Category: Articles

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

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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

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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)

Is Your Wound Bioburdened? Case 4

Dot Weir, RN, CWON, CWS

 

• A 94-year-old male, active and in overall good health, with chronic venous leg insufficiency and hypertension.

• Treated regularly in our clinic for bilateral venous leg ulcers with good wound hygiene, absorptive dressings and compression bandaging.

• On one of these visits the patient complained of an area of discomfort on a callus located on the medial aspect of his right second toe including the interdigital area between toes 1 and 2.

 

read more

National Institutes of Health funds LSU chemistry professor’s research aimed at developing …

a new class of molecules for treating biofilm infections

 

LSU Chemistry graduate student Leo Fontenot (left) conducting research under the guidance of Professor Mario Rivera (right).

BATON ROUGE- Chronic skin wounds are a growing global concern amongst aging populations and patients with severe burns and underlying health conditions such as diabetes. Commonly seen in healthcare environments and long-term care facilities, patients with chronic skin wounds suffer from persistent pain and potentially life-threatening infections.

 

Effective treatments for these wounds are often challenged by a biofilm, a community of bacterial cells entrenched in a self-produced matrix of extracellular DNA, proteins, and sugar molecules. Bacterial cells in biofilms are tolerant to the body’s immune response and most commercial antibiotics that normally kill free living, or planktonic, bacterial cells.

 

The antibiotic recalcitrance of biofilm bacteria is further complicated in biofilm infections with multidrug resistant, or MDR, bacteria. Therefore, successful treatment of MDR bacterial biofilm-associated infections require alternative treatment strategies.

 

LSU Professor and William A. Pryor Chair in Chemistry Mario Rivera recently received a five-year $3.69 million National Institutes of Health, or NIH, R01 grant to develop a new strategy to kill biofilm-embedded cells and combat biofilm infections caused by MDR bacteria, Pseudomonas aeruginosa and Acinetobacter baumannii.

 

Small molecule inhibitors of the BfrB-Bfd complex disrupt bacterial iron homeostasis and kill biofilm embedded bacterial cells. [Source: https://pubs.acs.org/doi/10.1021/acsinfecdis.0c00669. Further permission related to the material excerpted should be directed to the ACS.]

The new antibiofilm approach involves a new target that would disrupt the bacterial iron homeostasis, or the balanced state of intracellular iron, in the biofilm. Iron, an essential metal for all living organisms, is a crucial nutrient for the growth and survival of most bacterial species. Rivera’s research team aims at disrupting bacterial iron homeostasis by inhibiting a specific protein-protein interaction.

 

Bacterioferritin, or BfrB, is a spherical and hollow protein that can store thousands of iron atoms in its interior. Rivera and colleagues demonstrated that the mobilization of iron stored in BfrB is an essential process in bacterial cells, which requires BfrB to form a complex with Bfd. The scientists aim to disrupt the BfrB-Bfd protein-protein interaction.

 

They also discovered proof-of-concept small molecules that can inhibit the BfrB-Bfd complex and cause an irreversible accumulation of unusable iron in BfrB, which leads to iron deficiency, metabolic stress, and bacterial cell death in the biofilm. The proposed work supported by the new grant is directed at optimizing the proof-of-concept inhibitors of the BfrB-Bfd complex into drug lead molecules, that is, powerful inhibitors that kill bacterial cells in biofilms but also have desirable drug-like properties.

 

The funded research project involves a talented, multidisciplinary team of drug discovery collaborators from LSU and other institutions, including:

  • Professor Mario Rivera (PI), Department of Chemistry, Louisiana State University
  • Research Associate Professor Huili Yao (co-PI), Department of Chemistry, Louisiana State University
  • LSU Chemistry postdoctoral researcher Anabel Soldano and graduate students Leo Fontenot, Nimesha Rajapaksha, Suliat Alli and Alexanndra Behm.
  • Associate Professor Josephine Chandler (co-PI), Department of Molecular Biosciences, University of Kansas
  • Dr. Scott Lovell (co-PI), Director of the Protein Structure Laboratory, University of Kansas
  • Professor Richard Bunce (co-PI), Department of Chemistry, Oklahoma State University
  • Professor Lisa Morici (co-PI), Tulane University School of Medicine
  • Dr. Allen Reitz (co-PI), Fox Chase Chemical Diversity Center

 

If the proposed strategy proves successful, validation of the novel antibiotic target would lead to the development of an entirely new class of antibiotics for the treatment of biofilm-associated infections. To learn more about the Rivera research group and their work on iron homeostasis in bacteria as a potential target for antibiotic development, visit their group page.

 

Media Contact:
Gretchen Schneider
LSU Chemistry
gschne2@lsu.edu

A Retrospective Health Economic Analysis of a Stable Hypochlorous Acid Preserved ….

Wound Cleanser Versus 0.9% Saline Solution as Instillation for Negative-Pressure Wound Therapy in Severe and Infected Wounds

 

Kathy E. Gallagher, Emily C. Alberto, Peter J. Mallow, Michel H. Hermans, Luis Cardenas

 

Negative-pressure wound therapy (NPWT) with instillation and dwell time is an accepted adjunct therapy for infected wounds. A study was conducted to assess whether the use of hypochlorous acid preserved wound cleanser (HAPWOC) (Vashe, Urgo Medical North America, Fort Worth, TX, USA) as the irrigant would reduce the cost of care in comparison to 0.9% saline (NaCl).

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Novel Research Shedding Light on Fungal Infections

“There is an increased understanding that while many types of chronic wounds, including diabetic foot ulcers, are polymicrobial in nature, traditional culture methods might underrepresent the vast diversity of chronic wound microbiomes, including fungal populations,” explained Lindsay Kalan, PhD, an assistant professor, Departments of Medical Microbiology and Immunology and Medicine, Division of Infectious Disease, University of Wisconsin–Madison … read more

Flexible printable electrical patches for accelerated wound healing

The normal wound healing process involves a complex series of four overlapping but distinct steps. During the initial steps, platelets from the blood control bleeding by signaling the formation of a protein matrix plug; they also generate molecules that will constrict blood vessels and mobilize other types of cells to the site. These additional cells kill pathogens in the wound area and trigger wound healing and blood vessel formation. In later steps, the protein matrix, blood vessel growth and connections are even further developed, and skin and other surface cells begin to migrate to the site. Together, the skin and protein matrix form granulation tissue to repair and close the wound … read more

Reactive oxygen species–degradable polythioketal urethane foam dressings to promote porcine skin wound repair

Porous, resorbable biomaterials can serve as temporary scaffolds that support cell infiltration, tissue formation, and remodeling of nonhealing skin wounds. Synthetic biomaterials are less expensive to manufacture than biologic dressings and can achieve a broader range of physiochemical properties, but opportunities remain to tailor these materials for ideal host immune and regenerative responses. Polyesters are a well-established class of synthetic biomaterials; however, acidic degradation products released by their hydrolysis can cause poorly controlled autocatalytic degradation. Here, we systemically explored reactive oxygen species (ROS)–degradable polythioketal (PTK) urethane (UR) foams with varied hydrophilicity for skin wound healing … read more

“No Option” Is Not An Option August 17-20

Driven by a team of multidisciplinary course directors and led by Jihad A. Mustapha, MD, a pioneer in the field of interventional cardiology, AMP provides an unrivaled experience for endovascular and vascular specialists to gain knowledge on the latest advances in revascularization and explore groundbreaking techniques that will improve the future for CLI patients. The unequaled CLI education paired with the paramount interaction among faculty and attendees makes AMP an impactful, inspiring experience that you cannot miss … register

The science of tissue regeneration: modifying the adult response – webinar

Michael Hiles – Senior Vice President and CSO, Cook Biotech

 

This free-to-attend CPD webinar has been organised by British Journal of Hospital Medicine, supported by an unrestricted educational grant from Cook Biotech, Inc, West Lafayette, IN, USA.

This session will focus on the fundamental role that the extracellular matrix (ECM) plays in the tissue healing process, including the importance of understanding the biomechanics of ECM in tissue regeneration and the implications for developing new therapeutic strategies in wound healing.

*** This webinar is CPD certified and all attendees will receive a personalised CPD certificate sent by email after the session.***

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I’d Rather Switch Than Fight—Thoughts on Moving into Private Practice Wound Management

Stephen “Andy” Rohrer, MSN, RN, APRN, AGACNP-BC, FNP-BC, CWS

 

Seemingly at the mercy of “the C-suite,” many of us have come to loathe hearing the sound of “important shoes” walking down the hall, which means an administrator is lurking. Indeed, profitability and viability have always been elusive to this group of individuals. Historically, they have defined the value of the wound center in terms of the volume of hyperbaric oxygen therapy (HBOT) treatments but HBOT services are at a 14-year low, based on Medicare claims data. Referrals to radiology, laboratory, surgery, cardiology, vascular medicine, durable medical equipment, and infusion services are always missing on monthly reports. Many of us fairly look on with resentment as those departments benefit from the fruits of our labor. Their productivity is always on the winning side while the needs of our specialty go ignored … read more

The Role of Biofactors in Diabetic Microvascular Complications

Author(s): 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, their safety profile is excellent. Thus, they have the potential to favorably modify the natural history of the underlying complication, but long-term clinical trials are required to confirm this notion. Ultimately, biofactors should expand our therapeutic armamentarium against these common, debilitating, and even life-threatening sequelae of diabetes … read more

Solid bone marrow aspirates may be a promising therapeutic approach for promoting wound healing

A new study compares the regenerative potential of blood/bone marrow aspirate concentrates obtained from arterial blood, venous blood, and bone marrow aspirate. The study, conducted in rabbits, is reported in the peer-reviewed journal Tissue Engineering Part A … Blood concentrate material such as platelet-rick fibrin (PRF) is used in clinical practice to promote tissue regeneration in the fields of dentistry, orthopedic surgery, and plastic surgery. In the current study, Masako Fujioka-Kobayashi, from The Nippon Dental University, Tokyo, Japan, and colleagues, introduce a new type of solid bone marrow aspirate concentrate (sBMAC) material and show its regenerative potential in both gingival fibroblasts and osteoblasts in vitro compared with that of conventional PRF … read more

The World Summit on Hyperbaric Medicine will be held in the Coquimbo Region

Experts from various countries will meet at the International Congress of the discipline organized by the Faculty of Medicine of the Universidad Católica del Norte.

Between April 7 and 9, the International Congress of Medicine and Hyperbaric Oxygen Therapy will be held, Coquimbo 2022. The event will be online and completely free. It will have the presence of internationally renowned exhibitors in the discipline from the United States, Spain, Argentina, Italy, Sweden, Brazil, Poland, Mexico and Chile.

Professionals from different health disciplines from all over Chile and the world can participate. To access, they only need to register in advance on the website www.hyperbariccongress2022.com

One of the novelties will be the presentation of the advances in studies on the projections of this type of treatment in patients who have suffered from Covid-19. In addition, during these days researchers will present on hyperbaric oxygen therapy as a complementary treatment for wounds and tissue regeneration and oncology, among other pathologies … read more

Compression Therapy Should Not Be a Burden | webinar

Kara S. Couch, MS, CRNP, CWCN-AP, FAAWC

 

Compression therapy is highly recommended for the resolution of lower extremity edema and the healing of venous leg ulceration, yet this therapy is associated with low levels of patient compliance. Recent data show a strategically engineered system may allow high compliance. The UrgoK2 Dual Compression System accomplishes compliance without a compromise of therapeutic efficacy not only in patients who have standard venous reflux but also in those who have more diverse, complicating factors. The speakers will discuss how the key principles of consistent application, continuous pressure, and comfort associated with this dual compression system drive both patient compliance and therapeutic benefits … read more

Insights on Pulsed Acoustic Cellular Expression

Windy Cole, DPM, CWSP

 

Hi, I’m Dr. Windy Cole. I am the director of Wound Care Research at Kent State University College of Pediatric Medicine. And I’m here to talk a little bit about my presentation, Energy First Harnessing the Power of Pulsed Acoustic Cellular Expression … PACE therapy, otherwise known as pulsed acoustic cellular expression is the use of biphasic high energy acoustic shockwave, very similar to lithotripsy or ESWT extracorporal shockwave therapy you might be familiar with in the field of medicine … read more

Broadening the Horizons of Wound Care

Donna Morrow, WCC DWC OMS RN, Wound Nurse Manager at Nizhoni Health

Wound care has changed a lot over the years, as a result of technological advancements and has now become an ever-expanding field in which people are certified. When I first started working in wound care, people who treated bruises in hospitals were deemed the wound experts. However, it is a precise science today; you must follow protocols and get certifications for ostomy, diabetic wounds, and even primary wound care. More nurses in the field are becoming certified to deliver better patient care, which I think is a massive transformation … Technology has revolutionized wound nursing. Before, we used to travel miles across the state to see patients, make recommendations, and build a treatment protocol. Now, with technology, nurses in the field can receive a photo of the wound to get a clear picture of the condition of the injury. Such visibility into the wound provides critical information about the measures of the injury and types of tissues affected. This can save a lot of time for nurses, enabling them to see upwards of 20 patients rather than just 2 to 3 patients per day … read more

Alphabet Soup of Codes for CTPs [Skin Substitutes] for Skin Wounds

Kathleen D. Schaum, MS

 

As a reimbursement strategy and education consultant, this author always attempts to explain the reimbursement “who?” “what?” and “why?” in an easy-to-understand manner. Because readers have submitted many questions about the diverse types of HCPCS codes recently assigned to cellular- and/or tissue-based products (CTPs) for skin wounds [outdated term “skin substitute”], this article will address the “who?” and “what?” However, the article will not address the “why?” because the Centers for Medicare & Medicaid Services (CMS) have not explained “why” they assigned diverse types of HCPCS codes to the CTPs … read more

The Future of Wound Infections – at the APWCA Meeting Next Week in Philadelphia

by Caroline Fife, M.D.

 

Wound Week™ 2022 is an innovative, unparalleled educational opportunity that will feature superior content delivered by multidisciplinary faculty with true clinical expertise. This conference will allow clinician driven training and education in wound care, vascular and hyperbaric medicine. In addition to education and training, this meeting will offer unmatched clinician networking.

The American Professional Wound Care Association (APWCA) is the Host Society for Wound Week™ 2022. The Education Planning Committee (EPC), under the leadership of the APWCA provided input to create the agenda and determine the content for the preconference and main conference sessions. The EPC also suggested content experts that could be selected to serve as faculty … read more

A Day, a Week, a Month in the Life of a Wound Nurse Practitioner/Scientist

Holly Kirkland-Kyhn, PhD, FNP, GNP, CWCN, FAANP
Working at a 620-bed academic and level 1 trauma center is exhilarating and challenging for wound specialists. We engage in multiple projects to provide the best care for our patients, who range in age from 22 weeks’ gestation neonates to centenarians. We have an interdisciplinary team working to assess and provide the best interventions to prevent pressure injuries, treat wounds, and provide education. This interdisciplinary team consists of a nurse practitioner (NP) as director of wound care, a plastic surgeon, a physical/ occupational therapist, a dietician, 5 wound-certified nurses, and 2 analysts … read more

Regenative Labs Introduces AmnioText™ Dual-Layer Patch

Regenative Labs, the established leader in the connective tissue allograft space, today launched AmnioText™ Dual-Layer Patch for wounds. AmnioText is the company’s first product to offer private practices, hospitals and wound care centers a sterile, dehydrated amniotic membrane allograft to cover and protect a patient’s wounded tissues. The Regenative Labs current suite of products are regulated by the FDA under 21 CFR part 1271 section 361, are minimally manipulated and for homologous use only.

 

“As we continue our pioneering innovation at Regenative Labs, we’re proud to open yet another new market to serve patients with the introduction of AmnioText, a wound covering technology,” said Tyler C. Barrett, CEO of Regenative Labs. “Amniotic tissue has been used clinically for more than 100 years and we are excited to continue to expand our 361 product offerings. Our new AmnioText patch helps fill the gap in the national shortage of options in this space and meet high demand for these types of products.”

 

AmnioText features include:

  • dual layering with the ability to place the patch on either side facing the wound
  • stores at room temperature (no cryopreservation required)
  • readily adheres to the wound surface and stays put when placed
  • maintains shape when placed on a moist wound bed
  • terminally sterilized
  • 5-year shelf life

 

The non-embryonic tissues undergo extensive medical, social screening and blood testing prior to Regenative Labs use. Only tissue cleared after this stringent screening regimen is processed and re-tested under standards established by the FDA’s requirements. AmnioText is listed on RedBook and Medispan and holds a HCPCS code (Q4247) from the Centers for Medicare & Medicaid Services (CMS) as a 361 HCT/P.

 

AmnioText is available in sizes ranging from 1cm x 1cm to 10cm x 10cm for immediate ordering, shipping and delivery. Visit https://regenativelabs.com/ for details, call 800-891-3452 or email info@RegenativeLabs.com.

 

Regenative Labs launched a national research program in spring of 2020 to study connective tissue allografts and, in August 2020, announced it had received approval from CMS to cover a new innovation, ProText™, making it the first connective tissue allograft to be assigned a Q code (Q4246) approved for application directly to a defect using a syringe.

 

About Regenative Labs
Located in Pensacola Fla., Regenative Labs is an FDA registered and inspected tissue bank that has become the leader in human cell and tissue allograft space. Regenative Labs has launched several research initiatives in order to collect data from scientists, physicians, hospitals and surgery centers in order to improve patient outcomes. 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 for minimal manipulation and homologous use. Learn more at http://regenativelabs.com.

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This article was originally published here

On the Spot: Wound Care: The ‘Wild Wild West’?

Expert Panelists: Christi Cavaliere, MD, Venita Chandra, MD, FACS, Daniel Eiferman, MD, MBA, FACS, Jeffrey E. Janis, MD, FACS, Jarrod P. Kaufman MD, FACS, Hayato Kurihara, MD, FACS, FEBS, Martin I. Newman, MD, FACS

 

This issue I am tackling a new topic for On the Spot: wound care. This topic, which transcends all surgical specialties, is new territory for me. I’d like to thank Christi Cavaliere, MD, for helping me understand some of the current practices and debates in this field. So is wound care practice, as one panelist phrased it, “more style than science”? Is hyperbaric oxygen therapy all it’s cracked up to be? And is wound care really the “Wild Wild West” of patient care? Read on to see what some of the experts think!
read more

Australian Study Highlights Value of Tissue Analytics Wound Care Platform

Findings also confirm platform’s capabilities for wound and skin clinical trials

 

PITTSBURGH, April 18, 2022 /PRNewswire/ — Net Health, a leading provider of software and analytics for medical specialties, announced the recent publication of a study reviewing the use of artificial intelligence (AI)-enabled mobile wound care applications developed by Net Health. The study showed that these applications provide better documentation, are easy to use, engage patients, and drive improvements in wound measurement and management.

 

Conducted by Australian New South Wales (NSW) Health Service, the study looked at the performance of Net Health’s Tissue Analytics’ wound imaging and analysis platform in multiple sites, including a senior care ward, colorectal ward, an outpatient dermatology clinic, and primary care physicians’ offices.

 

In addition to highlighting the platform’s value in clinical settings, the findings provide helpful insights for researchers looking to conduct decentralized and hybrid clinical trials involving wounds, skin lesions, and visible skin conditions in a post-pandemic world.

 

Statistically Significant Findings
The study was published in the International Wound Journal. The e-clinical platform was tested on 124 patients with 184 wounds compared with the standard care group, consisting of 166 patients with 243 wounds. Results showed several statistically significant outcomes related to use of the platform, including the completeness of documentation based on the number of dressing changes compared to standard care, pain, size, exudate, and odor (p < 0.001). These findings demonstrate the positive impact of the platform in terms of usability, patient adherence, and the photographic evidence of clinical endpoints.

 

As described in the publication, ten of the 13 participating physicians and nurses responded to a survey, and strongly agreed that the platform had value, and provided benefits to communication. The patients who were interviewed unanimously commented that the platform provided benefits to their wound healing and communication with clinicians.

 

Highlights Value for Clinical Research
Besides showcasing the value of mobile wound analysis in clinical settings, the findings will fuel interest in the Tissue Analytics platform for wound and skin care clinical research. Findings from the study that relate to clinical trials include the ability of the mobile wound analysis platform to: 1) empower patients to take more active roles in their care; 2) increase accuracy of wound measurements; and 3) ensure greater consistency in care and participant satisfaction.

 

Study results also suggest the value of the platform to retain study participants. Per interviews, patient-participants said they were “strongly” satisfied by the telehealth capability of the platform. Moreover, the study’s authors noted that using the app saved patients time and cost, especially for travel, a key factor in encouraging participants to remain in a study.

 

“We’re very excited by the findings in this study,” said Keith Tode, Vice President of Clinical Research for Tissue Analytics. “Study sponsors are looking for tools that are simple to use, engage patients, allow for virtual wound care visits and consultations, and provide real-time and real-world insights into the participant experience. This study shows that mobile wound platforms can offer the features today’s clinicians and researchers want and need. Looking ahead, we see many benefits to this approach for clinical trials for wound care, dermatology, endocrinology and other skin conditions.”

 

About Net Health
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.

 

SOURCE Net Health Systems, Inc.

 

This article was originally published here
 

Dermatology and wound research: targeting inflammation through cooperation and collaboration

John W Frew – Staff Specialist Dermatologist, Liverpool Hospital, Sydney, NSW, Australia

 

This edition of WPR presents manuscripts from the dermatology field pertaining to conditions such as Pyoderma gangrenousm, Necrobiosis lipoidica and Hidradenitis suppurativa. Each of these conditions are characterised by aberrations in cutaneous healing relevant to the mechanistic understanding of chronic wounds, and in which ongoing translational research is identifying mechanistic pathways and novel therapeutic targets – some of which have already reached the clinic.

While the nuances of molecular pathways may seem irrelevant to the practising clinician, the identification and implementation of novel therapies for inflammatory skin disease and wounds can only be achieved through the translation (and validation) of molecular and immunological discoveries in the clinical setting … read more

Diabetic Limb Salvage Conference | VIRTUAL

4/27 – 4/30

MedStar Georgetown University Hospital’s Diabetic Limb Salvage Conference is providing compelling content for the 2022 conference in a virtual format. This annual conference focuses on a multidisciplinary team approach that provides each member of the healthcare team with the education and resources needed to heal wounds and prevent amputations. It features a prominent international faculty that promotes the importance of a multispecialty approach in limb salvage. The course is designed for healthcare practitioners of all specialties and promotes an evidence based approach with emphasis on take-home points, techniques, and functional outcomes. The meeting format will include didactic lectures and specialty symposia for the purpose of providing an interactive learning experience. Here’s what you can look forward … read more
Brochure

Surgical Site Complications After Complex Iliofemoral Reconstruction

and the Role of Negative Pressure Wound Therapy: A Retrospective, Single-center Study

 

Ahmed A Sorour, Levester Kirksey, Vishnu Ambur, James Bena

 

Surgical site infection (SSI) of groin incisions after vascular surgery is a significant source of morbidity and is associated with high rates of readmission and reoperation, as well as longer hospital length of stay. The patient-reported health care experiences are diminished for those in whom SSI complications occur. Previous studies have analyzed patients undergoing all types of surgery requiring groin incision. The role of closed incision negative pressure therapy (CiNPT) as an adjunct to the primarily closed femoral incision after vascular surgery is unclear … read more

Projected Augmented Reality (P-AR) for Enhancing Nursing Education About Pressure Injury

To describe results of a study evaluating a Projected Augmented Reality (P-AR) system for its potential to enhance nursing education about pressure injuries … he sample comprised nursing students and faculty at a school of nursing in a large, Midwestern public university. A total of 32 participants, which included 27 students (30% BSN, 44% MN, and 26% DNP students; 81% female) and 5 faculty members (80% female) participated … read more

Clinical and Laboratory Factors Associated With Wound Healing in Patients With

Pyoderma Gangrenosum: A Retrospective Study

 

Stephen J. Malachowski, Emile Latour, Alex G. Ortega-Loayza

 

Pyoderma gangrenosum (PG) is a rare, chronic, inflammatory, and ulcerative condition that often affects the lower extremities. Laboratory markers such as neutrophil-to-lymphocyte ratio, erythrocyte sedimentation rate (ESR), and C-reactive protein (CRP) level may have prognostic utility in the management of ulcerative or inflammatory conditions. Objective. This exploratory analysis investigated the relationship between readily available clinical factors and target ulcer healing within 6 months from the first visit. Methods. Two logistic regression models were fit—one focused on ESR as a primary predictor adjusted for age and hemoglobin level, and the other focused on CRP level adjusted for body mass index (BMI) and smoking history. Results. The odds of wound healing at 6 months for patients with abnormal CRP was 0.19 times the odds of healing (95% CI, 0.03–0.77) for those with normal CRP (<10 mg/L), after accounting for BMI and smoking. Similarly, after accounting for age and hemoglobin, those with high ESR experienced 2.81 times the odds of healing … read more

The Most Challenging Side of Podiatry: Managed Care

Jarrod Shapiro, DPM, FACFAS, FACPM

 

Taking care of patients with lower extremity complaints is quite challenging and already very complex. We need to have a thorough knowledge of many medical, scientific, and psychological topics. Podiatrists additionally perform many different types of technical procedures. All of this is done on our very complicated patients with their myriad issues … However, the one issue that makes the practice of podiatry even more complex is managed care. For some in the United States, the challenges of managed patient insurance might not be too prominent, but in my neck of the medical woods in California, managed care is a major component of private practice … read more

Is Professional Consultation Billable to Medicare?

As you know, managing patients with chronic ulcers requires physicians and other qualified healthcare professionals (QHPs) with specialized knowledge and expertise. Unfortunately, this country has a shortage of chronic ulcer management professionals. Therefore, many physicians/QHPs who do not have the required knowledge do their best to manage chronic ulcers by trial and error. Many of these physicians/QHPs wish they could consult with physicians/QHPs who have chronic ulcer management expertise. In addition, even the physicians/QHPs who have such expertise are often stumped on difficult cases and wish they could consult with other colleagues who may have experienced similar cases … read more

Antibacterial and Antifungal Efficacy of Medium and Low Weight Chitosan-Shelled

Nanodroplets for the Treatment of Infected Chronic Wounds

 

Chronic wounds (CWs) – nonhealing breaks of the skin epithelial continuity longer than 42 days – are usually characterised by persistent hypoxia, intensified inflammation, and altered balances between matrix metallo-proteinases (MMPs) and their endogenous inhibitors; moreover, microbial infection frequently complicates CW status. CWs affect a large fraction of the population worldwide – especially the elderly – jeopardising the physical health and the economic system of industrialised countries. It is estimated that 1% to 2% of the population will experience a CW during their lifetime. For this reason, it is important to find more effective treatments to heal CWs and to prevent serious complications such as infections, which can lead to amputation, to improve health of patients … read more

Diabetic foot ulcer research activity (2004–2020)

The paper I have chosen for this commentary is not a clinical research paper, but hopefully one that will stimulate everyone whether from a clinical, educational, managerial or industry-based workplaces. It is from China, reviewing the global trends for research activity and hotspots in diabetic foot ulceration (DFU). It examined the DFU research activity using the Science Citation Index Expanded (SCI-expanded) of Web of Science Core Collection (WoSCC) using key words, such as ‘diabetic foot ulcer’ or ‘diabetic foot wound’. This database was used as it was deemed to cover most of the high impact and quality international scientific journals. The information of all identified publications included title, year of publication, author, affiliations, nationalities, journal, abstract and keywords. A total of 5,869 publications on DFUs … read more

Association of Wound Healing With Quality and Continuity of Care and Sociodemographic Characteristics

Based on the analysis of electronic health records from 480 clinics, we found that better care quality and continuity are associated with better-than-expected wound healing performance … Chronic wounds, defined as wounds that “fail to proceed through the normal phases of wound healing in an orderly and timely manner,”1 affect 6.5 million Americans and result in $50 billion in annual Medicare expenditure.2-4 Despite growing prevalence and economic burden in the aging US population, chronic wound care remains an area with inconsistent adherence to evidence-based recommendations and variable quality of care.5 For example, despite evidence-based recommendations for compression therapy for venous ulcers and total contact casting (TCC) for offloading of pressure for diabetic foot ulcers, a previous study involving 2404 patients from 18 hospital-based … read more

Health Espresso welcomes Dr. Robyn Evans on its Skin Health and Wound Care Advisory Team

OAKVILLE, ONTARIO (PRWEB) APRIL 12, 2022

 

HEALTH ESPRESSO INC. a company focused on introducing a collaborative, Inter-professional virtual health record in community within the Allied Health and home care sectors that is connected to primary care, hospital and other digital health assets, today announced the recent appointment of Dr. Robyn Evans as Health Espresso’s Advisor, Skin Health and Wound Care.

 

Rick Menassa, CEO of Health Espresso commented, “We are very pleased to have Dr. Evans join us as the Company’s Advisor, Skin Health and Wound Care. She brings Health Espresso over 13 years of wound care education and research. Her extensive in-field experience as a primary care physician, coupled with her proven ability to lead within the ever evolving, rapid paced digital health environment, will add tremendous navigational support to Health Espresso’s own growth strategies as it engages with patients and front line organizations providing wound care services.”

 

Dr. Evans is advising Health Espresso’s development teams on the AI powered wound imaging tool on its mobile app. for images capture at point-of-care, integration into Health Espresso’s patient’s Electronic Health Record (EHR) on its secure, in-cloud web portal for real-time inter-professional virtual collaboration.

 

Dr. Evans valuable input and guidance is leading development of Health Espresso’s next stage to interpret wound characteristics from captured images using Health Espresso’s proprietary AI technology to direct management.

 

Dr. Robyn Evans is actively involved in clinical evaluation and management of patients with complex wounds as the Director of the Wound Healing Clinic at Women’s College Hospital. Over the past 13 years, she has developed an interest in wound care education and research. She is medical lead for Wounds Canada as well as serving on the Board of Wounds Canada. She is a lecturer at University of Toronto and part of the International Interprofessional Wound Course through University of Toronto.

 

Dr. Evans has also worked full time as a community family physician since 1992.

 

Dr. Robyn Evans attended University of Toronto Medical School. She completed her family medicine residency at University of Toronto with further training in Wound care. Prior to this she did a Bachelor of Science as well as graduate studies in Biochemistry.

 

“Complex wounds need to be acutely characterized to optimize management and improve patient outcomes” says Dr. Evans.

 

ABOUT HEALTH ESPRESSO
Inspired by front-line experience in home and community care, Health Espresso chronicles the entire patient journey. Starting with a digital patient profile and digital care plan, Health Espresso empowers health organizations to automate intake, triage and update patient records and follow through with post-discharge real-time remote patient monitoring for better health outcomes. Health Espresso provides a collaborative, patient-centered platform for Allied Health professionals, Primary Physicians and Hospitals for a ‘one patient, one care plan’ approach to care, reducing service overlaps and gaps.

 

Its secure, connected platform integrates with EMRs and government data assets for an all-encompassing view of patient records. Health Espresso’s mobile app complements its in-cloud web portal to empower physicians with real-time patient information and virtual care capability for time-sensitive decisions at the point of care, anywhere in the world. For more information, visit https://healthespresso.com

Scientists develop bandages that stimulate healing for the treatment of diabetic ulcers

A scientific team of scientists from NUST MISIS and Institute of Cytology and Genetics of SB RAS managed to create innovative bandages based on organic polymers and silver nanoparticles, which stimulate the healing of diabetic ulcers and chronic wounds. The results of the work have been published in Pharmaceutics … Type 2 diabetes mellitus is characterized by a high level of blood glucose, which worsens the work of white blood cells. They cannot function normally, and as a result, the body becomes especially vulnerable to infections. In addition, diabetes affects blood circulation, hindering the delivery of nutrients … read more

Health Espresso partners with Wounds Canada to change wound care in Canada

Health Espresso, Canada’s upcoming leader in community EHR, partners with best in class, Wounds Canada, to provide an AI powered, digital solution that’s aligned with the government’s target of delivering better, more connected care and improving health equity for patients, especially those in remote communities. The partnership brings Wounds Canada’s best practices, resources and training to front-line practitioners at the point of care coupled with the ability for remote patient monitoring for better outcomes.

 

 

OAKVILLE, ONTARIO (PRWEB) APRIL 13, 2022

When Linda Moss’ father was transferred to a second hospital for rehabilitation following a brain injury neurosurgery, her family only received information about the primary reason for his hospitalization: his neurological progress. Linda Moss and her family didn’t know that their father was suffering from a pressure injury that would eventually cause osteomyelitis. It was only when their father was denied a second surgery due to complications from the pressure injury that the severity of the wound was discovered.

 

Unfortunately, this gap in communication between health-care providers, specialists and patients is far too common in the Canadian health-care system. The complete picture of patients is seldom shared, especially when they are complex or receive care from multiple partners. This leads to a lack of timely wound care and ultimately irreversible complications that can result in amputations or even death in the case of Linda Moss’ father.

 

“Care teams and caregivers are essential together, and the first step in any prevention or further complications with wounds is a communicated Care Plan,” says Linda Moss.

 

A new partnership between national organization Wounds Canada and Medtech company Health Espresso is changing this. This partnership enables front-line clinicians, patients, policymakers, and researchers to digitize a patient’s journey and connect members of allied health teams at the right time to decrease acute and hard-to-heal wounds, reduce hospitalizations and improve patient outcomes. Leveraging this technology will also enable Wounds Canada to establish a Canadian national registry that can inform further research in wound care and provide quick and easy access to Wounds Canada’s validated tools and resources for immediate bedside action by clinicians and help support wound management by patients, especially those living in outlying communities.

 

“Wounds are a serious health complication that impacts the quality of life for patients while having significant economic implications on our health-care system, and the situation has only worsened under the strain of COVID-19. In many cases, hard-to-heal chronic wounds can be avoided or, if detected in the early stages, managed effectively — but we need evidence-based solutions to help us provide the safe, equitable and timely care that patients deserve in home care and across all health-care settings,” says Mariam Botros, CEO of Wounds Canada. “That’s why Wounds Canada is excited to partner with Health Espresso to offer a skin and wound care mobile app that benefits not only patients but also clinicians, researchers and policymakers. With the launch of this digital solution, we’ll be able to improve patient care, reduce hospitalizations and lower spending on wound care while also increasing the skills and knowledge of front-line clinicians and establishing a Canadian national registry to inform further research.”

 

“As a registered nurse and private wound care consultant in rural southwestern Ontario, providing safe, timely, equitable access to interprofessional, evidence-informed care to people living with wounds can be challenging,” adds Crystal McCallum, Director of Education with Wounds Canada. “The skin and wound care mobile app that Health Espresso is developing in collaboration with Wounds Canada will address these challenges and will prove to reduce the burden of wounds and enhance the experience and outcomes of people living with wounds while enabling better use of health-care resources.”

 

Certified by the Ontario Telehealth Network (OTN) and powered by artificial intelligence, Health Espresso’s easy-to-use mobile and web-based integrative digital solution offers a connected, collaborative approach to wound care. It provides a complete digital blueprint of a patient’s overall health and history, real-time vitals data, recorded notes from hospital visits, administered medication and more for timely, well-informed decision making. Unlike many standalone solutions, Health Espresso’s unique collaborative approach allows for a broader view of the patient’s journey with access to patient records, high-quality wound imaging and analysis tools to track healing progression and understand why a wound may not be healing correctly. It also includes built-in messaging and video tools that enable physicians, wound specialists and patients — especially those in remote or Indigenous communities — to engage in live communication within a secure environment.

 

“Health Espresso’s digital solution is aligned with the government’s target of delivering better, more connected care and improving health equity for patients, especially those in remote communities,” says Founder of Health Espresso Rick Menassa. “To optimize the healing of wounds, care needs to be timely, and a structured, collaborative approach to assessment, treatment, documentation and communication based on best practices is critical for providing patients with the best possible outcomes. We are pleased to partner with Wounds Canada to offer our technology and bring their best practices, resources and training to front-line practitioners at the point of care.”

 

ABOUT HEALTH ESPRESSO
Inspired by front-line experience in home and community care, Health Espresso was created to chronicle the entire patient journey. Starting with a digital patient profile and digital care plan, Health Espresso empowers health organizations to automate intake, triage and update patient records and follow through with post-discharge remote patient monitoring for better health outcomes. Health Espresso provides a collaborative, patient-centred platform for Allied Health professionals, Primary Physicians and Hospitals for a ‘one patient, one care plan’ approach to care, reducing service overlaps and gaps. Its secure, connected platform integrates with EMRs and government data assets for an all-encompassing view of patient records. Health Espresso’s mobile app complements its in-cloud web portal to empower physicians with real-time patient information and virtual care capability for time-sensitive decisions at the point of care, anywhere in the world. For more information, visit https://www.healthespresso.com

 

ABOUT WOUNDS CANADA
Established in 1995, Wounds Canada is a charitable organization dedicated to advancing wound prevention and management for all people in Canada. They advocate for a population health approach that promotes best practices to support persons at risk of or living with wounds, health decision-makers and front-line clinicians. They develop and provide educational programs and resources and support research to advance this holistic, risk-based approach further. Wounds Canada fosters relationships with interested individuals and organizations to expand and sustain a robust wound community in Canada with mutually beneficial global connections. Their goal is to reduce the prevalence and incidence of wounds of all types and the negative consequences they bring—including patient suffering and wasted health-care dollars. To learn more, visit http://www.woundscanada.ca.

 

This article was originally published here

Down-Regulation of miR-138 Alleviates Inflammatory Response and Promotes Wound Healing

in Diabetic Foot Ulcer Rats via Activating PI3K/AKT Pathway and hTERT

 

Diabetes is a widespread metabolic problem in modern society. Due to long-term hyperglycemia, diabetes can cause damage to multiple systems, such as the eyes, kidneys, nerves, blood vessels, etc.1 As one of the serious complications of diabetes, diabetic foot is a chronic progressive disease caused by vascular occlusive disease, which can lead to complications.2 Once foot ulcers occur, the extremities of diabetic patients are very likely to be infected with invasive infection, leading to an increased risk of amputation.3 With the annual increase in the number of diabetic patients in the world, the incidence of diabetic foot ulcer (DFU) is also increasing, which has a great impact on family, society, and economic development. There is an urgent need to develop more effective detection and treatment methods for DFU … read more

The 2022 APMA Spring Virtual Coding Seminar

The 2022 APMA Spring Virtual Coding Seminar is a half-day online seminar providing attendees with a deep dive into foot- and ankle-specific coding issues. Certified professional coder Jeffery D. Lehrman, DPM, and Edward N. Prikaszczikow, DPM, will instruct participants on a variety of topics to enhance processes and better serve patients.
  • Date: April 23
  • Location: Online
  • Time: 10 a.m.–3 p.m. EDT
  • Education Credit:
    – Doctors of Podiatric Medicine: 4.0 CECH
    – Podiatric Medical Assistants: 4.0 CME  (anticipated)
    – AAPC Certified Professional Coders: 4.0 CEUs

read more

Learning Needs Assessment and Limb Preservation

David G. Armstrong, DPM, MD, PhD

 

The authors performed a qualitative study via interviews to investigate how patients perceive and understand their foot issues over a period of about one year. A total of 15 subjects participated, and the researchers found important data in two primary areas: how patients perceive foot ulceration and how patients perceive relevant timing with respect to foot ulceration. This included limited understanding of foot ulceration, close observation of foot problems and barriers to ulcer perception, including timing of when perception of the seriousness of the foot ulcer changed. The authors concluded that there is significant potential for education to positively impact these challenges … read more

Healogics talks foot health

Healogics kicked off April with its chronic foot health awareness efforts in collaboration with National Foot Health Awareness Month. Its goal: To educate the public on the importance of foot health to prevent wounds and the need for regular foot exams to detect non-healing wounds. “With the increased incidence of diabetes, foot ulcers and even amputations, it is important for those living with chronic wounds, as well as those who are at risk, to have access to information on wound healing,” said David Bassin, Healogics CEO “Throughout April, we seek to educate our communities and health care providers in an effort to improve access to wound care for all that need it.” The efforts are also part of Healogics’ 2022 Healing Can’t Wait program. The company served more than 330,000 patients last year through a network of … read more

Association of Wound Healing With Quality and Continuity of Care and Sociodemographic Characteristics

Based on the analysis of electronic health records from 480 clinics, we found that better care quality and continuity are associated with better-than-expected wound healing performance

Objectives: To evaluate the association between clinics’ wound healing performance and clinic-level measures of care continuity, clinical quality, and sociodemographic characteristics of the population in their catchment areas.

Study Design: In this cross-sectional analysis, we analyzed electronic health records for 180,336 chronic wounds from 480 wound care clinics during the 2018 calendar year.

Methods: We measured healing performance using a clinic’s observed to expected (O/E) ratio, which is based on the rate at which chronic wounds were predicted to heal within 12 weeks given its case mix and the actual healing rate. We compared the top and bottom quintiles, in terms of the O/E ratio, of clinics. Multivariable regression was used to estimate the effect of the clinic-level measures on the O/E ratio.
read more

New Strategies for Preventing and Healing Diabetic Foot

New therapeutic approaches have emerged for preventing diabetic foot ulcers and promoting their healing. Endocrinologist and diabetes specialist Olivier Bourron, MD, of the Pitié-Salpêtrière Hospital in Paris, described these approaches at the 48th annual congress of the Francophone Diabetes Society … Unlike macroangiopathic complications (such as ischemic heart disease and stroke) and renal complications, foot ulcers are a diabetic complication for which there has been very little therapeutic progress over the past 20 years … read more

Leadership changes at the American College of Wound Healing and Tissue Repair (ACWHTR)

CHICAGO, April 8, 2022 /PRNewswire/ — Catherine Burzik will be stepping down from her role as Chairperson of the board of the American College of Wound Healing and Tissue Repair (ACWHTR). She will be leaving the organization after 10 years in that role. Cathy has been the engine behind the College and has tirelessly given her time, commitment, and knowledge to bring the ACWHTR from its infancy to the strong organization it is today. Cathy will continue to focus on her Foundation and multiple board positions in industry. A unanimous decision by the board resulted in naming Cathy, “Chairperson Emeritus.” We know that our relationship with Cathy will continue to be strong moving forward. We all thank her sincerely!

 

Dr. William Ennis, current President, and CEO, was unanimously approved by the board to assume the role of Chairperson, ACWHTR. Dr. Ennis together with Dr. Will Li MD, founded ACHWTR in 2010. The Board will begin work looking for a new President so that Bill can concentrate on membership growth, increased relationships with medical societies, and advancing fellowship programs throughout the country in wound care.

 

The Board of Directors are excited to name Dr. Peter Rubin MD, Chris Fashek MBA, and Dr. John Harper Ph.D. to the board.

 

Peter Rubin MD is the current President of the American Society of Plastic Surgery and the Chair of the Plastic Surgery department at the University of Pittsburgh Medical Center and the director of the UPMC wound healing service.

 

Chris Fashek has 25 years of senior executive experience in healthcare. Currently the Founder and Chairperson of MedTech Solutions Group LLC and NanoVibronix, Inc. Chris has held CEO roles at Brain Sentinel, Spiracur, and KCI and was the COB at Systagenix.

 

John Harper Ph.D. is currently SVP of R+D and the Chief Technology Officer at MiMedx. Previously Dr. Harper spent 10 years in various leadership roles at LifeCell Corporation and Acelity. John holds a PhD in biochemistry from the University of Texas and is well respected in the biotechnology and wound healing space.

 

The mission of the ACWHTR, a 501c3 founded in 2010, is “To improve public health by leading the growth of a new, integrated field of medicine and surgery, dedicated to the practice of modern wound healing and tissue repair.” The COVID crisis created a new awareness in healthcare in which chronic and acute wound care is an “essential” service. The current public health crisis led to a renewed commitment at the ACWHTR, to foster the development of the field. A return to live education this year, and an emphasis on membership growth and benefits, further sparked new energy and the desire for change.

 

The ACWTHR will return to hosting its annual meeting in Chicago in a live format on December 1st-3rd 2022 at the Swissotel in downtown Chicago.

 

This article was originally published here

A metatranscriptomic approach to explore longitudinal tissue specimens from non-healing diabetes related foot ulcers

Cellular mechanisms and/or microbiological interactions which contribute to chronic diabetes related foot ulcers (DRFUs) were explored using serially collected tissue specimens from chronic DRFUs and control healthy foot skin. Total RNA was isolated for next-generation sequencing. We found differentially expressed genes (DEGs) and enriched hallmark gene ontology biological processes upregulated in chronic DRFUs which primarily functioned in the host immune response including: (i) Inflammatory response (ii) TNF signalling via NFKB, (iii) IL6 JAK-STAT3 signalling, (iv) IL2 STAT5 signalling and (v) Reactive oxygen species. A temporal analysis identified RN7SL1 signal recognition protein and IGHG4 immunoglobulin protein coding genes as being the most upregulated genes after the onset of treatment. Testing relative temporal changes between healing and non-healing DRFUs identified progressive upregulation in healed wounds of CXCR5 and MS4A1 … read more

The Important Role Nurse Practitioners Play in Wound Care

Laura Swoboda, DNP, APRN, FNP-C, FNP-BC, CWOCN-AP

 

Nurse practitioners (NPs) are valuable members within the field of wound management. As licensed, independent clinicians, NPs practice autonomously and coordinate with other health care professionals and individuals. Half a century of research definitively demonstrates that NPs provide high-quality health care services across a person’s lifetime and in diverse settings. Nurse practitioners receive graduate-level education, with master’s or doctoral degrees, and possess the knowledge and clinical competency to provide health care beyond their initial registered nurse preparation. As providers that blend clinical expertise in diagnosing and treating acute and chronic health conditions, emphasizing disease prevention, health management, and patient education … read more

Wounds and Immunosuppression

As technology improves and patients with more complicated problems are living longer, treating wounds in these patients is becoming more challenging, not because of the wounds specifically but because of the comorbidities and associated treatments. Our center regularly sees patients with a wound or ulcer who are also undergoing immunosuppression therapy. Patients with pulmonary disease, inflammatory diseases such as rheumatoid arthritis, skin diseases, and others take medication that influences the immune system. The more challenging patient population involves those who have received a transplant. In our practice in Alabama, there are many patients who have had kidney transplants … read more

Efficacy of Placental and Umbilical Tissue in an Infected Diabetic Foot Ulcer

Harry Schneider, DPM, FACFAS

 

In this video, Harry Schneider, DPM, FACFAS, Harvard Medical School, Cambridge Health Alliance Podiatry, showcases the use of placental and umbilical tissue in a case presentation of an infected diabetic foot ulcer in a 52-year-old male … This presentation is part of an 8-part case series on “Advancing the Standard of Care With Cellular- and Tissue-Based Products.”
read more

Population Considerations in Wound Care

Charleen Singh, PhD, MBA, FNP-BC, CWOCN, RN

 

This presentation will explore how to provide wound care in diverse patient populations. As global migration, whether voluntary or forced, increases, wound care practitioners must develop clinical skills that take into account the needs of diverse populations. Diversity can be thought of as what makes us different and can include factors such as age, ethnicity, and socioeconomic status, among others. However, let’s consider what connects us and how we can use that connection to appropriately care for populations that are diverse in age, ethnicity, socioeconomic status, and overall health … read more

Measures of Skin Turgor in Humans: A Systematic Review of the Literature

Meri T. Goehring, PhD, Joni Farran, DPT, Courtney Ingles-Laughlin, DPT, Sarah Benedista-Seelman, DPT, Betsy Williams, MSLIS

 

Many studies use similar methods to measure skin turgor, but there is no gold standard method that is being followed in clinics or hospitals. PURPOSE: The purpose of this systematic review was to determine if there is any consistent method to measure skin turgor in humans that is valid and reliable. METHODS: Topics of interest for turgor assessment included dehydration; skin integrity, including wounds and skin flaps; and fluid/electrolyte balance for adults 18 years and older. PubMed, ProQuest Medical, SPORTDiscus, PEDro, Web of Science Core Collection, and Cumulative Index of Nursing and Allied Health Literature complete databases were utilized. Levels of evidence were established with 2011 Oxford Centre for Evidence-Based Medicine scale. Methodological rigor was assessed … read more

Fundamentals of wound assessment and management

Our educational sessions promote the best practices in skin health and wound healing.

It has been estimated that the cost of managing wounds and associated co morbidities in the NHS, is £5.3 billion a year. Approximately 2.2 million adults will suffer with a wound over a year, and largely it is nurses who care for these wounds … Wound assessment is a vital process to help ensure patients are receiving the most appropriate management plan for them. Understanding the stages of the normal wound healing process will arm health and social care practitioners with the confidence to recognise when something is not right. This session will provide the delegates with the fundamental knowledge to undertake a wound assessment, formulate a management plan and have a working knowledge of the most common dressing types used in clinical practice … read more

New Insights: COVID-19 Is Changing Clinical Practice

The world has now completed 2 years of living with COVID-19. In developing nations, especially in Africa, limited vaccine availability has led to high case rates and the emergence of new variants, some of which are more virulent or contagious than wild-type SARS-CoV-2. With the Omicron variant, the pandemic is now transitioning to an epidemic because of widespread natural virus immunity from a less-virulent infection. We may soon have a combined RNA vaccine for annual single immunization for both the influenza virus and COVID-19 … read more

Patient Populations: Barriers to Care

The most effective wound care is patient-centered and individualized. Consideration must be made for unique population characteristics during an inpatient stay to decrease the risk of hospital readmission or further wound complications. Variations in wound care needs may exist among patients based on their ethnicity, age, socioeconomic status (SES), and comorbidities. Early identification of these characteristics and interventions to combat disparities should be considered … read more

LifeNet Health features next level wound care solutions at SAWC Spring

Events include an Innovation Theater presentation that features the science and clinical results supporting Matrion®— the first full-thickness, decellularized placental membrane — and Dermacell AWM® acellular dermal matrix

 

PHOENIX, April 7, 2022 /PRNewswire/ — LifeNet Health, the world leader in allograft biologics, is showcasing its unique allograft solutions for wounds at the 2022 Symposium on Advanced Wound Care (SAWC) Spring meeting April 7-9 in Phoenix.

 

Its featured biologic portfolio includes:

Matrion®, the first full-thickness, decellularized placental membrane for wounds, and
Dermacell AWM®, the only acellular dermal matrix clinically proven to help resolve wounds in as little as one application1.
“These solutions take wound care to the next level by helping address long-standing clinical challenges,” said Mike Falcon, Vice President of Advanced Wound Management Sales. “Thanks to LifeNet Health’s unique technologies, we are bringing clinicians the most advanced allograft biologics available to facilitate healing in their patients.”

 

Innovation Theater Breakfast Presentation
Clinicians Hayway Chiu, DPM, FACFAS, and Zakee Shabazz, DPM, FACFAS will lead an SAWC-hosted Innovation Theatre session to share their experience with Matrion and Dermacell AWM. The analysis will cover the science behind these two best-in-class therapies as well as clinical results that show how they support positive patient outcomes, using real-world case studies.

 

The session, which begins at 7:30 a.m. MST Friday, April 8, will be moderated by Valerie Marmolejo, DPM.

 

Industry-Leading Solutions
Matrion is the only biologic of its kind to fully maintain the natural thickness and structure of the placental membrane. It includes the complete trophoblast layer, which is up to four times thicker than either the amniotic or chorionic membranes2. This allows Matrion to retain up to 50 percent more native growth factors than traditional placental membranes.3 Its natural thickness also means Matrion is less likely to adhere to itself or roll up during application.4

 

Dermacell AWM is backed by more than 30 publications that demonstrate its exceptional clinical performance and ease of use. It is proven to provide complete resolution of even complex wounds, with exposed bone and tendon, in as little as one application.1

 

Both Matrion and Dermacell AWM are decellularized with LifeNet Health’s patented Matracell® technology to remove donor cells and create a biohospitable scaffold for cellular infiltration and re-vascularization.

 

About LifeNet Health
LifeNet Health helps save lives, restore health, and give hope to thousands each year. It is the world’s most trusted provider of transplant solutions — from organ procurement to bio-implants and cellular therapies — and a leader in regenerative medicine, while always honoring the donors and healthcare professionals who enable healing. For more information about LifeNet Health, go to www.lifenethealth.org.

 

  1. Cazzell, S., Vayser, D., Pham H., et al. A randomized clinical trial of a human acellular dermal matrix demonstrated superior healing rates for chronic diabetic foot ulcers over conventional care and an active acellular dermal matrix comparator. Wound Repair and Regeneration. 2017.
  2. Verbruggen SW, Oyen ML, Phillips AT, Nowlan NC. Function and failure of the fetal membrane: Modelling the mechanics of the chorion and amnion. PLoS One. 2017;12(3):e0171588.
  3. LifeNet Health. TR-004-2020 Characterization of the Amnion, Chorion, and Trophoblast Layers of Decellularized and Freeze-Dried Placental membrane. 2020.
  4. LifeNet Health. ES-20-057, Placental Membrane for Wound: Design Validation. Data on File. 2020.
    SOURCE LifeNet Health

 

This article was originally published here

WCA Introduces LUVO as a Solution for Eliminating Amputations and Death

Due to Non-Healing Wounds During Limb Loss Awareness Month

 

SIERRA MADRE, Calif., April 7, 2022 /PRNewswire/ — Wound Care Advantage (WCA), the leading provider of support services for wound care programs, is proud to release the first digital network platform for wound centers, LUVO. Available now, LUVO supports wound centers by offering a suite of digital tools designed to streamline and simplify day to day operations, allowing program leaders to get more done in less time.

 

 
WCA was founded 20 years ago with a singular goal: to eliminate amputations caused by non-healing wounds within our lifetime. To that end, WCA is dedicated to building a national network of profitable and effective wound centers that can treat non-healing wounds in their community before amputation is the only option. LUVO makes this possible. The platform modernizes referral management, offers intelligent reporting that lets leaders know where their center stands, and offers a direct line to WCA experts for chart reviews, audit assistance, and general guidance. A full list of tools can be found at www.thewca.com/expertise/technology

 

“Wounds lead to amputations, amputations lead to death. LUVO was created to break this cycle,” says CEO Mike Comer. “LUVO can strengthen any wound center, works with any EMR system a hospital may use, and is the most cost-effective option for wound center operations. It ensures wound programs operate efficiently and effectively while keeping their doors open for the next generation of wound care patients.”

 

April is Limb Loss and Limb Difference Awareness Month, a time to raise awareness about this issue and remember the millions of people living with limb loss. Of the estimated 150,000 lower limb amputations performed in the U.S. each year, approximately 82 percent stem from a diabetic foot ulcer. Patients undergoing these procedures have a three-year mortality risk of 71 percent. By incorporating LUVO into wound centers, they can run more effective and profitable healing programs, without bringing in an outside management company.

 

“Having LUVO in our centers means more gets done everyday with less frustration. It’s become the heart of our program,” says Mary Mary Brightwell Tuttle, Program Director at Placentia-Linda Hospital Center for Wound Care. “Our staff and clinicians can focus on patients because LUVO handles so much of our busy work, tracks metrics across our program, and catches errors before we make them.”

 

The LUVO platform powers the WCA Network of independent wound centers across the country, allowing every hospital to take advantage of the cost effective benefits of joining a powerful cohort of wound centers dedicated to eliminating wound related amputations.

 

“Having subject matter experts available to answer questions, review documentation, or help with reimbursement whenever we need them has proven to be indispensable,” Tuttle says.

 

Discover how you can unlock the full potential of your center with LUVO. Start a conversation today by calling 888-484-3922 or emailing info@thewca.com.

 

About Wound Care Advantage
Founded in 2002, Wound Care Advantage (WCA) has been a leader in reimagining how wound care programs operate across the United States. To learn more, visit: www.thewca.com/about

 

SOURCE Wound Care Advantage

This article was originally published here

Risk Factors for Multidrug-Resistant Organisms Infection in Diabetic Foot Ulcer

Diabetic foot ulcer (DFU) is one of the most serious complications of diabetes.1 Epidemiological investigation found that the global prevalence of DFU is 6.3%, and what is more troublesome is that DFU also has a high recurrence rate.3 Cohort studies have shown that DFU have a high mortality rate in both developed and developing countries, with a 5-year mortality rate of up to 42%. With high morbidity and mortality, DFU has been the main cause of nontraumatic lower-limb amputations. We have developed a model for predicting the risk of early DFU, which may potentially guide early intervention. Hyperglycemia impair immune cells activity in eliminating pathogens, while severe infection can cause stress hyperglycemia. The interaction of the two ways has resulted in a rapid development of diabetic foot infection (DFI) and sometimes a necrotizing abscess can be developed in just 6 days. Early empiric antibiotic treatment is necessary due to the long culture time of microorganisms and the lack of basic microbiology laboratories. But Multidrug-resistant organisms (MDROs) infection is easy to make antibiotic treatment failure, increasing the difficulty of diabetic foot treatment … read more

Kerecis Medical Fish Skin to Be Available for Healogics Wound Care Centers®

Kerecis selection for the iSupply program announced at the Symposium for Advanced Wound Care

Kerecis, the company pioneering the use of fish skin and fatty acids in cellular therapy, tissue regeneration and protection, announced today that the company‘s products have been added to the Healogics iSupply program. This makes Kerecis medical-fish-skin products available to Healogics Wound Care Centers®, expanding the options to treat chronic, non-healing wounds. The announcement was made at the Symposium for Advanced Wound Care (SAWC) Spring meeting. Kerecis is pioneering the use of fish skin and fatty acids for tissue regeneration and protection globally. Healogics is the leading provider of world-class wound care services in the United States … read more

Healthy.io and Innovive Health Announce Groundbreaking New Partnership That Could Change

the Future of Wound Care Management

 

BOSTON, April 6, 2022 /PRNewswire/ — Healthy.io, the global leader in transforming the smartphone camera into a medical device, and Innovive Health, a data-driven home health care agency serving complex behavioral health patients, today announced a new partnership through which up to 700 Innovive nurses will use Healthy.io’s digital wound management service, Minuteful for Wound to enhance and extend patient care. The partnership illustrates how clinicians can use smartphone technology to track and treat chronic wounds like diabetic ulcers while enabling them to do their job more efficiently.

 

Innovive Health aims to revolutionize the treatment and care of chronic wounds in its vulnerable patient population by combining the company’s patient-centered, data-driven approach to home health care with Healthy.io’s smartphone-based service designed to enable healthcare providers to perform consistent and accurate wound measurement. Innovive Health’s ultimate goal is to improve continuity of care and allow clinicians to focus more of their time on patient care.

 

“We are thrilled about this partnership with Innovive Health,” said Healthy.io US General Manager Paula LeClair. “Innovive provides care to some of society’s most vulnerable and underserved communities, which aligns perfectly with Healthy.io’s mission. Together, we can change the way nurses use technology to monitor patients quickly and efficiently. COVID-19 brought to light the need for technology like our wound care product, which is key to helping nurses save precious time monitoring patients.”

 

“We’ve seen the ways Healthy.io has successfully changed wound care management and we are excited to partner with them to help our nurses accurately and consistently monitor chronic wounds. Any nurse can use this technology, which will result in more equitable patient care,” said Innovive Health’s CEO Joseph McDonough. “Innovive Health’s commitment to excellence coupled with Healthy.io’s vision-based medical technology can improve patient care for those suffering from particularly complex chronic wounds.”

 

Through this partnership, Innovive Health’s nurses use a smartphone to scan a wound before uploading the scan into a portal that allows them to assess whether the healing is proceeding properly. The AI-powered computer vision system analyzes wounds with optimal accuracy, automatically calibrating images for scale, lighting, dimensions, and 3D structure.

 

Healthy.io is confident this partnership will make it easier for nurses to manage wound care. Nurses using the Healthy.io wound management tool reported 85% faster documentation compared to standard methods and 67% reduction in their time for follow-up visits.

 

About Healthy.io

 

Healthy.io transforms the smartphone camera into a medical device to deliver healthcare at the speed of life. The company’s at-home urinalysis and digitized wound care services enable providers and healthcare systems to close gaps in access and care while increasing patient satisfaction. Healthy.io is a global leader in digital health and is a recipient of the CNBC 2020 Disruptor 50 Award, Fast Company’s World’s Most Innovative Companies 2020 Award, and the Financial Times 2020 Boldness in Business Award. The company is based in Tel Aviv and has offices in Boston and London.

 

About Innovive Health

 

As one of the leading home care health agencies in Massachusetts, Innovive Health has been delivering strong clinical outcomes for more than two decades and is transforming healthcare through an innovative model of patient-centered, data driven, full-service home care. Innovive Health provides high quality nursing, therapy and services to some of the region’s most vulnerable and underserved populations in the safety and comfort of their homes and communities. For more information, visit https://innovivehealth.com.

 

Media contact:

Kate Lucadamo
Vice President at Marathon Strategies
Kate@marathonstrategies.com

 

For Innovive Health
Travis Small
tsmall@sloweymcmcanus.com

SOURCE Healthy.io; Innovive Health

 

This article was originally published here

Organogenesis Showcases Latest Advanced Wound Care Innovations and Research at SAWC

CANTON, Mass., April 05, 2022 (GLOBE NEWSWIRE) — Organogenesis, a leading regenerative medicine company focused on the development, manufacture, and commercialization of product solutions for the Advanced Wound Care and Surgical & Sports Medicine markets, today announced that the latest advanced wound care research on its PuraPly® AM, Affinity®, Apligraf®, NuShield®, Novachor™ and Organogenesis Physician Solutions product lines will be showcased at the 2022 Symposium on Advanced Wound Care (SAWC) Spring Conference held April 6-10, 2022 in Phoenix, Arizona.

“As a leading sponsor of this year’s conference, we are excited to share new research on our innovative product portfolio and hear from other thought leaders about advances in wound care,” said Katie Mowry, Assistant Vice President, Research and Development for Organogenesis … read more

A Comparative Study Between Vacuum Dressing and Normal Saline Dressing for Chronic Non-Healing Ulcers

Isn’t it a boon that all living organisms possess the ability to heal their injuries? The wound healing is faster when the normal physiology of the wound healing is maintained. Our understanding of wound healing has undergone dramatic changes in the recent past. Almost all materials and methods available on earth have been used and tested to facilitate the process of wound healing. The mental agony and the disability suffered by patients with chronic ulcers have led to the reappraisal of the basic components of the wound healing process and how they are influenced by biological, mechanical, and physical forces … The Department of General Surgery in our Government Chengalpattu Medical College and Hospital, Chengalpattu, Tamil Nadu, India, admits and treats a large volume of patients with wounds and ulcers. Here many materials are being used regularly for dressing to make wound healing faster. Vacuum dressings were also done on many patients, and promising results were observed. This kindled our interest in conducting this prospective study and comparing wound healing with vacuum dressing versus normal saline dressing … read more

Vyjuvek shows dystrophic epidermolysis bullosa wound healing

Patients with dystrophic epidermolysis bullosa had positive phase 3 results with Vyjuvek treatment, Krystal Biotech announced in a press release … Vyjuvek (investigational beremagene geperpavec) is a noninvasive, topical, redosable gene therapy … The randomized, double-blind, intra-patient, placebo-controlled phase 3 GEM-3 trial enrolled 31 patients with dystrophic epidermolysis bullosa … read more

Dr. Swati Hans Assumes Position as VP of Business Development at The Wound Pros

The Wound Pros (https://thewoundpros.com/) has announced Dr. Swati Hans as its new Vice President of Business Development. The Wound Pros is the nation’s largest wound care management company specializing in the treatment and management of chronic non-healing wounds in long-term care facilities. It partners with skilled nursing facilities, hospice agencies, and home healthcare companies to offer advanced wound care dressings and biologics (skin substitutes) to heal acute and chronic non-healing wounds … Dr. Hans joined The Wound Pros in January 2022 as VP of Business Development specifically to manage the growth of the skilled nursing facility sector. In her new role, she will work closely with The Wound Pros Senior Vice President of Sales and Marketing, Daniel Yeager … read more

Klimis-Zacas interviewed for MedicalResearch.com

MedicalResearch.com interviewed Dorothy Klimis-Zacas, professor of clinical nutrition at the School of Food and Agriculture, about her research on the wound-healing power of phenolic extract from wild blueberries. Klimis-Zacas said, “Discovering new therapeutic modalities for wound healing, especially plant extracts will aid millions of people by decreasing chronic wound complications and amputation with subsequent effects on decreasing health care costs in the US and globally. This product will improve the quality of life and decrease hospital stays thus decreasing medical costs in people suffering from diabetic wounds, pressure ulcers, burns, severe trauma, venous leg ulcers, post-surgical wounds, scarring and other chronic health conditions.”

read more

Tips for a Successful Wound Care Telemedicine Consultation

Alisha Oropallo, MD, FACS, FSVS, FAPWCA, FABWMS Adrian Chen, BS

The outbreak of the COVID-19 pandemic has accelerated the implementation of telemedicine in hospital and private settings. Telemedicine is the usage of a remote electronic interface to permit two-way, interactive communication between a patient and physician to discuss patient concerns and history.­ The widespread adoption of this technology has enabled flexible interaction with the patient regardless of time and location, and more importantly to limit unnecessary exposure, particularly for high-risk individuals … read more

Letter to NCCI and CMS

The Alliance submitted a follow-on letter to CMS and its National Correct Coding Initiative (NCCI) Contractor continuing to urge consideration of our requests for edits. While through our advocacy efforts we successfully achieved an update to the NCCI manual in 2021 allowing for debridement and compression to be provided on the same day, the correlating changes to the edits table were not made at that time. The Alliance has again advocated for this change, emphasizing that “making this change without deleting the corresponding procedure-to-procedure edits does not sufficiently address the problem of Medicare beneficiaries being denied access to these important, limb and life-saving services … read more

Evaluation of Wound Healing and Antibacterial Activities of Solvent Fractions

of 80% Methanol Leaf Extract of Brucea antidysenterica J.F. Mill (Simaroubaceae)

 

A wound is defined as damage or disruption to the normal anatomical structure and function of a living tissue. This ranges from a simple disruption in the epithelial integrity of the skin to deeper subcutaneous tissue involvement and also damage to other structures, like muscle and bone.2 Wounds can arise from physical, chemical, thermal, microbial, or immunological damage to a tissue or can be the result of a disease process like diabetes mellitus.

 

Wounds have considerable humanistic and economic burdens, both at individual and societal levels. A wound deters individual quality of life and productivity; and is associated with major economic burdens on the health care system. The current situation worldwide estimate of people with chronic wounds rises to 6 million each year. In developed countries, 1–2% of individuals in a population acquire a chronic wound during their lifetime.5 Globally, the economic burden of chronic wound is estimated to be nearly 2–4% of the health budgets.

 

Wound healing is the complex and dynamic process of restoring the structure and function of damaged tissues. It follows coordinated interactions between diverse immunological and biological systems. The interaction involves a cascade of ordered and precisely regulated steps and events, which are divided into four overlapping but distinct phases, ie, the hemostasis/coagulation phase, the inflammation phase, the proliferation phase, and the remodelling phase … read more

Diabetic Worker Can Expand Scope of Claim to Include Foot Conditions

The West Virginia Supreme Court ruled that a diabetic worker was entitled to expand the scope of his claim for a foot ulcer to include additional conditions after an infection migrated into the bones.

Case: Constellium Rolled Products v. Leonard, No. 20-0812, 03/23/2022, published.

Facts: William Leonard worked for Constellium Rolled Products as a casting operator. He developed a diabetic ulcer and left foot cellulitis in the course of his employment.

A treatment note by Activate Healthcare, dated March 31, 2017, indicated Leonard had reported a chronic problem with left foot blisters … article available for purchase

Lakewood-Amedex Enrolls First Patient in Phase 2 Clinical Trial for Patients with Chronic Diabetic Foot Ulcers (cDFU)

Lakewood-Amedex’s Second Clinical Trial for DFU Using New Nu-3 Gel Formulation Top Line Results Expected in December 2022

 

SARASOTA, Fla., April 5, 2022 /PRNewswire/ — Lakewood-Amedex, Inc., a privately held, clinical stage pharmaceutical discovery and development company advancing a broad portfolio of first-in-class antimicrobial and antifungal therapeutics called Bisphosphocins®, announced today that it has commenced its second Phase 2 study using Bisphosphocin Nu-3 antimicrobial in treating patients with diabetic foot ulcers (DFU). More than 34 million adults in the United States have diabetes mellitus (Source: CDC), and complications of DFU are responsible for about 85% of the non-traumatic lower extremity amputations per year, creating a tremendous morbidity, mortality, and financial burden on the healthcare system.

 

The Phase 2 study is a randomized, multi-center, double-blind, placebo-controlled, dose-escalating study to evaluate the safety and tolerability of topically applied Bisphosphocin Nu-3 gel on Type I or II diabetes mellitus patients with chronic DFU. During all clinic visits, the patients’ ulcers will be examined for any changes in the area and depth of the ulcer and microbiological control will be assessed.

 

Steve Parkinson, President & CEO of Lakewood-Amedex, said, “We are very pleased to be embarking upon our second clinical trial in treating DFUs. In our previous experience evaluating Nu-3 for the treatment of patients with infected diabetic foot ulcers, Nu-3 was well-tolerated with no reported adverse events related to treatment. While this previous dose-escalating study was not powered to generate statistically significant efficacy data, it did demonstrate an encouraging efficacy trend. Patients treated with 2% Nu-3 solution for seven days had a 65.5% reduction in ulcer area versus a 29.9% reduction in the placebo arm, as measured 14 days after treatment began. In addition, 62.5% of patients treated with 2% Nu-3 saw a reduction in the microbiological load, versus 20% in the placebo. Now our Phase 2 dose-escalating study will build on the foundation of the previous clinical trials by using a longer treatment duration of 28 days, a higher concentration of 5% followed by 10% Nu-3, as well as an improved Nu-3 gel formulation, all of which we expect will offer a better delivery of Nu-3 and treatment of nonhealing wounds. The impact of both topical and systemic infections remains a tremendous burden on the healthcare system. We believe our commitment to further developing our proprietary, antimicrobial Bisphosphocins technology platform with efficient, localized treatment of serious infections, often caused by antibiotic-resistant pathogens, both gram-positive and gram-negative, will enable healthcare providers to more safely and effectively address a host of bacterial infections that are currently proving challenging using conventional approaches.”

 

“Dr. Felix Sigal, who is one of the most distinguished specialists in the field of diabetic limb salvage, is on staff at both the Hollywood Presbyterian Medical Center and the California Hospital Medical Center. He focuses on wound care and diabetic limb salvage, while pursuing his interest in clinical research to enable better treatment options for his patients. We are pleased to report that Dr. Sigal has now enrolled the first patient in this Phase 2 study evaluating the use of Nu-3 gel in the treatment of diabetic foot ulcers,” said Sumita Paul, MD, MPH, MBA, Chief Medical Officer & Senior Vice President of Research & Development at Lakewood-Amedex Inc. “There will be 12 patients treated with the Nu-3 gel in each of the two cohorts and with a smaller placebo treated group.”

 

About Lakewood-Amedex, Inc.

Lakewood-Amedex is a privately held, clinical stage pharmaceutical company developing a broad portfolio of first-in-class antimicrobial and antifungal therapeutics called Bisphosphocins. The company’s products and technology are covered by an extensive patent portfolio consisting of granted and/or issued patents and pending patent applications covering many major pharmaceutical markets. The company’s lead therapeutic candidates are novel synthetic broad-spectrum antimicrobials proven to be effective in killing a wide range of Gram-positive, Gram-negative and antibiotic-resistant bacteria and all fungal strains tested. Nu-3 has already completed a Phase 2a clinical trial in patients with infected diabetic foot ulcers. For more information, https://lakewoodamedex.com.

 

This press release contains forward-looking statements that can be identified by terminology such as “expects,” “potential,” “suggests”, “may”, “will” or similar expressions. Such forward-looking statements regarding our business, which are not historical facts, are “forward-looking statements” that involve risk and uncertainties, which could cause the Company’s actual results and financial condition to differ materially from those anticipated by the forward-looking statements. The Company does not undertake to update forward-looking statements to reflect the circumstances or events that occur after the date the forward-looking statements are made.

 

Contacts
Tiberend Strategic Advisors, Inc.

 

Investors
Lisa Sher
lsher@tiberend.com

 

Media
Dave Schemelia
dschemelia@tiberend.com

 

SOURCE Lakewood-Amedex Inc.

 

This article was originally published here

Diagnostic thresholds for absolute systolic toe pressure and toe-brachial index in diabetic foot screening

Chuan Guan Ng 1, Cherry Ya Wen Cheong, Wan Chin Chan, Sean Wei Loong Ho, Melissa Susan Li Ann Phua, Khalid Anuar

 

Abstract
Introduction: Identifying peripheral arterial disease (PAD) during diabetic foot screening (DFS) is crucial in reducing the risk of diabetic foot ulcerations and lower limb amputations. Screening assessments commonly used include absolute systolic toe pressure (ASTP) and toe-brachial index (TBI). There is a lack of research defining the threshold values of both assessment methods. We aimed to compare the accuracy of ASTP and TBI and establish optimal threshold values of ASTP and TBI with reference to the internationally accepted ankle-brachial pressure index (ABPI) screening test, for a multiethnic diabetic population in Singapore.

 

Methods: A retrospective, observational study of DFS results from January 2017 to December 2017 was conducted. Receiver operating characteristic analysis was conducted for ASTP and TBI using the internationally accepted ABPI cut-off value of ≤0.9 to indicate PAD.

 

Results: A total of 1,454 patients with mean (standard deviation) age of 63.1 (12.4) years old were included. There were 50.8% men and 49.2% women, comprising 69.7% Chinese, 13.5% Indian, 10.1% Malay and 6.7% other ethnicities. Areas under the curve for ASTP and TBI were 0.89 (95% confidence interval [Cl] 0.85-0.94) and 0.94 (95% Cl 0.90-0.98), respectively, and the difference was statistically significant (P<0.001). Derived optimal threshold values to indicate ABPI≤0.9 for ASTP and TBI were <95.5mmHg (specificity 0.86, sensitivity 0.84) and <0.7 (specificity 0.89, sensitivity 0.95), respectively.

 

Conclusion: ASTP or TBI may be used to detect ABPI-determined PAD in DFS. The optimal threshold values derived from a multiethnic Asian diabetic population were <95.5mmHg for ASTP and <0.7 for TBI.

This article was originally published here

Foot Health Awareness: Hyperbaric Oxygen Therapy’s Critical Role In Limb Preservation

CūtisCare Shares How HBOT is Impacting Limb Preservation

 

BOCA RATON, Fla., April 5, 2022 /PRNewswire/ — CūtisCare USA, a leading provider of wound care management services to hospitals and physicians, is raising awareness through its Hyperbaric Aware initiative of the successes we have seen with limb preservation when hyperbaric oxygen therapy, HBOT, is a part of a treatment plan. Diabetes is a complex disease to treat and manage. However, we are starting to see amputation rates decline when HBOT is incorporated into the treatment plan for those with chronic wounds. Research shows that the vast majority of non-traumatic amputations to the lower extremity are preventable, making the need for diversification in treatment plans stronger than ever before.

 

When administered correctly, pressurized oxygen helps speed cell repair and form new blood vessels from just one treatment. Repeated exposure gives a lifeline to ischemic tissue and promotes the healing process of chronic wounds, specifically those suffering from diabetic foot ulcers.

 

There are approximately 200 non-traumatic lower-limb amputations performed each day in the United States associated with diabetes. These patients often experience restrictions to the supply of blood needed to support healthy tissue due to restricted circulation. As a result, amputation was far too often the only option for seriously infected wounds that were unresponsive to treatment.

 

Experts in the field are incorporating hyperbarics as an adjunct therapy. Dr. Louis Pilati, MD, Kettering Medical Center Network and CutisCare Medical Advisor Board physician, recommends the use of HBOT for patients suffering from diabetic foot wounds and has become an advocate for HBOT after seeing the results firsthand. “Use of hyperbaric oxygen in treating these patients has been shown to reduce the risk of major amputation. These patients are complicated and require a team approach. This should include vascular surgery, foot and ankle surgeons, and infectious disease specialists along with the wound care and hyperbaric medicine team.”

 

There is hope for this vulnerable patient population. Healthcare systems that have established dedicated healthcare clinics that are using HBOT are showing significant reductions in amputation rates. CūtisCare offers hospitals customized management solutions to begin providing next-level care for their patients. Committed to the growth and success of each hospital or physician practice. Visit cutiscare.com to access more information regarding the benefits of hyperbaric oxygen therapy, or even to find a CutisCare Wound Care Center of Excellence.

 

About CūtisCare

Headquartered in Boca Raton, Florida, CūtisCare works with hospitals, academic medical centers, hospital systems, and physicians to design customized outpatient and office-based 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 or CutisCare LLC | LinkedIn.

 

Media Contact: Kelly Caceres, (904) 446-0708, kcaceres@cutiscareusa.com

MolecuLight i:X® Receives Regulatory Clearance and Reimbursement in South Korea

KOVE Inc. to Distribute the MolecuLight Product Suite to Large South Korean Wound Care Market

 

Toronto, CANADA and Seoul, SOUTH KOREA – (April 6, 2022) MolecuLight Inc., the leader in point-of-care fluorescence imaging for real-time detection of wounds containing elevated bacterial loads, and KOVE Inc., announce that the MolecuLight i:X® device has successfully received regulatory clearance and is now commercially available to the wound care market in South Korea. In addition, the MolecuLight device has also received reimbursement in Korea from the Ministry of Health and Welfare enabling clinician reimbursement for performing the medically necessary MolecuLight procedure.

 

Reimbursement for the MolecuLight procedure was granted by the Ministry of Health and Welfare of Korea, as per the notification number 259-858. This was announced based on Reimbursement data from the Korea New Medical Technology – Stability and Effectiveness Evaluation.

 

MolecuLight is exclusively distributed in South Korea by KOVE, Inc., a company specializing in providing novel products that assist in the treatment of diabetic foot ulcers in Korea including medical devices that assist with the diagnosis and treatment of wounds. KOVE’s team of clinical and technical support specialists have more than 30 years of experience in medical devices and wound care. KOVE also performs clinical research with many university hospitals in Korea.

 

The South Korean market for wound care is significant and can be understood through the pervasiveness of diabetes and diabetic foot ulcers. There are over 5 million Koreans with diabetes1, or 1 diabetic in every 30 adults. 25% of all diabetics also have a diabetic foot ulcer.

 

“The market for the MolecuLight device is significant in South Korea as there is a comprehensive and progressive health care system that quickly adopts new and clinically useful technologies”, says JUNHYOUNG LEE, CEO of KOVE, Inc. “Because of the high national insurance coverage for medical procedures, Korean patients readily visit hospitals to treat ailments and physicians are motivated to treat and monitor wounds until they are fully healed. The MolecuLight technology provides real-time actionable information on wound bioburden and allows clinicians to make bedside decisions quickly. It will be well-received by the South Korean medical community. Significant demand for the MolecuLight device has been verified through market research conducted over the last 12 months as part of the registration and reimbursement process.”

 

“We are most impressed with KOVE, Inc., with their very experienced and responsive team and with their close relationship with the wound care community in South Korea”, says Anil Amlani, MolecuLight’s CEO. “We believe that the speed with which the MolecuLight i:X received both registration and reimbursement shows the quality of our clinical evidence and the proven clinical outcomes that clinicians can achieve using the MolecuLight device. We are confident that South Korea will become a major market for MolecuLight”.

 

MolecuLight’s broad body of clinical evidence includes 55+ peer-reviewed publications, including over 1,400 patients under study, showing the significant benefit of the MolecuLight i:X® to wound care clinicians in all care settings.

 

To request a quotation or a clinical demonstration of the MolecuLight i:X in South Korea, please email junhglee1211@gmail.com or call +82.55.384.2600.

 

References:
1Korea National Statistical Office

 

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 of wounds containing elevated bacterial burden (when used with clinical signs and symptoms) 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.

 

About KOVE, Inc.
KOVE, Inc. is a company specializing in the diagnosis and treatment of diabetic foot ulcers and wound-related medical devices. It has been conducting continuous clinical research and presentations with many university hospitals in Korea.

 

For more information, contact:

Rob Sandler                                                  JUNHYOUNG LEE

Chief Marketing Officer                             CEO

MolecuLight Inc.                                          KOVE, Inc.

T. +1.647.362.4684                                     Tel: 82.55.384.2600

rsandler@moleculight.com                       junhglee1211@gmail.com

www.moleculight.com                               http://kovekorea.com/

1. https://moleculight.box.com/s/03xcwbw0lwd777yt8jyy50bl72w3cbv4
MolecuLight i:X being used by 2 wound care clinicians on 2 patients in a wound care centre to assess whether their patients’ wounds have elevated bacterial burden.

2. https://moleculight.box.com/s/jbbcbb3hx8pmtbykl2vqkp3q11r6065m
MolecuLight i:X also has the benefit of engaging patients in their own wound care.

Dermatology and wound research: targeting inflammation through cooperation and collaboration

New paradigms and advances in medical and translational science are often found at the boundaries of knowledge where multiple disciplines overlap. The ability to examine an issue or problem from a novel perspective may lead to insights and solutions not previously considered. Inflammation, both its mechanism and treatment, is a core tenet of wound research and is also central to a variety of dermatological conditions which are often encountered in the wound care setting … read more

Wound fluid sampling methods for proteomic studies: A scoping review

Joe Harvey BSc(Hons), Kieran T. Mellody PhD, Nicky Cullum PhD, RGN, Rachel E. B. Watson PhD, Jo Dumville PhD

 

Understanding why some wounds are hard to heal is important for improving care and developing more effective treatments. The method of sample collection used is an integral step in the research process and thus may affect the results obtained. The primary objective of this study was to summarise and map the methods currently used to sample wound fluid for protein profiling and analysis. Eligible studies were those that used a sampling method to collect wound fluid from any human wound for analysis of proteins. A search for eligible studies was performed using MEDLINE, Embase and CINAHL Plus in May 2020. All references were screened for eligibility by one reviewer, followed by discussion and consensus with a second reviewer. Quantitative data were mapped and visualised using appropriate software and summarised via a narrative summary. After screening, 280 studies were included in this review … read more

Wounds and Immunosuppression

Terry Treadwell, MD, FACS

As technology improves and patients with more complicated problems are living longer, treating wounds in these patients is becoming more challenging, not because of the wounds specifically but because of the comorbidities and associated treatments. Our center regularly sees patients with a wound or ulcer who are also undergoing immunosuppression therapy. Patients with pulmonary disease, inflammatory diseases such as rheumatoid arthritis, skin diseases, and others take medication that influences the immune system. The more challenging patient population involves those who have received a transplant. In our practice in Alabama, there are many patients who have had kidney transplants due to the high rate of diabetes … read more

10 Things to Know About Hyperbaric Oxygen Therapy

With two more indications approved by the FDA in 2021, hyperbaric oxygen (HBO) therapy continues to gain wide acceptance as an adjunct modality for problematic wounds. During the 2021 Symposium on Advanced Wound Care fall meeting, Jayesh B. Shah, MD, the president of South Texas Wound Associates, in San Antonio, shared the top 10 things that every provider should know about HBO therapy. They include the differences between topical and systemic HBO therapy, as well as various indications, contraindications and side effects … read more

Feasibility of Virtual Simulation-Based Diabetes Foot Care Education in

Patients with Diabetes in Ethiopia: Protocol for a Randomized Controlled Trial

 

Fisseha Zewdu Amdie, Marian Luctkar-Flude, Erna Snelgrove-Clarke, Monakshi Sawhney, Shitaye Alemu, Kevin Woo

 

Diabetes mellitus is a rapidly growing global public health problem; the number of adults with diabetes is expected to increase from 424.9 million in 2017 to 628.6 million in 2045. Approximately 80% of diabetic patients live in low- and middle-income countries where access to care may be limited. For example, in Ethiopia, diabetes care is often rudimentary, and formal, structured diabetes education is almost non-existent. One potential solution to the lack of diabetes management education for patients could be virtual simulation-based diabetes education incorporating the contextual realities of patients in Ethiopia. Despite its great potential to improve glycemic control, delay diabetes-related complications and reduce mortality associated with diabetes, the feasibility of virtual simulation-based diabetes self-management education has not been studied in low … read more

A Comparative Study on Efficacy of Negative Pressure Wound Therapy

Versus Standard Wound Therapy for Patients With Compound Fractures in a Tertiary Care Hospital

 

Background: Orthopedic surgeons face a difficult task in treating serious open fractures, which usually result in complications, morbidity, and even amputation. Compound fracture wounds were traditionally treated with a standard saline dressing. To avoid infection and problems during therapy, several studies found that open fractures require early skeletal stability as well as soft tissue repair. In favoring the above fact vacuum-assisted closure (VAC) is now undergoing a paradigm shift. With this background, this study aimed to compare the effects of VAC dressing versus standard wound dressing on compound fracture wounds … read more

Blueberry extract may aid wound healing

Treating wounds with an extract taken from wild blueberries may improve healing, according to a new study. The research will be presented this week in Philadelphia at the American Physiological Society’s (APS) annual meeting at Experimental Biology 2022 … More than $50 billion is spent on wound care each year. Chronic wounds, such as diabetes-related sores and pressure ulcers, may be categorized as “nonhealing” due to the reduced vascularization (development of nutrient-rich blood vessels) that often accompanies these conditions. Vascularization is necessary for wound healing … read more

Researchers develop footwear technology to prevent diabetic foot ulcers

To prevent diabetic foot ulcers, research scientists at The University of Texas at Arlington have developed footwear technology that relieves pressure on areas of the feet that experience high stress during walking and other activities … Muthu Wijesundara, principal research scientist and head of the Division of Biomedical Technologies at the University of Texas at Arlington Research Institute (UTARI), and his team have received a patent from the United States Patent and Trademark Office for a dual-layer insole apparatus for diabetic foot lesion prevention. The technology was developed in partnership with the University of North Texas Health Science Center … read more

New Janssen Initiative Aims to Advance Equitable Care and

Address Hidden Threat of Amputation Related to Peripheral Artery Disease (PAD)

 

TITUSVILLE, N.J. – The Janssen Pharmaceutical Companies of Johnson & Johnson today announced the launch of Save Legs. Change Lives. Spot Peripheral Artery Disease Now, a multi-year initiative aimed at creating urgency and action to address the hidden threat of peripheral artery disease (PAD)-related amputation, with an initial focus on reaching Black Americans, who are more than twice as likely to be impacted by PAD.1 Janssen has joined forces with leading professional associations, healthcare systems and community organizations to advance equitable care for individuals and communities placed at an increased risk for cardiovascular disease in the U.S.

 

‘Save Legs. Change Lives. sets in motion a vision for more relevant, trusted and inclusive care for everyone affected by PAD,’ said Avery Ince, M.D., Ph.D., Vice President, Medical Affairs, Janssen Cardiovascular & Metabolism, Janssen Scientific Affairs, LLC. ‘As part of Johnson & Johnson, Janssen believes that major corporations have the power – and therefore the responsibility – to tackle pressing health challenges and make good health a reality for all people. We hope our efforts will inspire action to reduce amputations among people living with PAD.’

read more

Resarcio LLC launches new website

The name Resarcio was chosen because of its Latin meaning: to mend, renew, and rebuild.

 

Resarcio LLC, is a small, woman owned business. Rubina Heard and Hollie Headington established Resarcio LLC as a response to the need of providing new innovative products to the healthcare market.

 

Dermavest®
A Vital New Approach to Wounds, Ulcers, Burns, and Surgical Needs

 

Dermavest® is a replacement or supplement for damaged or inadequate integumental tissue for wounds, burns, and ulcers. Dermavest® wound treatment with highly effective outcomes. Our regenerative medicine products are developed in a unique proprietary process to maximize the retention of cell attachment proteins and growth factors and transform human tissue into biologics for therapy …

 

Dermavest® Product Information

Visit the new Resarcio website

The Peskin collaborative for advanced wound/surgical healing

Prof. Brian Scott Peskin, BSc., M.I.T.

A New Era in Expedited Healing Regardless of Underlying Etiology

 

Less Scarring
Fewer Patient Post-Ops
25%-35% Faster Healing
with Essential EFAs

Italian Plastic / Reconstructive Surgery Case Series Study (Italian Translation)

 

In my practice as a Plastic Surgeon, I have found myself understanding that to
obtain good postoperative results according to the intensity that varies from minor
to major operations (the majority are very intense operations) the repair phlogistic
resolution, edema and the scar tissue are all key factors to success.
My results have improved according to the use of new surgical techniques as well as
the use of antibiotics and antiphlogistic drugs.


However, I must point out a new major factor that
improved greatly my patients’ surgical results
after introducing certain “essential fatty acids” 15 days
prior to 30 days after surgery.


The level of tissue repair is what I look for especially in my practice and having the
trial opportunity of five patients using Brian Peskin’s EFA recommendations, I
found in all five patients an enormously improved result with better recovery by
just assuming a simple prescribed medical therapy with his EFA-based
recommendations.

 

Unlike fish oil, which causes excessive bleeding, Brian Peskin’s Protocol does not
cause excessive bleeding. In fact, it makes surgery easier and improves patient
recovery.

 

This improved recovery included:

  1. Faster healing
  2. Less inflammation
  3. Less scar tissue
  4. Less pain to the patient

I finally believe and feel it is necessary to continue this very interesting tissue repair
in the near future.

 

Dr. ANDREA RONCARATI FERRARA-Via Montebello 1 tel: 0532/200234 Specialista in
Chirurgia Plastica RAVENNA-Viale Cilla 20 tel: 0544/456511 Ricostruttiva ed Estetica
info@roncaratiandrea.it

read more (PDF)

Peskin Pharmaceuticals© website

Wound Care Community: Let’s Make Our Voices Heard to Drive Payer and Regulator Acceptance of Real-World Evidence

Marcia Nusgart, RPh

 

If you treat Medicare patients, you appreciate how a morass of complex coverage and payment regulations can dictate the care you provide. Payer coverage and payment regulations specify which technologies and procedures wound care clinicians can offer their patients, which ones they will (or will not) be reimbursed for, and at what level. Concerningly, coverage policies may be often outdated and/or out of step with scientific guidelines and current clinical practice. Underlying many policies that restrict coverage is a lack of shared clarity across researchers, regulators and payers surrounding what type and how much clinical evidence payers need in order to cover wound care products and procedures … read more


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Minimizing donor-site morbidity following limbs’ injuries with keystone perforator island flap reconstruction

Timea H. Virág MD, Maximilian V. Muntean MD, PhD, Alexandru V. Georgescu MD, PhD

 

Plastic surgeons strive to choose better techniques to reconstruct the defects of the limbs, minimizing the wound healing problems, improving the aesthetic and functional outcome with less complications. This study refers to the use of keystone perforator island flap in limbs’ reconstruction, their harvesting technique to minimize donor-site morbidity, maximize the functional and cosmetic outcome, and will point on the most important indications and advantages. Between January 2014 and June 2020, a number of 28 cases were treated in our department, with simple or complex defects of the limbs. The database included patients’ demographics, comorbidities, etiology, characteristics of the flap, surgical factors, follow-up period, flap outcomes. We performed 28 keystone perforator island flaps, 14 of Type I, 12 of Type IIA, 1 of Type III, 1 of Type IV, with an average size of 69 cm2 (ranged from 1.25 cm2 to 318 cm2). Trauma was the major cause of the defects. One flap exhibited approximately 4% partial superficial necrosis. All donor sites healed without any adverse events. All patients were satisfied with the functional and aesthetic results. The keystone perforator island flaps provide a simple and effective method of wound closure by using tissues of similar texture, thickness, color. Preserving the main artery and the underlying muscle this flap reduces the donor site morbidity. The use of keystone perforator island flaps seems to be one of the most suitable choices whenever possible … read more


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Pain Scales: Are They Legit?

Jarrod Shapiro, DPM, FACFAS, FACPM

 

“Dr X, my foot really hurts.”

“I’m sorry to hear that,” says Dr. X. “On a scale of 0 to 10, with 10 being the worst possible pain, how would you rate your pain?”

“It’s an 11. Yes, definitely an 11.”

I’m not sure how many times in my practice I’ve experienced something like the above conversation. Pain is the most common reason patients see physicians, yet it is a subjective complaint with many complexities. We call pain the 5th vital sign, and we are instructed to assess the severity of pain, but I often find this method to be challenging due to its subjectivity … read more


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Call to wean off Adverse Effects of Skin Pressure to drive the Pressure Ulcer Devices market

Pressure ulcers, better known as decubitus or bedsores, come across as injuries to the skin as well as the underlying tissue that is an outcome of skin being subject to prolonged pressure. They generally occur on the bony parts like the buttocks, elbow, back, ankles, heels, and shoulder. Those not able to move are more prone to pressure ulcers. If identified at early stages, sepsis, cellulitis, joint and bone infections, or cancer could be prevented, as stated by Persistence Market research in its latest market study entitled “Pressure Ulcer Devices Market”. This is where pressure ulcer devices play an active role … read more


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Internet-Based Patient Education Materials Regarding Diabetic Foot Ulcers: Readability and Quality Assessment

David Michael Lee, Elysia Grose, Karen Cross

 

While diabetic foot ulcers (DFU) are a common complication of diabetes, little is known about the content and readability of online patient education materials (PEM) for DFU. The recommended reading grade level for these materials is grades 6-8. The aim of this paper was to evaluate the quality and readability of online PEM on DFU … read more


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The Importance of Standardization in Pressure Injury Risk Assessment

Pressure injuries are common among patients who experience extended exposure to pressure on a bony prominence or shear to areas of poor turgor, two factors that lead to constriction of a patient’s blood supply to the exposed area. A patient who is bedridden or has certain chronic conditions, such as diabetes,1 is more likely to develop a pressure injury. When mechanical force is imposed on the skin, it can result in poor blood flow and damage to the bone-muscle interface, thus making tissue sensitive and painful. For patients with limited mobility, this can be especially frustrating because they may not be able to adjust positions or medical equipment. If pressure injuries are left untreated or unnoticed, they can also become infected and even enter muscle and bone. Risk assessment tools are available to assess pressure injury risk and can work in tandem with practice standardization, thereby leading to effective treatment plans for practitioners and patients … read more


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Applying a Silver-containing Dressing to the Incision Site and Its Effect on the Development

of Surgical Site Infection After Ostomy Closure: A Prospective Randomized Clinical Pilot Study

 

Tezcan Akin MD, Murat Kendirci MD, Ali Emre Akgün MD, Erdinç Çetinkaya MD, Sadettin Er MD, Merve Akin MD, Ahmet Çinar Yasti MD

 

Surgical site infections (SSIs) can occur after colorectal surgery. Ionic silver has been used to prevent the development of SSIs. New-generation dressings, defined as total occlusive ionic silver–containing dressings, have been shown to reduce bacterial colonization in SSIs. PURPOSE: To evalute the effect of a silver hydrofiber dressing on the development of SSIs at the abdominal incision after ostomy closure … read more


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Trials of new gene therapy cure ‘butterfly children’ of open wounds that had not healed for years

An experimental treatment created by researchers at Stanford University uses an engineered herpes virus to start production of the missing collagen VII protein, which stops the epidermis and dermis from separating … A gene therapy applied directly to the skin has cured nine patients who were suffering from a rare disease that causes blistering, wounding and scarring as a result of even the lightest contact. Some lesions can remain open for years without closing … read more


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Characteristics of Diabetic Foot Ulcer Patients Pre- and During COVID-19 Pandemic

Lessons Learnt From a National Referral Hospital in Indonesia

 

Abstract
Background: Diabetic foot ulcer (DFU) is one of the most terrifying diabetic complications for patients, due to the high mortality rate and risk for amputation. During the COVID-19 pandemic, many diabetic patients limited their visits to the hospital, resulting in delays for treatment especially in emergency cases.

 

Objective: This study aimed to compare the characteristics of patients with DFU pre- and during COVID-19 pandemic period. Methods: This study was a retrospective cohort study using foot registry data. We compared our patients’ characteristics pre-COVID-19 pandemic period (1 March 2019-28 February 2020) and during COVID-19 pandemic period (1 March 2020-28 February 2021).

 

Results: Cohorts of 84 and 71 patients with DFU pre- and during COVID-19 pandemic period, respectively, were included in this study. High infection grade (66.7% vs 83.1%, P = .032), osteomyelitis event (72.6% vs 87.3%, P = .04), leukocyte count (15 565.0/μL vs 20 280.0/μL, P = .002), neutrophil-to-lymphocyte ratio (7.7 vs 12.1, P = .008), waiting time-to-surgery (39.0 h vs 78.5 h, P = .034), and number of major amputation (20.2% vs 39.4%, P = .014) were significantly higher during the COVID-19 pandemic period.

 

Conclusion: During the COVID-19 pandemic, patients with DFU had more severe infection, higher proportion of osteomyelitis, longer waiting time for getting surgical intervention, and higher incidence of major amputation.

 

Keywords: COVID-19; amputation; diabetic foot ulcer; infection; mortality; waiting time to surgery.
from PubMed


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Ex-prisoner says Allegheny County Jail’s lack of care caused him to lose his leg

A person formerly incarcerated at the Allegheny County Jail has filed a lawsuit against multiple members of the jail’s medical staff alleging that a lack of medical treatment in the facility led to the amputation of his leg … In 2011, McCray was shot in the spine, which caused him to lose one of his kidneys and develop a drop foot, which due to dragging of the foot and numbness, made him more susceptible to developing ulcers on his foot, the lawsuit said … read more


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Pyoderma case study from Pure&Clean

Pure Clean
  • 86 year old female
  • Ankle Wound – Pyoderma Gangrenosum
  • After four years of treating using Santyl, honey, silver products, alginates, Aquacel Ag, Bactroban, sharp debridement, etc.
  • Positive biopsy for PG, Autoimmune disease (lupus) common comorbidity associated with PG
  • A home health, wound-care nurse treated 1.5 years
  • Patient now self-treating
  • Occasional visit to rheumatologist 40 mg of oral steroids
  • Wound healed in only 5 months with Pure&Clean
Pure Clean Photos

UA Surgeon Armstrong Urges New Focus on Diabetic Ulcers

Remission — rather than repair — needs to be the goal of treatment, according to Dr. David Armstrong, whose report on diabetic foot ulcers appears in the New England Journal of Medicine … Foot ulcers are a prevalent complication for millions of people with diabetes. Estimates indicate that as many as one-third of people with the disease will develop at least one foot ulcer over the course of their lifetime. These wounds can lead to further complications such as strokes, heart attacks, infections, loss of limbs and premature death … Yet, the morbidity and mortality directly associated with foot ulcers often go unrecognized by physicians and patients alike. Currently, the clinical focus is on repairing an ulcer’s surrounding tissue and healing the wound … read more


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RedDress Donates FDA-Cleared Wound Care Solution to Aid Injured Ukrainians

RedDress, a Florida-based Israeli medical company is shipping revolutionary blood-clotting wound care systems to Ukraine to help with serious injuries and severe trauma wounds … RedDress began shipments of 400 of their ActiGraft systems this week to multiple hospitals in Ukraine to help treat civilian casualties as a result of the indiscriminate Russian attacks … read more


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Tell-tale signs of diabetic foot — a common condition that’s a leading cause of amputation

The condition diabetic foot affects about half of people with
diabetes. It’s a type of peripheral neuropathy, where certain nerves in the body are damaged, triggering numbness, tingling, pain, or loss of sensation. In this case, symptoms occur in the feet leading to poor blood circulation, which causes wounds to heal slower and can trigger changes in the shape of the feet and toes. “This can be a serious condition, because peripheral neuropathy can lead to increased falls, cause pain, and lead to decreased quality of life,” says Kevin Springer, DPM, a podiatrist at The Ohio State University Wexner Medical Center … read more


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Managing Challenging Biofilms in Horse Wounds

by Christa Lesté-Lasserre, MA

 

Aggressive early treatment can help horses recover from wounds afflicted with these persistent bacterial conglomeration … Packed with well-protected pathogenic (disease-causing) bacteria, biofilms can form spontaneously on wound surfaces and in deeper wound layers, creating significant challenges for both the equine patient and the treating veterinarian … A biofilm’s resistant matrix makes it tough to treat with antimicrobials and allows it to evade the body’s immune response, resulting in wounds that get larger instead of healing, said Lynn Pezzanite, DVM, MS, PhD, Dipl. ACVS-LA, assistant professor of equine emergency and critical care at Colorado State University’s … read more


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Understanding the Risk: Asian Americans and Diabetes

by Joanne Saunders

 

Why do Asians and Asian Americans face an increased risk for diabetes and prediabetes? Joanne Saunders shares her father’s diabetes story to help shed light on this concerning problem … My father (pictured here with his grandson) was a 67-year-old Chinese American who immigrated to the United States in 1971. At 5’5” and approximately 150 pounds, he entered the emergency room on July 30, 2017, complaining of a severe headache, vomiting, and nausea … read more


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First ever gene therapy gel corrects rare genetic skin condition

Peter Marinkovich MD, director of Stanford Medicine’s Blistering Disease Clinic

 

Stanford researchers have been working on gene therapies for epidermolysis bullosa, or “butterfly disease,” for over a decade. A new gel helped wounds heal and stay healed in a clinical trial … A gene therapy gel applied to the wounds of nine people — three of whom were children — with the blistering skin disease epidermolysis bullosa helped the wounds heal and remain healed for several months in a trial headed by researchers at Stanford Medicine … The trial is the first to show that gene therapy vectors for skin diseases can be effective when applied topically. It is also the first trial of gene therapy in children with epidermolysis bullosa … read more


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Synergistically Detachable Microneedle Dressing for Programmed Treatment of Chronic Wounds

Tianqin Ning, Fenghe Yang, Danli Chen, Zhenzhen Jia, Rongqing Yuan, Zhenqin Du, Shuaiyin Liu, Yao Yu, Xiaochuan Dai, Xufeng Niu, Yubo Fan

 

Chronic wounds such as diabetic feet undergo a lifetime risk of developing into incurable ulcers. Current treatments for chronic wounds remain unsatisfactory due to the lack of ideal wound dressings that integrate facile dressing change, long-acting treatment, and high therapeutic efficacy into one system. Herein, a synergistically detachable microneedle (MN) dressing with a dual-layer structure is presented to enable programmed treatment via one-time dressing application. Such a dual-layer dressing MN system (DDMNS) is composed of chitosan (CS) hydrogel dressing (CSHD) on top of a detachable MN patch with a CS tip and a polyvinyl pyrrolidone (PVP) backing substrate incorporated with magnesium (Mg). The synergistic detachment is achieved with the backing Mg/PVP substrate dissolving within minutes due to the local moist environment of the CSHD enhancing the reaction between Mg and inflammation microenvironment. The combined treatment of Mg and panax notoginseng saponins (PNS) loaded in DDMNS achieves antibacterial, neovascularization, and activating a benign immune response so that the three overlapping periods of the inflammation, tissue proliferation, and tissue remodeling of wound healing reach a dynamic balance. This advanced DDMNS provides a facile approach for the programmed treatment of chronic wound management indicating potential value in wound healing and other related biomedical fields.

 

Keywords: chronic wound healing; drug delivery; magnesium; microneedles.

 

from Wiley Press


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Real Talk: When patients make you furious

Kristin Fuller, MD
Mr. K. was a 37-year-old male who I saw in my clinic for uncontrolled type-2 diabetes. Every time he came in, his HbA1c and rapid glucose were off the charts. He had multiple hospital admissions for diabetic ketoacidosis, and already had two toes amputated due to severe peripheral arterial disease, a known diabetes complication … One day, a surgeon called to inform me that Mr. K. was in the hospital and would be undergoing a below-the-knee amputation (BKA) due to extremely poor circulation as a result of poor glycemic control. The surgeon initially tried to blame me for not having my patient on the proper diabetic regimen. I explained that I had consistently tried to work with Mr. K., and he was stubbornly non-compliant with his diet and insulin regimen … read more


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Polypharmacy is Associated with Diabetic Foot Ulcers in Type 2 Diabetes mellitus

This observational study aimed to investigate the relationship between polypharmacy and the existence of diabetic foot ulcers in patients with type 2 diabetes. Methods: Patients with T2DM with and without diabetic foot ulcers who presented to the endocrinology outpatient clinic between August 2020 and November 2021 were involved in the study. Overall, five hundred and twelve patients with T2DM (293 patients with diabetic foot ulcer and 219 patients without diabetic foot ulcer) were included. The exclusion criteria were pregnancy, lactation, type 1 diabetes, patients under 18 years and over 65 years of age, and history of malignancy. The information of drugs administered, demographic and clinical data were obtained from the patient files. The Wagner score was used to evaluate the severity of ulcers … read more


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Efficacy and Safety of Topical Solution of Diperoxochloric Acid for Neuropathic Diabetic Foot Ulcer

Results from a Phase 3, Multicentre, Randomized, Active-controlled, Parallel-group Study

 

Diabetic foot ulcer (DFU), if untreated, accounts for lower-limb amputations affecting patients’ quality-of-life. Diperoxochloric acid (DPOCL) is known to heal DFU by its antibacterial and fibroblast stimulating activity. This was a phase 3, multicentre, randomized, double-blind, active-controlled, parallel-group study conducted to evaluate the efficacy and safety of topic solution of DPOCL compared with isotonic sodium chloride solution (ISCL). Adult patients with type 1 or 2 diabetes with random blood glucose levels of <250 mg/dL, with ≤ than three full-thickness foot ulcers were enrolled. Primary efficacy endpoint was complete wound closure and secondary was wound surface area. Adverse events were analyzed as safety endpoint. Of 311 enrolled patients, 289 were randomized … read more


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Topical Administration of Lactiplantibacillus plantarum Accelerates the Healing of

Chronic Diabetic Foot Ulcers through Modifications of Infection, Angiogenesis, Macrophage Phenotype and Neutrophil Response

 

This work aimed to evaluate the adjuvant treatment to surgical debridement using topical applications of Lactiplantibacillus plantarum ATCC 10241 cultures in complicated diabetic foot ulcers as compared to diabetic foot ulcers receiving surgical wound debridement. A randomised controlled trial was performed involving 22 outpatients with complicated diabetic foot ulcers that either received surgical debridement (SuDe, n = 12) or surgical debridement plus topical applications of L. plantarum cultures (SuDe + Lp, n = 10) every week during a 12 week treatment period. Compared to patients receiving SuDe, patients treated with SuDe + Lp exhibited significantly increased fibroplasia and angiogenesis, as determined by Masson’s trichrome staining and the study of CD34 cells, α-smooth muscle actin to semi-quantify vascular area, number of vessels and endothelial cells. In addition, a promotion of the polarisation of macrophages from M1 (CD68) to M2 (CD163) phenotype was observed in SuDe + Lp patients with remarkable differences in the tissue localisation … read more


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Piperacillin-tazobactam-Induced Pneumonitis: A Clinical Case Study

William Urbas, DPM, FACFAS, Deep N. Shah, DPM MBA, and Alex Pilkinton, DPM

 

This case study involves a 46-year-old male patient admitted with a localized necrotizing soft tissue infection of the right foot that developed an unusual and rare delayed hypersensitivity pneumonitis from the antibiotic Piperacillin-tazobactam … Drug hypersensitivity reactions present in multiple ways and have various presentations in timing. Piperacillin-tazobactam is a fourth-generation penicillin antibiotic combining a penicillin molecule (piperacillin) with a beta-lactamase inhibitor (tazobactam). Piperacillin-tazobactam is US Food and Drug Administration (FDA)-approved for 30-minute intravenous infusion at 2.25g, 3.375g, or 4.5g doses to help cover a broad spectrum of … read more


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Oleogel S-10 Significantly Improves Epidermolysis Bullosa Wounds at 12 Months

Dedee F. Murrell, MD, details the EASE trial findings presented at AAD 2022, and what the benefit of the novel topical gel may mean for patients with EB

 

A new phase 3 trial assessing a novel topical gel for the treatment of young patients with epidermolysis bullosa (EB) wounds show the birch bark-based product achieved nearly 50% heal of targeted wounds over 12 months … The interim EASE findings, presented in a late-breaking session at the American Academy of Dermatology (AAD) 2022 Annual Meeting in Boston, show birch triterpenes (Oleogel-S10) may provide a unique and broadly-applicable benefit for patients with rare, often deadly skin condition … In an interview with HCPLive at AAD 2022, study author Dedee F. Murrell, MD, director of dermatology at St. George Hospital, USNW, discussed the clinical history of Oleogel S-10 leading … read more


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Transforming Your Practice, Outcomes, and Productivity With Real-time Fluorescence Imaging of Wound Bacteria

presented by Thomas E Serena, MD, FACS, MAPWCA, FACHM and Jeffrey D Lehrman, DPM, FASPS, MAPWCA, CPC, CPMA

 

This webinar will focus on “Keys to Success” for all qualified healthcare professionals who are using, or considering adopting, point-of-care fluorescence imaging of wound bacterial presence, location, and load. Dr Thomas Serena will focus on the clinical impact the fluorescence imaging procedure is having on getting ahead of infection, wound outcomes, and timing of CTP placements. Dr Jeffrey Lehrman will discuss appropriate CPT coding for this procedure and documentation tips to support how and why this procedure is performed on a given patient, as well as the imaging findings … learn more


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Manipulating the microbiome alters regenerative outcomes in

Xenopus laevis tadpoles via lipopolysaccharide signaling

Phoebe A. Chapman, Campbell B. Gilbert, Thomas J. Devine, Daniel T. Hudson, Joanna Ward, Xochitl C. Morgan, Caroline W. Beck

 

Xenopus laevis tadpoles can regenerate functional tails, containing the spinal cord, notochord, muscle, fin, blood vessels and nerves, except for a brief refractory period at around 1 week of age. At this stage, amputation of the tadpole’s tail may either result in scarless wound healing or the activation of a regeneration programme, which replaces the lost tissues. We recently demonstrated a link between bacterial lipopolysaccharides and successful tail regeneration in refractory stage tadpoles and proposed that this could result from lipopolysaccharides binding to Toll-like receptor 4 (TLR4). Here, we have used 16S rRNA sequencing to show that the tadpole skin microbiome is highly variable between sibships and that the community can be altered by raising embryos in the antibiotic gentamicin. Six Gram-negative genera, including Delftia and Chryseobacterium, were over-represented in tadpoles that underwent tail regeneration. Lipopolysaccharides purified from a commensal Chryseobacterium spp. XDS4, an exogenous Delftia spp. or Escherichia coli, could significantly increase the number of antibiotic-raised tadpoles that attempted regeneration. Conversely, the quality of regeneration was impaired in native-raised tadpoles exposed to the antagonistic lipopolysaccharide of Rhodobacter sphaeroides. Editing TLR4 using CRISPR/Cas9 also reduced regeneration quality, but not quantity, at the level of the cohort. However, we found that the editing level of individual tadpoles was a poor predictor of regenerative outcome. In conclusion, our results suggest that variable regeneration in refractory stage tadpoles depends at least in part on the skin microbiome and lipopolysaccharide signalling, but that signalling via TLR4 cannot account for all of this effect … from Wiley


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And I Only Am Escaped Alone to Tell Thee: A Patient’s Experience With Excruciating Pain and Redemption

Richard E. Maddy, PhD

The title for this article is taken from the title of the epilogue of the novel Moby-Dick, whose author, Herman Melville, had taken it from the Book of Job in the King James Bible. Like the fictional protagonist of Melville’s novel, and the messengers who informed the biblical patriarch of his great loss, I too have a message for the readers, borne of personal experience—one of excruciating pain, loss, rescue, and redemption … read more


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Understanding bacterial biofilms

Tagbo Niepa Receives $663K NSF CAREER Award for Work on Biofilm Micromechanics and Metabolic Properties
Biofilms are a ubiquitous, resilient form of microbial life. They can form where liquids and solids meet, like around a knee replacement; where air and liquid meet, like in the lungs; and where oil and water meet, like in an oil spill on the ocean … Because of this extreme versatility, the mechanism of how they grow and adapt to different environments is not yet well understood. But a better grasp of how biofilms can grow and adapt to different environments would not only help mitigate their deleterious health effects but also put them to work for us … read more


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neoplas med GmbH: Superiority of cold atmospheric plasmajet therapy in the treatment of

chronic wounds proven by gold-standard trial

 

Comparative clinical trial shows significant improvement in wound closure and infection control based on treatment with the plasmajet kINPen® MED from neoplas med compared to best practice wound care – cost-effectiveness analysis proves high cost-savings by innovative technology

 

GREIFSWALD, Germany and FELDKIRCH, Austria, March 22, 2022 /PRNewswire/ — The results of a randomized controlled trial (RTC) may offer new opportunities for the approximately two million patients with chronic wounds solely in Germany: The innovative cold atmospheric plasmajet (CAP-jet) technology showed significantly more healing progress in chronic wounds in comparison to best practice (BP) modern wound care at two study centers. Within six weeks, 59 percent of all wounds healed completely under cold plasma treatment compared to only 5.1 percent in patients under BP therapy. Time to complete healing was also considerably shorter under CAP-jet treatment, and wound infections were overcome statistically significant more rapid. With a very good tolerability profile, an economic analysis of the study data also showed a cost saving of 65 percent for the dressing material alone compared to the BP group. The study data were recently published in the journal Nature Scientific Reports.

 

Acceleration of wound healing and wound closure proven

In the study conducted by Prim. Univ.-Professor Robert Strohal, head of the Department of Dermatology and Venereology at the Federal Academic Teaching Hospital Feldkirch, the cold plasma procedure of the Greifswald-based company neoplas med GmbH was scientifically examined in wound care. For this purpose, he compared treatment with the CAP-jet kINPen® MED at the Austrian Federal Academic Teaching Hospitals Feldkirch and Bregenz with current best practice treatment in 78 patients with infected and non-infected wounds. ‘This study was the first to investigate the exclusive effect of tissue accessible cold plasma on wound healing and infection control without the use of an additional standard therapy,’ said Prim. Univ.-Prof. Strohal.

 

After treatment with the CAP-jet, the proportion of healthy tissue increased significantly faster than under the BP treatment and the wounds under CAP-jet therapy also healed significantly faster. At the end of the study, the wound area in the CAP group had reduced by 94.7 percent compared to the baseline value, in the comparison group it was only 56.3 percent. CAP also proved superior in terms of infection control. In contrast to BP therapy, all wounds infected at the start of the study showed complete resolution of infection signs. In addition, the signs of infection disappeared significantly faster under cold plasmajet therapy.

 

Patients’ quality of life can improve

Ulrike Sailer, CEO of the company neoplas med GmbH in Greifswald/Germany, explained: ‘The Joint Federal Committee (Gemeinsamer Bundesausschuss, G-BA) as the central decision-making body of the German health care system already recognized last year the potential of cold plasma for the innovative treatment of chronic wounds at our request. Therefore, the G-BA decided to carry out an observational trial for testing with the aim of obtaining health insurance approval. The results of the clinical trial that now have been published clearly demonstrate the superiority of the CAP-jet kINPen® MED compared to BP wound care. These results provide further evidence for the high clinical relevance of the CAP-jet precision technology. At the same time, it represents important news for millions of people who suffer from chronic wounds for years.’

 

Chronic wounds are often associated with high morbidity and considerable impairments in everyday life as well as the patients’ psyche. Faster wound healing and thus a shorter therapy duration by using the plasmajet kINPen® MED can therefore significantly improve the patients’ quality of life. Furthermore, a lower burden by pain during treatment can be observed, and a reduced number of dressing changes can be assumed. Patients confirmed the very good tolerability and even described the treatment as pleasant in the majority of cases.

 

Significant advantage in treatment costs

A cost-effectiveness analysis based on the available study data showed that 21.4 percent fewer physician visits and 34.3 percent fewer dressing changes were necessary in the CAP-jet group compared to BP. The savings alone in dressing material resulted in a cost advantage for CAP-jet therapy of 64.7 percent compared to BP. Previously, average costs of 10,000 € per patient and year were assumed. Ulrike Sailer: ‘Thus, the cold plasmajet kINPen® MED offers not only a more efficient and tolerable technology, but also opens up the opportunity for significantly higher cost-effectiveness in the treatment of chronic wounds.’

 

Further information material can be found under the following link: https://1drv.ms/u/s!Aph6cOwNbPEJgQCIbClSETCZ_lal?e=BvkuGi

 

Background Information:

The study included 78 patients with wounds up to 10 x 20 cm in size and existing for at least 6 weeks. The patients were randomized in a 1:1 ratio into two groups and treated for the study duration of 6 weeks either with the CAP-jet kINPen® MED (30 seconds per cm2 wound area) or suitable wound dressings according to BP wound care. Only one wound per patient was evaluated.

 

With regard to the treatment regime, CAP-jet therapy was administered 3 times in the 1st week in the CAP group, 2 times in the 2nd week and once a week in the following observation period; furthermore, the wounds were covered with gauze and a secondary dressing. In contrast, the BP group was treated with a wound phase-adapted dressing; infected wounds were additionally cleaned with an antiseptic. In both groups, patients with venous ulcers received compression therapy. The primary endpoint of the study was the amount of granulation tissue at the end of the study. In addition, cold plasma effects on wound infection, wound area, healing time, wound pH and exudate volume (wound fluid) as well as local tolerability were investigated.

 

Improvement in wound infection: All 13 wounds infected at baseline in the CAP-jet group showed complete resolution of infection signs without the need for additional antiseptics. In contrast, 4 of the 18 wounds infected at baseline in the BP group showed no improvement despite the use of antiseptics. Furthermore, the signs of infection decreased significantly faster under CAP-jet therapy compared to BP therapy. These data confirm the previously published evidence on the good antimicrobial efficacy of CAP.

 

Cold plasma is a gas containing ionized atoms, ions and electrons that has been shown to disinfect wounds and activate the wound healing process. With its fine jet, the plasmajet kINPen® MED enables highly precise treatment in anatomically and pathologically challenging areas under visual control and without touching, which is not possible with other wound therapies.

 

About neoplas med GmbH

neoplas med GmbH was founded in 2009 as a spin-off of the Leibniz Institute for Plasma Science and Technology e. V. (INP) in Greifswald, Germany. Ulrike Sailer took over the position of managing director at the end of 2019. Based on the INP research into plasma medicine, the emerging company develops innovative products for medical applications. The first product developed on this basis is the CE-marked kINPen® MED atmospheric pressure plasmajet, the first internationally approved and marketed plasmajet for the treatment of chronic wounds and pathogen-induced skin disorders. It is the result of a long-lasting cooperation with the INP institute, the university hospital of Greifswald, Germany, the Charité hospital of Berlin, Germany, and various industrial partners. In July 2021, the Federal Joint Committee, as the central decision-making body in the self-governing health care system, decided on a trial study with the cold plasmajet procedure and thus took an important step towards reimbursement by the health insurance companies.

 

About kINPen® MED

The plasmajet kINPen® MED is the first atmospheric pressure plasmajet to receive CE approval for the treatment of chronic wounds and pathogen-induced skin disorders. The plasmajet applies a physical cold plasma with a temperature of < 40 degrees Celsius with pinpoint precision and without wound contact. Areas with an uneven profile, recesses or cavities can be reached easily and treated evenly. The noble gas argon used for the generation of the plasma provides a controlled atmosphere around the generated plasma beam, thus ensuring a consistent high treatment quality.

 

Press contact

Claudia Kerber
Phone: +49 3834 515 201
Mobile: +49 (0)162 23 770 70
claudia.kerber@neoplas-med.eu
neoplas med GmbH
Walther-Rathenau-Straße 49a, 17489 Greifswald, Germany

Life and Limb: Advances in the Management of the Diabetic Foot

By Chase Doyle
If untreated or unsalvageable, the diabetic foot requires surgical interventions to address the risks to its viability. However, recent advancements in the field suggest that surgeons may not always have to sacrifice a limb to save a life.

During the 2021 virtual American College of Surgeons Clinical Congress, Lucas M. Ferrer, MD, described the use of endovascular venous arterialization for limb salvage, and William P. Robinson, MD, discussed the timing of foot amputation after revascularization … read more


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Medicaid Expansion Under ACA May Have Reduced Rate of Major Diabetes-Related Amputations

by Patrick Campbell

An analysis of data from 2013-2015 provides insight into the impact of Medicaid expansion under the Affordable Care Act on rate of major diabetes-related amputations and suggests a shift in the distribution of uninsured patients may have driven reductions observed in the study.

Data from a new study are providing clinicians with insight into the effects of the Medicaid Expansion Under the Patient Protection and Affordable Care Act (ACA) on rates of diabetes-related major amputations among racial and ethnic minority adults with diabetes … read more


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Adjunctive topical oxygen therapy for wound healing in patients with peripheral arterial disease

Gennady M Vulakh, Anil P Hingorani, Enrico Ascher, Natalie Marks

 

Abstract
Introduction: While the use of hyperbaric oxygen therapy has been supported by randomized prospective trials for the use of selective lower extremity wounds, it is associated with significant cost, inconvenience, and a small risk of pneumothorax, barotrauma to the tympanic membrane, and severe hypoglycemia. As topical oxygen therapy (tOT) avoids these issues and there is little literature examining its use for patients with peripheral arterial disease (PAD), we reviewed our experience with tOT as an adjunctive technique for wound healing with arterial wounds.

 

Methods: We reviewed our experience with tOT for lower extremity wounds over 8 years. PAD patients with non-healing ulcers were referred to tOT after having revascularization of the limb and/or debridement where appropriate. tOT was administered to affected areas 4 times a week with a local boot that delivered 100% oxygen to the wound at 1.03 atm for 90-min sessions. We had 28 patients with PAD, 57.1% male, and 36 individual wounds. Ages ranged from 37 to 93 (mean 62 ± 13.7). 82% had a history DM, 75% hypertension, and 60.7% hyperlipidemia. 78% had lower extremity arterial angioplasty and 11% had a LE bypass. The remainder had a debridement only and were not candidates for arterial revascularization.

 

Results: tOT duration ranged from 1 to 7 months (mean 3 ± 2). 29% stopped tOT before healing. 25% healed completely. One died during follow-up. Overall, 66% had reduction of the wound area ranging from 12% to 100%. None had major limb amputation. 18% underwent toe amputations. 25% of our patients were lost to follow-up.

 

Conclusion: While these data are from a single-center and are single-armed, they represent the largest reported series of this therapy. This home-based therapy does show promise and warrants further investigation.

 

Keywords: Topical oxygen therapy; ischemic ulcers; pad; peripheral arterial disease; wound healing.

from PubMed


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Interpretable Machine Learning for the Prediction of Amputation Risk Following

Lower Extremity Infrainguinal Endovascular Interventions for Peripheral Arterial Disease

 

Abstract
Purpose: Severe peripheral artery disease (PAD) may result in lower extremity amputation or require multiple procedures to achieve limb salvage. Current prediction models for major amputation risk have had limited performance at the individual level. We developed an interpretable machine learning model that will allow clinicians to identify patients at risk of amputation and optimize treatment decisions for PAD patients.

 

Methods: We utilized the American College of Surgeons National Surgical Quality Improvement Program database to collect preoperative clinical and laboratory information on 14,444 patients who underwent lower extremity endovascular procedures for PAD from 2011 to 2018. Using data from 2011 to 2017 for training and data from 2018 for testing, we developed a machine learning model to predict 30 day amputation in this patient population. We present performance metrics overall and stratified by race, sex, and age. We also demonstrate model interpretability using Gini importance and SHapley Additive exPlanations.

 

Results: A random forest machine learning model achieved an area under the receiver-operator curve (AU-ROC) of 0.81. The most important features of the model were elective surgery designation, claudication, open wound/wound infection, white blood cell count, and albumin. The model performed equally well on white and non-white patients (Delong p-value = 0.189), males and females (Delong p-value = 0.572), and patients under age 65 and patients age 65 and older (Delong p-value = 0.704).

 

Conclusion: We present a machine learning model that predicts 30 day major amputation events in PAD patients undergoing lower extremity endovascular procedures. This model can optimize clinical decision-making for patients with PAD.

 

Keywords: Endovascular intervention; Machine learning; Peripheral artery disease; Risk assessment.

from PubMed


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Factors affecting the incidence and prevalence of pressure ulcers in COVID-19 patients

admitted with a Braden scale below 14 in the intensive care unit: Retrospective cohort study

 

Mahin Amini, Feizollah Mansouri, Kamran Vafaee, Alireza Janbakhsh, Somayeh Mahdavikian

 

The coronavirus (COVID-19) pandemic has caused hospitalisation of patients worldwide with a wide range of clinical complications for a variety of reasons. The most important complication of COVID-19 in hospitalised patients is acute respiratory distress syndrome, which requires patients to use oxygen supply equipment such as a ventilator and a non-invasive ventilation (NIV) mask. COVID-19 patients admitted to the hospitals, especially the intensive care units (ICUs), are prone to pressure ulcers (PUs) as an important and double complication due to multiple complications of the disease such as inactivity, and some degree of immobility and the use of artificial airways. On average, during the corona pandemic in different countries of the world, COVID-19 patients occupy 21% of the ICU admission capacity with an average [95% CI = 6.99-8.63] 7.78 days per patient.3 Increasing the length of hospital stay causes PU and PU, in turn, increases LOS. PU, also called pressure sores or bedsores, causes injuries to the skin and underlying tissue that appear primarily due to prolonged pressure on the skin due to inactivity and factors such as age over 65.5 In particular, second- and higher-grade ulcers increase the length of hospital stay, increase mortality, and shorten patients’ lives and are recognised as an important challenge in the health system. PU causes more than 60 000 deaths annually in the United States.10 Data from a wide study showed that COVID-19 patients need more than three times as much care and attention to the occurrence of PU compared to other hospitalised patients … read more


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Podimetrics Secures $45 Million Series C To Help At-Risk Providers and Health Plans Prevent

Diabetic Amputations in High-Risk Patients

Every 4 minutes in the U.S., a patient loses a limb due to diabetes complications
Black Americans face diabetes-related amputations 3x as often as white Americans
Podimetrics strives to reduce disparities in diabetes care and unnecessary limb loss
SOMERVILLE, Mass., March 24, 2022 — 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 a $45 million Series C round led by D1 Capital Partners, along with two new investors, the Medtech Convergence Fund and an undisclosed strategic investor. Existing investors, Polaris Partners and Scientific Health Development, also participated in the financing. Prior to their Series C, Podimetrics had raised $28.3 million in funding to fuel development and distribution of their SmartMat.

 

With this latest round of funding, Podimetrics plans to focus on hiring to build out their product development and research teams, while also expanding the breadth of services delivered by their nurse support team. This new funding will help even more at-risk providers and health plans drive broader adoption of Podimetrics’ SmartMat so they can improve care outcomes for at-risk patients dealing with diabetic foot ulcers (DFUs) that often lead to amputations.

 

Podimetrics, founded in 2011, developed the SmartMat — the only easy-to-use, at-home mat that a patient steps on for 20 seconds per day. The mat detects temperature changes in the foot, which are associated with early signs of inflammation, often a precursor to DFUs. The FDA-cleared and HIPAA-compliant SmartMat is remotely monitored by Podimetrics’ in-house nurse support team. If the data from the mat are indicative of potential health issues, Podimetrics’ nursing team connects with the patient and the patients’ provider in as close to real time as possible. The SmartMat, which also has the Seal of Approval from the American Podiatric Medical Association, has already been used by thousands of patients through partnerships with leading risk-based healthcare providers and regional and national health plans, such as the Veterans Health Administration.

 

“The patients we serve at Podimetrics are extremely complex and have been largely ignored by our healthcare system,” said Jon Bloom, MD, CEO and Co-founder of Podimetrics. “With our SmartMat and this latest funding, we have the chance to put an end to ‘Civil War’–era amputations with early, home-based detection. We also have the opportunity to improve the overall health and well-being for patients dealing with diabetes because of the close relationship we’ve built through our trusted technology and clinical services.”

 

In a previous multi-center trial, diabetic foot complications were shown to be detected up to five weeks before they presented clinically. Even after one full year, about 70% of patients continued to use the SmartMat regularly. Early detection and related preventive care actions often result in significant cost-savings, too, anywhere from $8,000–$13,000 in savings per member per year (savings estimates based on customer research and analysis). In addition, considering Black Americans and Hispanics are two to three times more likely to require a diabetic amputation than others, Podimetrics’ SmartMat holds the power to help support health equity advancements over time.

 

Recent peer-reviewed research has also suggested the following benefits among patients using the SmartMat at home: 71% elimination of amputations; 52% reduction in all-cause hospitalizations; 40% reduction in emergency department visits; and a 26% reduction in outpatient visits.

 

Building on these notable data-driven findings, most recently Podimetrics published peer-reviewed research in Diabetes Research and Clinical Practice, the journal of the International Diabetes Federation. This research found that during episodes-of-care for DFUs, patients are 50% more likely to die and nearly three times more likely to be hospitalized. What this research shows is that patients with a DFU tend to have multiple other chronic health conditions, putting them at higher risk for hospitalization and even death. In addition, these medically complex patients are often among the costliest patients within a healthcare system. As a result of this research, diabetic foot complications can and should be viewed as indicators of other costly chronic conditions not commonly associated with DFUs.

 

In addition to this research, which was published in January 2022, Podimetrics has already gotten off to a strong start in 2022. The company doubled its revenue for the third year in a row, and also doubled the size of its team.

 

“We are proud to partner with Podimetrics and to support its efforts to save lives and limbs,” said James Rogers, Investment Partner with D1 Capital Partners. “Our growth capital will expand commercialization of the SmartMat which we believe has demonstrated the ability to reduce unnecessary healthcare costs through preventive, risk-based strategies that prioritize high-quality outcomes for vulnerable patients. We believe that Podimetrics is building a strong team and are honored to support its worthy mission.”

 

For more information on Podimetrics and how its FDA-cleared 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 health plans and at-risk providers, such as the Veterans Health Administration and Independence Blue Cross, 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.

 

About D1 Capital Partners

D1 Capital Partners is a global investment firm that operates across public and private markets. The firm combines the talent and operational excellence of a large, premier asset management firm with the flexible mandate and long-term time horizon of a family office. Founded in 2018 by Dan Sundheim, D1 focuses on investing in the global internet, technology, telecom, media, consumer, healthcare, financial, industrial and real estate sectors.

AOTI Receives China FDA Approval for Topical Wound Oxygen (TWO2) Therapy

Providing Renewed Hope for World’s Largest Diabetic Foot Ulcer Population

 

OCEANSIDE, Calif., March 23, 2022 /PRNewswire/ — Advanced Oxygen Therapy Inc. (AOTI), the global leader in noninvasive topical oxygen wound healing solutions, announced today that is has received Chinese National Medical Products Administration (NMPA), commonly referred to as China FDA, approval for its unique cyclically pressurized Topical Wound Oxygen (TWO2) therapy. Making it the only advanced sustained wound healing therapeutic to have achieved such a designation and allowing the company to now commence marketing in China with its local partner.

 

China has the world’s largest Diabetic and resultingly Diabetic Foot Ulcer (DFU) population. The International Diabetes Federation estimates that 10.6% of the Chinese adult population now have diabetes that equates to 141 million people. This represents a 56%, or 50 million person, increase in the last 10 years alone.1 In China, the annual incidence of DFU and Amputation has recently been reported to be 8.1% and 5.1% respectively, representing a staggering 11.4 million ulcerations and 7.2 million preventable lower extremity amputations every year.2

 

AOTI’s globally patented TWO2 homecare therapy has been demonstrated in recently published high-quality Randomized Controlled Trial 3 and Real Word Evidence 4 studies to provide more durable complete DFU healing. Resulting in six-fold reductions in ulcer recurrence, with an unprecedented 88% reduction in hospitalizations and 71% reduction in lower extremity amputations seen over 12 months. Such sustained healing provides patients with renewed hope of limb preservation, while offering significant reductions in healthcare resource utilization with resultant health economic savings.

 

Professor Andrew Boulton, past-President of the European Association for the Study of Diabetes and Professor of Medicine at the University of Manchester, UK and University of Miami, USA, and Chairman of AOTI’s Scientific and Clinical Advisory Board, commented: “Diabetes is one of the fastest growing global health emergencies of the 21st century. It is a real game-changer to finally have clinically proven homecare therapeutics like TWO2 available that make meaningful impact in such critical outcomes as hospitalizations and amputations. Now that TWO2 therapy is authorized in China, the world’s largest diabetic foot ulcer population has a renewed hope for better outcomes.”

 

1 International Diabetes Federation. IDF Diabetes Atlas, 10th Edition. Brussels, Belgium: 2021. Available at: https://www.diabetesatlas.org

 

2 Development and validation of a brief diabetic foot ulceration risk checklist among diabetic patients: a multicenter longitudinal study in China. Zhou, Q., Peng, M., Zhou, L. et al. Nature, Sci Rep 8, 962 (2018). https://doi.org/10.1038/s41598-018-19268-3

 

3 Multinational, Multicenter, Randomized, Double-Blinded, Placebo-Controlled Trial to Evaluate the Efficacy of Cyclical Topical Wound Oxygen (TWO2) Therapy in the Treatment of Chronic Diabetic Foot Ulcers; The TWO2 Study. Robert G. Frykberg et al, Diabetics Care 2020; 43:616-624. https://doi.org/10.2337/dc19-0476.

 

4 Reduced Hospitalizations and Amputations in Patients with Diabetic Foot Ulcers Treated with Cyclical Pressurized Topical Wound Oxygen Therapy: Real-World Outcomes; Jessica Izhakoff Yellin, et al; Advances in Wound Care 2022; http://doi.org/10.1089/wound.2021.0118

 

About AOTI
AOTI is a privately-owned company based in Oceanside, California USA and Galway, Ireland that provides innovative solutions to resolve severe and chronic wounds worldwide. Our products reduce healthcare costs and improve the quality of life for patients with these debilitating conditions. Our patented non-invasive Topical Wound Oxygen (TWO2) homecare therapy is clinically proven to deliver Sustained Wound Healing that reduces both Amputations and Hospitalizations, So Life Can Get Back to Normal.

 

For more information see: www.aotinc.net
Dr. Mike Griffiths
CEO & President
332487@email4pr.com
(760) 672 1920
SOURCE AOTI Inc.

Comparison of oxygenated flow patterns in diabetic foot ulcers subjects and controls in response to breath-holding

Kevin Leiva, Alexander Trinidad, Isabella Gonzalez, Aliette Espinoza, Thomas Zwick, Jason Edward Levine, Magaly Adelaida Rodriguez, Hadar Lev-Tov, Robert Kirsner, Anuradha Godavarty

 

Approximately 34% of people with diabetes will experience a diabetic foot ulcer (DFU) at some point throughout their lifetime. The perfusion of oxygen to the DFU is critical for promoting wound healing and closure. However, complications from diabetes can compromise the oxygenated flow to the wound site. Techniques such as transcutaneous oximetry and laser Doppler imaging have been used to assess perfusion to DFUs at discrete point-locations in the peri-wound. Widearea measurements of temporal oxygenation changes, as an indirect measure of perfusion, can provide additional insight of the oxygenated flow in the (peri-)wound and background tissue. Herein, our objective is to assess the differences in oxygenation flow patterns in and around the DFU regions and in the feet of control subjects as a potential biomarker for monitoring wound healing … read more


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Combined Regenerative Approach for a Complex Lower Extremity Wound: A Case Report

Pedro Salomão Piccinini, Mariana Rodrigues de Sousa Rebelato, Marwan Masri, Carlos Oscar Uebel, Rubem Lang Stümpfle, Milton Paulo de Oliveira

 

A diabetic foot ulcer (DFU) is a multifactorial complication affecting patients with diabetes mellitus (DM). These ulcers have a lifetime prevalence of 25% in this population and represent a major cause of hospitalization.1-4 Diabetic foot ulcers also generate an economic burden on the health care system and severely impact patient quality of life.5,6 Standard of care (SOC) consists of management of comorbidities, evaluation of vascular status and debridement, and provision of daily dressings, pressure offloading, and infection control. However, a majority of DFUs do not heal completely, and some lead to infection and amputation.3,7 Newer wound therapies have been shown to offer better alternatives by promoting angiogenesis to accelerate healing.4-6 In this context, the authors present the case of a patient with multiple comorbidities who presented with a chronic nonhealing plantar wound; while multiple prior treatments failed, the wound was successfully treated with nanofat grafting, negative pressure wound therapy … read more


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The contribution of intestinal Streptococcus to the pathogenesis of diabetic foot ulcers

by Yunyang Wang, Hong Zhang, Guixin Ma, Zibin Tian, Bin Wang

 

An analysis based on 16S rRNA sequencing
In this study, we intend to determine the microbial communities that are differentially expressed in diabetic foot ulcers (DFUs) from the view of species abundance difference and compositions. The EMBL-EBI database and QIIME2 platform were used to obtain and process 16S rRNA sequencing data of normal healthy and DFU samples. The LEfSe software was utilised to retrieve key intestinal bacteria differentially expressed in DFUs. Additionally, PICRUSt2, FAPROTAX and BugBase functional analyses were performed to analyse the potential microbial functions and related metabolic pathways. The correlations between intestinal microbiota and clinical indexes were evaluated using the Spearman correlation analysis. Significant differences existed in intestinal microbiota between DFU and normal healthy samples regarding species abundance difference and compositions at Kingdom, Phylum, Class, Order, Family, Genus and Species levels. Seven microbiota were demonstrated differentially expressed in DFUs that contained Bacteroidaceae, Prevotellaceae, Streptococcaceae, Lactobacillales, Bacilli, Veillonellaceae and Selenomonadales. Insulin signalling pathway may be the key pathway related to the functional significance of Streptococcus and Bacillus in the DFUs. The intestinal microbiota in DFUs exhibited susceptibility to sulphur cycling while displaying pathogenic potential. Last but not least, a close relationship between Streptococcus and the occurrence of DFUs was revealed. Taken together, this study mainly demonstrated the high abundance of Streptococcus in DFUs and its correlation with the disease occurrence … read more


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Navigating Wound Care From Hospital to Home

By Kari K. Harman, RN-C, CCM, CWCA, WCN-C, CSWD-C, ACCWS, DAPWCA
For patients discharged from the acute care setting, the road home can be laden with potholes and speed bumps. The fear of the unknown after being newly diagnosed with a wound or the exacerbation of a health condition can be overwhelming for many patients. Caregivers are likely to have the same feelings as patients. This blog will navigate through some avoidable roadblocks and barriers to ensure a smooth ride home. By establishing manageable expectations and partnering with home health agencies that have proficient wound care programs, the patient and caregiver can genuinely be on the road to recovery … read more


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Lipid Profiling Can Predict the Risk of Diabetes and CVD Years Before Onset

Janet Falade, PharmD Candidate, South College School of Pharmacy

 

The increased risk of having type 2 diabetes (T2D) and cardiovascular disease (CVD) has been a significant concern in the health care sector worldwide. Also, it has been regularly reported by the World Health Organization (WHO) that cardiovascular diseases (CVDs) and diabetes mellitus are part of the ten major leading causes of death globally. Some changes, such as increased blood pressure, cholesterol, and blood sugar level, are usually apparent before the onset of these diseases. Therefore, early detection of individuals at increased risk of having this disease is essential in preventing the disease Incidence. Furthermore, these diseases can influence specific measures like lifestyle changes such as healthy diet and exercise. In addition, machine learning models can help predict the risk of having T2D and CVD. Other factors such as lipid level and blood sugar levels, particularly evaluation of gene variations, protein complements, and metabolome, which includes lipidome, may aid in identifying physiopathology pathways that might be … read more


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Debridement: How Deep Is Too Deep?

Debridement is the process of removing nonviable tissue and foreign objects (such as glass or shrapnel) from a wound bed to help the wound heal.1 Decaying tissue can trap bacteria and lead to a harmful infection such as gangrene, which is the death of body tissue resulting from a lack of appropriate blood flow or in response to a severe bacterial infection.2 Debridement is thus critical to effective wound management … read more


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Five year mortality and direct costs of care for people with diabetic foot complications are comparable to cancer

David G. Armstrong, Mark A. Swerdlow, Alexandria A. Armstrong, Michael S. Conte, William V. Padula & Sicco A. Bus
Diabetic lower extremity complications remain enormously burdensome. Most notably, DFU and LEA appear to be more than just a marker of poor health. They are independent risk factors associated with premature death. While advances continue to improve outcomes of care for people with DFU and amputation, efforts should be directed at primary prevention as well as those for patients in diabetic foot ulcer remission to maximize ulcer-free, hospital-free and activity-rich days … read more


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The Impact and Importance of Public Engagement in Wound Care

by Desmond Bell DPM CWS FFPM RCPS Glasgow
We Are Failing Our Patients With Diabetes” was the title of my article in Today’s Wound Clinic in November 2021. Non-traumatic amputation rates have been rising since 2009, despite technological advancements and ever-increasing levels of evidence .. After having been part of the wound care community for a quarter of a century, I—like many of you—have been looking for solutions and answers not only to improve quality of care, but to reverse this worrisome trend … My takeaway from this is that while technological advancements are critical and helpful, the way to solve this problem is through proactive measures … read more


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Gentiopicroside PLGA Nanospheres: Fabrication, in vitro Characterization

Antimicrobial Action, and in vivo Effect for Enhancing Wound Healing in Diabetic Rats

May Almukainzi, Thanaa A El-Masry, Walaa A Negm, Engy Elekhnawy, Asmaa Saleh, Ahmed E Sayed, Mohamed A Khattab, Dalia H Abdelkader

Download full article (PDF)

Purpose: Gentiopicroside (GPS), an adequate bioactive candidate, has a promising approach for enhancing wound healing due to its antioxidant and antimicrobial properties. Its poor aqueous solubility negatively affects oral absorption accompanied by low bioavailability due to intestinal/hepatic first-pass metabolism. Our aim in this study is to fabricate GPS into appropriate nanocarriers (PLGA nanospheres, NSs) to enhance its solubility and hence its oral absorption would be improved.

 

 

Methods: Normal and ODS silica gel together with Sephadex LH20 column used for isolation of GPS from Gentiana lutea roots. Crude GPS would be further processed for nanospheres fabrication using a single o/w emulsion solvent evaporation technique followed by in vitro optimization study to examine the effect of two formulation variables: polymer (PLGA) and stabilizer (PVA) concentrations on the physical characterizations of prepared NSs. Possible GPS-PLGA chemical and physical interactions have been analyzed using Fourier-transform infrared spectroscopy (FTIR) and differential scanning calorimetry (DSC). The optimum GPS-PLGA NSs have been chosen for antimicrobial study to investigate its inhibitory action on Staphylococcus aureus compared with unloaded GPS NSs. Also, a well-designed in vivo study on streptozotocin-induced diabetic rats has been performed to examine the wound healing effect of GPS-PLGA NSs followed by histological examination of wound incisions at different day intervals throughout the study.

 

 

Results: The optimum GPS PLGA NSs (F5) with well-controlled particle size (250.10± 07.86 nm), relative high entrapment efficiency (83.35± 5.71), and the highest % cumulative release (85.79± 8.74) have increased the antimicrobial activity as it exhibited a higher inhibitory effect on bacterial growth than free GPS. F5 showed a greater enhancing impact on wound healing and a significant stimulating effect on the synthesis of collagen fibers compared with free GPS.

 

Conclusion: These findings demonstrate that loading GPS into PLGA NSs is considered a promising strategy ensuring optimum GPS delivery for potential management of wounds … read more


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High-Tech Footwear May Help Diabetics

North Texas researchers hope their development will help ward off diabetic foot ulcers, which can lead to amputation.
Research scientists at The University of Texas at Arlington have developed footwear technology that may prevent the development of diabetic foot ulcers … People with diabetic neuropathy deal with numbness in their legs and feet and are often unable to detect and respond to stress-related pain by adjusting their foot loading … read more


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Prevalence of Foot At-Risk and its Associated Characteristics among Outpatients with

Diabetes Mellitus in a Peruvian Public Hospital

Marlon Yovera-Aldana 1, Sonia Pérez-Cavero 2, Isabel Pinedo-Torres 3, Carlos Zubiate-López

This article was originally published here

 

ABSTRACT

 

OBJECTIVE: To assess the prevalence of patients at risk of developing diabetic foot complications(i.e.foot at-risk) and its clinical components according to the updated International Working Group on Diabetic Foot (IWGDF) criteria and to describe demographic and diabetes-related characteristics. METHODS: We conducted a cross-sectional study at María Auxiliadora Hospital between 2017 and 2018. The criteria for foot at-risk in the IWGDF 2019 risk stratification system are classified into four risk categories, R0-R3, ranging from no peripheral arterial disease (PAD) and no peripheral neuropathy (PN) to the presence of PAD or PN in combination with previous foot ulcer, amputation, or end- stage renal disease (R3). According to this system, we obtained prevalence ratios (PR) of foot at-risk categories dependent on sex, age, diabetes duration, and Total Symptom Score. A sample size of 402 subjects was included in the study. RESULTS: Subjects included had a mean age of 61 years, and 66% were female. There were no patients with type 1 diabetes, and 59% percent had a diabetes duration of less than ten years. The prevalence of foot at-risk was 54.3% defined by the IWGDF 2019 criteria, which gave prevalence17% higher than that defined with the previous 1999 criteria. PN and PAD frequency was 37.3% and 30.1%, respectively. Foot at-risk prevalence was 40% higher in those with severe Total Symptom Score (PR 1.40, 95% CI 1.09-1.80) and also 39% higher in men than in women (PR 1.39, 95% CI 1.17-1.64). Likewise, diabetes duration of more than ten years had a 25% higher prevalence of foot at-risk (PR 1.25, 95% CI 1.05-1.49), and those older than 60 years had a 20% higher presence of this condition (PR 1.20, 95% CI 1.0011.43). CONCLUSIONS: Our hospital faces a substantial burden of diabetic foot risk in men, patients with long diabetes duration, and those with painful neuropathy. More initiatives are required at primary or hospital level to detect this critical condition. Likewise, reference centers with multidisciplinary teams to apply prevention and therapeutic interventions are urgently needed.

 


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Threats, obscenities, homicide: Healthcare workers stressed by pandemic face elevated violence

By Hailey Mensik
Millions of healthcare workers across the country are becoming inured to workplace violence, which can range from verbal abuse and threats to physical attacks and even homicide.

It’s not unusual for Kimberly Mullen to get kicked, scratched, pushed or threatened during one of her shifts as a registered nurse in the telemetry unit at Kaiser Permanente’s South Bay Medical Center in Los Angeles … It’s considered part of the job when dealing with patients who are sometimes confused, frustrated and feeling a loss of control in an unfamiliar hospital setting, she says. Still, she’s thankful she hasn’t fared worse, like one of her coworkers who was attacked by a patient’s family member … read more


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New physicians want work-life balance in first job, survey says

by Richard Payerchin
Work-life balance is the most important factor for new physicians choosing their first jobs – possibly as a result of dealing with stresses brought on by COVID-19, according to a new survey … The responses confirmed and surpassed a similar finding from a study of 2018, according to health staffing consultant CHG Healthcare. The company announced the survey from its CompHealth division, which surveyed 145 physicians who had been out of residency for two to three years … read more


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WoundGenex Partners with MIMEDX to Launch Premier Graft Program to Wound Care Providers Nationwide

TAMPA, Fla., March 16, 2022 /PRNewswire/ — Leading wound care management and clinical services provider, WoundGenex, today announced a strategic partnership with MiMedx Group, Inc. (Nasdaq: MDXG) (“MIMEDX”), a transformational placental biologics company, to launch an exclusive version of WoundGenex’s Premier Graft Program to its clients across the country, providing clinicians access to industry-leading allograft products through a convenient purchasing option.

 

WoundGenex Partners with MIMEDX to Launch the first-of-its-kind Premier Graft Program.
The partnership adds the portfolio of MIMEDX advanced wound care products to the list of treatment options available to clinicians who rely on WoundGenex’s expertise in clinical documentation requirements, wound care revenue cycle, and reimbursement policies. Premier Graft Program members tap into group purchasing power that allows WoundGenex to facilitate product ordering at no upfront cost to the provider or organization. WoundGenex Program Liaisons work with providers and billing specialists to help streamline the entire process, including proper utilization of products, documentation of medical necessity, coding, and coding education, and more. A first-of-its-kind program, no payment is due from the ordering providers until reimbursement is realized on the product.

 

MIMEDX is a leading provider of placental allografts in the Cellular Tissue Products/Skin Substitute segment of the advanced wound care category. MIMEDX’s flagship advanced wound care product, EPIFIX®, is covered by 100% of national commercial payors for the treatment of diabetic foot ulcers, totaling over 300 million covered lives.

 

“WoundGenex is thrilled to be able to partner with MIMEDX to introduce a meaningful solution to providers to maximize clinical and reimbursement outcomes. Clinical expertise, industry leading advanced wound care products, and a strong understanding of reimbursement across all sites of service is the key for a successful practice,” said WoundGenex President and Co-founder, Thomas Smith.

 

“In partnering with WoundGenex, we are able to further substantiate our mission to increase access to innovative technologies for patients and customers alike,” said Rohit Kashyap, Ph.D., MIMEDX Chief Commercial Officer. “We are excited for the opportunity this program will provide to ensure more patients receive the care they need, as well as the opportunity to continue strengthening our reimbursement and service offerings for clinicians who choose our products.”

 

About WoundGenex
Founded in 2014 in Tampa, Florida, WoundGenex optimizes the way clinicians provide wound care to their patients in various places of service such as physician practices, hospitals, surgical centers, nursing homes, free-standing wound centers across the country. Thanks to more than two decades of experience in both the clinical and administrative aspects of wound care WoundGenex provides true solutions to help meet the challenges of providing best-in-class care from start to finish – from clinical and operational excellence to financial and procedural optimization.

 

To learn more about WoundGenex and the Premier Graft Purchasing Program, please visit https://woundgenex.com.

 

Media Inquiries: Media@WoundGenex.com

 

About MIMEDX
MIMEDX is a transformational placental biologics company, developing and distributing placental tissue allografts with patent-protected, proprietary processes for multiple sectors of healthcare. As a pioneer in placental tissue engineering, we have both a commercial business, focused on addressing the needs of patients with acute and chronic non-healing wounds, and a promising late-stage pipeline targeted at decreasing pain and improving function for patients with degenerative musculoskeletal conditions. We derive our products from human placental tissues and process these tissues using our proprietary methods, including the PURION® process. We employ Current Good Tissue Practices, Current Good Manufacturing Practices, and terminal sterilization to produce our allografts. MIMEDX has supplied over two million allografts, through both direct and consignment shipments. For additional information, please visit https://MIMEDX.com

 

MIMEDX Contacts

 

Investors:
Jack Howarth
Investor Relations
404.360.5681
jhowarth@mimedx.com

 

Media:
Hilary Dixon
Corporate & Strategic Communications
404.323.4779
hdixon@mimedx.com

 

Cision View original content:https://www.prnewswire.com/news-releases/woundgenex-partners-with-mimedx-to-launch-premier-graft-program-to-wound-care-providers-nationwide-301503626.html

 

SOURCE WoundGenex

Orange County musician back on stage, credits Wound Care team for saving his hand

On March 26, 2021, Vaughn Schnakenberg made a few final adjustments on the ‘76 Corvette he’d lovingly restored for his wife and took it out for a test drive. Minutes later, a drunk driver traveling at a high rate of speed broadsided him, smashing the windshield and sending the hood flying off its hinges. Mr. Schnakenberg was ejected from the driver’s seat and landed on top of the car’s flaming engine, suffering major burns to his right arm and hand … read more


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Clinic-Based Hidradenitis Suppurativa Surgery Gets High Marks From Patients

by Pam Harrison, Contributing Writer, MedPage Today
High satisfaction after three-fourths of procedures, despite frequent recurrences

Clinic-based surgery for hidradenitis suppurativa (HS) had high patient satisfaction despite frequent recurrences, a retrospective cohort study showed … investigators sought to address three principal patient-centered issues: how long to return to work or school, how long to return to normal activities, and how long to wound healing … “These patients are used to wound care — that is normal care for them — and if you give them a chance for the wound to fully heal after 4 to 6 weeks as opposed to a wound that never heals, it’s a major upgrade for them … rather than having them deal with a perpetual wound, wound care, and pain every day,” he added … read more


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Multidisciplinary Approach Best for Managing Chronic Wounds

By Chase Doyle
As the treatment of nonhealing wounds continues to evolve, multidisciplinary care is playing an increasingly important role in the management of complicated patients. During the 2021 virtual American College of Surgeons Clinical Congress, Nicolas J. Mouawad, MD, the chief of vascular and endovascular surgery at McLaren Health Care, in Bay City, Mich., discussed the benefits of multidisciplinary wound care and how to incentivize institutional collaboration.

“Patients with difficult wounds who would often be considered for amputation with a single-specialty approach can now be managed successfully with a multidisciplinary wound team,” he said … read more


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Phase 3 Trial of EB-101 for RDEB Meets Target Enrollment

by Teresa Carvalho MSc
The pivotal Phase 3 VIITAL clinical trial of EB-101, Abeona Therapeutics’ experimental cell therapy for wound healing in people with recessive dystrophic epidermolysis bullosa (RDEB), has met its enrollment target.

The company also announced that top-line results from the VIITAL trial (NCT04227106) are expected in the in third quarter of this year … read more


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The Effect of Topical Cow’s Milk on the Healing of Diabetic Foot Ulcers

A Randomized Controlled Pilot Clinical Trial

 

Diabetic foot ulcer (DFU) is a very serious side effect among the diabetic patients with substantial clinical and economic consequences. The aim of this study was to investigate the efficacy of cows’ milk topical ointment, as an available and cost-effective natural product, on accelerating the healing of DFU. In this randomized controlled clinical trial, patients with grade 1 or 2 DFU were randomly divided into two groups of intervention (n = 50) and control (n = 49). For patients of intervention group, cows’ milk 20% topical ointment was applied on the ulcer once daily for two weeks, while a type of novel dressing was used for control group with the same frequency and duration. Both groups received usual standard wound care measures. The percentage of change in the ulcer size and the number of cases with complete wound healing (>90% reduction in the ulcer size) were recorded in the both groups. The ulcer size significantly reduced in both groups on the seventh and 14th days of intervention; however, the percentage of reduction was significantly higher in the intervention (milk) group compared to control at both time points … read more


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A Wound Clinician’s Guide: Anatomy and Physiology of the Skin

To understand the concepts of a wound and wound healing, we must examine the skin and its pathophysiology, as well as its unique structures and functions. Skin care and wound management must be grounded in a comprehensive knowledge base of the structure and functions of the skin. The skin is the largest organ of the body, covering approximately 18 square feet and weighing about 12 pounds, or up to 15% of total adult body weight. It requires one-third of an individual’s circulating blood volume to sustain it. Normal surface skin temperature is 92 degrees, compared with a core body temperature average of 98.6 degrees … read more


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The clinical effectiveness and safety of using epidermal growth factor

fibroblast growth factor and granulocyte-macrophage colony stimulating factor as therapeutics in acute skin wound healing: a systematic review and meta-analysis

 

Promoting wound healing is crucial to restore the vital barrier function of injured skin. Growth factor products including epidermal growth factor (EGF), fibroblast growth factor (FGF) and granulocyte-macrophage colony stimulating factor (GM-CSF) have been used for decades although no systematic evaluation exists regarding their effectiveness and safety issues in treating acute skin wounds. This has resulted in a lack of guidelines and standards for proper application regimes. Therefore, this systematic review and meta-analysis was performed to critically evaluate the effectiveness and safety of these growth factors on skin acute wounds and provide guidelines for application regimes … read more


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Wound Infection in Clinical practice – principles of best practice

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
Wound infection continues to be challenging for people with a wound, their families and health professionals. Wound infection can lead to protracted wound healing, multiple health service visits and increased hospital admission duration. This comes at significant economic cost and negatively impacts quality of life outcomes for the person with a wound and their family. Accurate and timely identification of the signs and symptoms of wound infection are critical to achieving effective management of wound infection … read more


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Risk Factors for PAD Development

Manesh Patel MD, Christopher Granger MD and Larry Allen MD

 

One thing that you mentioned about risk factors is interesting, and I’m going to ask Larry, how do you usually think about comorbidities, including heart failure? I tell our fellows in clinic, if the patients don’t smoke and don’t have diabetes, those are overrepresented in PAD [peripheral artery disease]. This comes from data that are a bit older, but the PARTNERS study where they evaluated patients doing an ABI [ankle-brachial index] in primary care clinics, about 7000 patients, and they found that a quarter of them had PAD. If they were 50 years old and over, they tested whether they had diabetes and tobacco use, or over 70. Unrecognized PAD probably exists in about a quarter [of patients] in our primary care clinics, and it fits with these comorbidities … read more


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Limb salvage in Charcot deformity correction: A case series of 20 limbs

by Jordan James Ernst, DPM, MS, FACPM; Dalton Ryba, DPM; Alan Garrett, DPM, FACFAS
Charcot arthropathy is a disabling complication of peripheral neuropathy, with progressive osseous destruction often necessitating operative intervention to prevent ulceration and even amputation. The prospect of a stable, plantigrade foot is one that is best sought through timely intervention. While a host of procedures and techniques for Charcot reconstruction have been described in the literature, no clear consensus has been reached on a superior method or modality, nor on what factors most significantly affect outcomes and complications. We present a case series of 18 patients (20 limbs) operatively treated at our institution and followed for an average of 3 years for Charcot deformity … read more


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Paths to Practice Perfection Case Study – Diabetic Foot Abscess and Sepsis: Amputation or Limb Salvage?

from  Brent Bernstein, DPM
A 48-year-old Type II insulin dependent diabetic male presented in the acute care setting with sepsis due to an abscess of the right foot involving bone and deep soft tissue structures of the midfoot. The wound and associated sepsis made limb loss and/or mortality a pressing concern. Options were primary limb amputation versus an attempt at limb salvage … In addition to his diabetes, past medical history included chronic kidney disease stage 3, sleep apnea with continuous positive airway pressure dependence, peripheral neuropathy, hyperlipidemia, hypertension, hypothyroid, morbid obesity, Moya disease, and secondary renal hyperparathyroidism … read more


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JWC Masterclass on Bovine Dermal Scaffolds Webinar

Diabetic foot ulcers can be extremely challenging to treat and are associated with a high morbidity and mortality. A recent large randomised controlled trial (RCT), undertaken in the US, found that a single application of a fetal bovine acellular dermal matrix plus standard of care (SOC) is a faster and more effective treatment for these ulcers than SOC alone. This masterclass will explore this evidence base and debate how to optimise use of this dermal scaffold for this indication.

 

Wed, Mar 23, 2022 · 2:00 PM · EDT

 

John C. Lantis II
Chief of Surgery, Mount Sinai West Hospital

register

The patient’s perspective of diabetic foot ulceration

A phenomenological exploration of causes, detection and care seeking
From Rebecca M CrockerTze-Woei TanKelly NB PalmerDavid G Marrero

 

Diabetic foot ulceration can contribute to lowered life expectancy and quality of life for people with diabetes, and yet, scant attention has been given to improving preventive and educational measures. This article uses a phenomenological approach to explore individuals’ lived experiences of diabetic foot ulcerations to explore factors that can be harnessed to achieve improved outcomes … This was a qualitative study using semi-structured interviews grounded in a phenomenological framework to explore how patients perceive and understand their foot problems … read more


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Under the Off-Load: A Pilot Case Series to Identify Ideal Dressings to use Under Total Contact Casts (TCC)

Michael S. Miller DO,Lindsey Markey RN, BSNRegina Yoder RNKevin Powers DPMTCC Kits provided by M-Med

 

Introduction:
It is well stated in the literature that Total Contact Casting (TCC) is a standard of care for off-loading of neuropathic ulcers of the plantar surface. Another standard of care is to provide a moist wound healing environment. Evidence to support appropriate wound dressings under TCC is currently unavailable despite recognition that the wound environment and thus the amount of drainage changes as the wound progresses towards healing. This pilot case series of three patients with plantar based diabetic neuropathic ulcers uses two dressings, a five layer silicone foam with absorbent polymer and moisture retentive backing dressing (SF)* for low to moderate drainage and a non-adherent super-absorbent (SAP)† polymer dressing for moderate to high exudate levels.

 

Clinical Problem:
Many TCC kits include a generic, open-cell, polyurethane foam dressing (OCF). These dressings do not absorb or retain fluid in a moderate to high exudate environment which can lead to maceration and non-healing. Furthermore, due to the high moisture vapor transmission rate of OCF, wounds with low exudate may experience desiccation and result in the development of slough and biofilm.1

 

Methods:
This pilot case series evaluates the performance of two dressings under a TCC‡. The 1st dressing is a five-layer silicone foam with super-absorbent polymer and moisture retentive backing for low to moderately exuding wounds (SF)*. The 2nd dressing is a non-adherent absorbent (SAP)† polymer dressing for moderate to high exudate levels. A total of 3 Wounds were assessed, cleansed, debrided if necessary, categorized by exudate level, and TCC was applied for 7 days. The expected outcomes were to avoid maceration, increase in healthy granulation/epithelial tissue, and achieve maximum wear time of TCC.

 

Results:
All three of the pilot cases healed completely in acceptable time with no untoward complications. The important feature was that the changes in the amounts of drainage which were identified as the healing progressed were compensated for by changing the dressings based on the amounts of exudate identified. This effectively minimized associated peri-wound maceration, damage to the increasing granulation tissue and improved tolerance of their feet to the total contact casting.

 

Conclusion:
TCC kits should consider including dressings for low-moderate and moderate-high exudate and cease adding the one-dressing-fits-all generic foam into the kit. Additionally, although foam dressings are lumped into single category, their individual traits such at total volume handling, exudate retention, and MVTR have erratic variation in function. The SF in this case series exceeded expectation and can be a standard of care unless exudate overwhelms the dressing in the 7 day expected wear. At that time, SAP should be used in place of SF to manage high exudate. Our experience is that this combination of dressings progresses wounds towards healing, enhances the clinical benefits and wear time of TCC, and decreases the potential for wound healing complications.

 

Case History 1
45 year old Insulin-dependent diabetic male (IDDM) with a history of poor compliance presented with a plantar ulcer of 2 years duration. He had developed an acute Charcot’s Arthropathy, misdiagnosed as osteomyelitis and had surgery to remove “infected” bone. He had ongoing significant drainage with periwound skin maceration and no evidence of healing.
Course of Treatment:
Aggressive debridement of the ulcer was performed with identified bone at the base of the ulcer. However, further workup did not demonstrate osteomyelitis. He was placed in a TCC and SAP used due to concerns about the excessive drainage. With the drainage controlled, maceration resolved and offloading successfully managed, he went on to heal completely.
Case History 2
64 year old IDDM with a history of a Diabetic Neuropathic foot ulcer of the plantar heel. He had undergone surgery years before leaving him with a soft tissue deformity predisposing him to recurrent ulcers.
Cource of Treatment
An aggressive debridement was performed with no bone exposure noted. He had moderate serous drainage from the ulcer and so SF was used to control the drainage without creating a dry wound base. TCC was performed weekly with changes of the SF dressing. With the drainage controlled and offloading accomplished, he went on to heal completely.
Case History 3
A 64 year old female with advanced rheumatoid arthritis and foot deformity presented with a 6 month history of a nonhealing ulcer of the right plantar foot. A surgery to correct this had incisional dehiscence. Topical dressings and an offloading boot were previously used unsuccessfully.
Course of Treatment
An aggressive debridement was performed with no bone exposure noted. Her significant serous drainage was treated with SAP and TCC applied weekly for offloading. Over the next several weeks, the drainage decreased and the dressing was changed to SF due to decreasing wound drainage. With the drainage controlled and offloading in place, she went on to heal completely.

References
1. Hurlow J, Couch K, Laforet K, Bolton L, Metcalf D, Bowler P. (2015) “Clinical Biofilms: A Challenging Frontier in Wound Care”. Adv Wound Care (New Rochelle) 4(5): 295–301.
* KerraFoam is a registered trademark of Crawford Woundcare Ltd. † KerraMax Care is a registered trademark of Crawford Woundcare Ltd.
‡ Total Contact Casting Kits by M-Med, Mebane, NC., supplied at no charge for this case series.
This poster abstract is funded and supported by Crawford Healthcare Inc.
© Copyright Crawford Healthcare Ltd, 2016. This literature and product report is supported and funded by Crawford Healthcare Ltd. 2016


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Thrombi Formation during Wound Healing—New Insights

Researchers at the Royal College of Surgeons in Ireland (RCSI University of Medicine and Health Sciences, along with collaborators in Germany and Switzerland, say their work has revealed new information about how blood clots are formed during wound healing. Their study “Platelets drive fibronectin fibrillogenesis using integrin αIIbβ3”, which appears in Science Advances, examines the behavior of platelets at a wound site, specifically their ability to sense where within a blood clot they are and remodel their surroundings accordingly … read more


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The Cellular Cleaning Program Autophagy Helps In Wound Healing

A team led by Maria Leptin has shown in the fruit fly Drosophila that autophagy, a mechanism of stress responses in cells, plays an important role in wound healing: When a wound heals, the process of autophagy is initiated and regulated by the protein complex TORC1. This is a newly discovered function of autophagy and the first evidence that autophagy controls the formation of syncytia (multinucleated cells). While syncytia are also formed during the development of muscles or the placenta, their role in wound healing and the involvement of autophagy are new discoveries. The article, ‘Autophagy-mediated plasma membrane removal promotes the formation of epithelial syncytia’ has been published in The EMBO Journal … read more


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RedDress Secures Agreement with Premier, Inc., a Leading Group Purchasing Organization

RedDress, a privately held U.S. and Israel-based wound care company, announced today it has been awarded a group purchasing agreement with Premier Inc. This agreement allows Premier members, at their discretion, access to RedDress’ wound care product, ActiGraft® system … ActiGraft is the first wound care product that enables health care providers to produce—in real time—an in vitro blood clot from a patient’s own blood. Once applied, the blood clot serves as a protective covering and supports the body’s natural wound healing response. ActiGraft can be used for a wide variety of hard-to-treat chronic wounds, including diabetic foot ulcers, pressure injuries, venous ulcers, traumatic wounds, and post-surgical wounds … read more


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When time doesn’t heal all wounds

ASU researcher explores innovative treatment methods for chronic wounds
Many wounds aren’t a big deal — generally, all you need to do is clean them, apply bandages and let them heal. However, chronic wounds that don’t heal on their own affect more than 8 million people in the United States and represent more than $20 billion in management costs each year.

Chronic wounds are exacerbated by infection, obesity, aging and other factors. They also increase the risk of amputation and mortality for people with diabetes, which affects one in 10 Americans, with one in three currently experiencing pre-diabetes … read more


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Abeona Therapeutics Achieves Target Enrollment in Pivotal Phase 3 VIITAL™ Study

of EB-101 in RDEBTopline data from VIITAL™ expected in the third quarter of 2022
Abeona Therapeutics (Nasdaq: ABEO), a fully-integrated leader in gene and cell therapy, today announced that target enrollment has been achieved in its pivotal Phase 3 VIITAL™ study. The objective of VIITAL™ is to evaluate the safety and effectiveness of Abeona’s investigational EB-101 product for the treatment of recessive dystrophic epidermolysis bullosa (RDEB), a rare connective tissue disorder characterized by severe skin wounds that cause pain and can lead to systemic complications impacting the length and quality of life. Large chronic wounds typically do not heal spontaneously and inflict the greatest pain and clinical burden on RDEB patients. Large chronic wounds treated in VIITAL™ measured greater than 20 cm2 of surface area and had remained open for more than six months. In a phase 1/2a study conducted at Stanford University, large chronic wounds treated with EB-101 showed considerable wound healing and reduction in associated long-term pain for up to six years … read more


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Microbion Corporation Announces Granting of a US Patent for the Use of Topical Pravibismane

for Diabetic Foot Ulcer Infections
Microbion Corporation today announced that the US Patent and Trademark Office (USPTO) issued United States Patent No. 11,207,288 to Microbion on December 28, 2021, with claims to the use of Microbion’s proprietary pravibismane topical composition for diabetic foot infections (“DFI”). The patent, entitled “Bismuth-thiol compositions and methods for treating wounds,” extends topical pravibismane patent protection through to mid-2039. The granted claims cover the administration and use of topical pravibismane compositions in diabetic foot ulcer infections. This patent further expands Microbion’s patent portfolio, comprising granted claims to its pravibismane composition and methods of treating wounds and diabetic foot ulcers.

 

“We are pleased that the USPTO has granted this new patent supporting our pravibismane program for the treatment of diabetic foot infections,” said Dr. Brett Baker, Microbion’s President and Chief Innovation Officer. “This patent includes claims built on data from our Phase 1b clinical studies in infected patients. In these studies, topical pravibismane demonstrated a 3-fold reduction in chronic wound size compared to placebo when administered as an adjunct to standard of care treatment in patients with moderate to severe DFI. We are committed to developing novel therapies that fulfill the unmet needs caused by diabetic foot ulcer infections and faced by these patients every day.” … read more


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Why This Woundologist Transitioned From Hospital-Based to Office-Based Wound Care

by Stephen “Andy” Rohrer, MSN, RN, APRN, AGACNP-BC, FNP-BC, CWS

I practice in West Memphis, Arkansas, about 15 miles from the city of Memphis, Tennessee. The location is suburban but the culture is rural. My people in Arkansas primarily work in farming and “blue collar” industries. West Memphis, Arkansas is separated from Memphis, Tennessee by the Mississippi River. We find that many Arkansans are simply intimidated by even the thought of crossing the bridge to go into Memphis (population about 650,000).

I am fiercely protective of my patients and our way of life here in Arkansas. I know they are hard-working, independent people who often try to fix things themselves; unfortunately, they show up for medical care only when things have progressed to dire circumstances. The drive time for patients to reach me varies from a few minutes to more than 2 hours. Our payer mix is increasingly Medicare Advantage plans … read more


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Placental and Umbilical Tissue Applied to an Amputation Site

by Charles B Parks, DPM, FACFAS

In this video, Charles B Parks, DPM, FACFAS, University of California San Francisco, showcases the use of placental and umbilical tissue in a case presentation on the application of STRAVIX TISSUE and GRAFIX PRIME Cryopreserve Placental Membrane on an amputation site.

This presentation is part of an 8-part case series on “Advancing the Standard of Care With Cellular- and Tissue-Based Products.”

View additional cases in the series here.

view video


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Perceptive Solutions Expands WoundZoom® Mobile Solution with Auto Border Functionality

WoundZoom Digital Wound Management solution expands solution benefits to healthcare providers

 

STEVENS POINT, WI – March 16, 2022 – Perceptive Solutions, Inc., maker of WoundZoom Digital Wound Management, today announced the expanded functionality and benefits of their WoundZoom Mobile application with auto border wound detection technology among the primary solution developments. These expanded capabilities create further workflow efficiencies for healthcare providers that measure, document, and treat wounds.

 

“Our new auto border functionality automatically traces wound edges saving clinicians time while increasing accuracy during the measurement process without the need for external reference markers. This provides a more streamlined approach with wound measurement for caregivers, while still allowing them to use their clinical expertise during this crucial step,” said Mark Lacerte, President of Perceptive Solutions. “Additionally, we have expanded our documentation capability while implementing additional user interface enhancements to make WoundZoom the most user-friendly yet comprehensive and accurate digital wound technology on the market today.”

 

WoundZoom is available for download on the Apple app store and Google Play with application access granted via a WoundZoom user license. Epic EHR facilities can also find our application in the App Orchard.

 

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

Identifying and managing wound pain – module

Pain associated with chronic wounds can affect quality of life and have a major impact on physical, emotional and cognitive function. This module explores the importance of pain management, the mechanism and types of pain, as well as how to assess and manage pain.
Chronic wounds, Pain Management, Quality of life, Wound Care, Wound pain … read more


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Evidence for Person-centred Care in Chronic Wound Care

EWMA video explainer: What is person-centred wound care?
This EWMA video explains the concept of person-centred wound care and illustrates how you can start implementing this approach already today in your clinical practice.

Chronic wounds affect an estimated 2.21 per 1000 population. They are a significant source of morbidity and affect individuals physically, psychologically, socially and financially. Person-centered care is one approach to improve patient outcomes in wound care as it values patients’ perspectives, beliefs and autonomy.
read more

 

Author Group:
Georgina Gethin (Editor), Ireland

Patricia Price, United Kingdom

Sebastian Probst, Switzerland

Jan Stryja, Czech Republic

Natalia Christiansen, Denmark


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Abdominal Negative Pressure Wound Therapy Devices for Management of the Open Abdomen

PURPOSE:
The purpose of this technologic analysis was to analyze technologic features of abdominal negative pressure wound therapy (NPWT).

APPROACH:
Published literature regarding abdominal negative pressure wound therapy (aNPWT) devices was reviewed. A summary of management approaches for the open abdomen provides a foundation for understanding the benefits of aNPWT. Safety information regarding aNPWT was derived from the Manufacturer and User Facility Device Experience (MAUDE) Database.
read more

 

by Carolyn Crumley, DNP, RN, ACNS-BC, CWOCN, Saint Luke’s East Hospital, Lee’s Summit, Missouri; University of Missouri Sinclair School of Nursing, Columbia, Missouri; and Section Editor JWOCN Evidence-Based Report Card.


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2022 physician suicide report: A bleak reality

Key Takeaways

    • Medscape’s Physician Suicide Report 2022 found that one in 10 physicians considered or attempted suicide in 2021.
    • Current licensure requirements and stigma may deter doctors from seeking the mental health support they require.
    • Physicians must demand proper support from their employers, advocate for local licensure reform, and communicate with colleagues they suspect are struggling.

It’s been nearly 2 years since the tragedy, but Dr. Lorna Breen’s death still reverberates. A dedicated physician who ran the ED at New York-Presbyterian Allen Hospital in Upper Manhattan, Dr. Breen was in the thick of the pandemic’s dreadful early days, with intubated patients packing her hospital’s hallways and staffing scarce … read more


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What is the Relationship Between Caregiver Attendance at Wound Clinic Visits

and Wound Healing in Patients With Diabetes?
Not unlike other chronic diseases, clinicians and family members observe that people with diabetes often cannot manage, or have difficulty managing, the condition alone. As witnessed by the author and supported by a qualitative vascular study by Zamani and colleagues, patients with diabetes-associated wounds often related feeling overwhelmed. Additionally, these patients may have compromised mobility, be physically unable to reach the lower limb to apply wound dressings, or unable to drive. Loss of visual acuity, common to diabetes, can impair wound dressing techniques and all aspects of diabetes self-care … read more
Carol Jessee, MSN, FNP


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Harold Bays, MD: A Different World for Obesity Treatment

A look into the uptake of semaglutide, what the agent represents, and what is coming further in obesity management.

For many clinicians, the approval of semaglutide for chronic weight management in patients with overweight or obesity may have represented what they had been waiting for in a weight treatment.

Harold Bays, MD, Chief Science Officer, Obesity Medicine Association, explained that while there have been other safe and effacious anti-obesity drugs, there was not a treatment that always met expectations of the patients.

“Up until semaglutide, we just really didn’t have the kind of anti-obesity drug treatment that met the degree of expectation that we often often find from patients where they would like to lose that 10 to 15% of their body weight,” he said. “And I think that’s the biggest central message.”
read more – watch video
Harold Bays, MD, Chief Science Officer, Obesity Medicine Association


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Fundamentals of pressure ulcer care

30 March 2022, 12.30 pm – 4.00 pm
Our (Society of Tissue Viability) educational sessions promote the best practices in skin health and wound healing.
It’s estimated that just under half a million people in the UK will develop at least one pressure ulcer in any given year. These wounds cause pain and suffering and impact significantly on a person’s quality of life. The financial impact to the NHS is approximately £2.2 billion a year and the costs of litigation is rising annually.

Education for both health and social care workers and patients is essential if this situation is to improve. This session will provide delegates with the fundamentals of pressure ulcer prevention and management using tools that can be applied in practice to help reduce pressure ulcers in their clinical areas.
Keynote Speaker: Sarah Gardner
read more


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Overview of diabetic neuropathy and review of FDA-approved oral therapies

Diabetic neuropathy is the most common complication of uncontrolled and chronic diabetes. Neuropathy is the result when the somatosensory system is compromised leaving patients with irreversible nerve damage. The continuity of this neuropathic pain may lead to disorders such as insomnia, depression, and anxiety. The cause of neuropathic pain cannot be treated, and current treatment management focuses on treating the symptoms. A review of current literature on diabetic neuropathy and of FDA approved oral therapies is performed to provide an extensive overview in order to reduce and prevent the progression of this disease. The epidemiology of diabetic neuropathy can be characterized by its prevalence and risk factors. Symmetric polyneuropathy is the most common type of diabetic neuropathy … read more


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Hematoma of the Lower Extremity: Operative Interventions in the Wound Clinic Setting

Hematoma in the soft tissue, a swelling in the tissue caused by bleeding, is not an uncommon occurrence following trauma or operative procedures. Hematomas of the extremities can be seen in as many as 33 per 10 000 individuals annually. Most hematomas are considered to be minor problems following the initial injury; however, accumulation of blood in the tissues can result in necrosis of the overlying skin due to increased tissue pressure which occludes the subdermal and dermal capillaries. Even in the absence of increased tissue pressure, multiple cellular and biochemical changes that can result in tissue ischemia and necrosis have been identified. Platelets and white blood cells in the wound can release inflammatory cytokines, proteolytic enzymes, and toxic reactive oxygen species causing significant tissue damage … read more


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Wound Care Technology: Advanced Tissue Therapeutics

Human knowledge is growing exponentially. This explosion is clearly evident in the field of Medicine. We hear almost daily about advances in cardiovascular and oncologic treatments. Medicine appears to be on the verge of extending human life well beyond 100 years. Fortunately, Wound Care physicians and their patients are also reaping the benefits of this rapid knowledge advancement. In the last decade, key elements in the body’s cellular healing processes have been elucidated. A major thrust has been in the development of human tissue therapies … Wounds heal in an orderly and progressive set of overlapping phases. Failure of these normal processes will lead to formation of a chronic ulcer (defined as non-healing after 30 days). Recent trends in chronic wound care have been in the use of “biologic” grafts to help restore the normal healing sequence … read more


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The Latest Development in the Management of Chronic Diabetic Foot Ulcers

A Purified Reconstituted Bilayer Matrix – webinar March 17, 12 PM EDT
This webinar will examine the use of purified reconstituted bilayer matrix (PRBM) as a treatment for chronic diabetic foot ulcers. Dr Charles Zelen will review a recent clinical study and outline the clinical benefits of purified reconstituted bilayer matrix to improve wound healing outcomes. Dr Zelen will also address questions from attendees … read more


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Ukrainian Diabetes Care, Insulin Access ‘Severely Disrupted’

Diabetes care and access to insulin and other medications in Ukraine have been “severely disrupted” since Russia’s invasion, with shortages resulting more from distribution problems than supply itself, according to multiple sources … In 2021, there were about 2.3 million people with diabetes in Ukraine, roughly 7% of the total population. Of those, about 120,000 have type 1 diabetes and depend on insulin to live, while a similar number have insulin-treated type 2 diabetes … read more


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Efficacy of Placental and Umbilical Tissue in an Infected Diabetic Foot Ulcer

In this video, Harry Schneider, DPM, FACFAS, Harvard Medical School, Cambridge Health Alliance Podiatry, showcases the use of placental and umbilical tissue in a case presentation of an infected diabetic foot ulcer in a 52-year-old male.

This presentation is part of an 8-part case series on “Advancing the Standard of Care With Cellular- and Tissue-Based Products.”

View additional cases in the series here.
watch


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Elevating Patient Voices in Your Clinic

Research shows that having engaged patients reduces errors and the risk of malpractice, as well as increases patient loyalty and employee satisfaction. A PFAC is a partnership between staff, clinicians, and volunteer patients and family members, who offer important feedback, insights, and advice to improve healthcare outcomes. The most effective PFACs include at least an equal number of PFAs and staff, including senior executives, leading clinicians, and representatives from marketing and community relations. The PFAs should reflect the diversity in the communities the clinic serves … read more


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What you need to know about transparent film dressings

Transparent film dressings provide a moist, healing environment; promote autolytic debridement; protect the wound from mechanical trauma and bacterial invasion; and act as a blister roof or “second skin.” Because they’re flexible, these dressings can conform to wounds located in awkward locations such as the elbow. The transparency makes it easy to visualize the wound bed … Transparent film dressings are waterproof and impermeable to bacteria and contaminants. Although these dressings can’t absorb fluid, they’re permeable to moisture … read more


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Protein p53 plays a key role in tissue repair, study finds

New research led by the University of Bristol has found the protein p53 plays a key role in epithelial migration and tissue repair. The findings could improve our understanding of the processes used by cells to repair tissues, and be used to identify interventions that could accelerate and improve wound repair … Epithelial tissues are the linings that protect the body’s external skin and internal cavities, and their ability to repair themself is important. ?It is known that wounded epithelia repair themself thanks to the ability of the remaining cells to start migrating, collectively, to seal the breach. Specialised migratory cells called leader cells … read more


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Angiosome-guided endovascular revascularization for treatment of diabetic foot ulcers

with peripheral artery disease
Because diabetic foot ulcers (DFUs) are difficult to heal and cause huge economic losses to society, accelerating their healing has become extremely important. The purpose of this study was to evaluate the effect of revascularization based on the angiosome concept on DFU … Between January 2018 and July 2020, 112 consecutive legs with DFUs in 111 patients who were discharged from the vascular surgery department of our hospital were retrospectively evaluated. The legs were assigned to two groups depending on whether direct arterial flow to the foot ulcer based … read more


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The Rise of the Machine: Can Artificial Intelligence Impact Wound Care Outcomes?

WOUND CARE Q&A from Podiatry Today
Windy Cole, DPM, CWSP, Barbara Aung, DPM, DABPM, CWS, FAPWHc, Matthew Garoufalis, DPM, FASPS, FACPM, CWS, FFPM RCPS (Glasg), Brian Lepow, DPM, DABPM, and Eric J. Lullove, DPM, CWSP, DABLES, FAPWHc

 

Over the past several years, artificial intelligence (AI)-based innovation in the medical field has emerged, including in various types of imaging. How might such technology apply to the field of wound care? In this edition of the Wound Care Q & A column, the panelists share their experiences and thoughts on if AI could bring a new era of improved outcomes … read more


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People with diabetic foot disease fear amputation more than death

Dane K. Wukich, MD, Katherine M. Raspovic, DPM, Natalie C. Suder, MPHF
The aim of this study was to identify the most-feared complications of diabetes mellitus (DM), comparing those with diabetic foot pathology with those without diabetic foot pathology. Methods. We determined the frequency of patients ranking major lower-extremity amputation (LEA) as their greatest fear in comparison to blindness, death, diabetic foot infection (DFI), or end-stage renal disease (ESRD) requiring dialysis. We further categorized the study group patients (N = 207) by their pathology such as diabetic foot ulcer (DFU), Charcot neuroarthropathy, foot infection, or acute neuropathic fractures and dislocations. The control group (N = 254) was comprised of patients with diabetes who presented with common non–diabetes-related foot pathology. Results. A total of 461 patients were enrolled in this study and included 254 patients without diabetic foot complications and 207 patients with diabetic foot problems. When comparing patients with and without diabetic disease, no significant differences were observed with regard to their fear of blindness, DFI, or ESRD requiring dialysis … read more


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COVID-19 has Amplified the Need to Establish Unavoidable Pressure Injury Criteria in Acute Care

by Laura Swoboda DNP, APNP, FNP-C, FNP-BC, CWOCN-AP
With the onset of the COVID-19 pandemic, there has been increased confusion regarding the diagnostic clarity of some skin lesions, especially in the critical care population. These lesions can be challenging to differentiate from other dermatological conditions seen in this population, including skin failure and deep tissue pressure injuries. During severe SARS-CoV-2 infection, endothelial dysfunction and hypercoagulability1 occur, and COVID-19 patients are at increased risk for ischemic lesions that mimic the appearance of deep tissue pressure injuries. In addition, similarities in underlying pathophysiologic mechanisms of these skin conditions can cause diagnostic overlap … read more


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Latest Medicare Payment Updates for Physicians and Other Qualified Healthcare Professionals

by Kathleen D. Schaum

Many readers ask this author “why don’t you publish Medicare payment information immediately after the Medicare Physician Fee Schedule (MPFS) Final Rule is released?” Actually, this author used to publish MPFS payment changes right after the release of the Final Rule. Unfortunately, the Final Rule is not always final. For the last few decades, significant changes have always been made after the Final Rule was released … read more


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Why Won’t This Wound Heal? Identifying Complicating Factors – webinar

Tuesday, March 29, 2022 Harry Schneider, Assistant Professor of Surgery at Harvard Medical School

Chronic wounds are difficult to heal, and they are often stuck in the inflammatory phase of wound healing. Stalled healing can be caused by a variety of factors, including infection, patient comorbidities, insufficient wound bed preparation, and other issues.

In managing a chronic wound, advanced therapies may aid in wound closure. These modalities include products that aid in bioburden management, those that provide scaffolding to aid in granulation tissue growth and wound closure, devices that remove excess fluid, and other products and techniques.

Clinicians participating in this webinar will be able to:

  • Recognize the clinical burden of diabetic foot ulcers (DFUs) on patient quality of life and examine the benefits of cellular therapies in wound care
  • Identify treatment options for chronic DFUs

register


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Help Build Solutions to Wound Evidence and Coverage Challenges – Join Payers and Policy Makers in May!

As a board member of the Alliance of Wound Care Stakeholders, I invite you to our upcoming Wound Care Evidence Summit where we will explore the key question: What type and quantity of clinical evidence is required by payers in formulating positive coverage policies for wound care products and procedures?

If you are involved in the field of wound care, you know that wound care coverage policies are becoming increasingly restrictive. You try to get the payer to approve the use of a product that’s available on the market and that works in your hands, only to be told it isn’t covered because the payer isn’t convinced by the data. Or, you are pretty sure that a product will help a patient with a limb-threatening wound … read more


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Factors Associated With Pressure Injury Development in Older Hospitalized Patients

A Prospective Descriptive Study
A pressure injury (PI) results from local injury to the skin and/or underlying tissues due to unrelieved pressure or pressure with shear or friction. PIs are usually not the primary cause of hospitalization, but PIs adversely affect patient well-being and nurse workload. Hospital-acquired pressure injuries can create a substantial financial burden on a health care system … Pressure injuries frequently occur in patients who are immobile, with more than 72% of PIs occurring in older adults. Advancing age can result in skin changes and, when coupled with reduced mobility and multiple comorbidities, increases the risk of PI development. Multiple chronic health conditions must be taken into consideration, including nutrition, older age, comorbidities, diabetes, peripheral arterial disease, immunodeficiency, poor nutrition associated with frailty and older populations, corticosteroid therapy, and smoking status … read more


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Solving skin and wound challenges together Annual Conference

18-19 May 2022 – Glasgow, UK
We believe that skin health and wound healing is everyone’s business and that change happens when we work together, not in silos.

We believe that skin health and wound healing is everyone’s business and that change happens when we work together, not in silos. Come to our annual face to face conference and you can join our community and listen to live lectures, interviews and discussions, take part in workshops, visit industry exhibition booths, network with colleagues and speakers and join the live conversations during the sessions.

Our conference really is space where professional connections are made, ideas are shared and collaborative action happens … read more


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Polymer-Based Wound Dressing Materials Loaded with Bioactive Agents

Potential Materials for the Treatment of Diabetic Wounds
Diabetic wounds are severe injuries that are common in patients that suffer from diabetes. Most of the presently employed wound dressing scaffolds are inappropriate for treating diabetic wounds. Improper treatment of diabetic wounds usually results in amputations. The shortcomings that are related to the currently used wound dressings include poor antimicrobial properties, inability to provide moisture, weak mechanical features, poor biodegradability, and biocompatibility, etc. To overcome the poor mechanical properties, polymer-based wound dressings have been designed from the combination of biopolymers (natural polymers) (e.g., chitosan, alginate, cellulose, chitin, gelatin, etc.) and synthetic polymers (e.g., poly (vinyl alcohol), poly (lactic-co-glycolic acid), polylactide, poly-glycolic acid, polyurethanes, etc.) to produce effective hybrid scaffolds for wound management … read more


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Effects of biofilms on venous leg ulcers

The healing trajectory of many chronic wounds, such as venous leg ulcers (VLUs), can be affected by the presence of biofilm. As a microbiologist studying wound biofilms in 3M’s medical solutions division, here are my insights into the complexity and antibacterial effects of the wound biofilm community … Antibacterial effects are often assessed in a laboratory environment where meaningful experiments can be performed in a controlled environment. However, the bacteria we encounter in our daily lives are not usually found in the lab, which poses a significant challenge to antibacterial effectiveness … read more


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Health economics for treatment of diabetic foot ulcers

a cost-effectiveness analysis of eight skin substitutes
Skin substitutes are frequently used to treat chronic diabetic foot ulcers (DFU), and many different options are available. While the clinical efficacy of many products has been evaluated, a comprehensive cost-effectiveness analysis comparing the most popular skin substitutes and using the most recent cost data has been lacking … read more


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The cellular cleaning program autophagy helps in wound healing

A team led by Maria Leptin has shown in the fruit fly Drosophila that autophagy, a mechanism of stress responses in cells, plays an important role in wound healing: When a wound heals, the process of autophagy is initiated and regulated by the protein complex TORC1. This is a newly discovered function of autophagy and the first evidence that autophagy controls the formation of syncytia (multinucleated cells). While syncytia are also formed during the development of muscles or the placenta, their role in wound healing and the involvement of autophagy are new discoveries. The article, ‘Autophagy-mediated plasma membrane removal promotes the formation of epithelial syncytia’ has been published in The EMBO Journal … read more

More about Professor Maria Leptin


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Supporting Wound Closure With Cellular and/or Tissue-Based Products

Cellular and/or tissue-based products (CTPs) comprise an exciting and emerging technology in wound care. Deep and large wounds require more than just a standard dressing, topical ointments, and time. Wounds that penetrate the reticular dermis and below (deeper than ~0.57 mm) require additional scaffolding to support wound closure and prevent significant scarring.1 CTPs provide this scaffolding as well as naturally occurring chemicals and cells that support wound healing … read more


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