0% of index ulcers (29 of 46 patients) in the acellular fish skin graft group compared with 31.3% in the control group (15 of 48 patients) (P =.0036). In both groups, the mean time to healing was 7 weeks. The median number of applications of the fish skin graft to achieve healing was 6. Conclusion. A clinically and statistically significant difference in healing was observed between patients treated with acellular fish skin graft and those treated with a collagen … read more

    Armstrong keynotes international foot and ankle biomechanics symposium from Rancho Los Amigos

    David G. Armstrong, Professor of Surgery at the Keck School of Medicine of University of Southern California joined physicians, surgeons, engineers and scientists from around the world for the International Foot and Ankle Biomechanics conference. Originally scheduled for Rio De Janiero, Brazil in April of 2020 and chaired by Prof. Isabelle Sacco, the symposium- known as iFAB- was rescheduled in a virtual format. Armstrong, who gave the lecture outside of the high-risk clinics at the National Rehabilitation Center at Rancho Los Amigos, gave a keynote to participants from 5 continents. It was particularly poignant that the lecture be given at Rancho … read more

    Chlorhexidine Delays Wound Healing in Human Skin

    Angela Gibson, MD, PhD, FACS, Aiping Liu, PhD, Collin L Tran, BS, Sameeha E Hassan, BS

     

    Chlorhexidine (CHG) is ubiquitous in surgical perioperative care. In vivo studies of CHG cytotoxicity on human skin are lacking. Given the use of CHG for daily wound cares and as a presurgical scrub, including donor site preparation, we sought to identify if CHG cytotoxicity would persist in a clinically relevant in vivo human skin xenograft model … read more

    Superior Antibacterial Hydrogel Showcases Benefits of MOP in Wound Healing

    By Bhavna Kaveti

     

    Biomaterials have an imperative role in biomedical applications. Hydrogels are one of the most promising classes of biomaterials for biomedical use. In the latest article published in the journal Carbohydrate Polymers, researchers from China developed a novel chitosan (CS)-based metal-organic polyhedrons (MOPs)/enzyme hybrid hydrogel and discussed its application as a superior antimicrobial agent in wound healing treatment … The alkaline polysaccharide CS has received considerable attention in the biomedical field. The amino group present on CS-based hydrogels destroys the bacterial membrane and disturbs the bacterial wall’s mass transport. Although CS-hydrogel has antibacterial properties, its antibacterial effect is limited to the cell wall … read more

    A Narrative Review of Cadexomer Iodine Ointment Versus Povidone Iodine Ointment

    Several iodine formulations have been used for wound care for ages, but still there exist a number of controversial issues regarding their uses in the present era. Many published studies are available for both povidone iodine (PI) and cadexomer iodine (CI) with conflicting outcomes due to different preparations used and different study types. PI has a broad spectrum of activity including antiseptic properties, anti-inflammatory properties, low cytotoxicity, and good tolerability with the absence of associated resistance. CI is an immobilized iodine molecule in a hydrophilic modified-starch polymer bead with the dual property of cleansing the wound by absorbing the exudate and bactericidal effect by sustained release of iodine molecules over the infected wound. The preparations comprising PI and CI improve wound healing and minimize the bacterial infestation or contamination in various chronic wounds, burns, and ulcers. This review narrates the comparison of CI and PI for the management of wounds in the context of biofilm reduction, wound size reduction, and granulation tissue promotion … read more

    Responsive insole could prevent diabetic foot ulcers

    The team is led by Muthu Wijesundara, principal research scientist and head of the Division of Biomedical Technologies at the University of Texas at Arlington Research Institute (UTARI). Their dual-layer insole apparatus for diabetic foot lesion prevention is based on technology developed in partnership with the University of North Texas Health Science Center.

    Due to numbness in their legs and feet, people with diabetes are often unable to detect and respond to stress-related pain by adjusting their foot loading. This can result in repeated stress to high-pressure foot regions such as the heel or toes, and can worsen blisters, sores and ulcers to the point of severe tissue loss, amputation and even life-threatening infection … read more

    Biocomposites to present data on STIMULAN® and genex® at ECCMID 2022

    Research findings from two studies demonstrate the antimicrobial effectiveness of STIMULAN® and genex®, when mixed with antibiotics

     

    KEELE, England, April 12, 2022 /PRNewswire/ — Biocomposites, an international medical devices company that engineers, manufactures and markets world leading products for use in infection management in bone and soft tissue, today announces the acceptance of two posters at the 32nd European Congress of Clinical Microbiology & Infectious Diseases (ECCMID) being held in Lisbon, Portugal on 23-26 April 2022. The company’s in-vitro research findings demonstrate the antimicrobial effectiveness of both STIMULAN® and genex® when mixed with antibiotics.

     

    The first abstract demonstrates that STIMULAN® beads containing vancomycin and gentamicin were able to inhibit bacterial growth, when applied to tissue taken from diabetic foot infections, with zone of inhibition diameters ranging from 12-40mm.

     

    The second abstract demonstrates the ability of genex® when mixed with combinations of vancomycin/gentamicin and vancomycin/tobramycin to prevent the formation of bacterial biofilms by MRSA, S. epidermidis and P. aeruginosa for up to 7 days on orthopaedic implant materials.

     

    Both studies were co-authored by Julie Fletcher from the University of Exeter whom Biocomposites first funded in 2017 through the Daphne Jackson Trust, the UK’s leading organisation and independent registered charity dedicated to realising the potential of returners to research careers following a career break.

     

    Dr Julie Fletcher, Research Fellow, The University of Exeter, said: “This research highlights the potential to use STIMULAN to achieve high local concentrations of antibiotic within poorly vascularised tissue to inhibit bacterial growth at a wound site, with the possibility of facilitating clearance of bacterial infection and improving wound outcomes. The genex research shows the potential to use genex as a carrier of antibiotics to prevent the formation of bacterial biofilm for up to 7 days on orthopaedic implants.”

     

    Michael Harris, Chief Executive Officer of Biocomposites, added: “By presenting this new data at this important annual congress, we are pleased to further support the vital research being carried out by leading scientists. STIMULAN and genex are valuable tools for a surgeon and together help over 65,000 patients every year.”

     

    STIMULAN® is the only calcium matrix antibiotic carrier approved to treat bacterial infection in surrounding soft tissue in Canada and for use in bone and soft tissue in EU, UK, and Saudi Arabia. STIMULAN® offers surgeons the flexibility to apply broad spectrum ‘off-the-shelf’ antibiotics at concentrations that will support their patient-specific treatment plans – dramatically improving patient outcomes and redefining standard of care.

     

    genex is a biphasic composite of exceptional purity that is specifically formulated to balance osteoconductive scaffold strength and persistence in the body to enable the optimal remodelling of bone architecture.

     

    About Biocomposites

    Biocomposites is an international medical device company that engineers, manufactures and markets world leading products for use in infection management in bone and soft tissue. Based in Keele, UK, it has global operations across Europe, USA, Canada, China and India. Biocomposites is a world leader in the development of innovative calcium compounds for surgical use. Its products target a broad spectrum of infection risks across a variety of specialties, including musculoskeletal infection, orthopaedics, trauma, spine, foot and ankle and podiatry. Biocomposites products are now used in over 120,000 procedures per annum and sold in more than 40 countries around the world. Please visit biocomposites.com to learn more.

     

    This article was originally published here

    Hyperbaric Oxygen Therapy in the Management of Chronic Wounds

    Blakley Sproles, DMSc, MPAM, PA-C | Thomas Colletti, DHSc, PA-C, DFAAPA | Michael R. Cook, MD, FAAFP | David G. Cox, DPM | Jenna Rolfs, DMSc, MPAS, PA-C

     

    Wounds that fail to proceed through the normal phases of healing in an orderly and timely manner are classified as chronic wounds.1 Chronic nonhealing wounds affect a significant part of the patient population, impairing quality of life while also increasing patient morbidity and mortality. In the United States, chronic wounds affect more than 6 million people. This number is expected to increase secondary to the aging patient population, which has a high prevalence of comorbidities such as diabetes mellitus, neuropathy, and peripheral arterial disease that make patients prone to chronic wounds … read more

    Perceptive Solutions Integrates With MatrixCare, Post-Acute EHR Software

    WoundZoom Digital Wound Management and MatrixCare provide seamless wound care communication for customers

     

    STEVENS POINT, Wis., April 26, 2022 (GLOBE NEWSWIRE) — Perceptive Solutions, Inc., developer of WoundZoom Digital Wound Management, today announced its integration partnership with MatrixCare. The purpose of this partnership is to provide a seamless exchange of wound care data between WoundZoom and MatrixCare Customers’ EHR system.

     

    As trusted integration partner with MatrixCare so Perceptive post-acute customers can leverage the benefits of WoundZoom while eliminating additional steps in their workflow. Data captured using WoundZoom at the bedside, such as precise wound measurements, images, and clinical assessments automatically sync to patients’ charts, creating a more efficient workflow and a complete patient record in the EHR.

     

    “We are excited to add MatrixCare as a strategic EHR partner, the partnership will enable seamless and efficient data flow from our WoundZoom product platform into MatrixCare clinical charts. This enables healthcare facilities to more efficiently share valuable wound care data between both clinical and administrative team members within their EHR,” said Mark Lacerte, President of Perceptive Solutions. “Our innovative digital wound management solution enables clinicians to spend more time with patients through automated charting, wound imaging and elimination of the manual measurement process. We are excited to provide accessibility of WoundZoom to post-acute MatrixCare customers.”

     

    About Perceptive Solutions

    Perceptive Solutions modernizes the practice of wound care with technology-enabled systems designed to increase clinical efficiency, improve care quality, and mitigate risk. Integrating smoothly with your EHR, WoundZoom utilizes the latest AI and imaging technology to capture accurate wound images and measurements from your smart device, automatically prompt and document appropriate actions, and create a continuous, standardized clinical record across shifts, floors, and facilities. For more information, visit https://perceptivesol.com.

     

    Media Contact

    Karen Guzdzial
    Director of Marketing
    (727) 225 7944 karen.guzdzial@woundzoom.com

    Small molecule control of bacterial biofilms

    Roberta J. Worthington, Justin J. Richards, and Christian Melander

     

    Bacterial biofilms are defined as a surface attached community of bacteria embedded in a matrix of extracellular polymeric substances that they have produced. When in the biofilm state, bacteria are more resistant to antibiotics and the host immune response than are their planktonic counterparts. Biofilms are increasingly recognized as being significant in human disease, accounting for 80% of bacterial infections in the body and diseases associated with bacterial biofilms include: lung infections of cystic fibrosis, colitis, urethritis, conjunctivitis, otitis, endocarditis and periodontitis. Additionally, biofilm infections of indwelling medical devices are of particular concern, as once the device is colonized infection is virtually impossible to eradicate … read more

    Diabetic Foot Ulcers- not amputations- are driving hospitalizations, worldwide

    Aims The aim of our study was to estimate the overall rate of first hospitalizations for diabetic foot (DF) regardless of the out- come in amputations, as well as the mortality rate with their determinants in the period 2012–2016 in Piedmont Region in Italy. Methods The study included all the subjects registered in the Regional Diabetes Registry and alive as at January 1, 2012. DF cases were identified by record linkage with the regional hospital discharge database. Incident cases of diabetic foot were followed up for mortality … read more

    Spanish Patient Education Materials In Wound Care and Hyperbaric Oxygen Therapy

    According to the United States (U.S.) Department of Health and Human Services, the Hispanic/Latino ethnic group includes any person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race. In the U.S., states with the largest Hispanic populations are California, Texas, Florida, New York, Arizona, Illinois, New Jersey, Colorado, Georgia, New Mexico … Patient education materials in Spanish are paramount to wound care and hyperbaric services looking to offer the highest standards of clinical practice, and can help clinicians save time while engaging patients … read more

    Low-cost biodegradable foam could heal chronic wounds

    In animal tests, the synthetic material works as well as the best wound-care technology

     

    A new synthetic foam works just as well as the leading gold-standard biological materials in closing up chronic wounds in animal tests, but should cost 75% less (Sci. Transl. Med. 2022, DOI: 10.1126/scitranslmed.abm6586). The biodegradable material soothes inflammation and is also an antioxidant. It could bring down the cost of treating chronic wounds, which affect around 4.5 million people in the United States alone … Diabetes, obesity and vascular disease all predispose people to wounds that don’t heal on their own, says Craig Duvall, a bioengineer at Vanderbilt University who led the new work. Chronic wounds, he says, “can be painful, susceptible to infection, and can lead to amputations.”
    read more

    Topical Treatment for EB Recommended for Approval in the EU

    A topical gel that contains birch bark extract as the active ingredient — Filsuvez (Oleogel-S10) — has been recommended for approval for the treatment of skin wounds in patients with epidermolysis bullosa (EB) by the European Medicines Agency’s (EMA’s) Committee for Medicinal Products for Human Use … “The benefit of Filsuvez is its ability to promote healing of EB partial thickness wounds,” the EMA said in an announcement on April 22. “It is thought to work by modulating inflammatory mediators and stimulating keratinocyte differentiation and migration, thereby promoting wound health and closure,” the statement adds … read more

    Distribution and drug sensitivity of pathogenic bacteria in diabetic foot ulcer patients with

    necrotizing fasciitis at a diabetic foot center in China

     

    Diabetic foot ulcer is one of the major complications for patients with diabetes, and has become an important cause of non-traumatic amputation. Necrotizing fasciitis is a life-threatening soft-tissue infection involving the fascia and subcutaneous tissue. When diabetic foot ulcers are complicated by necrotizing fasciitis (DNF), this increases the risk for amputation and mortality, making DNF treatment more complicated, and eventually leading to amputation and mortality. However, studies on pathogenic bacteria’s distribution and drug sensitivity in DNF patients remain lacking. This study investigated the distribution and susceptibility of pathogenic bacteria in DNF patients, and provided empirical antibacterial guidance for the clinic … read more

    Luxmi Dhoonmoon nominated for a National BAME Health and Care Award

    We are delighted that Luxmi Dhoonmoon, co-chair of the Wounds UK Best Practice Statement ‘Addressing skin tone bias in wound care: assessing signs and symptoms in people with dark skin tones’, has been short-listed for The National BAME Health and Care Awards, promoting BAME excellence in healthcare. Luxmi has been nominated as a ‘Health and Wellbeing Advocate’, for her work on the Best Practice Statement and embedding skin tone awareness and assessment into practice.

     

    You can read more about the awards here: https://bamehscawards.org

     

    You can read the full Best Practice Statement here: https://www.wounds-uk.com/resources/details/addressing-skin-tone-bias-wound-care-assessing-signs-and-symptoms-people-dark-skin-tones

     

    Congratulations, Luxmi!

    from Wounds Middle East

    Unavoidable Skin Breakdown Versus Pressure Injury: Continued Discussions

    Holly Hovan

    Pressure injuries (PIs) typically are the result of unrelieved pressure, shear, or force. In an inpatient or hospital setting, interventions are put into place to prevent pressure injuries based on evidence and patient risk. However, PIs still develop in some patients despite interventions. Experts agree that most PIs are in fact avoidable; however, some patients may experience unavoidable skin breakdown at end of life (EoL).1 Kennedy terminal ulcers (KTUs), skin changes at life’s end (SCALE), and Trombley-Brennan terminal tissue injuries (TB-TTIs) are some of the common terms used to describe unavoidable skin changes at EoL.1 A notable feature of these terminal ulcers is their sudden and rapid development on body locations that may be free from pressure, shear, or trauma and in the presence of PI prevention interventions. In contrast to terminal PIs, standard PIs typically develop … read more

    Times to Celebrate

    As the world emerges slowly from its physical distancing, we cannot help but express our joy that once again skin and wound care colleagues can meet in person. Virtual platforms have provided the opportunity to maintain contact over the past few years, but nothing compares to seeing and interacting with each other in person. Some early celebration connections began with the fabulous American Professional Wound Care Association Wound Week 2022 program in Philadelphia in February. Several members of the Advances in Skin & Wound Care publishing team were able to attend. Stay tuned for information about Wound Week 2023. The world of skin and wound care came together again when the long anticipated and twice-postponed 6th World Union of Wound Healing Societies (WUWHS) Congress was held in Abu Dhabi in March … read more

    T.I.M.E.: A Structured Approach to Wound Assessment

    Managing and treating wounds can feel like an uphill battle. Having the right resources, at the right time, for the right patient can make a difference. During this webinar, we will explore the evidence-based T.I.M.E principles of wound bed preparation framework, its applicability in treating and managing wounds, and how a portfolio supported by T.I.M.E can support your wound care practice.

    Objectives:

    • Addressing the complex environment of wound care
    • Review the T.I.M.E principles of wound bed preparation
    • Finding effective and efficient paths to help prevent delays in wound healing
    • Review the T.I.M.E CDST

    Presenters:

    Kristina Tiskowitz
    MSN, RN, CMSRN, CWS

    View Bio

    Bridget Carey
    MSN, RN, CWCN

    View Bio

    register

    EWMA 2023 in Milan

    We (EWMA) are pleased to announce that the 33rd Conference of the EWMA will take place 3-5 May 2023 in Milan, Italy.

     

    The conference will feature high quality sessions & presentations, numerous workshops and e-poster presentations as well as a large industry exhibition where you can meet various companies within wound care.

     

    IMPORTANT DATES
    Conference dates
    3-5 May 2023

     

    Registration opens
    September 2022

     

    Abstract submission opens
    September 2022

     

    Abstract submission deadline
    1 December 2022, 23.59 CET

     

    VENUE
    MICo Milano Convention Center
    Piazzale Carlo Magno
    1 – 20149 Milan
    https://www.micomilano.it/it/

    Influence of Foot Ulceration on All-Cause and Cardiovascular Mortality in Diabetic Patients

     

    PURPOSE:
    The purpose of this study was to analyze the influence of a diabetic foot ulcer on all-cause and cardiovascular disease (CVD) mortality.

     

    DESIGN:
    Retrospective case-control study.

     

    SUBJECTS AND SETTING OUTPATIENTS:
    Eighty-eight patients with new-onset diabetic foot ulceration (DFU) were paired with 176 patients without DFU (controls). The study setting was the Department of Endocrinology, Sun Yat-sen Memorial Hospital, located in Guangzhou, China.

     

    METHODS:
    Cause-specific mortality was recorded during a median follow-up duration of 6.20 years up to 1 March 2016. Records review dates were from January 1, 2004, to December 31, 2010.

    read more

    Foamy macrophages potentially inhibit tuberculous wound healing by inhibiting the TLRs/NF-κB signalling pathway

    To characterise the distribution, classification, and quantity of foamy macrophages (FMs) in tuberculous wound tissue and the relationship between FM and delayed healing of tuberculous wounds. Morphological studies were performed to explore the distribution of FM and Mycobacterium tuberculosis (Mtb) in tuberculous wounds, with acute and chronic wounds included for comparison. Phorbol-12-myristate-13-acetate stimulation-differentiated THP-1 cells were treated with Mtb to induce their differentiation into FM with oxidised low-density lipoprotein treatment serving as a control. Relative cytokine levels were determined by quantitative PCR and Western blotting. Varied co-culture combinations of Mtb, THP-1, FM, and fibroblasts were performed, and proliferation, migration, ability to contract collagen gel, and protein levels of the chemokines in the supernatants of the fibroblasts were assessed … read more (requires purchase)