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Sample records for 0450-2958 scantily dressed

  1. THE QSO HE 0450-2958: SCANTILY DRESSED OR HEAVILY ROBED? A NORMAL QUASAR AS PART OF AN UNUSUAL ULIRG

    SciTech Connect

    Jahnke, Knud; Elbaz, David; Pantin, Eric; Lagage, Pierre-Olivier; Letawe, Geraldine; Chantry, Virginie

    2009-08-01

    The luminous z = 0.286 quasar HE 0450-2958 is interacting with a companion galaxy at 6.5 kpc distance and the whole system radiates in the infrared (IR) at the level of an ultraluminous infrared galaxy (ULIRG). A so far undetected host galaxy triggered the hypothesis of a mostly 'naked' black hole (BH) ejected from the companion by three-body interaction. We present new Hubble Space Telescope (HST)/NICMOS 1.6 {mu}m imaging data at 0.''1 resolution and VLT/VISIR 11.3 {mu}m images at 0.''35 resolution that are for the first time resolving the system in the near- and mid-infrared. We combine these data with existing optical HST and CO maps. (1) At 1.6 {mu}m we find an extension NE of the quasar nucleus that is likely a part of the host galaxy, though not its main body. If true, a combination with upper limits on a main body co-centered with the quasar brackets the host-galaxy luminosity to within a factor of {approx}4 and places HE 0450-2958 directly onto the M{sub BH} - M{sub bulge} relation for nearby galaxies. (2) A dust-free line of sight to the quasar suggests a low dust obscuration of the host galaxy, but the formal upper limit for star formation (SF) lies at 60 M{sub sun} yr{sup -1}. HE 0450-2958 is consistent with lying at the high-luminosity end of Narrow-Line Seyfert 1 Galaxies, and more exotic explanations like a 'naked quasar' are unlikely. (3) All 11.3 {mu}m radiation in the system is emitted by the quasar nucleus. It has warm ULIRG-strength IR emission powered by BH accretion and is radiating at super-Eddington rate, L/L{sub Edd} = 6.2{sup +3.8}{sub -1.8}, or 12 M{sub sun} yr{sup -1}. (4) The companion galaxy is covered in optically thick dust and is not a collisional ring galaxy. It emits in the far-infrared at ULIRG strength, powered by Arp220-like SF (strong starburst-like). An M82-like SED is ruled out. (5) With its BH accretion rate, HE 0450-2958 produces not enough new stars to maintain its position on the M{sub BH} - M{sub bulge} relation, and SF

  2. Further evidence for a quasar-driven jet impacting its neighbour galaxy: The saga of HE0450-2958 continues

    NASA Astrophysics Data System (ADS)

    Molnár, D. Cs.; Sargent, M. T.; Elbaz, D.; Papadopoulos, P. P.; Silk, J.

    2017-01-01

    HE0450-2958, an interacting quasar-starburst galaxy pair at z = 0.285, is one of the best known examples of strong star formation activity in the presence of a quasar-driven jet. We present new multi-band JVLA-imaging covering 1 to 6 GHz and reaching an angular resolution of up to 0{}{^.}^{^' ' }}6 (a 6-fold improvement over existing radio data). We confirm the previous detection of a spatially extended radio component around the quasar indicating that there is on-going star formation activity in the quasar host galaxy. For the first time, we directly detect a jet-like bipolar outflow from the quasar aligned with its companion star-forming galaxy (SFG) and several blobs of ionized gas in its vicinity identified in previous studies. Within the companion SFG we find evidence for a flattening of the synchrotron spectral index towards the point of intersection with the jet axis, further suggesting that the outflow may actually be impacting its interstellar medium (ISM). We discuss two possible mechanisms that could have triggered the starburst in the companion SFG: a wet-dry merger with the quasar and jet-induced star formation. While triggering through interaction-driven gas dynamics cannot be excluded with current data, our new observations make HE0450-2958 a strong candidate for jet-induced star formation, and one of the rare links between local systems (like Minkowski's Object or Centaurus A) and the high-z regime where radio-optical alignments suggest that this phenomenon could be more common.

  3. [Wound dressings].

    PubMed

    Breuninger, H

    1988-01-01

    The wide variety of dermatologic surgical procedures has resulted in a corresponding choice of wound dressings. Considering the chemical and physical properties as well as the function of the dressings, standardized dressing techniques can be performed with relatively few materials. This saves both time and money.

  4. [DRESS syndrome].

    PubMed

    Adamcová, Monika; Šturdík, Igor; Koller, Tomáš; Payer, Juraj

    2016-04-01

    DRESS syndrome (Drug Rash with Eosinophilia and Systemic Symptoms) is severe drug-induced allergic-type reaction which occurs few days to weeks after taking a drug in a predisposed patient. Organ damage, eosinophilia and skin rash are typical at presentation. Corticotherapy is often necessary in severe cases. In this report we describe a case of 56-year old female with fever, elevated liver tests and skin rash. DRESS syndrome was diagnosed and allopurinol was indentified as a causative drug. Due to possible fatal outcome, DRESS syndrome should be considered in a differential diagnosis of all patients presenting with similar signs and symptoms.

  5. DRESS syndrome.

    PubMed

    Descamps, Vincent; Ranger-Rogez, Sylvie

    2014-01-01

    Drug reaction with eosinophilia and systemic symptoms (DRESS) syndrome, initially recognized as a serious form of cutaneous drug adverse reaction, is now viewed as a drug-related syndrome that can cause life-threatening organ dysfunctions. Characteristic features include a long time interval from first drug exposure to symptom onset and a prolonged course, often with flares, even after discontinuation of the causal drug. The pathophysiology of DRESS syndrome remains incompletely understood but involves reactivation of herpes viruses (HHV-6, HHV-7, EBV, and CMV), against which the body mounts a strong immune response. The culprit drugs may not only affect epigenetic control mechanisms, thereby promoting viral reactivation, but also induce an antiviral T-cell response by interacting with the major histocompatibility complex receptor in individuals with genetic susceptibility factors. Drug Reaction with Eosinophilia and Systemic Symptoms (DRESS) syndrome is a potentially life-threatening form of cutaneous drug adverse reaction. The severity of this syndrome is related to the systemic manifestations, which can result in multiorgan failure. DRESS syndrome is characterized by highly specific features, most notably regarding the timing of the manifestations. New insights into the underlying pathophysiological mechanisms indicate a role for immunogenetic susceptibility factors and for reactivation of human herpes viruses (HHVs), chiefly HHV-6. We report a typical case of DRESS syndrome and discuss recent data about this condition. Copyright © 2013 Société française de rhumatologie. Published by Elsevier SAS. All rights reserved.

  6. [DRESS syndrome].

    PubMed

    Rabenkogo, A; Vigue, M G; Jeziorski, E

    2015-01-01

    DRESS syndrome (drug reaction eosinophilia and systemic symptoms) is a rare and serious drug toxidermia with potentially multiple organ dysfunctions. This report relates the case of a 9-year-old girl who presented a right cervical and mediastinal adenopathy with a mediastinal lump, fever, and deterioration of the general condition. The hospital assessment concluded in an abscess due to Staphylococcus aureus secreting a Panton-Valentine toxin with nonsevere pleuritis and pericarditis. The outcome was favorable with antibiotic treatment consisting of amoxicillin-acid clavulanic, amikacin, and clindamycin followed by oxacillin, rifampicin, and colchicine. On the 25th day of treatment, she presented recurrence of fever with a generalized rash, moderate hepatic cytolysis, hypereosinophilia, with the presence of activated lymphocytes that were further suggestive of visceral DRESS syndrome. A skin biopsy was performed that confirmed the diagnosis. The outcome was favorable after stopping all ongoing treatments even though none of the administered treatments were classically responsible for the syndrome. Symptomatic treatments (antihistaminic and topical steroids) were also administered. Patch tests, performed secondarily, were positive to penicillins; amoxicillin-clavulanic acid or oxacillin were then suspected of being responsible for the DRESS syndrome. Potentially serious, the DRESS syndrome should be considered together with atoxic epidermal necrolysis or Stevens-Johnson syndromes in the case of any rash appearing after drug administration, especially in the presence of face and eyelid edema. Copyright © 2014 Elsevier Masson SAS. All rights reserved.

  7. Dress Codes for Teachers?

    ERIC Educational Resources Information Center

    Million, June

    2004-01-01

    In this article, the author discusses an e-mail survey of principals from across the country regarding whether or not their school had a formal staff dress code. The results indicate that most did not have a formal dress code, but agreed that professional dress for teachers was not only necessary, but showed respect for the school and had a…

  8. Dress Codes for Teachers?

    ERIC Educational Resources Information Center

    Million, June

    2004-01-01

    In this article, the author discusses an e-mail survey of principals from across the country regarding whether or not their school had a formal staff dress code. The results indicate that most did not have a formal dress code, but agreed that professional dress for teachers was not only necessary, but showed respect for the school and had a…

  9. [Improper use of dressings].

    PubMed

    Candas, Emmanuelle

    2016-01-01

    Neither nurses nor doctors receive initial training in wounds and the use of dressings. They are however required in their daily practice to provide this type of care. Advances in wound healing techniques and the appearance of "modern" dressings offer a wide range of solutions to caregivers. Professionals must acquire skills in this area and make the best possible use of the dressings at their disposal to optimise the controlled wound healing.

  10. The Dress Mess.

    ERIC Educational Resources Information Center

    Stover, Del

    1990-01-01

    Any restrictions on student dress must have a legitimate educational rationale. Standards of attire for school employees are also permissible. A dress-code policy that calls for reasonable restrictions and is enforced with common sense can create a better school environment. Restrictive measures can lead to costly lawsuits. Cites advantages of…

  11. Dress Codes and Uniforms.

    ERIC Educational Resources Information Center

    Lumsden, Linda; Miller, Gabriel

    2002-01-01

    Students do not always make choices that adults agree with in their choice of school dress. Dress-code issues are explored in this Research Roundup, and guidance is offered to principals seeking to maintain a positive school climate. In "Do School Uniforms Fit?" Kerry White discusses arguments for and against school uniforms and summarizes the…

  12. Dress Codes for Teachers.

    ERIC Educational Resources Information Center

    Phay, Robert E.

    1979-01-01

    Reviews Second Circuit Court of Appeals decision upholding right of school boards to adopt "reasonable" regulations governing teacher dress or hairstyle. Case offers the most exhaustive judicial examination of the issue to date. (Author/PKP)

  13. [DEVELOPMENT RESEARCH OF BIOLOGICAL DRESSING].

    PubMed

    Zhang, Jinfeng; Hao, Jianbo; Zhang, Jinpeng; Luo, Bo; Liu, Peng

    2015-02-01

    To review the research progress of modern biological dressings. The related literature at home and abroad was reviewed, analyzed, and summarized in the progress of biological dressing situation and various types of biological dressing research. Compared with the traditional dressing, the biological dressing can greatly promote wound healing. Biological dressings are mainly divided into the natural materials, artificial synthetic materials, and drug loaded dressings. The natural material dressings are mainly the alginate dressing, this kind of dressing can promote wound healing, which has been confirmed by a large number of studies. The artificial synthetic materials include film dressings, liquid, water colloids, gels, and foam, each has its own advantages and disadvantages, which can be chosen according to need. The drug dressing can play the role of drug loading, and further promote the wound healing; using microcapsule technology to construct the dressing and choosing Chinese medicine as drugs is the research direction of load. The experiment and clinical application of biological dressing are many types, clinical application prospect is wide, but each has its own advantages and disadvantages, further study is needed to improve its efficacy.

  14. Wet to dry dressing changes

    MedlinePlus

    ... warm water before and after each dressing change. Put on a pair of non-sterile gloves. Carefully ... pads or packing tape from inside your wound. Put the old dressing, packing material, and your gloves ...

  15. Restricting Student Dress in Public Schools.

    ERIC Educational Resources Information Center

    Grantham, Kimberly

    1994-01-01

    Addresses the authority of school officials to regulate student dress by examining school dress codes, first with respect to communicative dress--or dress that communicates speech--and then with respect to noncommunicative dress. Provides a summary of the law on dress codes and a basic set of rules to assist school officials in drafting…

  16. Restricting Student Dress in Public Schools.

    ERIC Educational Resources Information Center

    Grantham, Kimberly

    1994-01-01

    Addresses the authority of school officials to regulate student dress by examining school dress codes, first with respect to communicative dress--or dress that communicates speech--and then with respect to noncommunicative dress. Provides a summary of the law on dress codes and a basic set of rules to assist school officials in drafting…

  17. Dress Codes. Legal Brief.

    ERIC Educational Resources Information Center

    Zirkel, Perry A.

    2000-01-01

    As illustrated by two recent decisions, the courts in the past decade have demarcated wide boundaries for school officials considering dress codes, whether in the form of selective prohibitions or required uniforms. Administrators must warn the community, provide legitimate justification and reasonable clarity, and comply with state law. (MLH)

  18. Dress Codes. Legal Brief.

    ERIC Educational Resources Information Center

    Zirkel, Perry A.

    2000-01-01

    As illustrated by two recent decisions, the courts in the past decade have demarcated wide boundaries for school officials considering dress codes, whether in the form of selective prohibitions or required uniforms. Administrators must warn the community, provide legitimate justification and reasonable clarity, and comply with state law. (MLH)

  19. Student Dress Codes.

    ERIC Educational Resources Information Center

    Uerling, Donald F.

    School officials see a need for regulations that prohibit disruptive and inappropriate forms of expression and attire; students see these regulations as unwanted restrictions on their freedom. This paper reviews court litigation involving constitutional limitations on school authority, dress and hair codes, state law constraints, and school…

  20. Telaprevir-induced DRESS.

    PubMed

    Kesar, Vivek; Kesar, Varun; Khaitova, Viktoriya; Motamed, David; Schiano, Thomas

    2014-02-01

    Telaprevir, a protease inhibitor, was recently approved for management of Chronic Hepatits C (CHC) due to HCV genotype 1. Various RCTs have demonstarted increased incidence of cutaneous adverse effects with use of Telaprevir. Herein, we report two cases of drug rash with eosinophilia and systemic symptoms (DRESS) secondary to Telaprevir use.

  1. Dresses Make the Girl: Gender and Identity from "The Hundred Dresses" to "10,000 Dresses"

    ERIC Educational Resources Information Center

    Smulders, Sharon

    2015-01-01

    This paper offers a close reading of two works, Eleanor Estes' "The Hundred Dresses" (1944) and Marcus Ewert's "10,000 Dresses" (2008), that feature in current anti-bullying campaigns. Starting with "The Hundred Dresses," this essay examines how Estes' use of the school story not only exposes the social dynamics of…

  2. Dresses Make the Girl: Gender and Identity from "The Hundred Dresses" to "10,000 Dresses"

    ERIC Educational Resources Information Center

    Smulders, Sharon

    2015-01-01

    This paper offers a close reading of two works, Eleanor Estes' "The Hundred Dresses" (1944) and Marcus Ewert's "10,000 Dresses" (2008), that feature in current anti-bullying campaigns. Starting with "The Hundred Dresses," this essay examines how Estes' use of the school story not only exposes the social dynamics of…

  3. Wound Healing and the Dressing*

    PubMed Central

    Scales, John T.

    1963-01-01

    The evolution of surgical dressings is traced from 1600 b.c. to a.d. 1944. The availability of an increasing variety of man-made fibres and films from 1944 onwards has stimulated work on wound dressings, and some of the more important contributions, both clinical and experimental, are discussed. The functions of a wound dressing and the properties which the ideal wound dressing should possess are given. The necessity for both histological and clinical evaluation of wound dressings in animals and in man is stressed. Wound dressings are the most commonly used therapeutic agents, but there is no means whereby their performance can be assessed. An attempt should be made either nationally or internationally to establish a standard method of assessing the performance of wound dressings. For this it is necessary to have an internationally agreed standard dressing which could be used as a reference or control dressing in all animal and human work. The only animal with skin morphologically similar to that of man is the domestic pig. Three types of wounds could be used: (1) partial-thickness wounds; (2) full-thickness excisions; and (3) third-degree burns. The development of standard techniques for the assessment of the efficiency of wound dressings would be of considerable benefit to the research worker, the medical profession, the patient, and the surgical dressings industry. PMID:13976490

  4. Periodontal Dressing: A Review Article

    PubMed Central

    Baghani, Zahra; Kadkhodazadeh, Mahdi

    2013-01-01

    The purpose of this paper was to review the commercially available periodontal dressings, their physical and chemical properties, biocompatibility and therapeutic effects. Electronic search of scientific papers from 1956 to 2012 was carried out using PubMed, Scopus and Wiley InterScience search engines using the searched terms periodontal dressing, periodontal pack. Numerous in vitro and in vivo studies have evaluated various properties of periodontal dressings. Physical and chemical properties of dressings are directly related to their dimensional changes and adhesion properties. Their biocompatibility and therapeutic effect are among the other factors evaluated in the literature. Chlorhexidine is the most commonly used antibacterial agent in studies. In general, when comparing the advantages with the disadvantages, application of periodontal dressing seems to be beneficial. Numerous factors are involved in selection of an optimal dressing such as surgeon’s intention, required time for the dressing to remain on the surgery site and its dimensional changes. PMID:24578815

  5. Prevalence of DRESS syndrome.

    PubMed

    López-Rocha, Eunice; Blancas, Lizbeth; Rodríguez-Mireles, Karen; Gaspar-López, Arturo; O'Farrill-Romanillos, Patricia; Amaya-Mejía, Adela; Galindo-Pacheco, Lucy; Campos-Romero, Freya; Aguilar-Hinojosa, Nadia; Suárez, Guadalupe

    2014-01-01

    DRESS syndrome (Drug rash with Eosinophilia and Systemic Symptoms) is an idiosyncratic reaction (type B), characterized by peripheral eosinophilia and systemic symptoms, such as fever, rash, lymphadenopathy, hepatitis, atypical lymphocytes and elevation of liver enzymes at least twice its normal level or increase of alanine amino transferase (ALT) >100 U/L. Its incidence is of 1/1,000 to 10,000 exposures and its mortality is of 10%-20%. Treatment is based on steroids and on the suspension of the suspect drug. This paper reports the cases of six patients with DRESS syndrome attended at Centro Medico Nacional Siglo XXI, Mexico City, from September 2012 to September 2013, which accounted for 12.5% of patients attended with adverse reactions to drugs.

  6. DRESS and Ischemic Stroke.

    PubMed

    Cahyanur, Rahmat; Oktavia, Dina; Koesno, Sukamto

    2012-07-01

    DRESS (drug rash eosinophilia and systemic symptoms) is a life threatening condition characterized by skin rash, fever, leucocytosis with eosinophilia or atypical lymphocytosis, lymphadenopathy, and internal organ involvement. This case report would like to describe an interesting case of DRESS coincidence with ischemic stroke. A 38 year old woman had been admitted with skin rash and fever since four days before. Four weeks before admission she received antibiotic and multivitamin for one week. The patient looked ill, with body temperature 38.0°C. Marked physical findings were cervical lymphadenopathy and hepatomegaly. Dermatological examination finding was generalized exanthema. Laboratory evaluation showed leucocytosis, eosinophilia, and increased level of ALT and AST. During hospitalization the patient also suffered from ischemic stroke. Treatments administered in this patient were oxygen, adequate intravenous fluid, parenteral nutrition, methyl prednisolone, cethirizin bid, ranitidin bid, and antibiotic. The antibiotic treatment in this case was performed with graded challenge or test dosing.

  7. Draconian dress act repealed.

    PubMed

    Mhone, C

    1994-01-01

    The Dress Act was put into place in Malawi by the government of President Kamuzu Banda after the long period of direct colonialism. The act made it illegal for women in Malawi to be seen publicly wearing dresses which did not completely cover their knees or wearing pants; men had to wear their hair short. Police officers even scrutinized women's attire at private house parties and in homes. The autocratic political structure established by Banda, however, was voted out in a referendum June 14, 1993. Pressure by opposition forces such as the United Democratic Front forced a repeal of the act on November 16 of the same year. The repeal was vigorously attacked by female Parliament members as a move which would result in moral degradation and an increase in the level of sexual harassment against women. Other citizens and tourists have generally detested the act. The act has most certainly kept many potential visitors from vacationing in Malawi. Some expert observers think that repeals of the Dress Act, the Forfeiture Act, and legislation which allowed the government to detain opposition figures without trial were done to garner support from the Paris Club for the resumption of balance of payments support suspended due to the country's poor human rights record.

  8. DRESS syndrome in ophthalmic patients.

    PubMed

    Sousa, Jacqueline Martins de; Nascimento, Heloisa; Belfort, Rubens

    2016-01-01

    Drug reaction with eosinophilia and systemic symptoms (DRESS) syndrome is a rare and potentially fatal adverse drug reaction associated with skin rash, fever, eosinophilia, and multiple organ injury. A number of pharmacological agents are known to cause DRESS syndrome such as allopurinol, anticonvulsants, vancomycin, trimethoprime-sulfamethoxazole, and pyrimethamine-sulfadiazine. Here, we describe two patients who developed DRESS syndrome during ocular treatment. The first case was being treated for late postoperative endophthalmitis with topical antibiotics, intravenous cephalothin, meropenem, and intravitreal injection of vancomycin and ceftazidime before symptoms developed. We were unable to identify the causal drug owing to the large number of medications concurrently administered. The second case presented with DRESS syndrome symptoms during ocular toxoplasmosis treatment. In this case, a clearer association with pyrimethamine-sulfadiazine was observed. As a result of the regular prescription of pharmacological agents associated with DRESS syndrome, ophthalmologists should be aware of the potentially serious complications of DRESS syndrome.

  9. Dress syndrome induced by levetiracetam.

    PubMed

    Eleni, K

    2015-02-01

    The tremendous increase in the use of drugs has considerably increased their side effects. The aim of this work is to demonstrate Dress syndrome induced by levetiracetam an anti-epileptic drug. We describe a skin eruption observed in an-hospitalized in an intensive care unit patient who received levetiracetam. According to morphology of the rash and the laboratory findings the rash fulfills the criteria for Dress syndrome. Levetiracetam may induce Dress syndrome. © 2014 European Academy of Dermatology and Venereology.

  10. An introduction to absorbent dressings.

    PubMed

    Jones, Menna Lloyd

    2014-12-01

    Exudate bathes the wound bed with a serous fluid that contains essential components that promote wound healing. However, excess exudate is often seen as a challenge for clinicians. Absorbent dressings are often used to aid in the management of exudate, with the aim of providing a moist but unmacerated environment. With so many different types of absorbent dressings available today-alongside making a holistic assessment-it is essential that clinicians also have the knowledge and skill to select the most appropriate absorbent dressing for a given patient.

  11. Black Hole Caught Zapping Galaxy into Existence?

    NASA Astrophysics Data System (ADS)

    2009-11-01

    across the whole electromagnetic spectrum; particularly spectacular is the case of quasars, where the active core is so overwhelmingly bright that it outshines the luminosity of the host galaxy. [2] This part of the study is based on observations performed at mid-infrared wavelengths, with the powerful VLT spectrometer and imager for the mid-infrared (VISIR) instrument at the VLT, combined with additional data including: spectra acquired using VLT-FORS, optical and infrared images from the NASA/ESA Hubble Space Telescope, and radio observations from the Australia Telescope National Facility. [3] Most galaxies in the local Universe contain a supermassive black hole with a mass about 1/700th the mass of the stellar bulge. The origin of this black hole mass versus stellar mass relation is one of the most debated subjects in modern astrophysics. More information This research was presented in papers published in the journal Astronomy & Astrophysics: "Quasar induced galaxy formation: a new paradigm?" by Elbaz et al., and in the Astrophysical Journal "The QSO HE0450-2958: Scantily dressed or heavily robed? A normal quasar as part of an unusual ULIRG" by Jahnke et al. The team is composed of David Elbaz (Service d'Astrophysique, CEA Saclay, France), Knud Jahnke (Max Planck Institute for Astronomy, Heidelberg, Germany), Eric Pantin (Service d'Astrophysique, CEA Saclay, France), Damien Le Borgne (Paris University 6 and CNRS, Institut d'Astrophysique de Paris, France) and Géraldine Letawe (Institut d'Astrophysique et de Géophysique, Université de Liège, Belgium). ESO, the European Southern Observatory, is the foremost intergovernmental astronomy organisation in Europe and the world's most productive astronomical observatory. It is supported by 14 countries: Austria, Belgium, the Czech Republic, Denmark, France, Finland, Germany, Italy, the Netherlands, Portugal, Spain, Sweden, Switzerland and the United Kingdom. ESO carries out an ambitious programme focused on the design

  12. Teacher Dress Codes in Employee Handbooks: An Analysis

    ERIC Educational Resources Information Center

    Workman, Jane E.; Freeburg, Beth Winfrey

    2010-01-01

    This study used role theory to analyze dress codes for teachers to discern what dress items expressed role embracement and role distance. Inductive content analysis of teacher dress codes in 103 U.S. K-12 school handbooks revealed three categories of dress: (a) conventional dress (mentioned in 97.1% of the dress codes); (b) casual dress (mentioned…

  13. Teacher Dress Codes in Employee Handbooks: An Analysis

    ERIC Educational Resources Information Center

    Workman, Jane E.; Freeburg, Beth Winfrey

    2010-01-01

    This study used role theory to analyze dress codes for teachers to discern what dress items expressed role embracement and role distance. Inductive content analysis of teacher dress codes in 103 U.S. K-12 school handbooks revealed three categories of dress: (a) conventional dress (mentioned in 97.1% of the dress codes); (b) casual dress (mentioned…

  14. Cardiac involvement in DRESS syndrome.

    PubMed

    Thongsri, Tomon; Chularojanamontri, Leena; Pichler, Werner J

    2017-03-01

    Cardiac involvement in drug rash with eosinophilia and systemic symptoms (DRESS) syndrome varies considerably between 4% and 21%. Here we present our case and review literatures for its diagnosis and management. An algorithm for diagnosis of cardiac involvement in DRESS syndrome is proposed in this article. Data regarding DRESS-associated myocarditis and eosinophilic myocarditis were gather primarily from MEDLINE database. DRESS syndrome is a hypersensitivity reaction which is due to massive T cell stimulation resulting in cytotoxicity and eosinophil activation and recruitment. It is characterized by fever, morbilliform rash, and various systemic symptoms, in particular hepatitis. Hypersensitivity myocarditis (acute eosinophilic myocarditis) which is typically related to a drug reaction can lead to acute necrotizing eosinophilic myocarditis, cardiac thrombosis and fibrotic stage. Cardiac symptoms range from no symptoms to cardiogenic shock. Diagnosis is based on history, clinical findings, cardiac biomarkers and cardiac imaging techniques. Endomyocardial biopsy is done in a minority of patients for definite diagnosis. If suspected, drug discontinuation and suppression of immune reactions are the first therapies. Corticosteroids are the cornerstone of systemic treatments and should be initiated at the time of diagnosis of DRESS syndrome. Additional therapy and ventricular assist devices could be considered in refractory cases. According to its high morbidity and mortality, patients with DRESS syndrome should be carefully monitored or screened for cardiac involvement. Multidisciplinary care is important for a successful treatment outcome.

  15. DRESS Syndrome Presents as Leukoencephalopathy.

    PubMed

    Tonekaboni, Seyed Hasan; Jafari, Narjes; Chavoshzadeh, Zahra; Shamsian, Bibi Shahin; Rezaei, Nima

    2015-01-01

    DRESS syndrome (Drug Rash with Eosinophilia and Systemic Symptoms) is a potentially life-threatening syndrome, which reflects a serious hypersensitivity reaction to drugs, presenting by generalized skin rash, fever, eosinophilia, atypical lymphocytosis, and internal organ involvement. Herein a 21-month old male infant with DRESS and Encephalopathy syndrome is presented who complicated after phenobarbital usage that persisted due to phenytoin cream usage. The case received phenobarbital after a seizure disorder presented as "status epilepticus". He developed drug eruption, fever, hepatosplenomegaly, increased liver enzymes, encephalopathy and progressive loss of consciousness with extensive hyperintense white matter lesions in brain MRI. After discontinuation of phenobarbital and phenytoin, all symptoms were resolved, while brain MRI became normal after two months. To our best knowledge, this is the first reported case that developed leukoencephalopathy along with DRESS syndrome.

  16. DRESS syndrome with cerebral vasculitis.

    PubMed

    Sola, Daniele; Rossi, Luca; Sainaghi, Pier Paolo; Pirisi, Mario

    2013-01-01

    DRESS (drug rash with eosinophilia and systemic symptoms) syndrome is a severe reaction triggered by drugs that manifests as pyrexia and eosinophilia with involvement of the skin and internal organs. We herein describe the case of a patient who developed hyperuricemia after receiving treatment for tuberculosis, then took allpurinol and developed DRESS syndrome with a contextual coma and right hemisyndrome. This report describes for the first time the presence of vasculitic cerebral involvement in a patient with DRESS syndrome. The cerebral vasculitis responded to treatment, showing clinical and instrumental remission. In cases such as this, allergic cerebral vasculitis should be considered in the differential diagnosis because it can be treated if recognized early, thus leading to remission without the development of any sequelae.

  17. Wound dressings: selecting the most appropriate type.

    PubMed

    Broussard, Karen C; Powers, Jennifer Gloeckner

    2013-12-01

    Appropriate wound dressing selection is guided by an understanding of wound dressing properties and an ability to match the level of drainage and depth of a wound. Wounds should be assessed for necrosis and infection, which need to be addressed prior to selecting an ideal dressing. Moisture-retentive dressings include films, hydrogels, hydrocolloids, foams, alginates, and hydrofibers and are useful in a variety of clinical settings. Antimicrobial-impregnated dressings can be useful in wounds that are superficially infected or are at higher risk for infection. For refractory wounds that need more growth stimulation, tissue-engineered dressings have become a viable option in the past few decades, especially those that have been approved for burns, venous ulcers, and diabetic ulcers. As wounds heal, the ideal dressing type may change, depending on the amount of exudate and depth of the wound; thus success in wound dressing selection hinges on recognition of the changing healing environment.

  18. [DRESS syndrome induced by ciprofloxacine].

    PubMed

    Sahnoun, Rym; El Aïdli, Sihem; Zaïem, Ahmed; Lakhoua, Ghozlane; Kastalli, Sarrah; Daghfous, Riadh

    2015-04-01

    The Drug rash with hypereosinophilia and systemic symptoms (DRESS) syndrome, or hypersensitivity syndrome, is a severe drug-induced hypersensitivity syndrome. It has been exceptionally described with ciprofloxacin. We report a 47-year-old-woman who developed DRESS syndrome, 2 days after taking ciprofloxacin for a urinary infection. She had a generalized maculopapular rash, severe rhabdomyolysis, liver involvement, renal failure and hypereosinophilia. Clinical symptoms had completely resolved after ciprofloxacin withdrawal. Renal failure has decrease after short corticosteroid treatment. Copyright © 2015 Association Société de néphrologie. Published by Elsevier SAS. All rights reserved.

  19. Fournier's Gangrene: Conventional Dressings versus Dressings with Dakin's Solution

    PubMed Central

    Altunoluk, Bülent; Resim, Sefa; Efe, Erkan; Eren, Mustafa; Benlioglu, Can; Kankilic, Nazim; Baykan, Halit

    2012-01-01

    Purpose. Fournier's gangrene is a fulminant and destructive inflammation of the scrotum, penis, and perineum. The objective of this study was to compare 2 different approaches to wound management after aggressive surgical debridement. Methods. Data from 14 patients with Fournier's gangrene were retrospectively collected (2005–2011). Once the patients were stabilized following surgery, they were treated with either daily antiseptic (povidone iodine) dressings (group I, n = 6) or dressings with dakin's solution (sodium hypochloride) (group II, n = 8). Results. The mean age of the patients was 68.2 ± 7.8 (55–75) years in group I and 66.9 ± 10.2 (51–79) years in group II. Length of hospital stay was 13 ± 3.5 (7–16) days in group I and 8.9 ± 3.0 (4–12) days in group II (P < 0.05). The number and rate of mortality was 1/6 (16.7%) in group I, and 1/8 (12.5%) in group II. Conclusions. The hospitalization time can be reduced with the use of dakin's solution for the dressings in the treatment of FG. Also, dressings with dakin's solution seems to have favorable effects on morbidity and mortality. Consequently dakin's solution may alter the treatment of this disastrous disease by reducing cost, morbidity and mortality. PMID:22567424

  20. School Dress Codes and Uniform Policies.

    ERIC Educational Resources Information Center

    Anderson, Wendell

    2002-01-01

    Opinions abound on what students should wear to class. Some see student dress as a safety issue; others see it as a student-rights issue. The issue of dress codes and uniform policies has been tackled in the classroom, the boardroom, and the courtroom. This Policy Report examines the whole fabric of the debate on dress codes and uniform policies…

  1. Dress Codes and Gang Activity.

    ERIC Educational Resources Information Center

    Gluckman, Ivan B.

    1996-01-01

    Concern with school violence and efforts to reduce gang visibility at school have led to controversy about students' constitutional rights to freedom of expression. This document outlines legal precedents and offers guidelines for developing a sound school policy on dress codes. It answers the following questions: (1) Are gang clothing and symbols…

  2. Redressing Cross-Dressed Shakespeare

    ERIC Educational Resources Information Center

    Martin, Thomas L.; Pesta, Duke

    2003-01-01

    Gender critics obsess over the boy actors who played female roles on the Elizabethan stage. But, in their far-fetched interpretation of Shakespearean drama as a spectacle of cross dressing, these new historicists lose sight of a fundamental principle of theater. Thomas Martin and Duke Pesta argue that with their prurient chatter of "the…

  3. Antimicrobial Wound Dressing. Phase 1

    DTIC Science & Technology

    1987-06-11

    aureus Infections and mixed itifections containing both organisms. 14. SUBJICT TERMS . 5 464i501 OF PAGES Wound dressing; Sustained release...hydrogels were efficacious against es- tablished staphylococcus aureus infections and mixed infections containing both organisms (see Table 2). Page 2...acid. Kanitkar and Bhide (1947) give some data on the effectiveness of phosphanilic acid against Staphylococcus aureus . Lee, et al. (1980) describe

  4. Methoxyflurane analgesia for burns dressings

    PubMed Central

    Packer, Kathleen J.

    1972-01-01

    The requirements for analgesia for burns dressings are discussed. Methoxyflurane has proved satisfactory in a clinical trial, and can be administered by one of two types of vaporizer. The possibility of nephrotoxicity due to methoxyflurane has not been eliminated. PMID:5024149

  5. Dress Nicer = Know More? Young Children's Knowledge Attribution and Selective Learning Based on How Others Dress.

    PubMed

    McDonald, Kyla P; Ma, Lili

    2015-01-01

    This research explored whether children judge the knowledge state of others and selectively learn novel information from them based on how they dress. The results indicated that 4- and 6-year-olds identified a formally dressed individual as more knowledgeable about new things in general than a casually dressed one (Study 1). Moreover, children displayed an overall preference to seek help from a formally dressed individual rather than a casually dressed one when learning about novel objects and animals (Study 2). These findings are discussed in relation to the halo effect, and may have important implications for child educators regarding how instructor dress might influence young students' knowledge attribution and learning preferences.

  6. Exposing the Dressed Quark's Mass

    NASA Astrophysics Data System (ADS)

    Roberts, H. L. L.; Chang, L.; Cloët, I. C.; Roberts, C. D.

    2011-02-01

    This snapshot of recent progress in hadron physics made in connection with QCD's Dyson-Schwinger equations includes: a perspective on confinement and dynamical chiral symmetry breaking (DCSB); a précis on the physics of in-hadron condensates; results on the hadron spectrum, including dressed-quark-core masses for the nucleon and Δ, their first radial excitations, and the parity-partners of these states; an illustration of the impact of DCSB on the electromagnetic pion form factor, thereby exemplifying how data can be used to chart the momentum-dependence of the dressed-quark mass function; and a prediction that F1p,d/F_1p,u passes through zero at {Q2} ≈ 5mN2 owing to the presence of nonpointlike scalar and axial-vector diquark correlations in the nucleon.

  7. Wound Dressing in Maxillofacial Trauma.

    DTIC Science & Technology

    1979-10-31

    Pharmacology Wound healing Hemostatics PolymersLLocal anesthetics Encapsulating Polylactide * - Antiinfectives and antibacterials Polymeric films...8 C. Wound Dressings 8 D. Polylactide /Polyglycolide Systems 9 E. Drug Selection 10 1. Anesthetic Agents 10 2. Antiseptic Agents 12 3. Anti...Inflammatory Drugs 14 4. Hemostatic Agents 15 II. POLYMER SYNTHESIS 16 A. Polylactides 16 1. Poly-L(-)lactide Synthesis (RSV - 1.3 dl/g) 16 2. Poly-L(-)lactide

  8. Get dressed and get well.

    PubMed

    Young, Lorna

    2017-06-14

    [Figure: see text] I read your #endPJparalysis news analysis (31 May) with wonder and anger. I have worked in rehabilitation nursing for more than 20 years from strokes to surgical to amputation. We always strive to get patients dressed, to aid recovery, promote independence, encourage exercise and to help the patient regain their individuality. I am shocked that the acute sector is making such a fuss about something they should have been doing all along.

  9. "Pocket sandwich" dressing in auricular surgery.

    PubMed

    Schmidtberger, Lindsey; El Tal, Abdel Kader; MacFarlane, Deborah F

    2015-01-01

    The auricular dressing presents a challenge to medical staff and patients alike. The task is to dress the ear, which may include exposed cartilage, in a manner that provides protection but does not distort auricular anatomy. Two lengths of adhesive tape are sandwiched over the posterior and anterior aspects of the ear to cover the defect in an occlusive manner, creating a "pocket sandwich"-type dressing. This method results in a dressing that can be used to cover a post-surgical defect on any part of the ear. It is inexpensive and easily reproducible by the patient. The present dressing is non-bulky, easy to perform, and encases the ear in a pocket of adhesive tape. Further advantages are that it avoids the auricular distortion that may occur with overly bulky dressings, provides an occlusive environment, is esthetically pleasing, and comfortably accommodates eyewear. We highly recommend its use for ear wound defects. © 2014 The International Society of Dermatology.

  10. Superabsorbent dressings for copiously exuding wounds.

    PubMed

    Faucher, Nathalie; Safar, Helene; Baret, Mylène; Philippe, Anne; Farid, Rachida

    Exudate control is important in the management of both acute and chronic wounds. A new category of absorbent dressings that contain superabsorbent particles promises high absorbency. The aim of this multicentre, prospective, non-comparative observational study was to evaluate the clinical efficacy and absorbent capacity of a superabsorbent dressing. Fifteen inpatients and outpatients with highly exuding wounds were included. Most patients (n=8) (53%) had chronic wounds; 20% (n=3) had ulcerating tumours. The superabsorbent dressing was used as a primary or a secondary dressing. Assessment was on day 0 (start), day 3 and day 7 (end of study). The study looked at wound bed and periwound skin condition, exudate production, pain upon dressing removal, reason for dressing removal, and frequency of dressing changes. A clinical visual scoring tool was used, together with digital photographs, which were assessed by the same experienced clinician. All 15 patients completed the study, during which no adverse events were noted. At day 7, maceration had reduced from 46.7% (n=7) at day 0 to 6.7% (n=1). After only 3 days, dressing change frequency was reduced from once daily to twice weekly in 80% (n=12) of patients. The superabsorbent dressing seems to reduce complications associated with exudate production, stimulate wound healing and increase patient comfort; it may also save time and costs for caregivers.

  11. Dressed qubits in nuclear spin baths

    SciTech Connect

    Wu Lianao

    2010-04-15

    We present a method to encode a dressed qubit into the product state of an electron spin localized in a quantum dot and its surrounding nuclear spins via a dressing transformation. In this scheme, the hyperfine coupling and a portion of a nuclear dipole-dipole interaction become logic gates, while they are the sources of decoherence in electron-spin qubit proposals. We discuss errors and corrections for the dressed qubits. Interestingly, the effective Hamiltonian of nuclear spins is equivalent to a pairing Hamiltonian, which provides the microscopic mechanism to protect dressed qubits against decoherence.

  12. [DRESS syndrome following sulfasalazine treatment].

    PubMed

    Pirklbauer, M; Gruber, J

    2014-03-01

    A female patient developed systemic rash, lung edema, electrocardiogram (ECG) abnormalities and fulminant hepatitis with partial liver failure 4 weeks after the start of sulfasalazine treatment. Peripheral T-cell activation, a positive PCR test for human herpesvirus (HHV) 6 as well as eosinophilia in bronchial lavage and a differential blood count were also present. After initiation of systemic corticosteroid therapy and cessation of accompanying medication the clinical symptoms and abnormal laboratory test levels were gradually resolved. A DRESS syndrome (drug rash with eosinophilia and systemic symptoms) was confirmed in accordance with the diagnostic criteria.

  13. Acemannan hydrogel dressing versus saline dressing for pressure ulcers. A randomized, controlled trial.

    PubMed

    Thomas, D R; Goode, P S; LaMaster, K; Tennyson, T

    1998-10-01

    Aloe vera has been used for centuries as a topical treatment for various conditions and as a cathartic. An amorphous hydrogel dressing derived from the aloe plant (Carrasyn Gel Wound Dressing, Carrington Laboratories, Inc., Irving, TX) is approved by the Food and Drug Administration for the management of Stages I through IV pressure ulcers. To evaluate effectiveness of this treatment, 30 patients were randomized to receive either daily topical application of the hydrogel study dressing (acemannan hydrogel wound dressing) or a moist saline gauze dressing. Complete healing of the study ulcer occurred in 19 of 30 subjects (63%) during the 10-week observation period. No difference was observed in complete healing between the experimental and the control groups (odds ratio 0.93, 95% CI 0.16, 5.2). This study indicates that the acemannan hydrogel dressing is as effective as, but is not superior to, a moist saline gauze wound dressing for the management of pressure ulcers.

  14. Dress Codes: We Forget Our Own Advice

    ERIC Educational Resources Information Center

    Weinberger, Morris J.

    1970-01-01

    Eccentric dress on the part of adolescents should not be treated as a moral issue. The conflict between youth and adults over school dress codes is but another variation of the conflict between the needs and rights of the individual as opposed to those of a larger society. (CK)

  15. Student Dress Codes Using Zero Tolerance?

    ERIC Educational Resources Information Center

    Essex, Nathan L.

    2004-01-01

    In this article, the author focuses on the issue involving zero tolerance in the Texas district whether the dress code policy is reasonable. In a small Texas school district, over 700 students were suspended in a single month for violating a zero-tolerance dress code policy. This suspension, which attracted national attention and threats of…

  16. Role Conflict and Conformity in Dress.

    ERIC Educational Resources Information Center

    Jasper, Cynthia R.; Roach-Higgins, Mary Ellen

    1988-01-01

    Examined conflict regarding what form of dress is appropriate for Roman Catholic priest. Data from 5,475 American Catholic priests revealed that priests who conformed to church regulations regarding dress differed from nonconformists in beliefs about their roles as priests and in their opinions of church reform, commitment to the priesthood,…

  17. Role Conflict and Conformity in Dress.

    ERIC Educational Resources Information Center

    Jasper, Cynthia R.; Roach-Higgins, Mary Ellen

    1988-01-01

    Examined conflict regarding what form of dress is appropriate for Roman Catholic priest. Data from 5,475 American Catholic priests revealed that priests who conformed to church regulations regarding dress differed from nonconformists in beliefs about their roles as priests and in their opinions of church reform, commitment to the priesthood,…

  18. Student Dress Codes Using Zero Tolerance?

    ERIC Educational Resources Information Center

    Essex, Nathan L.

    2004-01-01

    In this article, the author focuses on the issue involving zero tolerance in the Texas district whether the dress code policy is reasonable. In a small Texas school district, over 700 students were suspended in a single month for violating a zero-tolerance dress code policy. This suspension, which attracted national attention and threats of…

  19. Dress Codes: We Forget Our Own Advice

    ERIC Educational Resources Information Center

    Weinberger, Morris J.

    1970-01-01

    Eccentric dress on the part of adolescents should not be treated as a moral issue. The conflict between youth and adults over school dress codes is but another variation of the conflict between the needs and rights of the individual as opposed to those of a larger society. (CK)

  20. Wound dressings: a myriad of challenging decisions.

    PubMed

    Baranoski, Sharon

    2005-05-01

    Choosing the appropriate wound dressing is critical to positive patient outcomes. This article helps the nurse choose dressings based on wound care principles and the comprehensive assessment. Tools are provided to choose the different products that can be used as the wound progresses through the stages of healing.

  1. Honey: A Biologic Wound Dressing.

    PubMed

    Molan, Peter; Rhodes, Tanya

    2015-06-01

    Honey has been used as a wound dressing for thousands of years, but only in more recent times has a scientific explanation become available for its effectiveness. It is now realized that honey is a biologic wound dressing with multiple bioactivities that work in concert to expedite the healing process. The physical properties of honey also expedite the healing process: its acidity increases the release of oxygen from hemoglobin thereby making the wound environment less favorable for the activity of destructive proteases, and the high osmolarity of honey draws fluid out of the wound bed to create an outflow of lymph as occurs with negative pressure wound therapy. Honey has a broad-spectrum antibacterial activity, but there is much variation in potency between different honeys. There are 2 types of antibacterial activity. In most honeys the activity is due to hydrogen peroxide, but much of this is inactivated by the enzyme catalase that is present in blood, serum, and wound tissues. In manuka honey, the activity is due to methylglyoxal which is not inactivated. The manuka honey used in wound-care products can withstand dilution with substantial amounts of wound exudate and still maintain enough activity to inhibit the growth of bacteria. There is good evidence for honey also having bioactivities that stimulate the immune response (thus promoting the growth of tissues for wound repair), suppress inflammation, and bring about rapid autolytic debridement. There is clinical evidence for these actions, and research is providing scientific explanations for them.

  2. Recommendations for road surface dressing

    NASA Astrophysics Data System (ADS)

    Guidance is provided for the preparation of specifications needed to cater to the wide range of traffic conditions and types of surfaces likely to be encountered on country lanes as well as other motorways. Both chippings and binders are considered as well as their application. Topics covered include surface preparation; application of the binder; spraying time; joining strips of sprayed binder; applying chips; rolling; and traffic management during and after operations. Special areas discussed include heavily trafficked high speed roads; hard shoulders; open-textured and porous bituminous surfaces; unbound surfaces; sealing roadbases, subgrades, and subbases; bituminous mist sprays; high stressed sites (epoxy resin based systems); the treatment of fatted surface dressings; and the control of materials and workmanship. Procedures for measuring hardness, and the rate of spread of spray binders and of chippings are included.

  3. Dress Codes in the Public Schools: Principals, Policies, and Precepts.

    ERIC Educational Resources Information Center

    DeMitchell, Todd A.; Fossey, Richard; Cobb, Casey

    2000-01-01

    Responses from 157 principals (65 percent of a national sample) showed strong support for dress codes. Research focuses on the perception of school principals regarding dress codes, analyzes dress codes for common features, and proposes a constitutional standard of review for contested dress codes. (58 footnotes) (MLF)

  4. Dress Codes in the Public Schools: Principals, Policies, and Precepts.

    ERIC Educational Resources Information Center

    DeMitchell, Todd A.; Fossey, Richard; Cobb, Casey

    2000-01-01

    Responses from 157 principals (65 percent of a national sample) showed strong support for dress codes. Research focuses on the perception of school principals regarding dress codes, analyzes dress codes for common features, and proposes a constitutional standard of review for contested dress codes. (58 footnotes) (MLF)

  5. Dress and Appearance Codes in Public Secondary School Handbooks.

    ERIC Educational Resources Information Center

    Herbon, Beth; Workman, Jane E.

    2000-01-01

    Analyzed and compared dress and appearance codes from 154 secondary school handbooks. Unacceptable dress and appearance was listed more frequently that acceptable or required dress; concerns about health, safety, and modesty were reflected; and 80 percent included a statement that dress should not be disruptive to the educational process.…

  6. A dressed spin qubit in silicon

    DOE PAGES

    Laucht, Arne; Kalra, Rachpon; Simmons, Stephanie; ...

    2016-10-17

    Coherent dressing of a quantum two-level system provides access to a new quantum system with improved properties—a different and easily tunable level splitting, faster control and longer coherence times. In our work we investigate the properties of the dressed, donor-bound electron spin in silicon, and assess its potential as a quantum bit in scalable architectures. The two dressed spin-polariton levels constitute a quantum bit that can be coherently driven with an oscillating magnetic field, an oscillating electric field, frequency modulation of the driving field or a simple detuning pulse. We measure coherence times of T*2p = 2.4 ms and THahn2pmore » = 9 ms, one order of magnitude longer than those of the undressed spin. Moreover, the use of the dressed states enables coherent coupling of the solid-state spins to electric fields and mechanical oscillations.« less

  7. A dressed spin qubit in silicon

    SciTech Connect

    Laucht, Arne; Kalra, Rachpon; Simmons, Stephanie; Dehollain, Juan P.; Muhonen, Juha T.; Mohiyaddin, Fahd A.; Freer, Solomon; Hudson, Fay E.; Itoh, Kohei M.; Jamieson, David N.; McCallum, Jeffrey C.; Dzurak, Andrew S.; Morello, A.

    2016-10-17

    Coherent dressing of a quantum two-level system provides access to a new quantum system with improved properties—a different and easily tunable level splitting, faster control and longer coherence times. In our work we investigate the properties of the dressed, donor-bound electron spin in silicon, and assess its potential as a quantum bit in scalable architectures. The two dressed spin-polariton levels constitute a quantum bit that can be coherently driven with an oscillating magnetic field, an oscillating electric field, frequency modulation of the driving field or a simple detuning pulse. We measure coherence times of T*2p = 2.4 ms and THahn2p = 9 ms, one order of magnitude longer than those of the undressed spin. Moreover, the use of the dressed states enables coherent coupling of the solid-state spins to electric fields and mechanical oscillations.

  8. A dressed spin qubit in silicon

    NASA Astrophysics Data System (ADS)

    Laucht, Arne; Kalra, Rachpon; Simmons, Stephanie; Dehollain, Juan P.; Muhonen, Juha T.; Mohiyaddin, Fahd A.; Freer, Solomon; Hudson, Fay E.; Itoh, Kohei M.; Jamieson, David N.; McCallum, Jeffrey C.; Dzurak, Andrew S.; Morello, A.

    2017-01-01

    Coherent dressing of a quantum two-level system provides access to a new quantum system with improved properties—a different and easily tunable level splitting, faster control and longer coherence times. In our work we investigate the properties of the dressed, donor-bound electron spin in silicon, and assess its potential as a quantum bit in scalable architectures. The two dressed spin-polariton levels constitute a quantum bit that can be coherently driven with an oscillating magnetic field, an oscillating electric field, frequency modulation of the driving field or a simple detuning pulse. We measure coherence times of and , one order of magnitude longer than those of the undressed spin. Furthermore, the use of the dressed states enables coherent coupling of the solid-state spins to electric fields and mechanical oscillations.

  9. [DRESS syndrome: Report of nine cases].

    PubMed

    Ocampo-Garza, Jorge; Ocampo-Garza, Sonia Sofía; Martínez-Villarreal, José Darío; Barbosa-Moreno, Laura Elena; Guerrero-González, Guillermo Antonio; Ocampo-Candiani, Jorge

    2015-05-01

    DRESS Syndrome (Drug Reaction with Eosinophilia and Systemic Symptoms) is an uncommon disease caused by drugs. It is characterized by a polymorphic disseminated eruption with fever and multiple organ dysfunction. To report the etiology, characteristics, treatment, prognosis, and follow up of patients with DRESS Syndrome admitted to a clinical hospital. Review of medical records of patients admitted for drug reactions, selecting those patients complying with clinical criteria for DRESS Syndrome. Drugs used during three months prior to the onset of symptoms were evaluated as possible causes of the disease. Nine patients aged 16 to 68 years (six males) complied with the clinical criteria for the disease. The causative medications were carbamazepine in three patients, phenytoin in three, antituberculous drugs in two and amoxicillin in one. All were treated with systemic steroids with a complete clinical resolution. DRESS syndrome is usually underdiagnosed and has a good response to systemic steroids.

  10. Colour Vision: Understanding #TheDress.

    PubMed

    Brainard, David H; Hurlbert, Anya C

    2015-06-29

    A widely-viewed image of a dress elicits striking individual variation in colour perception. Experiments with multiple variants of the image suggest that the individual differences may arise through the action of visual mechanisms that normally stabilise object colour.

  11. Strategies to reduce wound dressing waste.

    PubMed

    Denhartog, Lauren; Hallman, Laura

    2015-01-01

    Inappropriate use of dressing supplies and the amount of unused, unopened dressings, often stockpiled in patient rooms and discarded upon patient discharge begs the question about the environmental impact of this common practice. Thousands of dollars could be saved each year if nurses placed more emphasis on prevention and education, and addressed wound care in a standardized way that blends cost-effectiveness with evidence-based practice.

  12. [The "DRESS" syndrome in antituberculosis drugs].

    PubMed

    Bopaka, R G; El Khattabi, W; Afif, H; Aichane, A; Bouayad, Z

    2014-06-01

    The DRESS syndrome is a serious drug reaction that may involve life-threatening. We have to think before any skin reaction after taking drugs. We report a clinical case of a 27-year-old patient treated for pleural tuberculosis with the DRESS syndrome induced by antituberculosis. Through this work, we underline the rarity of this syndrome to antituberculosis treatment, but it should not be underestimated. Copyright © 2014 Elsevier Masson SAS. All rights reserved.

  13. Dressed coordinates: The path-integral approach

    NASA Astrophysics Data System (ADS)

    Casana, R.; Flores-Hidalgo, G.; Pimentel, B. M.

    2007-02-01

    The recently introduced dressed coordinates are studied in the path-integral approach. These coordinates are defined in the context of a harmonic oscillator linearly coupled to massless scalar field and it is shown that in this model the dressed coordinates appear as a coordinate transformation preserving the path-integral functional measure. The analysis also generalizes the sum rules established in a previous work.

  14. Release of antibiotics from collagen dressing.

    PubMed

    Grzybowski, J; Antos-Bielska, M; Ołdak, E; Trafny, E A

    1997-01-01

    Our new collagen dressing has been developed recently. Three types (A, B, and C) of the dressing were prepared in this study. Each type contained bacitracin, neomycin or colistin. The antibiotic was input into: i. collagen sponge (CS)--type A, ii. layer of limited hydrophobicity (LLH)--type B, and iii. into both CS and LLH layers--type C. The final concentration of the antibiotic that resulted from the loading level was 2 mg/cm2 for the dressings of type A and B and 4 mg/cm2 for the dressing of type C. The antibiotics were then extracted from the pieces of dressings for two days through dialysis membrane. Susceptibility of 54 bacterial strains (S. aureus, P. aeruginosa, and Acinetobacter) isolated from burn wounds were tested to the three antibiotics used for preparation of the dressings. The results of the study evidenced that efficiency of released of antibiotics into the extracts depended on the kind of antibiotic and on the type of dressing. The concentration of the antibiotics proved to be much higher than MIC90 values of the bacterial isolates tested in respect to their susceptibility. The dressing containing mixture of the three antibiotics in two layers--CS and LLH is now considered as potentially effective for care of infected wounds. It may be useful for the treatment of infected wounds or for profilaxis of contaminated wounds, ensuring: i. sufficient antimicrobial activity in wound, and ii. optimal wound environment for the presence of collagenic biomaterial on the damaged tissue.

  15. 21 CFR 878.4022 - Hydrogel wound dressing and burn dressing.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 21 Food and Drugs 8 2014-04-01 2014-04-01 false Hydrogel wound dressing and burn dressing. 878.4022 Section 878.4022 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES GENERAL AND PLASTIC SURGERY DEVICES Surgical Devices §...

  16. 21 CFR 878.4022 - Hydrogel wound dressing and burn dressing.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 21 Food and Drugs 8 2013-04-01 2013-04-01 false Hydrogel wound dressing and burn dressing. 878.4022 Section 878.4022 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES GENERAL AND PLASTIC SURGERY DEVICES Surgical Devices §...

  17. 21 CFR 878.4022 - Hydrogel wound dressing and burn dressing.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Hydrogel wound dressing and burn dressing. 878.4022 Section 878.4022 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES GENERAL AND PLASTIC SURGERY DEVICES Surgical Devices §...

  18. 21 CFR 878.4022 - Hydrogel wound dressing and burn dressing.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 21 Food and Drugs 8 2012-04-01 2012-04-01 false Hydrogel wound dressing and burn dressing. 878.4022 Section 878.4022 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES GENERAL AND PLASTIC SURGERY DEVICES Surgical Devices §...

  19. Adolescent Dress, Part I: Dress and Body Markings of Psychiatric Outpatients and Inpatients.

    ERIC Educational Resources Information Center

    Michelman, John D.; And Others

    1991-01-01

    Investigated dress and body markings of 100 hospitalized and never-hospitalized adolescent psychiatric patients using in-depth interviews. Found that hospitalized patients had higher incidence of self-scarring, but other individual expressions of appearance did not differentiate two groups. Suggests that dress and appearance observations,…

  20. Adolescent Dress, Part I: Dress and Body Markings of Psychiatric Outpatients and Inpatients.

    ERIC Educational Resources Information Center

    Michelman, John D.; And Others

    1991-01-01

    Investigated dress and body markings of 100 hospitalized and never-hospitalized adolescent psychiatric patients using in-depth interviews. Found that hospitalized patients had higher incidence of self-scarring, but other individual expressions of appearance did not differentiate two groups. Suggests that dress and appearance observations,…

  1. Testing wound dressings using an in vitro wound model

    PubMed Central

    Lipp, C.; Kirker, K.; Agostinho, A.; James, G.; Stewart, P.

    2010-01-01

    Objective To determine whether or not there are any significant differences in the effects of wound dressings on bacterial bioburden. Method A selection of non-occlusive, non-adhesive dressings was tested for their effect on bacterial bioburden. The dressings selected included two dressings with antimicrobial properties (one containing silver and one containing PHMB), a cotton-based dressing enclosed in a perforated sleeve of poly(ethylene terephthalate), a carboxymethyl cellulose-based dressing, a fibre-free alginate dressing, and a 12-ply 100% cotton gauze. Using the colony-drip flow reactor (DFR) model, a meticillin-resistant Staphylococcus aureus (MRSA) or Pseudomonas aeruginosa biofilm was grown underneath a dressing sample. Biofilm growth was examined via plate counts, fluorescent microscopy and scanning electron microscopy. Results The dressings containing antimicrobial agents had the greatest effect on bacterial load. In the MRSA experiments, both antimicrobial dressings produced lower bacteria counts than the other dressings (p≤0.001), while in the P. aeruginosa experiments, only the silver-containing sample had fewer bacteria (p≤0.0001). However, neither antimicrobial dressing was able to completely eradicate the bacteria when testing with either microorganism. Conclusion The results presented herein illustrate that bacteria can grow unchallenged within the dressing environment and that an antimicrobial dressing can limit this bacterial growth. PMID:20551862

  2. Choosing a Wound Dressing Based on Common Wound Characteristics.

    PubMed

    Dabiri, Ganary; Damstetter, Elizabeth; Phillips, Tania

    2016-01-01

    Significance: Chronic wounds are a major healthcare burden.The practitioner should have an appropriate understanding of both the etiology of the wound as well as the optimal type of dressings to use. Fundamental wound characteristics may be used to guide the practitioner's choice of dressings. The identification of optimal dressings to use for a particular wound type is an important element in facilitating wound healing. Recent Advances: Researchers have sought to design wound dressings that aim to optimize each stage in the healing process. In addition, dressings have been designed to target and kill infection-causing bacteria, with the incorporation of antimicrobial agents. Critical Issues: Chronic wounds are frequently dynamic in presentation, and the numerous wound dressings available make dressing selection challenging for the practitioner. Choosing the correct dressing decreases time to healing, provides cost-effective care, and improves patient quality of life. Future Directions: Research into the mechanisms of wound healing has enhanced our ability to heal chronic wounds at a faster rate through the use of moisture-retentive dressings. Newer dressings are incorporating the use of nanotechnology by incorporating miniature electrical sensors into the dressing. These dressings are engineered to detect changes in a wound environment and alert the patient or practitioner by altering the color of the dressing or sending a message to a smartphone. Additional investigations are underway that incorporate biologic material such as stem cells into dressings.

  3. Ovine-Based Collagen Matrix Dressing: Next-Generation Collagen Dressing for Wound Care

    PubMed Central

    Bohn, Gregory; Liden, Brock; Schultz, Gregory; Yang, Qingping; Gibson, Daniel J.

    2016-01-01

    Significance: Broad-spectrum metalloproteinase (MMP) reduction along with inherent aspects of an extracellular matrix (ECM) dressing can bring about improved wound healing outcomes and shorter treatment duration. Initial reports of clinical effectiveness of a new ovine-based collagen extracellular matrix (CECM) dressing demonstrate benefits in chronic wound healing. Recent Advances: CECM dressings are processed differently than oxidized regenerated cellulose/collagen dressings. CECM dressings consist primarily of collagens I and III arranged as native fibers that retain the three-dimensional architecture present in tissue ECM. As such, ovine-based ECM dressings represent a new generation of collagen dressings capable of impacting a broad spectrum of MMP excess known to be present in chronic wounds. Critical Issues: While MMPs are essential in normal healing, elevated presence of MMPs has been linked to wound failure. Collagen has been shown to reduce levels of MMPs, acting as a sacrificial substrate for excessive proteases in a chronic wound. Preserving collagen dressings in a more native state enhances bioactivity in terms of the ability to affect the chronic wound environment. Clinical observation and assessment may not be sufficient to identify a wound with elevated protease activity that can break down ECM, affect wound fibroblasts, and impair growth factor response. Future Directions: Collagen dressings that target broad-spectrum excessive MMP levels and can be applied early in the course of care may positively impact healing rates in difficult wounds. Next-generation collagen dressings offer broader MMP reduction capacity while providing a provisional dermal matrix or ECM. PMID:26858910

  4. Patients' perspectives on how doctors dress.

    PubMed

    Palazzo, S; Hocken, D B

    2010-01-01

    Infection in hospitals is a serious problem. Attempting to address the spread of infection, many UK National Health Service trusts have adopted a 'bare-below-the-elbows' and tie-less dress-code policy. This followed publication of Department of Health guidelines on staff uniforms in September 2007. Although the potential for colonisation of clothing with pathogens has been investigated, patients' opinions on dress-code and policy change have not. This survey of 75 patients in Great Western Hospital, Swindon, UK, used questionnaires to address this. The survey showed that, although patients did feel that doctors' dress was important, neckties and white coats were not expected. Moreover, surgical scrubs were considered acceptable forms of attire. Problems of identifying doctors and determining their grade were repeatedly raised. Patients were generally unaware of the new dress-code, and few knew anything of its relationship to infection control. This work demonstrates that more 'traditional' dress is not expected. Given the problems of identification and perception of surgical scrubs as suitable, their introduction as a 'uniform for doctors' should be considered. Furthermore, work needs to be done to advertise policy change and increase patient awareness of infection control. Copyright 2009 The Hospital Infection Society. Published by Elsevier Ltd. All rights reserved.

  5. DRESS syndrome: cerebral vasculitic-like presentation.

    PubMed

    Gaha, Mehdi; Landry, David; Bélair, Manon; Paquet, Brenda; Chapdelaine, Hugo; Bard, Céline

    2015-10-01

    DRESS (drug reaction with eosinophilia and systemic symptoms) syndrome is a severe adverse drug-induced reaction. It manifests with pyrexia, eosinophilia, and lymphadenopathy, with multiple organ involvement, mainly the skin, liver, and kidneys. The purpose of this article is to demonstrate that DRESS syndrome can be associated with cerebral manifestations, a concept not well known in the neuroradiological literature. We describe three cases of DRESS syndrome associated with cerebral vasculitic-like lesions and realize a review of the literature to demonstrate that this association represents a very rare entity. Acute ischemic lesions were found among two patients. In all cases, perivascular enhancement was present. Magnetic resonance angiography (MRA) sequence was normal. Although no cerebral biopsy was performed, this enhancement pattern is strongly suggestive of a vasculitic process associated with DRESS syndrome. Diagnosis of cerebral vasculitic-like associated lesions must be considered in patients with DRESS syndrome since it can be reversed completely by withdrawing the causal medication and instigating corticosteroid treatment in a timely fashion.

  6. Wound dressings for primary and revision total joint arthroplasty

    PubMed Central

    Chowdhry, Madhav

    2015-01-01

    Background Preventing post-surgical complications after total joint arthroplasty (TJA) is of great importance, and application of an appropriate wound dressing is necessary. Since no dressing encompasses all the parameters required for ideal wound healing, a comparison of the available dressing types can assist the surgeon to choose the best dressing after TJA. Methods Studies evaluating postoperative wound dressings after TJA were reviewed in order to assess the outcomes, complications and costs associated with dressing types. Results Traditional cotton dressings have a high ability to absorb exudate. However, they dry out sooner and there is a risk of pain and additional trauma during dressing changes. Although vapor permeable dressings allow transmission of moisture, but they have low absorptive capacity and require frequent changes even with moderately exudating wounds. On the other hand, hydrofiber and hydrocolloid dressings have high absorptive capacity and permeability, and can cope with exudate production. They are changed less often and have low blistering rates, which may reduce surgical site infection (SSI). Although the unit cost associated with advanced dressings is much higher than the traditional dressings, the decreased rate of periprosthetic joint infection (PJI) and the cost associated with treating PJI more than compensate for it. Conclusions Choice of dressing type after TJA should depend upon permeability, absorptive capacity, documented rate of SSI and cost effectiveness with its use, apart from a surgeon’s past clinical experience and familiarity. PMID:26605314

  7. [Severe cholestatic hepatitis revealing a DRESS syndrome].

    PubMed

    Droz, N; Thiebaut, M; Terrier, B; Bérézné, A; Sogni, P; Beuvon, F; Guillevin, L; Mouthon, L

    2013-10-01

    Drug Rash with Eosinophilia and Systemic Symptoms (DRESS) syndrome is a drug-induced hypersensitivity syndrome, characterized by rash, hyereosinophilia and multiorgan failure, including cytolytic hepatitis. A 75-year-old man, treated with amoxicillin/clavulanic acid, presented with jaundice and disabling pruritus associated with severe cholestatic hepatitis, related to a DRESS syndrome. Because of the persistence of cholestasis and the severity of pruritus, a treatment with corticosteroids and plasma exchanges was initiated, allowing a rapid and complete remission. Amoxicillin/clavulanic acid, although rarely described in the literature, is a rare cause of DRESS syndrome. Severe cholestatic hepatitis associated with disabling pruritus may be one of the systemic manifestations, with a good prognosis using corticosteroids and plasma exchanges. Copyright © 2013 Société nationale française de médecine interne (SNFMI). Published by Elsevier SAS. All rights reserved.

  8. Establishing guidelines for employee dress and hygiene.

    PubMed

    Hills, Laura Sachs

    2003-01-01

    Can you tell your medical practice staff how you want them to look? Where in your office they can eat? Can they chew gum at work? Can they wear red nail polish or a charm bracelet? In the pages that follow, the author suggests not only that you can establish rules for employee dress and hygiene, but why you should. This article suggests several good ways to structure staff rules for wearing uniforms and street clothing. It also covers possible rules for wearing practice nametags, cosmetics, jewelry, hair styles, neatness, stowing of personal possessions, personal hygiene, drinking, eating, smoking, and gum chewing. Finally, this article offers practical suggestions for establishing your practice's dress and hygiene "first aid" kit as well as guidance for making your practice's dress and hygiene codes non-discriminatory.

  9. Investigation on Curcumin nanocomposite for wound dressing.

    PubMed

    Venkatasubbu, G Devanand; Anusuya, T

    2017-05-01

    Curcuma longa (turmeric) has a long history of use in medicine as a treatment for inflammatory conditions. The primary active constituent of turmeric and the one responsible for its vibrant yellow color is curcumin. Curcumin is used for treatment of wound and inflammation. It had antimicrobial and antioxidant property. It has low intrinsic toxicity and magnificent properties like with comparatively lesser side-effects. Cotton cloth is one of the most successful wound dressings which utilize the intrinsic properties of cotton fibers. Modern wound dressings, however, require other properties such as antibacterial and moisture maintaining capabilities. In this study, conventional cotton cloth was coated with Curcumin composite for achieving modern wound dressing properties. Curcumin nanocomposite is characterized. The results show that coated cotton cloth with Curcumin nanocomposite has increased drying time (74%) and water absorbency (50%). Furthermore, they show antibacterial efficiency against bacterial species present in wounds. Copyright © 2017 Elsevier B.V. All rights reserved.

  10. Wound Dressings and Comparative Effectiveness Data

    PubMed Central

    Sood, Aditya; Granick, Mark S.; Tomaselli, Nancy L.

    2014-01-01

    Significance: Injury to the skin provides a unique challenge, as wound healing is a complex and intricate process. Acute wounds have the potential to move from the acute wound to chronic wounds, requiring the physician to have a thorough understanding of outside interventions to bring these wounds back into the healing cascade. Recent Advances: The development of new and effective interventions in wound care remains an area of intense research. Negative pressure wound therapy has undoubtedly changed wound care from this point forward and has proven beneficial for a variety of wounds. Hydroconductive dressings are another category that is emerging with studies underway. Other modalities such as hyperbaric oxygen, growth factors, biologic dressings, skin substitutes, and regenerative materials have also proven efficacious in advancing the wound-healing process through a variety of mechanisms. Critical Issues: There is an overwhelming amount of wound dressings available in the market. This implies the lack of full understanding of wound care and management. The point of using advanced dressings is to improve upon specific wound characteristics to bring it as close to “ideal” as possible. It is only after properly assessing the wound characteristics and obtaining knowledge about available products that the “ideal” dressing may be chosen. Future Directions: The future of wound healing at this point remains unknown. Few high-quality, randomized controlled trials evaluating wound dressings exist and do not clearly demonstrate superiority of many materials or categories. Comparative effectiveness research can be used as a tool to evaluate topical therapy for wound care moving into the future. Until further data emerge, education on the available products and logical clinical thought must prevail. PMID:25126472

  11. DRESS Syndrome: Drug Rash with Eosinophilia and Systemic Symptoms.

    PubMed

    Thacker, Hemant; Shah, Manish; Tulle, Rahul

    2015-05-01

    DRESS Syndrome is caused by exposure to certain medications that may cause fever, rash, inflammation of internal organs, lymphadenopathy and characteristic hematologic abnormalities such as eosinophilia, thrombocytopenia and atypical lymphocytosis. We herein report a case of DRESS syndrome who presented with fever and rash, secondary to sulfasalazine ingestion. Diagnosis of DRESS is often delayed, as several diseases have clinical and laboratory features similar to DRESS syndrome.

  12. A collaborative project to enhance efficiency through dressing change practice.

    PubMed

    Joy, H; Bielby, A; Searle, R

    2015-07-01

    A collaborative project between Hull CHCP and Smith and Nephew wound management, which sought to enhance practice efficiency, specifically in relation to the optimisation of dressing change frequency. The project involved the use of a new foam dressing (Allevyn Life, Smith & Nephew, Hull) designed to manage wound exudate more effectively, be more acceptable to patients by masking staining of the dressing surface, and to provide both the patient and clinical staff with an indicator for dressing change. The project comprised a targeted programme of training and education to promote appropriate use of the new product and encourage practice change in dressing change frequency. The frequency of nursing visits, dressing changes and, where applicable, the reasons for a dressing change were documented pre- and post-implementation to determine the effect of this approach. Switching to the new dressing was accompanied by a reduction in dressing change visit frequency in 97.3% (36/37) of patients. The mean reduction in dressing change frequency was 1.8 visits per week, representing a 50.0% reduction. Post-implementation the mean number of dressings used per patient per dressing change had fallen from 2.1 at baseline to 1.1 (a 47.6% reduction). Furthermore, at baseline an average of 9.8 dressings were used per week per patient. This fell to an average of 2.0 dressings per week per patient following implementation, a reduction in dressings per patient of 79.6%. The results illustrate that a much less complex approach to the use of dressing products can be achieved. Furthermore, they demonstrate that with the adoption of advanced practice-enhancing products, coupled with appropriate training, education and effective promotion of practice change, valuable nursing time can be released. Alistair Bielby is a contractor for Smith & Nephew. Richard Searle is an employee of Smith & Nephew. This project was supported by an unrestricted grant from Smith & Nephew.

  13. A fitted neoprene garment to cover dressings in swine models.

    PubMed

    Mino, Matthew J; Mauskar, Neil A; Matt, Sara E; Pavlovich, Anna R; Prindeze, Nicholas J; Moffatt, Lauren T; Shupp, Jeffrey W

    2012-12-17

    Domesticated porcine species are commonly used in studies of wound healing, owing to similarities between porcine skin and human skin. Such studies often involve wound dressings, and keeping these dressings intact on the animal can be a challenge. The authors describe a novel and simple technique for constructing a fitted neoprene garment for pigs that covers dressings and maintains their integrity during experiments.

  14. Rationale for Student Dress Codes: A Review of School Handbooks

    ERIC Educational Resources Information Center

    Freeburg, Elizabeth W.; Workman, Jane E.; Lentz-Hees, Elizabeth S.

    2004-01-01

    Through dress codes, schools establish rules governing student appearance. This study examined stated rationales for dress and appearance codes in secondary school handbooks; 182 handbooks were received. Of 150 handbooks containing a rationale, 117 related dress and appearance regulations to students' right to a non-disruptive educational…

  15. Dressing of Cognitively Impaired Nursing Home Residents: Description and Analysis

    ERIC Educational Resources Information Center

    Cohen-Mansfield, Jiska; Creedon, Michael A.; Malone, Thomas; Parpura-Gill, Aleksandra; Dakheel-Ali, Maha; Heasly, Christopher

    2006-01-01

    Purpose: Getting dressed is an activity that is of particular difficulty for many persons with dementia, given the need for hand-eye coordination, fine motor skills, and overall planning skills. Despite several studies concerning interventions to improve dressing behavior, very little is known about the dressing process as it is currently…

  16. Rationale for Student Dress Codes: A Review of School Handbooks

    ERIC Educational Resources Information Center

    Freeburg, Elizabeth W.; Workman, Jane E.; Lentz-Hees, Elizabeth S.

    2004-01-01

    Through dress codes, schools establish rules governing student appearance. This study examined stated rationales for dress and appearance codes in secondary school handbooks; 182 handbooks were received. Of 150 handbooks containing a rationale, 117 related dress and appearance regulations to students' right to a non-disruptive educational…

  17. A simple dressing for hypospadias surgery in children

    PubMed Central

    Méndez-Gallart, Roberto; García-Palacios, María; Rodríguez-Barca, Pablo; Estévez-Martínez, Elina; Carril, Ana Lema; Bautista-Casasnovas, Adolfo

    2017-01-01

    One of the most controversial aspects of hypospadias surgery is the election of an appropriate wound dressing. In fact, there may be as many different types of dressing as there are types of surgical repair. Here, we describe a new, simple method for hypospadias dressing in children that minimizes painful removal. PMID:28163817

  18. Effect of periodontal dressings on human gingiva fibroblasts in vitro

    SciTech Connect

    Eber, R.M.; Shuler, C.F.; Buchanan, W.; Beck, F.M.; Horton, J.E. )

    1989-08-01

    In vitro cytotoxicity studies of periodontal dressings have not generally produced a result consistent with in vivo observations. These prior in vitro studies have not used human intraoral cell lines. We tested the effects of two eugenol containing and two non-eugenol periodontal dressings on cultured human gingival fibroblasts (HGF) (ATCC No. 1292). Replicate HGF cultures grown in microtiter plates were exposed to stock, 1:4 and 1:16 dilutions of extracts made from each of the four periodontal dressings. The HGF cultures were pulse labelled with tritiated thymidine (3HTdR) after 24, 48, and 72 hours. Incorporations of the labelled thymidine were measured using liquid scintillation counting and expressed as counts per minute. The results showed that undiluted extracts from all four periodontal dressings totally inhibited 3HTdR uptake (P less than 0.05). The 1:4 dilution of eugenol dressings inhibited 3HTdR uptake significantly more than non-eugenol dressings (P less than 0.05). Interestingly, at 72 hours the 1:16 dilution of the non-eugenol dressings caused significantly increased 3HTdR uptake which was not observed with the eugenol dressings. The present results suggest that the use of a human fibroblastic cell line for testing the effects of periodontal dressings may provide information about the relative biological effects of these dressings. Using this cell line, we have found that eugenol dressings inhibit fibroblast proliferation to a greater extent than non-eugenol dressings.

  19. Dressing of Cognitively Impaired Nursing Home Residents: Description and Analysis

    ERIC Educational Resources Information Center

    Cohen-Mansfield, Jiska; Creedon, Michael A.; Malone, Thomas; Parpura-Gill, Aleksandra; Dakheel-Ali, Maha; Heasly, Christopher

    2006-01-01

    Purpose: Getting dressed is an activity that is of particular difficulty for many persons with dementia, given the need for hand-eye coordination, fine motor skills, and overall planning skills. Despite several studies concerning interventions to improve dressing behavior, very little is known about the dressing process as it is currently…

  20. "Posh Music Should Equal Posh Dress": An Investigation into the Concert Dress and Physical Appearance of Female Soloists

    ERIC Educational Resources Information Center

    Griffiths, Noola K.

    2010-01-01

    This study investigates the effects of concert dress and physical appearance on perceptions of female classical soloists' musical abilities over a range of genres. Four female violinists were recorded playing three pieces, in four styles of dress of varying formality. Each combination of performer, piece and dress was recorded twice, once as the…

  1. "Posh Music Should Equal Posh Dress": An Investigation into the Concert Dress and Physical Appearance of Female Soloists

    ERIC Educational Resources Information Center

    Griffiths, Noola K.

    2010-01-01

    This study investigates the effects of concert dress and physical appearance on perceptions of female classical soloists' musical abilities over a range of genres. Four female violinists were recorded playing three pieces, in four styles of dress of varying formality. Each combination of performer, piece and dress was recorded twice, once as the…

  2. Swellability of Silver (I) Antimicrobial Wound Dressings

    USDA-ARS?s Scientific Manuscript database

    An important characteristic of moist wound dressings is their ability to swell and absorb exudates from the wound, while maintaining a moist atmosphere at the wound site. At the Southern Regional Research Center, we have developed antimicrobial silver- CM-cotton print cloth from CM-Printcloth with l...

  3. 21 CFR 169.115 - French dressing.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... emulsified viscous fluid food prepared from vegetable oil(s) and one or both of the acidifying ingredients... this section may also be used. The vegetable oil(s) used may contain an optional crystallization... vegetable oil. French dressing may be mixed and packed in an atmosphere in which air is replaced in whole...

  4. 21 CFR 169.115 - French dressing.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... emulsified viscous fluid food prepared from vegetable oil(s) and one or both of the acidifying ingredients... this section may also be used. The vegetable oil(s) used may contain an optional crystallization... vegetable oil. French dressing may be mixed and packed in an atmosphere in which air is replaced in whole...

  5. 21 CFR 169.115 - French dressing.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... emulsified viscous fluid food prepared from vegetable oil(s) and one or both of the acidifying ingredients... this section may also be used. The vegetable oil(s) used may contain an optional crystallization... vegetable oil. French dressing may be mixed and packed in an atmosphere in which air is replaced in whole...

  6. 21 CFR 169.115 - French dressing.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... emulsified viscous fluid food prepared from vegetable oil(s) and one or both of the acidifying ingredients... this section may also be used. The vegetable oil(s) used may contain an optional crystallization... vegetable oil. French dressing may be mixed and packed in an atmosphere in which air is replaced in whole...

  7. Gribov's horizon and the ghost dressing function

    SciTech Connect

    Boucaud, Ph.; Leroy, J. P.; Le Yaouanc, A.; Micheli, J.; Pene, O.; Rodriguez-Quintero, J.

    2009-11-01

    We study a relation recently derived by K. Kondo at zero momentum between the Zwanziger's horizon function, the ghost dressing function and Kugo's functions u and w. We agree with this result as far as bare quantities are considered. However, assuming the validity of the horizon gap equation, we argue that the solution w(0)=0 is not acceptable since it would lead to a vanishing renormalized ghost dressing function. On the contrary, when the cutoff goes to infinity, u(0){yields}{infinity}, w(0){yields}-{infinity} such that u(0)+w(0){yields}-1. Furthermore w and u are not multiplicatively renormalizable. Relaxing the gap equation allows w(0)=0 with u(0){yields}-1. In both cases the bare ghost dressing function, F(0,{lambda}), goes logarithmically to infinity at infinite cutoff. We show that, although the lattice results provide bare results not so different from the F(0,{lambda})=3 solution, this is an accident due to the fact that the lattice cutoffs lie in the range 1-3 GeV{sup -1}. We show that the renormalized ghost dressing function should be finite and nonzero at zero momentum and can be reliably estimated on the lattice up to powers of the lattice spacing; from published data on a 80{sup 4} lattice at {beta}=5.7 we obtain F{sub R}(0,{mu}=1.5 GeV){approx_equal}2.2.

  8. Student Dress Policies. ERIC Digest, Number 117.

    ERIC Educational Resources Information Center

    Isaacson, Lynne

    Educators and the public are divided over the value of implementing school-uniform policies in the public schools. This digest examines arguments for and against school-uniform policies, identifies legal considerations, and offers guidelines for implementing policies on student dress. Most parents have responded favorably to uniform policies,…

  9. Dressed fluxon in a Josephson window junction

    NASA Astrophysics Data System (ADS)

    Caputo, Jean Guy; Flytzanis, Nikos; Devoret, Michel

    1994-09-01

    The static fluxon solutions of a Josephson window junction have been studied numerically. We show that the effect of the idle region surrounding the junction is to ``dress'' the fluxon causing its energy to increase. This effect can be predicted accurately by a simple model.

  10. Student Dress Codes and Uniforms. Research Brief

    ERIC Educational Resources Information Center

    Johnston, Howard

    2009-01-01

    According to an Education Commission of the States "Policy Report", research on the effects of dress code and school uniform policies is inconclusive and mixed. Some researchers find positive effects; others claim no effects or only perceived effects. While no state has legislatively mandated the wearing of school uniforms, 28 states and…

  11. The Effects of Dress on School Discipline.

    ERIC Educational Resources Information Center

    Sommers, Norman L.

    This report presents the results of a study to determine the effects of student dress on behavior while at school. The study took place at 5 high schools, 4 junior high schools, and 10 elementary schools during the 2000-01 school year. The total enrollment of the schools was 8,194. The study involved two or three sets consisting of three days…

  12. Scattering of dressed nucleons in nuclear matter

    NASA Astrophysics Data System (ADS)

    Dickhoff, W. H.

    1998-11-01

    The scattering of dressed nucleons in nuclear matter is studied. By casting the conventional asymptotic analysis of scattering in free space in the language of the two-body propagator, it becomes possible to develop modifications of this analysis due to the dressing of the scattering nucleons in the medium. While the scattering energy singles out a unique (on-shell) momentum characterizing the relative wave function of free or mean-field nucleons, this uniqueness is no longer maintained for dressed nucleons. The resulting distribution of momenta in the relative wave function leads to a localization in coordinate space of the influence of the scattering process which can be expressed as a healing of the wave function to the noninteracting one. An analytic approximation to the noninteracting propagator of the dressed nucleons is utilized to illustrate these points. The localization of the scattered wave implies that the particles no longer ``remember'' their scattering event beyond some finite distance. This feature suggests that the strict notion of a cross section in the medium is a tenuous concept. Approximate expressions are developed to characterize the strength of the interaction in the medium in terms of phase shifts and cross sections to facilitate comparisons with results of calculations involving mean-field nucleons.

  13. Monitoring dressing activity failures through RFID and video.

    PubMed

    Matic, A; Mehta, P; Rehg, J M; Osmani, V; Mayora, O

    2012-01-01

    Monitoring and evaluation of Activities of Daily Living in general, and dressing activity in particular, is an important indicator in the evaluation of the overall cognitive state of patients. In addition, the effectiveness of therapy in patients with motor impairments caused by a stroke, for example, can be measured through long-term monitoring of dressing activity. However, automatic monitoring of dressing activity has not received significant attention in the current literature. Considering the importance of monitoring dressing activity, the main goal of this work was to investigate the possibility of recognizing dressing activities and automatically identifying common failures exhibited by patients suffering from motor or cognitive impairments. The system developed for this purpose comprised analysis of RFID (radio frequency identification) tracking and computer vision processing. Eleven test subjects, not connected to the research, were recruited and asked to perform the dressing task by choosing any combination of clothes without further assistance. Initially the test subjects performed correct dressing and then they were free to choose from a set of dressing failures identified from the current research literature. The developed system was capable of automatically recognizing common dressing failures. In total, there were four dressing failures observed for upper garments and three failures for lower garments, in addition to recognizing successful dressing. The recognition rate for identified dressing failures was between 80% and 100%. We developed a robust system to monitor the dressing activity. Given the importance of monitoring the dressing activity as an indicator of both cognitive and motor skills the system allows for the possibility of long term tracking and continuous evaluation of the dressing task. Long term monitoring can be used in rehabilitation and cognitive skills evaluation.

  14. Dressing plantar wounds with foam dressings, is it too much pressure?

    PubMed Central

    Scott Causby, Ryan; Pod, M; Jones, Sara

    2011-01-01

    Diabetes and its associated complications have become a major concern locally, nationally and internationally. One such complication is lower extremity amputation, commonly preceded by chronic ulceration. The cause of this tissue breakdown is multi-faceted, but includes an increase in pressure, particularly plantar pressure. As such, the choice of dressing to be applied to a plantar wound should ideally not increase this pressure further. A commonly used and possibly more bulky dressing is the foam dressing. This pilot study investigates the plantar pressures associated with three common foam dressings (Allevyn®, Lyofoam® and Mepilex®) compared with a control dressing (Melolin®). Twelve healthy males and 19 females [SD] age 36.6 [10.4] were measured using the F-scan plantar pressure measurement system. Substantial variations in individual pressure changes occurred across the foot. No significant differences were identified, once a Bonferroni correction was applied. In healthy adults, it could be concluded that foam dressings do not have any effect on the plantar pressures of the foot. However, the need remains for a robust trial on a pathological population. PMID:22396822

  15. Silver-coated nylon dressings for pediatric burn victims

    PubMed Central

    Borsuk, Daniel E; Gallant, Michel; Richard, Diane; Williams, H Bruce

    2007-01-01

    BACKGROUND: Silver dressings are a proven method for burn treatment. Current challenges associated with burn treatment include pain management and limited hospital resources. A new silver-coated nylon dressing was used at the Montreal Children’s Hospital (Montreal, Quebec) to help reduce traumatic dressing changes and cost. METHODS: Burn victims in a pediatric patient population were followed over two years. Patients were excluded if they were evaluated more than 48 h postburn or if the burn affected less than 5% of the total body surface area. The same burn team admitted and treated all case subjects, and one dressing nurse recorded and monitored all progress throughout the study to ensure standardization. RESULTS: Fifteen patients were included in the study. The average number of dressing changes needed was 4.13, with a median of three changes. The average total body surface area burned was 8%, with a mean of 13.9 days before superficial wounds were re-epithelialized. The average length of in-hospital stay was four days. The cost was $388 less for silver-coated nylon dressings than for silver sulfadiazine cream for seven days of treatment. Silver-coated nylon dressings did not leave any residue or pseudoeschar on the wounds and were easily maintained at home. CONCLUSION: The silver-coated nylon dressings are as effective as other silver dressings used for pediatric burn victims. The dressings are less traumatic, require fewer resources and do not leave wound residue compared with other dressings. PMID:19554127

  16. Hemostatic dressings for the first responder: a review.

    PubMed

    Neuffer, Marcus C; McDivitt, Jonathan; Rose, David; King, Kelly; Cloonan, Clifford C; Vayer, Joshua S

    2004-09-01

    The military is interested in finding a hemostatic dressing that is effective in controlling hemorrhage from combat wounds, relatively inexpensive, and easy to transport. The fibrin dressing has existed for decades, but the military has been reluctant to use the dressing because it is not Food and Drug Administration approved, fairly expensive, and difficult to apply on certain wounds. Newer dressings such as the microporous polysaccharide hemosphere (TraumaDEX), mineral zeolite (QuikClot), poly-N-acetylglucosamine (HemCon), and microporous hydrogel-forming polyacrylamide (BioHemostat) dressings have addressed these deficiencies in that they are relatively inexpensive, easy to transport, and easy to apply. However, the effectiveness of these new dressings on wounds sustained in combat is still questionable according to studies and anecdotal reports from Operation Iraqi Freedom. More research is needed to draw definite conclusions about the effectiveness of these dressings in a combat setting.

  17. A comparison of an antibacterial sandwich dressing vs dressing containing silver.

    PubMed

    Krasowski, Grzegorz; Jawień, Arkadiusz; Tukiendorf, Andrzej; Rybak, Zbigniew; Junka, Adam; Olejniczak-Nowakowska, Małgorzata; Bartoszewicz, Marzenna; Smutnicka, Danuta

    2015-01-01

    The purpose of this study was to compare the efficacy of dressings containing octenidine vs. dressings containing silver in the wound healing in the course of a chronic venous disease. There were two groups of 40 patients who met the inclusion criteria and who did not meet the exclusion criteria. The patients were randomly assigned into the groups (envelope method). The first, "O group" was treated with octenidine-based dressings. The second, "S group" was treated with silver dressings. The study lasted for 56 days. All patients in the research were treated with medical compression stockings with cotton understockings. Microbiological eradication was observed on the 28th day of the study among 33% of patients in the treatment group vs. 6% in control group. On the 56th day of the treatment, these percentages equalled 72% and 35%. The rate of healing was faster in the 0 group than in the S group. In the wounds <10 cm(2) it was faster by 1.35 cm(2)/week and in wounds >10 cm(2) it equalled 3.44 cm(2). The reduction of pain level was 37.5% higher in the O group, in contrast with the S group. One change of a dressing in the O group led to a 0.06 cm(2) greater wound size reduction and in the case of wounds >10 cm(2) to 0.29 cm(2) reduction compared with the S group. The presented results indicate that the efficacy of dressings containing octenidine is higher compared to silver dressings. © 2015 by the Wound Healing Society.

  18. Normal saline wound dressing--is it really normal?

    PubMed

    Lim, J K; Saliba, L; Smith, M J; McTavish, J; Raine, C; Curtin, P

    2000-01-01

    Gauze swabs soaked in normal saline are frequently used as dressing on open wounds. Their exact mechanism of action is not known. This study was designed to assess the hypothesis that normal saline dressings act in part as an osmotic dressing. Ten patients had skin ulcers (n = 10) dressed with normal saline soaked sponges. Acting as controls (n = 10) identical sponges were placed upon intact skin. The sponge fluid osmolarity and electrolyte concentrations were serially assayed to test our hypothesis. In the control group, the osmolarity, sodium and chloride concentrations increased with time as a result of evaporation, altering it from an isotonic to a hypertonic dressing. However, in the ulcer group, the osmolarity, sodium and chloride concentrations in the sponge fluid remained relatively isotonic with time. This result is statistically significant (P< 0.05). We postulate that, as a result of evaporation, the sponge dressing increases its tonicity. This draws fluid from the wound into the dressing so that a dynamic equilibrium occurs and the sponge dressing regains isotonicity. The dressing remains functional provided that the wound fluid is absorbed freely from the wound. This process is terminated when either the dressing completely absorbs the wound fluid or the dressing dries out. The latter often occurs prematurely in a contaminated wound or in a wound where exudate forms a non-permeable barrier which prevents osmosis and allows the remaining water in the dressing to evaporate completely. This correlates with the observation in clinical practice that for maximum efficacy the dressing should be changed regularly. Copyright 2000 The British Association of Plastic Surgeons.

  19. Efficacy of Dressing with Absorbent Foam versus Dressing with Gauze in Prevention of Tracheostomy Site Infection

    PubMed Central

    Ahmadinegad, Mehdi; Lashkarizadeh, Mohammad Reza; Ghahreman, Minoo; Shabani, Mohammad; Mokhtare, Mahsa

    2014-01-01

    Background Tracheostomy site infection can cause numerous problems. Absorbent foam dressing may be able to prevent proliferation of infectious microorganisms by absorbing the tracheostomy stoma exudate. This study aimed to compare the efficacy of absorbent foam with gauze dressing for prevention of tracheostomy site infection. Materials and Methods In this double-blind randomized clinical trial, 80 patients (18 to 60 years) hospitalized in the intensive care unit (ICU) due to severe head injury were randomly divided into two groups and early tracheostomy was done for them during the first 2 days. In the first group, gauze was used as tracheostomy site dressing, while in the second, absorbent foam, was placed. Tracheostomy site was checked daily for any sign of infection and samples were taken from the stoma for culture in case of presence of any sign of infection. Results Of a total of 80, 11 had tracheostomy site infection (13.75%), including 7 (17.5%) in the gauze group and 4 (10%) in the foam group. The difference in this regard between the two groups was not significant (P=0.051). Also, the dominant strains in the culture of gauze group were hospital-acquired Gram-negative bacteria (particularly Acinetobacter), while in the foam group, Gram-positives and more commonly Staphylococcus epidermidis were found. Conclusion Absorbent foam dressing is not superior to gauze dressings for prevention of tracheostomy site infection. PMID:25506371

  20. DRESS syndrome: à propos de trois observations

    PubMed Central

    Chebbi, Wafa; Souissi, Jihed; Chelli, Jihène; Larbi, Fatma; Zantour, Baha; Habib Sfar, Mohamed

    2014-01-01

    Le syndrome d'hypersensibilité médicamenteuse ou Drug Rash with Eosinophilia and Systemic Symptoms (DRESS) est une toxidermie rare mais sévère. Nous rapportons trois observations de DRESS syndromes secondaires à la prise de carbamazipine dans deux cas et de salazopyrine dans un cas. Le délai moyen entre la prise médicamenteuse et la survenue du DRESS syndrome était de six semaines. Le médicament incriminé était arrêté d'une façon définitive dans tous les cas. Une corticothérapie par voie générale était instaurée chez tous les patients devant l'atteinte hépatique sévère. L’évolution était favorable avec disparation des lésions cutanées et normalisation du bilan hépatique. Le diagnostic du syndrome DRESS doit être évoqué devant un tableau associant une éruption fébrile et des signes systémiques faisant suite à une prise médicamenteuse. La précocité du diagnostic est fondamentale pour l'arrêt définitif des médicaments suspects. Le traitement n'est pas bien codifié mais repose actuellement sur la corticothérapie générale. PMID:25810802

  1. Quantum dress for a naked singularity

    NASA Astrophysics Data System (ADS)

    Casals, Marc; Fabbri, Alessandro; Martínez, Cristián; Zanelli, Jorge

    2016-09-01

    We investigate semiclassical backreaction on a conical naked singularity space-time with a negative cosmological constant in (2 + 1)-dimensions. In particular, we calculate the renormalized quantum stress-energy tensor for a conformally coupled scalar field on such naked singularity space-time. We then obtain the backreacted metric via the semiclassical Einstein equations. We show that, in the regime where the semiclassical approximation can be trusted, backreaction dresses the naked singularity with an event horizon, thus enforcing (weak) cosmic censorship.

  2. Dressings and Products in Pediatric Wound Care

    PubMed Central

    King, Alice; Stellar, Judith J.; Blevins, Anne; Shah, Kara Noelle

    2014-01-01

    Significance: The increasing complexity of medical and surgical care provided to pediatric patients has resulted in a population at significant risk for complications such as pressure ulcers, nonhealing surgical wounds, and moisture-associated skin damage. Wound care practices for neonatal and pediatric patients, including the choice of specific dressings or other wound care products, are currently based on a combination of provider experience and preference and a small number of published clinical guidelines based on expert opinion; rigorous evidence-based clinical guidelines for wound management in these populations is lacking. Recent Advances: Advances in the understanding of the pathophysiology of wound healing have contributed to an ever-increasing number of specialized wound care products, most of which are predominantly marketed to adult patients and that have not been evaluated for safety and efficacy in the neonatal and pediatric populations. This review aims to discuss the available data on the use of both more traditional wound care products and newer wound care technologies in these populations, including medical-grade honey, nanocrystalline silver, and soft silicone-based adhesive technology. Critical Issues: Evidence-based wound care practices and demonstration of the safety, efficacy, and appropriate utilization of available wound care dressings and products in the neonatal and pediatric populations should be established to address specific concerns regarding wound management in these populations. Future Directions: The creation and implementation of evidence-based guidelines for the treatment of common wounds in the neonatal and pediatric populations is essential. In addition to an evaluation of currently marketed wound care dressings and products used in the adult population, newer wound care technologies should also be evaluated for use in neonates and children. In addition, further investigation of the specific pathophysiology of wound healing in

  3. Dressed-quarks and the Roper resonance

    NASA Astrophysics Data System (ADS)

    Roberts, C. D.; Cloët, I. C.; Chang, L.; Roberts, H. L. L.

    2012-04-01

    A Dyson-Schwinger equation calculation of the light hadron spectrum, which correlates the masses of meson and baryon ground- and excited-states within a single framework, produces a description of the Roper resonance that corresponds closely with conclusions drawn recently by EBAC. Namely, the Roper is a particular type of radial excitation of the nucleon's dressed-quark core augmented by a material meson cloud component. There are, in addition, some surprises.

  4. Hydrogel Dressings for Advanced Wound Management.

    PubMed

    Francesko, Antonio; Petkova, Petya; Tzanov, Tzanko

    2017-09-20

    Composed in a large extent of water and due to their non-adhesiveness, hydrogels found their way to the wound dressing market as materials that provide a moisture environment for healing while being comfortable to the patient. Hydrogels' exploitation is constantly increasing after evidences of their even broader therapeutic potential due to resemblance to dermal tissue and ability to induce partial skin regeneration. The innovation in advanced wound care is further directed to the development of so-called active dressings, where hydrogels are combined with components that enhance the primary purpose of providing a beneficial environment for wound healing. The aim of this mini-review is to concisely describe the relevance of hydrogel dressings as platforms for delivery of active molecules for improved management of difficult-to-treat wounds. The emphasis is on the most recent advances in development of stimuli-responsive hydrogels, which allow for control over wound healing efficiency in response to different external modalities. Novel strategies for monitoring of the wound status and healing progress based on incorporation of sensor molecules into the hydrogel platforms are also discussed. Copyright© Bentham Science Publishers; For any queries, please email at epub@benthamscience.org.

  5. [DRESS syndrome. A clinical case report].

    PubMed

    Muciño-Bermejo, Jimena; Díaz de León-Ponce, Manuel; Briones-Vega, Carlos Gabriel; Guerrero-Hernández, Antonio; Sandoval-Ayala, Oswaldo Israel; Sáenz-Coronado, Ana Gabriela; Briones-Garduño, Jesús Carlos

    2013-01-01

    DRESS syndrome (Drug Reaction with Eosinophilia and Systemic Symptoms) or reaction to drugs with eosinophilia and systemic symptoms is a serious drug reaction associated with the use of aromatic anticonvulsants and allopurinol. At least 44 drugs have been associated with DRESS. The aim was to present the case of a patient with DRESS syndrome associated with phenytoin. a 20 year old woman, with a history of seizures since childhood, presented generalised tonic-clonic seizures for the last three months. Therefore, she began treatment with 100 mg of phenytoin, administered orally, every 8 hours. Three weeks later, she developed fever up to 42 degrees, papules in the hands extending to trunk and extremities, generalized rubicund, pruritus, pain while urinating, adding hyperoxia, dysphagia and dry cough. Consequently, she went to the emergency room. the diagnosis is clinical and it is set according to the criteria of the scale of RegiSCAR. As the initial manifestations are unspecific, the diagnosis and treatment could be delayed. The importance of recognizing this syndrome is an early treatment to get better prognostics. The mortality is up to 10 %.

  6. Antigen Presentation by MHC-Dressed Cells

    PubMed Central

    Nakayama, Masafumi

    2015-01-01

    Professional antigen-presenting cells (APCs) such as conventional dendritic cells (DCs) process protein antigens to MHC-bound peptides and then present the peptide–MHC complexes to T cells. In addition to this canonical antigen presentation pathway, recent studies have revealed that DCs and non-APCs can acquire MHC class I (MHCI) and/or MHC class II (MHCII) from neighboring cells through a process of cell–cell contact-dependent membrane transfer called trogocytosis. These MHC-dressed cells subsequently activate or regulate T cells via the preformed antigen peptide–MHC complexes without requiring any further processing. In addition to trogocytosis, intercellular transfer of MHCI and MHCII can be mediated by secretion of membrane vesicles such as exosomes from APCs, generating MHC-dressed cells. This review focuses on the physiological role of antigen presentation by MHCI- or MHCII-dressed cells, and also discusses differences and similarities between trogocytosis and exosome-mediated transfer of MHC. PMID:25601867

  7. Role of Surgical Dressings in Total Joint Arthroplasty: A Randomized Controlled Trial.

    PubMed

    Springer, Bryan D; Beaver, Walter B; Griffin, William L; Mason, J Bohannon; Odum, Susan M

    2015-09-01

    We conducted a randomized controlled trial to compare efficacy of an occlusive antimicrobial barrier dressing and a standard surgical dressing in patients who underwent primary total joint arthroplasty. Two hundred sixty-two patients were randomized to receive either an occlusive dressing or a standard dressing. Wounds were closed in identical fashion. Outcomes included wound complications, dressing changes, and patient satisfaction. With use of occlusive dressing (vs standard dressing), wound complications (including skin blistering) were significantly (P = 0.15) reduced; there were significantly (P < .0001) fewer dressing changes; and patient satisfaction was significantly (P < .0001) higher. Use of occlusive dressings can reduce wound complications and promote wound healing after total joint arthroplasty.

  8. Managers, Teachers, Students, and Parents' Opinions Concerning Changes on Dress Code Practices as an Educational Policy

    ERIC Educational Resources Information Center

    Birel, Firat Kiyas

    2016-01-01

    Problem Statement: Dressing for school has been intensely disputed and has led to periodic changes in dress codes since the foundation of the Turkish republic. Practitioners have tried to put some new practices related to school dress codes into practice for redressing former dress code issues involving mandatory dress standards for both students…

  9. Adolescent dress, Part I: Dress and body markings of psychiatric outpatients and inpatients.

    PubMed

    Michelman, J D; Eicher, J B; Michelman, S O

    1991-01-01

    This paper investigated the dress and body markings of 100 adolescent psychiatric patients (both hospitalized and never-hospitalized). Data were obtained from in-depth interviews conducted by a child psychiatrist. In contrast to nonhospitalized patients, hospitalized patients had a higher incidence of self-scarring, i.e., marks applied to self, either as a self-mutilation/suicide gesture or serving another purpose (for example, carving a boyfriend's initials into one's arm). Other individual expressions of appearance did not differentiate hospitalized from nonhospitalized patients. Detailed dress and appearance observations, questionnaires, photo reviews, self-portraits, and family discussions contributed to the beneficial effect of psychotherapy by focusing on feelings evoked and symbolized in dress and body markings.

  10. Construction, application and biosafety of silver nanocrystalline chitosan wound dressing.

    PubMed

    Lu, Shuangyun; Gao, Wenjuan; Gu, Hai Ying

    2008-08-01

    A novel wound dressing composed of nano-silver and chitosan was fabricated using a nanometer and self-assembly technology. Sterility and pyrogen testing assessed biosafety, and efficacy was evaluated using Sprague-Dawley rats with deep partial-thickness wounds. Silver sulfadiazine and chitosan film dressings were used as controls. At intervals wound areas were measured, wound tissues biopsied and blood samples taken. Compared with the controls, the silver nanocrystalline chitosan dressing significantly (p<0.01) increased the rate of wound healing and was associated with silver levels in blood and tissues lower than levels associated with the silver sulfadiazine dressing (p<0.01). Sterility and pyrogen tests of the silver nanocrystalline chitosan dressing were negative. Thus this dressing should have wide application in clinical settings.

  11. A vapour-permeable film dressing used on superficial wounds.

    PubMed

    Meuleneire, Frans

    2014-08-12

    Films are an extremely versatile dressing type that can be effectively used in the treatment of many superficial wounds, such as skin grafts, surgical wounds and superficial burns; they provide an optimal moist environment to promote healing, act as a barrier to bacteria, and afford protection from urine and faecal contamination. Unfortunately, many film dressings are difficult to handle and use traditional adhesives, which can cause trauma to the wound and surrounding skin, as well as increased wound pain at dressing removal. Mepitel® Film is a new, easy-to-use wound dressing designed with Safetac® technology that helps to minimise dressing-related trauma and pain and assist undisturbed wound healing. This article presents case studies that examine Mepitel Film's use on a variety of wounds, and reviews the findings of research that was undertaken to evaluate the benefits of using this recently developed dressing.

  12. Exploratory Development of an Ultrafast-Curing Wound Dressing

    DTIC Science & Technology

    1991-05-31

    guinea pigs. This dressing was effective in vivo against StreD. Dvogenes, Staph . aureus and P. aeruginosa under prophylactic conditions. An...incorporating 20% silver sulfadiazine and 10% chlorhexidine gluconate was also formulated and tested on guinea pigs. This dressing was effective against Staph ... aureus and P. aeruicinosa when used prophylactically. However, the effectiveness of this dressing against Candida is yet to be evaluated in vivo

  13. Comparison of 10 Different Hemostatic Dressings in an Aortic Injury

    DTIC Science & Technology

    2003-02-01

    group (n 5) received suture repair (4-0 Prolene , Ethicon, Inc., Somerville, NJ). Two of the dressings were commercially available, Surgicel and Avitene...hole was closed using a continuous running suture with 4-0 cardiovascular Prolene suture with an atraumatic RB-1 half-circle needle. After the dressing...translucent polyglactin mesh /fibrin clot matrix (Fig. 2). No evidence of intralumi- nal clotting was observed in any animal for any of the dressings. Fig. 1

  14. The role of dressings in the prevention of pressure ulcers.

    PubMed

    Brown, Julie

    2016-08-11

    Pressure ulceration is a significant global healthcare problem and represents a considerable burden on healthcare resources. Within the literature an increasing number of studies have examined the role prophylactic dressings play in redistributing pressure and helping to protect the skin from the effects of friction and shear. The use of dressings to prevent pressure ulcers may be considered a controversial issue, as previous opinion has been that dressings do not reduce the effects of pressure. This article will critically evaluate the literature to examine the role dressings play in the prevention of pressure ulceration.

  15. Constructing medical social authority on dress in Victorian Canada.

    PubMed

    O'Connor, Eileen

    2008-01-01

    During the late-Victorian period, campaigns to "reform" middle-class women's dress were grounded in discourses on health, eugenics, declining birth rates, comfort, and aesthetics. In Britain, the United States and Germany, organized "dress reform" movements emerged in the latter half of the 19th century, while in Canada the campaign was led primarily by physicians through public health education. This article explores the discussion on women's dress in public health literature in Canadian circulation between 1860-1900 and interprets findings within a feminist poststructuralist framework that posits the understanding of women's bodies and gender regulation to be central to knowledge construction on women's dress.

  16. Motivation for cross-dressing in heterosexual transvestism.

    PubMed

    Buhrich, N

    1978-02-01

    The literature concerning the motivation for cross-dressing in heterosexual transvestism is briefly reviewed. Thirty-three members of a club established for heterosexual transvestites were interviewed. The sensations they derived from cross-dressing and the importance of compulsive and narcissistic aspects in their transvestite behaviour were assessed and compared with those reported by 24 transsexual subjects. While cross-dressed, transvestite and transsexual subjects frequently reported feeling relaxed, comfortable and relieved of masculine demands. Transvestite subjects showed significantly more compulsive and narcissistic aspects in their transvestite behaviour than transsexual subjects. Fetishistic pleasure was infrequently given as a motivation for cross-dressing.

  17. 9 CFR 108.9 - Dressing rooms and other facilities.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... OF AGRICULTURE VIRUSES, SERUMS, TOXINS, AND ANALOGOUS PRODUCTS; ORGANISMS AND VECTORS FACILITY... establishment shall have dressing rooms, toilet facilities, and lavatory accommodations, including hot and cold...

  18. 9 CFR 108.9 - Dressing rooms and other facilities.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... OF AGRICULTURE VIRUSES, SERUMS, TOXINS, AND ANALOGOUS PRODUCTS; ORGANISMS AND VECTORS FACILITY... establishment shall have dressing rooms, toilet facilities, and lavatory accommodations, including hot and cold...

  19. 9 CFR 108.9 - Dressing rooms and other facilities.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... OF AGRICULTURE VIRUSES, SERUMS, TOXINS, AND ANALOGOUS PRODUCTS; ORGANISMS AND VECTORS FACILITY... establishment shall have dressing rooms, toilet facilities, and lavatory accommodations, including hot and cold...

  20. Mafenide acetate solution dressings: an adjunct in burn wound care.

    PubMed

    Shuck, J M; Thorne, L W; Cooper, C G

    1975-07-01

    A continuation of the study of 5% aqueous Sulfamylon solution dressings in burned patients was analyzed in 150 consecutive cases. The rate of invasive infection and mortality was not excessive. Dressings were used as an adjunct to other topical chemotherapeutic agents as well as homo/heterograft skin in the overall burn care program. Sulfamylon soaks were shown to be effective for debridement, granulation tissue protection and preparation, and bacterial control. The dressings were comfortable when in place and the wounds appeared clean. Epithelialization was not hampered so that the dressings could be utilized in partial thickness wounds as well as for mesh autografts on extensive burn surfaces=

  1. Dress Nicer = Know More? Young Children’s Knowledge Attribution and Selective Learning Based on How Others Dress

    PubMed Central

    McDonald, Kyla P.; Ma, Lili

    2015-01-01

    This research explored whether children judge the knowledge state of others and selectively learn novel information from them based on how they dress. The results indicated that 4- and 6-year-olds identified a formally dressed individual as more knowledgeable about new things in general than a casually dressed one (Study 1). Moreover, children displayed an overall preference to seek help from a formally dressed individual rather than a casually dressed one when learning about novel objects and animals (Study 2). These findings are discussed in relation to the halo effect, and may have important implications for child educators regarding how instructor dress might influence young students’ knowledge attribution and learning preferences. PMID:26636980

  2. How to dress donor sites of split thickness skin grafts: a prospective, randomised study of four dressings.

    PubMed

    Persson, K; Salemark, L

    2000-03-01

    We investigated the effects of four dressings on donor sites of split thickness skin grafts. Eighty patients undergoing elective split thickness skin grafting were randomly allocated to one of four groups. The dressings were paraffin gauze, polyurethane foam, polyethane film, and polyurethane film. The main outcome measures were pain and discomfort, healing of donor sites, and time to remove dressings. Polyurethane film caused less pain and discomfort and was also easiest to remove. There were no differences in healing among the four groups.

  3. Prototype Development of a Responsive Emotive Sensing System (DRESS) to aid older persons with dementia to dress independently

    PubMed Central

    Mahoney, Diane Feeney; Burleson, Winslow; Lozano, Cecil; Ravishankar, Vijay; Mahoney, Edward Leo

    2015-01-01

    Background Prior research has critiqued the lack of attention to the stressors associated with dementia related dressing issues, stigmatizing patient clothing, and wearable technology challenges. This paper describes the conceptual development and feasibility testing of an innovative ‘smart dresser’ context aware affective system (DRESS) to enable dressing by people with moderate memory loss through individualized audio and visual task prompting in real time. Methods Mixed method feasibility study involving qualitative focus groups with 25 Alzheimer’s family caregivers experiencing dressing difficulties to iteratively inform system design and a quantitative usability trial with 10 healthy subjects in a controlled laboratory setting to assess validity of technical operations. Results Caregivers voiced the need for tangible dressing assistance to reduce their frustration from time spent in repetitive cueing and power struggles over dressing. They contributed 6 changes that influenced the prototype development, most notably adding a dresser top iPad to mimic a familiar ‘TV screen’ for the audio and visual cueing. DRESS demonstrated promising overall functionality, however the validity of identification of dressing status ranged from 0% for the correct pants dressing to 100% for all shirts dressing scenarios. Adjustments were made to the detection components of the system raising the accuracy of detection of all acted dressing scenarios for pants from 50% to 82%. Conclusions Findings demonstrate family caregiver acceptability of the proposed system, the successful interoperability of the built system’s components, and the system’s ability to interpret correct and incorrect dressing actions in controlled laboratory simulations. Future research will advance the system to the alpha stage and subsequent testing with end users in real world settings. PMID:26321895

  4. A Comparative Study of Collagen Dressing versus Petrolatum Gauze Dressing in reducing Pain at the Donor Area

    PubMed Central

    Ramesh, BA; Jayalakshmi, BK; Mohan, J

    2017-01-01

    Background: Skin graft is one of the commonly done procedures by plastic surgeons, dermato surgeons and general surgeons. Pain at the donor area is a common complaint by the patient. The skin graft donor site area is usually covered with petrolatum dressing dermatosurgeons. Aim: This study was done to compare collagen dressing with petroleum gauze dressing in control of post-operative pain on skin graft donor area. Materials and Methods: The study was done on forty patients, twenty as study group who received collagen dressing and twenty as control group who received petroleum gauze dressing. The procedure was randomly selected by permutated block size of four. The post-operative pain was assessed with numerical pain rating scale 0 to 10. Nursing staff did the recording of pain scale. The nursing staff was not aware whether patient had collagen or petroleum gauze dressing. Statistics: Statistical analysis used was independent ‘t’-test (two-sample test) and Levene's test. Results: Statistics proved that study group (collagen dressing) had lesser pain than control group (petroleum gauze dressing). Conclusion: The collagen sheet dressing on skin graft donor area reduces pain in post-operative period. PMID:28529416

  5. Adhesive retention dressings are more comfortable than alginate dressings on split skin graft donor sites--a randomised controlled trial.

    PubMed Central

    Giele, H.; Tong, A.; Huddleston, S.

    2001-01-01

    A prospective randomised trial examining the effectiveness, comparative comfort and ease of care of two different split skin graft donor site dressings was performed. One of the dressings was an alginate (Kaltostat), and the other an adhesive retention tape (Mefix). Alginates are the standard plastic surgical dressing, whereas the use of adhesive retention tapes as a donor site dressing presents a novel use of a readily available product. A total of 30 consecutive patients requiring split skin grafts were randomised to receive either alginate or retention donor site dressings. Dressings were assessed by interview and questionnaire at 24 h and 48 h and at 2 weeks, and by wound review at 2 weeks. Retention dressings were found to be more comfortable. They also required less nursing care and attention. The retention dressings allowed the patients easier mobility and a greater range of daily activities, especially washing. There was no significant difference in wound healing nor in complications. Adhesive retention tape applied directly to the split skin graft donor site wound is an effective, cheap and comfortable dressing requiring little postoperative care. PMID:11777142

  6. Dressings for the prevention of surgical site infection.

    PubMed

    Dumville, Jo C; Gray, Trish A; Walter, Catherine J; Sharp, Catherine A; Page, Tamara; Macefield, Rhiannon; Blencowe, Natalie; Milne, Thomas Kg; Reeves, Barnaby C; Blazeby, Jane

    2016-12-20

    Surgical wounds (incisions) heal by primary intention when the wound edges are brought together and secured, often with sutures, staples, or clips. Wound dressings applied after wound closure may provide physical support, protection and absorb exudate. There are many different types of wound dressings available and wounds can also be left uncovered (exposed). Surgical site infection (SSI) is a common complication of wounds and this may be associated with using (or not using) dressings, or different types of dressing. To assess the effects of wound dressings compared with no wound dressings, and the effects of alternative wound dressings, in preventing SSIs in surgical wounds healing by primary intention. We searched the following databases: the Cochrane Wounds Specialised Register (searched 19 September 2016); the Cochrane Central Register of Controlled Trials (CENTRAL; the Cochrane Library 2016, Issue 8); Ovid MEDLINE (including In-Process & Other Non-Indexed Citations, MEDLINE Daily and Epub Ahead of Print; 1946 to 19 September 2016); Ovid Embase (1974 to 19 September 2016); EBSCO CINAHL Plus (1937 to 19 September 2016).There were no restrictions based on language, date of publication or study setting. Randomised controlled trials (RCTs) comparing wound dressings with wound exposure (no dressing) or alternative wound dressings for the postoperative management of surgical wounds healing by primary intention. Two review authors performed study selection, 'Risk of bias' assessment and data extraction independently. We included 29 trials (5718 participants). All studies except one were at an unclear or high risk of bias. Studies were small, reported low numbers of SSI events and were often not clearly reported. There were 16 trials that included people with wounds resulting from surgical procedures with a 'clean' classification, five trials that included people undergoing what was considered 'clean/contaminated' surgery, with the remaining studies including people

  7. One Dress, Two Dress: Dialectal Influence on Spelling of English Words among Kindergarten Children in Singapore

    ERIC Educational Resources Information Center

    Dixon, L. Quentin; Zhao, Jing; Joshi, R. Malatesha

    2012-01-01

    The present study examined the influence of Singapore Colloquial English (SCE) on Standard English word spelling through a plural formation task of four words ("man", "tooth", "dress" and "child") among 168 Singaporean bilingual children with Chinese background. It was found that "dropping the…

  8. Nanofibrillar cellulose wound dressing in skin graft donor site treatment.

    PubMed

    Hakkarainen, T; Koivuniemi, R; Kosonen, M; Escobedo-Lucea, C; Sanz-Garcia, A; Vuola, J; Valtonen, J; Tammela, P; Mäkitie, A; Luukko, K; Yliperttula, M; Kavola, H

    2016-12-28

    Although new therapeutic approaches for burn treatment have made progress, there is still need for better methods to enhance wound healing and recovery especially in severely burned patients. Nanofibrillar cellulose (NFC) has gained attention due to its renewable nature, good biocompatibility and excellent physical properties that are of importance for a range of applications in pharmaceutical and biomedical fields. In the present study, we investigated the potential of a wood based NFC wound dressing in a clinical trial on burn patients. Previously, we have investigated NFC as a topical functionalized wound dressing that contributes to improve wound healing in mice. Wood based NFC wound dressing was tested in split-thickness skin graft donor site treatment for nine burn patients in clinical trials at Helsinki Burn Centre. NFC dressing was applied to split thickness skin graft donor sites. The dressing gradually dehydrated and attached to donor site during the first days. During the clinical trials, physical and mechanical properties of NFC wound dressing were optimized by changing its composition. From patient 5 forward, NFC dressing was compared to commercial lactocapromer dressing, Suprathel® (PMI Polymedics, Germany). Epithelialization of the NFC dressing-covered donor site was faster in comparison to Suprathel®. Healthy epithelialized skin was revealed under the detached NFC dressing. NFC dressing self-detached after 11-21days for patients 1-9, while Suprathel® self-detached after 16-28days for patients 5-9. In comparison studies with patients 5-9, NFC dressing self-detached on average 4days earlier compared with Suprathel®. Lower NFC content in the material was evaluated to influence the enhanced pliability of the dressing and attachment to the wound bed. No allergic reaction or inflammatory response to NFC was observed. NFC dressing did not cause more pain for patients than the traditional methods to treat the skin graft donor sites. Based on the

  9. Effects of TLC-Ag dressings on skin inflammation.

    PubMed

    Bisson, Jean-François; Hidalgo-Lucas, Sophie; Bouschbacher, Marielle; Thomassin, Laetitia

    2013-06-01

    The TLC-Ag dressings, a combination of technology lipido-colloid and silver salts, are used to promote healing in wounds with risks or signs of local infection, thanks to the antimicrobial properties of the silver salts. Nanocrystalline silver dressings containing nanocrystalline silver, also used to improve wound healing, present both antimicrobial and anti-inflammatory effects. The aim of this study was to investigate the anti-inflammatory effects of TLC-Ag dressings in a model of chronic skin inflammation induced by repeated application of 12-O-tetradecanoylphorbol-13-acetate to the skin of hairless mice, in comparison with TLC dressing, Silcryst nanocrystalline dressing, desonide cream 0.05%, a corticoid cream used as positive control, and gauze. Daily treatments of the mice began 7 days after the start of induction of chronic skin inflammation and lasted for 7 days. A macroscopic score was performed daily during the treatment period until the mice killing on day 15 and skin samples were taken for histopathological analysis. TLC-Ag reduced significantly the macroscopic score of chronic skin inflammation from day 10 in comparison with gauze and TLC dressing, similarly to Silcryst nanocrystalline dressing and desonide cream, which presented the best anti-inflammatory effects. No significant differences were observed between TLC dressing and gauze. TLC-Ag reduced significantly the microscopic score of chronic skin inflammation in comparison with TLC dressing and gauze, similarly to Silcryst nanocrystalline dressing but significantly less than desonide cream. These results demonstrate that TLC-Ag dressings present significant anti-inflammatory effects on chronic skin inflammation. They can improve wound healing, due to both the antimicrobial and anti-inflammatory properties.

  10. An Inexpensive Bismuth-Petrolatum Dressing for Treatment of Burns

    PubMed Central

    Chattopadhyay, Arhana; Chang, Kathleen; Nguyen, Khoa; Galvez, Michael G.; Legrand, Anais; Davis, Christopher; McGoldrick, Rory; Long, Chao; Pham, Hung

    2016-01-01

    Background: Xeroform remains the current standard for treating superficial partial-thickness burns but can be prohibitively expensive in developing countries with prevalent burn injuries. This study (1) describes the production of an alternative low-cost dressing and (2) compares the alternative dressing and Xeroform using the metrics of cost-effectiveness, antimicrobial activity, and biocompatibility in vitro, and wound healing in vivo. Methods: To produce the alternative dressing, 3% bismuth tribromophenate powder was combined with petroleum jelly by hand and applied to Kerlix gauze. To assess cost-effectiveness, the unit costs of Xeroform and components of the alternative dressing were compared. To assess antimicrobial properties, the dressings were placed on agar plated with Escherichia coli and the Kirby-Bauer assay performed. To assess biocompatibility, the dressings were incubated with human dermal fibroblasts and cells stained with methylene blue. To assess in vivo wound healing, dressings were applied to excisional wounds on rats and the rate of re-epithelialization calculated. Results: The alternative dressing costs 34% of the least expensive brand of Xeroform. Antimicrobial assays showed that both dressings had similar bacteriostatic effects. Biocompatibility assays showed that there was no statistical difference (P < 0.05) in the cytotoxicity of Xeroform, alternative dressing, and Kerlix gauze. Finally, the in vivo healing model showed no statistical difference (P < 0.05) in mean re-epithelialization time between Xeroform (13.0 ± 1.6 days) and alternative dressing (13.5 ± 1.0 days). Conclusions: Xeroform is biocompatible, reduces infection, and enhances healing of burn wounds by preventing desiccation and mechanical trauma. Handmade petrolatum gauze may be a low-cost replacement for Xeroform. Future studies will focus on clinical trials in burn units. PMID:27482485

  11. An Inexpensive Bismuth-Petrolatum Dressing for Treatment of Burns.

    PubMed

    Chattopadhyay, Arhana; Chang, Kathleen; Nguyen, Khoa; Galvez, Michael G; Legrand, Anais; Davis, Christopher; McGoldrick, Rory; Long, Chao; Pham, Hung; Chang, James

    2016-06-01

    Xeroform remains the current standard for treating superficial partial-thickness burns but can be prohibitively expensive in developing countries with prevalent burn injuries. This study (1) describes the production of an alternative low-cost dressing and (2) compares the alternative dressing and Xeroform using the metrics of cost-effectiveness, antimicrobial activity, and biocompatibility in vitro, and wound healing in vivo. To produce the alternative dressing, 3% bismuth tribromophenate powder was combined with petroleum jelly by hand and applied to Kerlix gauze. To assess cost-effectiveness, the unit costs of Xeroform and components of the alternative dressing were compared. To assess antimicrobial properties, the dressings were placed on agar plated with Escherichia coli and the Kirby-Bauer assay performed. To assess biocompatibility, the dressings were incubated with human dermal fibroblasts and cells stained with methylene blue. To assess in vivo wound healing, dressings were applied to excisional wounds on rats and the rate of re-epithelialization calculated. The alternative dressing costs 34% of the least expensive brand of Xeroform. Antimicrobial assays showed that both dressings had similar bacteriostatic effects. Biocompatibility assays showed that there was no statistical difference (P < 0.05) in the cytotoxicity of Xeroform, alternative dressing, and Kerlix gauze. Finally, the in vivo healing model showed no statistical difference (P < 0.05) in mean re-epithelialization time between Xeroform (13.0 ± 1.6 days) and alternative dressing (13.5 ± 1.0 days). Xeroform is biocompatible, reduces infection, and enhances healing of burn wounds by preventing desiccation and mechanical trauma. Handmade petrolatum gauze may be a low-cost replacement for Xeroform. Future studies will focus on clinical trials in burn units.

  12. Orion EFT-1 Wet Dress Rehearsal

    NASA Image and Video Library

    2014-11-05

    In the Hangar A&E control room, displays are seen during a dress rehearsal for the launch of the United Launch Alliance Delta IV Heavy rocket for the upcoming Orion Flight Test. Orion is the exploration spacecraft designed to carry astronauts to destinations not yet explored by humans, including an asteroid and Mars. It will have emergency abort capability, sustain the crew during space travel and provide safe re-entry from deep space return velocities. The first unpiloted flight test of Orion is scheduled to launch Dec. 4, 2014 atop a United Launch Alliance Delta IV Heavy rocket, and in 2018 on NASA’s Space Launch System rocket.

  13. Large energy superpositions via Rydberg dressing

    NASA Astrophysics Data System (ADS)

    Khazali, Mohammadsadegh; Lau, Hon Wai; Humeniuk, Adam; Simon, Christoph

    2016-08-01

    We propose to create superposition states of over 100 strontium atoms in a ground state or metastable optical clock state using the Kerr-type interaction due to Rydberg state dressing in an optical lattice. The two components of the superposition can differ by an order of 300 eV in energy, allowing tests of energy decoherence models with greatly improved sensitivity. We take into account the effects of higher-order nonlinearities, spatial inhomogeneity of the interaction, decay from the Rydberg state, collective many-body decoherence, atomic motion, molecular formation, and diminishing Rydberg level separation for increasing principal number.

  14. A comparison of Epi-Lock and saline dressings in the treatment of pressure ulcers.

    PubMed

    Kraft, M R; Lawson, L; Pohlmann, B; Reid-Lokos, C; Barder, L

    1993-11-01

    The use of Epi-Lock dressings was compared to moist saline dressings as a treatment for Stage II and III pressure ulcers in 38 patients. Demographic and clinical data were collected at the onset of the investigation. At the time of enrollment and during weeks six, 12 and 24, pressure ulcers were inspected and measured, and laboratory data were collected. More healing occurred with Epi-Lock dressing than with moist saline dressing for Stage II and III pressure ulcers. Although individual Epi-Lock dressings were more expensive than saline dressings, they required less dressing changes. Therefore considering cost of nursing time, Epi-Lock dressings are more cost effective.

  15. The Role of Dress Codes, Uniforms in Urban Schools.

    ERIC Educational Resources Information Center

    LaPoint, Velma; And Others

    1992-01-01

    In response to problems relating to student appearance, dress, and behavior, most urban schools use various kinds of dress codes or uniforms. African-American youth experience difficulties because of a cultural heritage favoring bold designs and bright colors, efforts to compensate for low socioeconomic status, consumerist exploitation, and…

  16. Inhibition of Pseudomonas aeruginosa biofilm formation on wound dressings

    PubMed Central

    Brandenburg, Kenneth S.; Calderon, Diego F.; Kierski, Patricia R.; Brown, Amanda L.; Shah, Nihar M.; Abbott, Nicholas L.; Schurr, Michael J.; Murphy, Christopher J.; McAnulty, Jonathan F.; Czuprynski, Charles J.

    2016-01-01

    Chronic non-healing skin wounds often contain bacterial biofilms that prevent normal wound healing and closure and present challenges to the use of conventional wound dressings. We investigated inhibition of Pseudomonas aeruginosa biofilm formation, a common pathogen of chronic skin wounds, on a commercially available biological wound dressing. Building upon prior reports, we examined whether the amino acid tryptophan would inhibit P. aeruginosa biofilm formation on the 3-dimensional surface of the biological dressing. Bacterial biomass and biofilm polysaccharides were quantified using crystal violet staining or an enzyme linked lectin, respectively. Bacterial cells and biofilm matrix adherent to the wound dressing were visualized through scanning electron microscopy. D-/L-tryptophan inhibited P. aeruginosa biofilm formation on the wound dressing in a dose dependent manner and was not directly cytotoxic to immortalized human keratinocytes although there was some reduction in cellular metabolism or enzymatic activity. More importantly, D-/L-tryptophan did not impair wound healing in a splinted skin wound murine model. Furthermore, wound closure was improved when D-/L-tryptophan treated wound dressing with P. aeruginosa biofilms were compared with untreated dressings. These findings indicate that tryptophan may prove useful for integration into wound dressings to inhibit biofilm formation and promote wound healing. PMID:26342168

  17. Dressing Techniques for Children Who Have Cerebral Palsy.

    ERIC Educational Resources Information Center

    Klein, Marsha Dunn

    This pamphlet offers general rules and specific suggestions for people who are dressing children with cerebral palsy. Common dressing problems are examined, such as the child becoming stiff, crossing the legs, or curling the toes, and possible solutions are outlined step-by-step and accompanied by illustrations. Guidelines are also provided for…

  18. [DRESS syndrome secondary to antituberculosis drugs: about a case].

    PubMed

    Jridi, Siham; Azzeddine, Rajae; Bourkadi, Jamal Eddine

    2017-01-01

    Drug hypersensitivity syndrome or Drug Rash with Eosinophilia and Systemic Symptoms or DRESS syndrome is a severe and potentially life-threatening toxidermia. It should be suspected in patients developing cutaneous reaction following drug intake. We report the case of a 45-year old patient treated for pulmonary tuberculosis (TPM+) who developed DRESS syndrom induced by antibacillaries.

  19. Identification of Workplace Dress by Low-Income Job Seekers

    ERIC Educational Resources Information Center

    Saiki, Diana

    2013-01-01

    The author examined how low-income job seekers participating in a workplace dress program identified traditional business and business casual dress. Seventy low-income job seekers identified clothing items as traditional business (e.g., suits, ties), similar to identifications made by professionals and image consultants in previous literature.…

  20. Uniforms and Dress-Code Policies. ERIC Digest Number 148.

    ERIC Educational Resources Information Center

    Lumsden, Linda

    This digest examines schools' dress-code policies and discusses the legal considerations and research findings about the effects of such changes. Most revisions to dress codes involve the use of uniforms, typically as a way to curb school violence and create a positive learning environment. A recent survey of secondary school principals found that…

  1. Civil Behavior, Safe-School Planning, and Dress Codes

    ERIC Educational Resources Information Center

    Studak, Cathryn M.; Workman, Jane E.

    2007-01-01

    This research examined news reports in order to identify incidents that precipitated dress code revisions. News reports were examined within the framework of rules for civil behavior. Using key words "school dress codes" and "violence," LEXIS/NEXIS was used to access 104 articles from 44 U.S. newspapers from December 3, 2004 to December 2, 2005.…

  2. Will Dress Codes Save the Schools? Teaching Strategy.

    ERIC Educational Resources Information Center

    Alvez, Aggie

    1994-01-01

    Discusses issues related to dress codes, student behavior, and youth gangs. Presents a role-playing activity based on a proposed dress code aimed at gang-related clothing in a secondary school. Includes two student handouts and step-by-step instructional procedures. (CFR)

  3. The Role of Dress Codes, Uniforms in Urban Schools.

    ERIC Educational Resources Information Center

    LaPoint, Velma; And Others

    1992-01-01

    In response to problems relating to student appearance, dress, and behavior, most urban schools use various kinds of dress codes or uniforms. African-American youth experience difficulties because of a cultural heritage favoring bold designs and bright colors, efforts to compensate for low socioeconomic status, consumerist exploitation, and…

  4. Identification of Workplace Dress by Low-Income Job Seekers

    ERIC Educational Resources Information Center

    Saiki, Diana

    2013-01-01

    The author examined how low-income job seekers participating in a workplace dress program identified traditional business and business casual dress. Seventy low-income job seekers identified clothing items as traditional business (e.g., suits, ties), similar to identifications made by professionals and image consultants in previous literature.…

  5. 40 CFR 94.907 - Engine dressing exemption.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 40 Protection of Environment 20 2014-07-01 2013-07-01 true Engine dressing exemption. 94.907... (CONTINUED) CONTROL OF EMISSIONS FROM MARINE COMPRESSION-IGNITION ENGINES Exclusion and Exemption Provisions § 94.907 Engine dressing exemption. (a) General provisions. If you are an engine manufacturer,...

  6. 40 CFR 94.907 - Engine dressing exemption.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 40 Protection of Environment 21 2012-07-01 2012-07-01 false Engine dressing exemption. 94.907... (CONTINUED) CONTROL OF EMISSIONS FROM MARINE COMPRESSION-IGNITION ENGINES Exclusion and Exemption Provisions § 94.907 Engine dressing exemption. (a) General provisions. If you are an engine manufacturer,...

  7. Will Dress Codes Save the Schools? Teaching Strategy.

    ERIC Educational Resources Information Center

    Alvez, Aggie

    1994-01-01

    Discusses issues related to dress codes, student behavior, and youth gangs. Presents a role-playing activity based on a proposed dress code aimed at gang-related clothing in a secondary school. Includes two student handouts and step-by-step instructional procedures. (CFR)

  8. Civil Behavior, Safe-School Planning, and Dress Codes

    ERIC Educational Resources Information Center

    Studak, Cathryn M.; Workman, Jane E.

    2007-01-01

    This research examined news reports in order to identify incidents that precipitated dress code revisions. News reports were examined within the framework of rules for civil behavior. Using key words "school dress codes" and "violence," LEXIS/NEXIS was used to access 104 articles from 44 U.S. newspapers from December 3, 2004 to December 2, 2005.…

  9. Effects of a normothermic dressing on pressure ulcer healing.

    PubMed

    Kloth, L C; Berman, J E; Dumit-Minkel, S; Sutton, C H; Papanek, P E; Wurzel, J

    2000-01-01

    To determine the effects of radiant heat applied through a semiocclusive dressing on periwound skin temperature and wound healing. Before-after trial. Spinal cord injury and geriatric units of a VA medical center. Twenty inpatients with 21 Stage III and IV pressure ulcers. A semiocclusive, heated dressing was applied to 15 Stage III and IV pressure ulcers for 4.5 hours, Monday through Friday, for 4 consecutive weeks. The dressing emitted heat at 38.0 degrees C for 2 60-minute periods daily. At all other times, the wounds received only standard wound care. Six wounds in a separate control group received only standard wound care during the same 4-week period. Periwound skin temperature within and adjacent to the dressing and measurements of wound surface area. Mean skin temperatures inside and outside the heated dressing increased by 0.97 degree C and 1.08 degrees C (P < .05), respectively, from baseline values. Wounds treated with standard care plus the heated dressing underwent a statistically significant reduction in mean surface area of 60.73%. Wounds in the control group underwent a statistically insignificant reduction in mean surface area of 19.24%. Wounds treated with a radiant heat dressing healed significantly faster than wounds that received only standard care. There were no adverse effects from the radiant heat dressing.

  10. Marine Maternity Dress Uniform Tunic, Skirt, and Slack Technical Report

    DTIC Science & Technology

    2007-11-02

    military apparel items. The Cal Poly Demo produces military items in small quantities and used the Marine Maternity Dress Uniform Tunic , Skirt and Slack as...one of its study subjects. This report includes the findings of the study for the Demo’s Year 3 manufacturing of the Marine Maternity Dress Uniform Tunic , Skirt and Slack.

  11. Fashion as Argument: Nineteenth-Century Dress Reform.

    ERIC Educational Resources Information Center

    Torrens, Kathleen M.

    1999-01-01

    Examines the place of the body in the dress-reform movement, a social movement that focused on fashion as a vehicle for achieving social and political equality. Discusses how fashion became one arena in which definitions of gender were contested. Suggests the dress-reform movement's failure in redefining femininity indicates the depth of…

  12. Fashion as Argument: Nineteenth-Century Dress Reform.

    ERIC Educational Resources Information Center

    Torrens, Kathleen M.

    1999-01-01

    Examines the place of the body in the dress-reform movement, a social movement that focused on fashion as a vehicle for achieving social and political equality. Discusses how fashion became one arena in which definitions of gender were contested. Suggests the dress-reform movement's failure in redefining femininity indicates the depth of…

  13. Honey dressing versus paraffin tulle gras following toenail surgery.

    PubMed

    McIntosh, C D; Thomson, C E

    2006-03-01

    Anecdotal reports suggest that certain honey dressings have a positive effect on wound healing. However, there is limited empirical evidence supporting its use. This double-blind randomised controlled trial investigated the effect of a honey dressing on wound healing following toenail surgery with matrix phenolisation. Participants (n=100) were randomly assigned to receive either an active manuka honey dressing (n=52) or paraffin-impregnated tulle gras (n=48). The primary outcome was time (days) taken for complete re-epithelialisation of the nail bed. Mean healing times were 40.30 days (SD 18.21) for the honey group and 39.98 days (SD 25.42) for the paraffin tulle gras group. Partial avulsion wounds healed statistically significantly faster (p=0.01) with paraffin tulle gras (19.62 days, SD 9.31) than with the honey dressing (31.76 days, SD 18.8), but no significant difference (p=0.21) was found following total avulsion when comparing honey (45.28 days, SD 18.03.) with paraffin tulle gras dressings (52.03 days, SD 21.3). The results suggest that patients may benefit more from paraffin tulle gras dressings than honey dressings following partial toenail avulsion. No statistically significant difference was found for healing times after total toenail avulsion, although the marginal benefit of the honey dressing on these healing times warrants further investigation.

  14. Umbilical Negative Pressure Dressing for Transumbilical Appendectomy in Childern

    PubMed Central

    Kundu, Neilendu; Guerron, Alfredo D.; Garland, Mary M.; Gaffley, Michaela W. G.; Worley, Sarah; Knight, Colin G.

    2016-01-01

    Background and Objectives: Transumbilical laparoscopic-assisted appendectomy (TULAA) carries a high risk for surgical site infection. We investigated the effect of a bio-occlusive umbilical vacuum dressing on wound infection rates after TULAA for patients with acute appendicitis and compared to it with a conventional 3-port appendectomy with a nonvacuum dressing. Methods: This study was a retrospective chart review of 1377 patients (2–20 years) undergoing laparoscopic appendectomy for acute appendicitis in 2 tertiary care referral centers from January 2007 through December 2012. Twenty-two different operative technique/dressing variations were documented. The 6 technique/dressing groups with >50 patients were assessed, including a total of 1283 patients. Results: The surgical site infection rate of the 220 patients treated with TULAA and application of an umbilical vacuum dressing with dry gauze is 1.8% (95% CI, 0.0–10.3%). This compares to an infection rate of 4.1% (95% CI, 1.3–10.5%) in 97 patients with dry dressing without vacuum. In the 395 patients who received an umbilical vacuum dressing with gauze and bacitracin, the surgical site infection rate was found to be 4.3% (95% CI, 2.7–6.8%). Conclusions: Application of an umbilical negative-pressure dressing with dry gauze lowers the rate of umbilical site infections in patients undergoing transumbilical laparoscopic-assisted appendectomy for acute appendicitis. PMID:27807398

  15. Nonresonant photon dressing in spin one quadrupolar systems

    SciTech Connect

    Zhuang, Y.L.

    1992-01-01

    This thesis mainly studied the effects of nonresonant photon dressing on spin 1 pure quadrupolar system with symmetric EFG. Energy levels of spin 1 nuclei dressed by linearly or circularly polarized photons were theoretically derived and numerically analyzed. The degeneracy of m[sub [Zeta

  16. Moral Crisis in Higher Institutions and the Dress Code Phenomenon

    ERIC Educational Resources Information Center

    Fayokun, K. O.; Adedeji, S. O.; Oyebade, S. A.

    2009-01-01

    This article reviewed the case of indecent dressing among the youth of today especially on the universities campuses, which has forced the authorities of those institutions to enact dress codes to stem the tide and restore high moral standards, integrity and decency. Whether this bid was successful or not was another thing which was a function of…

  17. Evaluating a super absorbent dressing (Flivasorb) in highly exuding wounds.

    PubMed

    Verrall, Debby; Coulborn, Anna; Bree-Aslan, Cathie

    This article reports an observational evaluation of 19 patients with highly exuding wounds. Flivasorb was used as a super absorbent dressing that could remove the harmful exudate fluid and promote a healthy wound bed. The outcomes demonstrated that Flivasorb is successfully absorbs large amounts of fluid, reduces the number of dressing changes required and therefore, reduces the cost of the patient's care.

  18. Development of Hemostatic Dressings for Use in Military Operations

    DTIC Science & Technology

    2004-09-01

    RH, Reid TJ, Nelson JH, Goodwin. CW, Fitzpatrick CM, McManus AT, Zolock DT, Sondeen JL, Cornum RL, Martinez RS. Advanced hemostatic dressing...Uscilowcz JM, Matinez RS, Holcomb JB. Use of a model of severe hepatic injury and venous bleeding to evaluate efficacy of the dry fibrin sealant dressing

  19. [DRESS syndrome in paediatrics: Clinical case].

    PubMed

    Silva-Feistner, Marcos; Ortiz, Elena; Rojas-Lechuga, María Jesús; Muñoz, Daniel

    2017-02-01

    Drug reaction with eosinophilia and systemic symptoms (DRESS) is a rare, potentially life-threatening, drug-induced hypersensitivity reaction that includes skin eruption, haematological abnormalities, lymphadenopathy, and internal organ involvement. Presenting a rare condition in children, to facilitate a rapid diagnostic suspicion and recognition by doctors. An 9 months old infant admitted due to a severe viral pneumonia, managed with non-invasive ventilation and ceftriaxone. Five days after stopping antibiotics, a confluent maculopapular rash appeared, which was predominantly in the trunk, face and upper extremities, combined with a fever, eosinophilia, and elevated serum levels of transaminase. She received treatment with oral prednisone and topical corticosteroids for 6 weeks, with a good outcome after 3 months. The diagnosis of DRESS syndrome is made using clinical criteria, laboratory values, and histopathology, if there is any query. Although it is classically caused by anticonvulsants and sulphonamides, many other drugs have been implicated. The offending drug should be immediately discontinued and the patient given supportive treatment, and systemic corticosteroids for long periods of treatment.

  20. Dressed State Description of Bichromatic Forces

    NASA Astrophysics Data System (ADS)

    Metcalf, H. J.

    1998-05-01

    In the usual scheme of laser cooling both the force and the dissipation arise from the incoherent sequence of absorption followed by spontaneous emission. By contrast, the bichromatic force derives from a carefully orchestrated sequence of absorptions followed by stimulated emissions that are equivalent to a series of Landau-Zener transitions between dressed states. The magnitude is F ~= hbar k Ω_R/π instead of hbar k γ/2, where ΩR is the Rabi frequency, so this unsaturable force can easily be 10 to 100 times larger than hbar k γ/2. For atoms moving at v >> γ/k in a standing wave, its two counterpropagating components are Doppler shifted by ± kv, and each of the customary pairs of dressed states of slowly moving atoms (i.e., v ~ γ/k) is transformed into a ladder of levels separated by hbar kv >> hbar γ. If the amplitude of each standing wave component is modulated by beats arising because each contains two frequencies, Landau-Zener transitions can drive the atom-field system up this ladder very efficiently, thereby transferring atomic kinetic energy to the light field. Sisyphus cooling and the MOT characterize multilevel atoms in a monochromatic field. It appears that there may be a comparable plethora of new phenomena for two level atoms in bichromatic fields. Recently there was a dramatic demonstration of bichromatic deceleration of an atomic beam(J. Söding et al., Phys. Rev. Lett. 78) 1420 (1997).

  1. Novel silk fibroin/elastin wound dressings.

    PubMed

    Vasconcelos, Andreia; Gomes, Andreia C; Cavaco-Paulo, Artur

    2012-08-01

    Silk fibroin (SF) and elastin (EL) scaffolds were successfully produced for the first time for the treatment of burn wounds. The self-assembly properties of SF, together with the excellent chemical and mechanical stability and biocompatibility, were combined with elastin protein to produce scaffolds with the ability to mimic the extracellular matrix (ECM). Porous scaffolds were obtained by lyophilization and were further crosslinked with genipin (GE). Genipin crosslinking induces the conformational transition from random coil to β-sheet of SF chains, yielding scaffolds with smaller pore size and reduced swelling ratios, degradation and release rates. All results indicated that the composition of the scaffolds had a significant effect on their physical properties, and that can easily be tuned to obtain scaffolds suitable for biological applications. Wound healing was assessed through the use of human full-thickness skin equivalents (EpidermFT). Standardized burn wounds were induced by a cautery and the best re-epithelialization and the fastest wound closure was obtained in wounds treated with 50SF scaffolds; these contain the highest amount of elastin after 6 days of healing in comparison with other dressings and controls. The cytocompatibility demonstrated with human skin fibroblasts together with the healing improvement make these SF/EL scaffolds suitable for wound dressing applications.

  2. [DRESS syndrome in paediatrics. Clinical case].

    PubMed

    Silva-Feistner, Marcos; Ortiz, Elena; Rojas-Lechuga, María Jesús; Muñoz, Daniel

    2016-07-01

    Drug reaction with eosinophilia and systemic symptoms (DRESS) is a rare, potentially life-threatening, drug-induced hypersensitivity reaction that includes skin eruption, haematological abnormalities, lymphadenopathy, and internal organ involvement. Presenting a rare condition in children, to facilitate a rapid diagnostic suspicion and recognition by doctors CASE REPORT: An 9 months old infant admitted due to a severe viral pneumonia, managed with non-invasive ventilation and ceftriaxone. Five days after stopping antibiotics, a confluent maculopapular rash appeared, which was predominantly in the trunk, face and upper extremities, combined with a fever, eosinophilia, and elevated serum levels of transaminase. She received treatment with oral prednisone and topical corticosteroids for 6 weeks, with a good outcome after 3 months. The diagnosis of DRESS syndrome is made using clinical criteria, laboratory values, and histopathology, if there is any query. Although it is classically caused by anticonvulsants and sulphonamides, many other drugs have been implicated. The offending drug should be immediately discontinued and the patient given supportive treatment, and systemic corticosteroids for long periods of treatment. Copyright © 2016 Sociedad Chilena de Pediatría. Publicado por Elsevier España, S.L.U. All rights reserved.

  3. A new postoperative otoplasty dressing technique using cyanoacrylate tissue adhesives.

    PubMed

    Vetter, Miriam; Foehn, Matthias; Wedler, Volker

    2010-04-01

    There are many techniques for cosmetic surgery of the ears and also many different procedures for postoperative treatment. The postoperative dressing is described as important for a successful outcome. We present our method of postoperative dressing in the form of liquid bonding. Cyanoacrylate tissue adhesives as liquid bonding agents are used for fixation of the pinna at the mastoid area. After 10-14 days the bonding can be easily removed. No huge dressings, tapes, or plasters are necessary. The patients are satisfied with the light dressing; they do not feel ashamed to appear in public. We have found this dressing technique to be simple and economical, especially because of the use of the bonding for skin closure before. It can be used after otoplasty with an anterior or a posterior approach.

  4. Evidence generation for wound care dressing selection: reviewing the issues.

    PubMed

    Pagnamenta, F

    2017-09-02

    In the UK, dressings are categorised as medical devices and manufacturers only have to provide limited evidence of effectiveness before dressings are used in clinical practice. Therefore, evidence based on clinical trial methods is scant. As a direct result, governing bodies in the UK are now recommending that decisions to select one dressing over another could mainly be made on price. Placed within the movement critiquing evidence-based practice (EBP), this paper summarises the main issues surrounding the generation of evidence in selecting dressings for wound care, which is immersed in a context that lacks resources, legislative clarity and freedom to choose methodological alternatives. Dressings are therapeutic medical devices rather than consumables and any rationalisation based on costs may have far-reaching implications for wound care clinicians through purchasing decisions and thus may limit their ability to manage wounds effectively.

  5. The analgesic effect of odour and music upon dressing change.

    PubMed

    Kane, F M A; Brodie, E E; Coull, A; Coyne, L; Howd, A; Milne, A; Niven, C C; Robbins, R

    Vascular wounds may require frequent dressing changes over a long period of time, often involving pain, which may not be adequately controlled with conventional analgesia. Complementary analgesia may be beneficial as an adjunctive therapy. This pilot study presented eight patients with two odour therapies, lavender and lemon, two music therapies, relaxing and preferred music and a control condition, during vascular wound dressing changes. Although the therapies did not reduce the pain intensity during the dressing change there was a significant reduction in pain intensity for the lavender therapy and a reduction in pain intensity for the relaxing music therapy after the dressing change. This supports the use of these complementary therapies, which are inexpensive, easy to administer and have no known side effects, as adjunctive analgesia in this patient population. Earlier administration before dressing change may enhance these effects. Further research is required to ascertain why certain complementary therapies are more effective than others at relieving pain.

  6. Wound dressings for a proteolytic-rich environment.

    PubMed

    Vasconcelos, Andreia; Cavaco-Paulo, Artur

    2011-04-01

    Wound dressings have experienced continuous and significant changes over the years based on the knowledge of the biochemical events associated with chronic wounds. The development goes from natural materials used to just cover and conceal the wound to interactive materials that can facilitate the healing process, addressing specific issues in non-healing wounds. These new types of dressings often relate with the proteolytic wound environment and the bacteria load to enhance the healing. Recently, the wound dressing research is focusing on the replacement of synthetic polymers by natural protein materials to delivery bioactive agents to the wounds. This article provides an overview on the novel protein-based wound dressings such as silk fibroin keratin and elastin. The improved properties of these dressings, like the release of antibiotics and growth factors, are discussed. The different types of wounds and the effective parameters of healing process will be reviewed. © Springer-Verlag 2011

  7. Effect of different wound dressings on cell viability and proliferation.

    PubMed

    Paddle-Ledinek, Joanne E; Nasa, Zeyad; Cleland, Heather J

    2006-06-01

    Many new dressings have been developed since the early 1980s. Wound healing comprises cleansing, granulation/vascularization, and epithelialization phases. An optimum microenvironment and the absence of cytotoxic factors are essential for epithelialization. This study examines the effect of extracts of different wound dressings on keratinocyte survival and proliferation. Keratinocyte cultures were exposed for 40 hours to at least three extracts of each of the following wound dressings, which were tested in octuplicate: Acticoat, Aquacel-Ag, Aquacel, Algisite M, Avance, Comfeel Plus transparent, Contreet-H, Hydrasorb, and SeaSorb. Silicone extract provided the reference material. Controls were included of cells cultured in medium that had been incubated under conditions identical to those used with the extracts. Cell survival (3-[4,5-dimethylthiazol-2-yl]-2,5-diphenyltetrazolium bromide reduction) and proliferation (5-bromo-2':-deoxyuridine incorporation) were measured. Extracts of silver-containing dressings (Acticoat, Aquacel-Ag, Contreet-H, and Avance) were most cytotoxic. Extracts of Hydrasorb were less cytotoxic but markedly affected keratinocyte proliferation and morphology. Extracts of alginate-containing dressings (Algisite M, SeaSorb, and Contreet-H) demonstrated high calcium concentrations, markedly reduced keratinocyte proliferation, and affected keratinocyte morphology. Extracts of Aquacel and Comfeel Plus transparent induced small but significant inhibition of keratinocyte proliferation. The principle of minimizing harm should be applied to the choice of wound dressing. Silver-based dressings are cytotoxic and should not be used in the absence of infection. Alginate dressings with high calcium content affect keratinocyte proliferation probably by triggering terminal differentiation of keratinocytes. Such dressings should be used with caution in cases in which keratinocyte proliferation is essential. All dressings should be tested in vitro before

  8. Alginate dressings in surgery and wound management--Part 1.

    PubMed

    Thomas, S

    2000-02-01

    Large quantities of alginate dressings are used each year to treat exuding wounds, such as leg ulcers, pressure sores and infected surgical wounds. Originally these dressings were a loose fleece formed primarily from fibres of calcium alginate. More recently they have been developed so that the fibres have been entangled to form a product with more cohesive structure, which increases the fabric's strength when it is soaked with exudate or blood. Some products also contain a significant proportion of sodium alginate to improve the gelling properties of the dressing in use. Other dressings have been produced from freeze-dried alginate. Once in contact with an exuding wound, an ion-exchange reaction takes place between the calcium ions in the dressing and sodium ions in serum or wound fluid. When a significant proportion of the calcium ions on the fibre have been replaced by sodium, the fibre swells and partially dissolves forming a gel-like mass. The degree of swelling is determined principally by the chemical composition of the alginate, which depends on its botanical source. Although it is recognised that the differences between the various brands of dressings may influence their handling characteristics--particularly when wet--it is generally assumed that these differences are of limited relevance to the dressing's performance clinically or at a cellular level. There is some evidence to suggest, however, that these assumptions may be wrong and that alginates may influence wound healing in a number of ways not yet fully understood. This three-part review of the literature encompasses the history, origin, structure, chemistry and clinical applications of alginates and alginate dressings. This review reveals that, despite their widespread use, alginates have been the subject of very few well-controlled clinical studies. There is fairly convincing evidence, however, that they do offer advantages over more traditional dressings for at least some clinical indications

  9. A Dressing Solution for Burn Wounds: Antibacterial and Low-Adherent Wound Dressings

    NASA Astrophysics Data System (ADS)

    Pu, Tianyun

    Considering the infection and second trauma caused by dressing changes, development of antibacterial and low-adherent wound dressings is urgently needed. Silver ion is a widely used antimicrobial agent, but its cytotoxicity remains a problem. In this study, low-adherent PAM (polyacrylamide) hydrogel incorporated with less toxic AgNP (silver nanoparticle), was immobilized onto PET (poly(ethylene terephthalate)) substrates by an IPN (interpenetrating polymer network) method. The modified PET is effectively antibacterial and the surface is significantly less adherent than untreated PET. However, silver-resistant bacteria become a potential problem. Thus, ionic 5,5-dimethylhydantoin (DMH) analogues containing either a quaternary ammonium moiety or a phosphonate functional group were designed and synthesized. The DMH analogues were converted to antibacterial N-chloramine counterparts through chlorination to serve as potential alternatives to AgNP. The N-chloramine with a structural cation exhibited distinctly enhanced antibacterial functions both in solution and after immobilization on fabrics.

  10. Therapeutic management of DRESS: a retrospective study of 38 cases.

    PubMed

    Funck-Brentano, Elisa; Duong, Tu-Anh; Bouvresse, Sophie; Bagot, Martine; Wolkenstein, Pierre; Roujeau, Jean-Claude; Chosidow, Olivier; Valeyrie-Allanore, Laurence

    2015-02-01

    There is no consensus regarding treatment for drug reaction with eosinophilia and systemic symptoms (DRESS). We report a single-center observational series of therapeutic management of DRESS. We examined data for 50 consecutive patients admitted from March 2005 to June 2009 with a discharge diagnosis of DRESS (RegiSCAR score). For the 38 patients with a DRESS score of 4 or more, topical steroid treatment alone was initiated in 66% of cases. On admission, 13 patients received systemic steroids; in 7 of them, systemic steroid treatment was initiated or maintained for life-threatening organ failure, with kidney, lung, and/or nervous system involvement. Complications of DRESS, such as relapse, viral reactivation, and sepsis, were less frequent with topical steroid than with systemic steroids. None of the patients died during their stay in hospital. Retrospective nonblinded design and dermatologic recruitment are limitations. The variables underlying the choice of treatment study were not analyzed. Systemic steroids may not be required for the management of mild forms of DRESS, and may thus be reserved for more severe cases. Prospective studies are required to evaluate strategies for treating DRESS. Copyright © 2014 American Academy of Dermatology, Inc. Published by Elsevier Inc. All rights reserved.

  11. Microbiological spoilage of mayonnaise and salad dressings.

    PubMed

    Kurtzman, C P; Rogers, R; Hesseltine, C W

    1971-05-01

    Saccharomyces bailii was isolated from two-thirds of the spoiled mayonnaise and salad dressing samples examined. Most of the rest were spoiled by Lactobacillus fructivorans. However, one sample contained large numbers of both S. bailii and L. plantarum. Two of the spoiled samples also contained small numbers of bacilli. Bacillus subtilis, B. pumilis, B. polymyxa, B. megaterium, and B. licheniformis were found in one sample and B. subtilis and B. pumilis in another. Small numbers of B. subtilis and B. licheniformis were also present in one unspoiled sample. Several media were evaluated for the isolation of L. fructivorans. S. bailii and L. fructivorans vigorously fermented glucose. The concentration of glucose in the spoiled samples ranged from 0 to 38.5 g/kg and from 1.3 to 17.8 g/kg for the unspoiled samples.

  12. Toxicity assessment of nanosilver wound dressing in Wistar rat.

    PubMed

    Bidgoli, Sepideh Arbabi; Mahdavi, Moujan; Rezayat, Seyed Mahdi; Korani, Mitra; Amani, Amir; Ziarati, Parisa

    2013-05-07

    Antibiotic resistance to microorganisms is one of the major problems faced in the field of wound care in burns patients. Silver nanoparticles have come up as potent antimicrobial agent and are being evaluated in diverse medical applications ranging from silver based dressings to silver coated medical devices. We aimed in present study to test the release of nanosilver from nanosilver wound dressing and compare the dermal and systemic toxicity of nanosilver dressings in a repeated dose (21 days) model. Under general anesthesia, a limited standard 2nd degree burns were provided on the back of each rat in all treatment, negative control (simple dressing) and 5% silver nitrate groups, each contained 5 male wistar rats. According to the analysis made by atomic absorption spectrometry, the wound dressings released 0.599 ± 0.083 ppm of nanosilver during first 24 hrs of study. Daily observations were recoded and wounds were covered with new dressings each 24 hrs. Burn healing was observed in nanosilver wound dressing group in shorter time periods than the control groups. In toxicity assessment, this dressing didn't cause any hematological and histopathological abnormalities in treatment group but biochemical studies showed significant rise of plasma transaminase (ALT) at the endpoint (21 days) of the study (P=0.027). Portal mononuclear lymphoid and polymorphonuclear leukocyte infiltrations in three to four adjacent foci were recognized around the central hepatic vein in treatment group. Mild hepatotoxic effects of nanosilver wound dressing in wistar rat emphasize the necessity of more studies on toxicity potentials of low dose nanosilver by dermal applications.

  13. The sartorial self: William James's philosophy of dress.

    PubMed

    Watson, Cecelia A

    2004-08-01

    William James placed great importance on clothing, and this emphasis on apparel is reflected in his writings on psychology, in his letters, and in his own style of dress. his perspective on dress was influenced by a passage on the "philosophy of clothing" in Hermann Lotze's Microcosmus. James believed clothing to be an essential part of the material self; in this article it is argued that it is important to the spiritual and social selves as well. James's interest in the self-expressive aspects of clothing was reflected in his attire, his descriptions of colleagues" clothing, his account book, and his chairmanship of Harvard's Committee on Academic Dress.

  14. Searching for pathways involving dressed states in optimal control theory.

    PubMed

    von den Hoff, Philipp; Kowalewski, Markus; de Vivie-Riedle, Regina

    2011-01-01

    Selective population of dressed states has been proposed as an alternative control pathway in molecular reaction dynamics [Wollenhaupt et al., J. Photochem. Photobiol. A: Chem., 2006, 180, 248]. In this article we investigate if, and under which conditions, this strong field pathway is included in the search space of optimal control theory. For our calculations we used the proposed example of the potassium dimer, in which the different target states can be reached via dressed states by resonant transition. Especially, we investigate whether the optimization algorithm is able to find the route involving the dressed states although the target state lies out of resonance in the bare state picture.

  15. Triple-mode squeezing with dressed six-wave mixing

    PubMed Central

    Wen, Feng; Li, Zepei; Zhang, Yiqi; Gao, Hong; Che, Junling; Che, Junling; Abdulkhaleq, Hasan; Zhang, Yanpeng; Wang, Hongxing

    2016-01-01

    The theory of proof-of-principle triple-mode squeezing is proposed via spontaneous parametric six-wave mixing process in an atomic-cavity coupled system. Special attention is focused on the role of dressed state and nonlinear gain on triple-mode squeezing process. Using the dressed state theory, we find that optical squeezing and Autler-Towns splitting of cavity mode can be realized with nonlinear gain, while the efficiency and the location of maximum squeezing point can be effectively shaped by dressed state in atomic ensemble. Our proposal can find applications in multi-channel communication and multi-channel quantum imaging. PMID:27169878

  16. A Prospective Randomized Study to Compare the Effectiveness of Honey Dressing vs. Povidone Iodine Dressing in Chronic Wound Healing.

    PubMed

    Gulati, Sonia; Qureshi, Ashia; Srivastava, Anurag; Kataria, Kamal; Kumar, Pratik; Ji, Acharya Balakrishna

    2014-06-01

    To compare the healing of chronic wounds with honey dressing vs. Povidone iodine dressing in adult subjects with chronic wounds of ≥6 weeks of duration, attending wound care clinic in Surgical Out Patient Department of All India Institute of Medical Sciences, Surgical Out Patient Department of Jai Prakash Narayan Apex Trauma center, New Delhi. Forty five subjects were randomized into two groups i.e., Honey & Povidone iodine dressing group. Dressing was done on alternate day basis for 6 weeks of followup period. Main outcome measure was complete healing at 6 weeks. Wound healing status was assessed at 2 weekly intervals till 6 weeks. Seven out of 22 subjects in honey treated group achieved complete healing as compared to none out of 20 subjects in Povidone iodine treated group. There was a significant decrease in the wound surface area, pain score & increase in comfort score in Honey dressing group in comparison to the Povidone Iodine group at 0.05 level of significance. Honey dressing is highly effective in achieving healing in chronic wounds as compared to Povidone iodine dressing.

  17. Research on the 2-axis cup-wheel dressing technology of arc-diamond grinding wheel

    NASA Astrophysics Data System (ADS)

    Chang, X. L.; Wu, H. Y.; Peng, Y. F.

    2014-08-01

    The precision dressing of arc-diamond wheel is very hard, expensive and time-consuming because of the super-hard diamond particles and complicated geometrical shape. This paper aims to investigate the cup-wheel dressing technology to realize the high-efficiency regeneration of the arc-diamond wheel. A two-axis cup-wheel dressing technique for precision dressing arc-diamond wheel was suggested and tested. The dressing mechanism of 2-axis cup-wheel was studied. The dressing algorithm and error compensation method were further investigated to improve the dressing precision and efficiency. The experimental results show that the 2-axis cup-wheel dressing technique is valid and applicable to realize the precision dressing of arc-diamond wheel. The machined optical surface condition was apparently improved with the cup-wheel dressed diamond wheel and even became much better when the error compensation algorithm was performed on the arc-diamond wheel.

  18. 12. VIEW, LOOKING SOUTH FROM LEFT TO RIGHT, SHOWING DRESSING ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    12. VIEW, LOOKING SOUTH FROM LEFT TO RIGHT, SHOWING DRESSING FROM AND WORK/CHAMBER ROOM - U.S. Naval Submarine Base, New London Submarine Escape Training Tank, Albacore & Darter Roads, Groton, New London County, CT

  19. A practical approach to dressing wounds in difficult positions.

    PubMed

    Fletcher, J

    Despite the availability of an increasing number of innovative dressing products, many patients' wounds remain a challenge to dress in practice. However, the creative use of widely available products and other resources can help to address some of the difficulties that are regularly encountered. If different sizes of dressing (to allow for cutting and shaping) or more innovatively shaped products (which may be more expensive per item) are used, this can result in a better dressing fit and therefore increase product wear time which is both clinically effective and cost-effective. When a good solution is found for dealing with certain wound types then great benefit can be gained from publishing the information to prevent others from struggling to overcome the same difficulties.

  20. DRESS syndrome with autoimmune hepatitis from strontium ranelate.

    PubMed

    di Meo, Nicola; Gubertini, Nicoletta; Crocè, Lory; Tiribelli, Claudio; Trevisan, Giusto

    2016-05-01

    Strontium ranelate, which is used for postmenopausal osteoporosis, has been associated with drug rash with eosinophilia and systemic symptoms (DRESS) syndrome, a severe, acute, potentially fatal, multisystem adverse drug reaction characterized by skin rash, fever, hematological abnormalities, and lymphadenopathy with involvement of several internal organs. We report the case of a woman who developed DRESS syndrome with a generalized maculopapular rash, eosinophilia, dyspnea, bilateral cervical lymphadenopathy, and reactivation of Epstein-Barr virus (EBV) with liver damage 3 weeks after administration of strontium ranelate for postmenopausal osteoporosis. Approximately 6 months after total remission of cutaneous symptoms, the patient developed autoimmune hepatitis. This case confirms that strontium ranelate should be considered as a possible factor in the etiopathology of DRESS syndrome as well as in the subsequent development of autoimmune hepatitis. The possibility of developing autoimmune hepatitis as a part of DRESS syndrome related to strontium ranelate use can occur months after the acute episode.

  1. Standardized Dress: Where Angels (and School Boards) Fear to Tread.

    ERIC Educational Resources Information Center

    Cain, Bonny

    2002-01-01

    Tells efforts by Pearland Independent School District (Texas) school board and superintendent to adopt a standardized dress code, an effort that led to student and community opposition and controversy. Describes lessons learned. (PKP)

  2. Shifted-action expansion and applicability of dressed diagrammatic schemes

    NASA Astrophysics Data System (ADS)

    Rossi, Riccardo; Werner, Félix; Prokof'ev, Nikolay; Svistunov, Boris

    2016-04-01

    While bare diagrammatic series are merely Taylor expansions in powers of interaction strength, dressed diagrammatic series, built on fully or partially dressed lines and vertices, are usually constructed by reordering the bare diagrams, which is an a priori unjustified manipulation, and can even lead to convergence to an unphysical result [E. Kozik, M. Ferrero, and A. Georges, Phys. Rev. Lett. 114, 156402 (2015), 10.1103/PhysRevLett.114.156402]. Here we show that for a broad class of partially dressed diagrammatic schemes, there exists an action S(ξ ) depending analytically on an auxiliary complex parameter ξ , such that the Taylor expansion in ξ of correlation functions reproduces the original diagrammatic series. The resulting applicability conditions are similar to the bare case. For fully dressed skeleton diagrammatics, analyticity of S(ξ ) is not granted, and we formulate a sufficient condition for converging to the correct result.

  3. Evaluation of Biatain Soft-Hold foam dressing.

    PubMed

    Vogensen, Hanne

    Foam dressing products were introduced in the 1970s and quickly became accepted in clinical practice due to a wide range of benefits. Today, various foam dressings are available on the market. They can appear rather similar, but may well have different performance characteristics. A well-established product is Biatain foam dressing, which was introduced in 1998 and quickly became popular due to its superior exudate management properties. The aim of this article is to describe a recent innovation in the Biatain dressing range, Biatain Soft-Hold (Coloplast A/S), and summarize some of the evidence that supports it. The new product feature consists of a soft and skin-friendly adherent layer covering less than 50% of the foam surface, thus providing a third hand in application and atraumatic removal while maintaining superior exudate management.

  4. Efficacy of commercial dressings in managing malodorous wounds.

    PubMed

    Lee, Gillian; Anand, Subhash C; Rajendran, S; Walker, Ian

    This paper investigates a novel in vitro method of ascertaining quantitative comparative data on a selection of commercial available odour absorbent wound dressing. The aim of this study is to determine and evaluate quantitative desirable data on the efficiency of odour absorbency along with other comparable physical characteristics of commercial odour absorbent dressings. This study is a part of an ongoing research programme into the design and development of novel odour absorbent dressings for managing malodorous wounds. The study also includes the development of a controlled in vitro test method that simulates a more realistic situation. A selection of commercially available activated charcoal dressings were analysed and tested, and comparative evaluation was carried out and discussed.

  5. 3. INTERIOR VIEW OF PARTITIONS IN DRESSING ROOM; INTERIOR HALLWAY ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    3. INTERIOR VIEW OF PARTITIONS IN DRESSING ROOM; INTERIOR HALLWAY FOR HYDROTHERAPY AREA AT RIGHT - Fort McCoy, Building No. T-1054, South side of South Tenth Avenue, Block 10, Sparta, Monroe County, WI

  6. Standardized Dress: Where Angels (and School Boards) Fear to Tread.

    ERIC Educational Resources Information Center

    Cain, Bonny

    2002-01-01

    Tells efforts by Pearland Independent School District (Texas) school board and superintendent to adopt a standardized dress code, an effort that led to student and community opposition and controversy. Describes lessons learned. (PKP)

  7. Reducing bloodstream infection with a chlorhexidine gel IV dressing.

    PubMed

    Jeanes, Annette; Bitmead, James

    The use of vascular access devices (VAD) is common in healthcare provision but there is a significant risk of acquiring an infection. Central venous catheters (CVC) are associated with the highest risk of intravenous catheter-related bloodstream infection (CRBSI). 3M™ Tegaderm™ CHG IV dressing is a semi-permeable transparent adhesive dressing with an integrated gel pad containing chlorhexidine gluconate 2%. This product was reviewed by the National Institute for Health and Care Excellence (NICE) in 2015, recommending that Tegaderm CHG could be used for CVC and arterial line dressings in high-dependency and intensive-care settings. This article discusses issues around CRBSI, interventions to reduce the risk of CRBSI, and the use of Tegaderm CHG dressing.

  8. Seed dressings to control slug damage in oilseed rape.

    PubMed

    Simms, Louise C; Mullins, Christopher E; Wilson, Michael J

    2002-07-01

    Slugs are major pests of oilseed rape that are poorly controlled by conventional bait pellets. A series of laboratory experiments investigated the potential of seed-dressings to control slug damage in this crop. Four compounds: metaldehyde, methiocarb, cinnamamide and 3,5-dimethoxycinnamic acid (DMCA) were tested at a range of doses for phytotoxicity and ability to reduce damage by Deroceras reticulatum (Müller). Metaldehyde and methiocarb were not phytotoxic at any doses, whereas all doses of cinnamamide and DMCA were. All compounds reduced slug damage, but metaldehyde and methiocarb consistently performed better than cinnamamide and DMCA. Metaldehyde and methiocarb seed-dressings were compared with baited pellets containing the same active ingredients at recommended field doses. The seed-dressings protected plants from damage by D reticulatum and Arion subfuscus (Draparnaud) as well as, or better than, baited pellets. We therefore recommend that metaldehyde and methiocarb should be field-tested as seed dressings to control slugs in oilseed rape.

  9. 9. View to west of Tropic Dressing Room (typical). ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    9. View to west of Tropic Dressing Room (typical). - Natick Research & Development Laboratories, Climatic Chambers Building, U.S. Army Natick Research, Development & Engineering Center (NRDEC), Natick, Middlesex County, MA

  10. DEVELOPMENT OF A NEXT-GENERATION ANTIMICROBIAL WOUND DRESSING.

    PubMed

    Metcalf, Daniel; Parsons, David; Bowler, I Philip

    2016-03-01

    Delayed wound healing due to infection is a burden on healthcare systems, and the patient and caregiver alike. An emerging factor in infection and delayed healing is the presence development of biofilm in wounds. Biofilm is communities of microorganisms, protected by an extracellular matrix of slime in the wound, which can tolerate host defences and applied antimicrobials such as antibiotics or antimicrobial dressings. A growing evidence base exists suggesting that biofilm exists in a majority of chronic wounds, and can be a precursor to infection while causing delayed healing itself. In vivo models have demonstrated that the inflammatory, granulation and epithelialization processes of normal wound healing are impaired by biofilm presence. The challenge in the development of a new antimicrobial wound dressing was to make standard antimicrobial agents more effective against biofilm, and this was answered following extensive biofilm research and testing. A combination of metal chelator, surfactant and pH control displayed highly synergistic anti-biofilm action with 1.2% ionic silver in a carboxymethylcellulose dressing. Its effectiveness was challenged and proven in complex in vitro and in vivo wound biofilm models, followed by clinical safety and performance demonstrations in a 42-patient study and 113 clinical evaluations. Post-market surveillance was conducted on the commercially available dressing, and in a 112-case evaluation, the dressing was shown to effectively manage exudate and suspected biofilm while shifting difficult-to-heal wounds onto healing trajectories, after an average of 4 weeks of new dressing use in otherwise standard wound care protocols. This was accompanied by a low frequency of dressing related adverse events. In a second evaluation, clinical signs of infection and wound dimension data, before and after the evaluations, were also available. Following an average of 5.4 weeks of dressing use, all signs of clinical infection were reduced, from

  11. Burn Injuries in Children and the Use of Biological Dressings

    DTIC Science & Technology

    2013-08-01

    Burn Injuries in Children and the Use of Biological Dressings Bonnie Hartstein, MD, FACEP,* Marianne Gausche-Hill, MD, FACEP, FAAP,Þ and Leopoldo C...Cancio, MD, FACSþ Abstract: Burns represent a significant cause of morbidity and mortality in children . In this article, a case discussion will serve...as a platform for discussing the evaluation and treatment of burns in children . Use of var- ious burn dressings such as hydrocolloids, polyurethane

  12. Painful dressing changes for chronic wounds: assessment and management.

    PubMed

    Solowiej, Kazia; Upton, Dominic

    Wound pain can arise from the wound itself, continuing wound treatment and anticipatory pain, which occurs in some patients as a consequence of negative experiences of care. Specifically, pain caused by the removal and application of dressings has been identified as a major contributor to wound pain, from both patient and health professional perspectives. This article reviews literature on the impact of pain at dressing change, and provides practical suggestions for assessment and management of pain during wound care.

  13. DRESS Syndrome Following Levofloxacin Exposure With Positive Patch-test.

    PubMed

    Charfi, Ons; Lakhoua, Ghozlane; Sahnoun, Rim; Badri, Talel; Daghfous, Riadh; El Aidli, Sihem; Kastalli, Sarah; Zaïem, Ahmed

    2015-01-01

    Drug rash with eosinophilia and systemic symptoms (DRESS syndrome) in a severe cutaneous drug reaction, which can be life threatening. Levofloxacin has not been reported in literature as a causative drug. We are presenting an exceptional case of levofloxacin-induced DRESS without eosinophilia and with positive patch-tests to levofloxacin. © 2015 Société Française de Pharmacologie et de Thérapeutique.

  14. New method for testing the absorbency of surgical dressings.

    PubMed

    Betts, T J; Czarniak, P A; Filippin, P

    1988-09-01

    Absorbent cellulose dressings have been tested by immersion in a standard aqueous solution of picric acid followed by standard draining, elution of the picric acid, and measurement of the absorbance of the yellow colour at 355 nm. Six samples of gauze were graded by this procedure, and two considered unsatisfactory, despite all sinking in less than 10s. Filmated gauzes and unwoven dressings required greater dilution for the absorbance readings, reflecting their different structures.

  15. 5. GENERAL VIEW OF HOG DRESSING AREA ON LEVEL 4; ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    5. GENERAL VIEW OF HOG DRESSING AREA ON LEVEL 4; LOOKING WEST; WORKERS STOOD ON RAISED PLATFORMS TO EVISCERATE AND WASH CARCASSES; EXPANDED STEEL GRATING PROVIDED NON-SLIP WORKING SURFACE; STAINLESS-STEEL BAFFLES BETWEEN PLATFORMS HELPED TO CONTAIN STEAM AND WATER SPRAY; METAL TROUGHS BELOW PLATFORMS AND CONCRETE GUTTERS IN FLOOR HELPED CHANNEL WASTE WATER TO DRAINS - Rath Packing Company, Hog Dressing Building, Sycamore Street between Elm & Eighteenth Streets, Waterloo, Black Hawk County, IA

  16. Radio-frequency dressing of multiple Feshbach resonances

    NASA Astrophysics Data System (ADS)

    Kaufman, A. M.; Anderson, R. P.; Hanna, Thomas M.; Tiesinga, E.; Julienne, P. S.; Hall, D. S.

    2009-11-01

    We demonstrate and theoretically analyze the dressing of several proximate Feshbach resonances in R87b using radio-frequency (rf) radiation. We present accurate measurements and characterizations of the resonances, and the dramatic changes in scattering properties that can arise through the rf dressing. Our scattering theory analysis yields quantitative agreement with the experimental data. We also present a simple interpretation of our results in terms of rf-coupled bound states interacting with the collision threshold.

  17. Dressing Wear Time after Breast Reconstruction: A Randomized Clinical Trial.

    PubMed

    Veiga, Daniela Francescato; Damasceno, Carlos Américo Veiga; Veiga-Filho, Joel; Paiva, Luiz Francisley; Fonseca, Fernando Elias Martins; Cabral, Isaías Vieira; Pinto, Natália Lana Larcher; Juliano, Yara; Ferreira, Lydia Masako

    2016-01-01

    The evidence to support dressing standards for breast surgery wounds is empiric and scarce. This two-arm randomized clinical trial was designed to assess the effect of dressing wear time on surgical site infection (SSI) rates, skin colonization and patient perceptions. A total of 200 breast cancer patients undergoing breast reconstruction were prospectively enrolled. Patients were randomly allocated to group I (dressing removed on the first postoperative day, n = 100) or group II (dressing removed on the sixth postoperative day, n = 100). SSIs were defined and classified according to criteria from the Centers for Disease Control and Prevention. Samples collected before placing the dressing and after 1 day (group I) and 6 days (both groups) were cultured for skin colonization assessments. Patients preferences and perceptions with regard to safety, comfort and convenience were recorded and analyzed. A total of 186 patients completed the follow-up. The global SSI rate was 4.5%. Six patients in group I and three in group II had SSI (p = 0.497). Before dressing, the groups were similar with regard to skin colonization. At the sixth day, there was a higher colonization by coagulase-negative staphylococci in group I (p<0.0001). Patients preferred to keep dressing for six days (p<0.0001), and considered this a safer choice (p<0.05). Despite group I had a higher skin colonization by coagulase-negative staphylococci on the sixth postoperative day, there was no difference in SSI rates. Patients preferred keeping dressing for six days and considered it a safer choice. ClinicalTrials.gov NCT01148823.

  18. Dressed soliton in quantum dusty pair-ion plasma

    SciTech Connect

    Chatterjee, Prasanta; Muniandy, S. V.; Wong, C. S.; Roy, Kaushik

    2009-11-15

    Nonlinear propagation of a quantum ion-acoustic dressed soliton is studied in a dusty pair-ion plasma. The Korteweg-de Vries (KdV) equation is derived using reductive perturbation technique. A higher order inhomogeneous differential equation is obtained for the higher order correction. The expression for a dressed soliton is calculated using a renormalization method. The expressions for higher order correction are determined using a series solution technique developed by Chatterjee et al. [Phys. Plasmas 16, 072102 (2009)].

  19. Exploratory Development of an Ultra-Fast-Curing Wound Dressing

    DTIC Science & Technology

    1989-11-30

    mwv’eri if neceswey ". idientify by block number) eare developing a drug -dispensing field dermal dressing. The dermal dressing, which can be easily applied...polyurethane oligomer which is designed to cure at room temperature and Oelivers drugs on a controlled, sustainedI and highly reproducible basis.i I 20...3 ITASK I .......................................... 5 A. OPTIMIZE DISPERSION OF THE DRUGS ........ 5 B 5. UTILIZE MORE POTENT DRUGS

  20. Dressing Wear Time after Breast Reconstruction: A Randomized Clinical Trial

    PubMed Central

    Paiva, Luiz Francisley; Fonseca, Fernando Elias Martins; Cabral, Isaías Vieira; Pinto, Natália Lana Larcher; Juliano, Yara

    2016-01-01

    Background The evidence to support dressing standards for breast surgery wounds is empiric and scarce. Objective This two-arm randomized clinical trial was designed to assess the effect of dressing wear time on surgical site infection (SSI) rates, skin colonization and patient perceptions. Methods A total of 200 breast cancer patients undergoing breast reconstruction were prospectively enrolled. Patients were randomly allocated to group I (dressing removed on the first postoperative day, n = 100) or group II (dressing removed on the sixth postoperative day, n = 100). SSIs were defined and classified according to criteria from the Centers for Disease Control and Prevention. Samples collected before placing the dressing and after 1 day (group I) and 6 days (both groups) were cultured for skin colonization assessments. Patients preferences and perceptions with regard to safety, comfort and convenience were recorded and analyzed. Results A total of 186 patients completed the follow-up. The global SSI rate was 4.5%. Six patients in group I and three in group II had SSI (p = 0.497). Before dressing, the groups were similar with regard to skin colonization. At the sixth day, there was a higher colonization by coagulase-negative staphylococci in group I (p<0.0001). Patients preferred to keep dressing for six days (p<0.0001), and considered this a safer choice (p<0.05). Conclusions Despite group I had a higher skin colonization by coagulase-negative staphylococci on the sixth postoperative day, there was no difference in SSI rates. Patients preferred keeping dressing for six days and considered it a safer choice. Trial Registration ClinicalTrials.gov NCT01148823 PMID:27911904

  1. Field-dressed orbitals in strong-field molecular ionization

    NASA Astrophysics Data System (ADS)

    Siemering, Robert; Njoya, Oumarou; Weinacht, Thomas; de Vivie-Riedle, Regina

    2015-10-01

    We demonstrate the importance of considering the shape of field-dressed molecular orbitals in interpreting angle-dependent measures of strong-field ionization from excited states. Our calculations of angle-dependent ionization for three homologous polyatomic molecules with very similar valence orbitals show that one has to take into account the shape of the field-dressed orbitals rather than the field-free orbitals in order to rationalize the experimental measurements.

  2. [DRESS in intensive care unit: a challenging diagnosis and treatment].

    PubMed

    Derlon, V; Audibert, G; Barbaud, A; Mertes, P M

    2014-12-01

    Drug reaction with eosinophilia ans systemic symptoms (DRESS) is a severe medication-induced adverse reaction, which can threaten patient's life. Clinical symptoms and organ failures present wide variability. Furthermore, the latency period is long, so that diagnosis could be a real challenge in the intensive care unit. We report the case of a woman developing a DRESS after neurosurgery complicated by a nosocomial infection.

  3. Biomedical evaluation of a novel nitrogen oxides releasing wound dressing.

    PubMed

    Dave, Rachna N; Joshi, Hiren M; Venugopalan, Vayalam P

    2012-12-01

    Chronic wounds are a major cause for both suffering and economical losses. Management of chronic non-healing wounds requires multipronged approach. They are polymicrobial and agonizing for the patient due to associated pain. Moist dressing providing antimicrobial action is a highly desirable chronic wound management option. Here we report a hydrogel based dressing that possesses the antimicrobial properties of acidified sodium nitrite and the homeostatic property of a hydrogel. The dressing was developed by combining citric acid cross-linked cotton gauze and sodium nitrite loaded gelatin. The cotton gauze was cross-linked with citric acid by pad-dry-curing in presence of nano-titania catalyst. The cotton gauze-gelatin hydrogel combination was gamma-irradiated and freeze-dried. At the time of application, the freeze-dried dressing is wetted by sodium nitrite solution. The dressing has a fluid uptake ability of 90 % (w/v) and the water vapour evaporation rate was estimated to be 2,809 ± 20 g/m(2)/day. The dressing showed significant antimicrobial activity against both planktonic and biofilm forms and was effective during consecutive re-uses. Cytotoxicity study showed inhibition of fibroblasts, but to a lesser extent than clinically administered concentrations of antiseptic like povidone iodine. Storage at 37 °C over a 3 month period resulted in no significant loss of its antimicrobial activity.

  4. Spatial filtering, color constancy, and the color-changing dress.

    PubMed

    Dixon, Erica L; Shapiro, Arthur G

    2017-03-01

    The color-changing dress is a 2015 Internet phenomenon in which the colors in a picture of a dress are reported as blue-black by some observers and white-gold by others. The standard explanation is that observers make different inferences about the lighting (is the dress in shadow or bright yellow light?); based on these inferences, observers make a best guess about the reflectance of the dress. The assumption underlying this explanation is that reflectance is the key to color constancy because reflectance alone remains invariant under changes in lighting conditions. Here, we demonstrate an alternative type of invariance across illumination conditions: An object that appears to vary in color under blue, white, or yellow illumination does not change color in the high spatial frequency region. A first approximation to color constancy can therefore be accomplished by a high-pass filter that retains enough low spatial frequency content so as to not to completely desaturate the object. We demonstrate the implications of this idea on the Rubik's cube illusion; on a shirt placed under white, yellow, and blue illuminants; and on spatially filtered images of the dress. We hypothesize that observer perceptions of the dress's color vary because of individual differences in how the visual system extracts high and low spatial frequency color content from the environment, and we demonstrate cross-group differences in average sensitivity to low spatial frequency patterns.

  5. Recurrence of drug-induced reactions in DRESS patients.

    PubMed

    Picard, D; Vellar, M; Janela, B; Roussel, A; Joly, P; Musette, P

    2015-04-01

    Drug reaction with eosinophilia and systemic symptoms (DRESS) may relapse following introduction of drugs structurally unrelated to the initial culprit drug. To assess the frequency and characteristics of recurrent drug eruptions in patients with history of DRESS. Patients who had developed adverse cutaneous reaction after DRESS occurrence were recruited from the regional database of Upper Normandy in France. Rate of recurrences were compared with patients with Toxic Epidermal Necrolysis (TEN) and Stevens-Johnson syndrome (SJS) patients during the same time frame. Of the 60 cases of DRESS collected, 15 (25%) with recurrences were retained for analysis. Seven patients had a single recurrence, whereas eight patients had several relapses. In the patients with pre-existing DRESS, recurrences were incomplete, corresponding to cutaneous rash in 13 cases and associated with eosinophilia in seven cases. Internal organ involvement was observed in two cases. In contrast, a single recurrence was found out of 61 patients with TEN/SJS. Incomplete recurrences with structurally unrelated culprit drugs are a frequent phenomenon in DRESS patients. © 2014 European Academy of Dermatology and Venereology.

  6. Epicutaneous patch testing in drug hypersensitivity syndrome (DRESS).

    PubMed

    Santiago, Felicidade; Gonçalo, Margarida; Vieira, Ricardo; Coelho, Sónia; Figueiredo, Américo

    2010-01-01

    In some patterns of cutaneous adverse drug reactions, and depending on the culprit drug, patch testing has been helpful in confirming its cause. Its value in Drug Rash with Eosinophilia and Systemic Symptoms (DRESS) has not been established in a large cohort of patients. The aim of the present study is to evaluate the safety and usefulness of patch testing in DRESS. Between January 1998 and December 2008, we studied 56 patients with DRESS induced by antiepileptic agents in 33 patients (59%), allopurinol in 19 (34%) and sulfasalazine, cotrimoxazole, tenoxicam, and amoxicillin in 1 patient each (7%). A positive patch test reaction was observed in 18 patients (32.1%), of which 17 were with antiepileptics and 1 with tenoxicam. In the antiepileptic group, carbamazepine alone was responsible for 13 of 17 positive reactions (76.5%). Patch tests with allopurinol and its metabolite were negative in all cases attributed to this drug. In this study, patch testing was a safe and useful method in confirming the culprit drug in DRESS induced by antiepileptic drugs, whereas it had no value in DRESS induced by allopurinol. The pathogenesis of DRESS is not yet entirely clarified, but positive patch tests suggest a drug-dependent delayed hypersensitivity mechanism.

  7. Application of wound dressings in dermatology laser procedures

    NASA Astrophysics Data System (ADS)

    Hetzel, Fred W.; Chen, Qun; Hoskins, Greg

    1995-05-01

    High powered lasers have been used in dermatological procedures such as tattoo removal. This use is associated with a potential, biological hazard of high speed tissue particles from the laser field. It has been proposed that by applying a clear dermatological would dressing directly over the laser treatment site, it may be possible to completely trap the potentially airborne tissue particles from the procedure. Some important questions must be addressed prior to the implementation of such a technique. While the use of a wound dressing may significantly reduce the airborne materials during the laser procedures, new problems may arise: 1 . The wound dressing or some of its components may absorb excessive amount of light energy. This would result in a very localized temperature rise which may be harmful to the patient; 2. The smooth surface of the wound dressing material could induce specular reflection of the incident laser beam, thus introducing a laser hazard to the staff and patient. To address these possible problems, we studied a series of ClearSite Wound Dressings which have been reportedly tested for such laser procedures. The objective of the studies were, to determine if the use of ClearSite in conjunction with laser procedures poses a possible hazard to either the patient or to the Operating Room personnel, and to determine the effect of the ClearSite dressing on the optical characteristics of the light beam. The latter includes light absorption and transmittance for various wavelengths.

  8. Hydrogel-impregnated dressings for graft fixation: a case series.

    PubMed

    Choi, J-S; Lee, J-H; Kim, S-M; Kim, Y-J; Choi, J-Y; Jun, Y-J

    2015-07-01

    Infection is the second most common cause of graft loss after skin grafting. Cutimed Sorbact is a range of dressings coated with a hydrophobic fatty acid that irreversibly binds to the bacterial surface and mechanically removes bacteria from the wound. The dressing is a hydrogel-impregnated material, which prevents wounds from drying. Here, we report on cases in which we used the gel instead of the widely used petrolatum gauze or paraffin gauze in a tie-over dressing for the fixation of grafted skin. Patients treated for skin grafting between March 2013 and July 2013 were treated with the hydrogel-impregnated dressings and a tie over dressing. The wounds were opened five days after treatment. In total seven patients were treated with an age range of 23-86 years old. No infections were seen and the method was effective regardless of wound size, the thickness of the skin harvested and condition of the defect. Using this hydrogel-impregnated dressings, provide antibacterial and moisturising effects simultaneously, which a petrolatum or paraffin gauze cannot provide. There were no external sources of funding for this study. The authors have no conflicts of interest to declare.

  9. The brain's dress code: How The Dress allows to decode the neuronal pathway of an optical illusion.

    PubMed

    Schlaffke, Lara; Golisch, Anne; Haag, Lauren M; Lenz, Melanie; Heba, Stefanie; Lissek, Silke; Schmidt-Wilcke, Tobias; Eysel, Ulf T; Tegenthoff, Martin

    2015-12-01

    Optical illusions have broadened our understanding of the brain's role in visual perception. A modern day optical illusion emerged from a posted photo of a striped dress, which some perceived as white and gold and others as blue and black. Here we show, using functional magnetic resonance imaging (fMRI), that those who perceive The Dress as white/gold have higher activation in response to the image of The Dress in brain regions critically involved in higher cognition (frontal and parietal brain areas). These results are consistent with theories of top-down modulation and present a neural signature associated with the differences in perceiving The Dress as white/gold or blue/black. Furthermore the results support recent psychophysiological data on this phenomenon and provide a fundamental building block to study interindividual differences in visual processing. Copyright © 2015 Elsevier Ltd. All rights reserved.

  10. The DRESS trial: a feasibility randomized controlled trial of a neuropsychological approach to dressing therapy for stroke inpatients

    PubMed Central

    Sunderland, Alan; Fletcher-Smith, Joanna; Drummond, Avril; Logan, Pip; Edmans, Judi A; Garvey, Katherine; Dineen, Robert A; Ince, Paul; Horne, Jane; Fisher, Rebecca J; Taylor, Jenny L

    2012-01-01

    Objective: To investigate two approaches to treating patients with persistent dressing problems and cognitive difficulties following stroke. Design: Pilot randomized controlled trial. Setting: Inpatient stroke rehabilitation service. Subjects: Seventy consecutive stroke patients with persistent dressing problems and accompanying cognitive difficulties at two weeks after their stroke. Interventions: Patients were randomly allocated to six weeks of either a systematic neuropsychological approach, based on analysis of dressing problems and further cognitive testing, or to the control group who received conventional (functional) dressing practice. Both groups received treatment three times a week in accordance with two separately prepared manuals. Main measures: Nottingham Stroke Dressing Assessment (NSDA), Line Cancellation, 10-hole peg transfer test, Object Decision, Gesture Imitation. Patients were assessed at six weeks after randomization by an independent assessor masked to group allocation. Results: Both neuropsychological and functional groups improved performance on the NSDA over the treatment period (31% and 22%, respectively) but there was no significant difference between groups at six weeks. However, the neuropsychological group showed a significantly greater improvement on a line cancellation test of visual neglect (t(62) = 2.1, P < 0.05) and a planned subanalysis for those with right hemisphere damage showed a trend towards better dressing outcome (P = 0.07, one-tailed). Conclusions: Results demonstrate the potential benefits of a systematic neuropsychological approach to dressing therapy, particularly for patients with right hemisphere damage. This study suggests the need for a phase III study evaluating the efficacy of a systematic neuropsychological approach in treating dressing difficulties, targeting patients with right hemisphere stroke and visuospatial impairments. PMID:22180445

  11. Comparative study between chitin/polyacrylic acid (PAA) dressing, lipido-colloid absorbent dressing and alginate wound dressing: a pilot study in the treatment of partial-thickness wound.

    PubMed

    Angspatt, Apichai; Tanvatcharaphan, Puttan; Channasanon, Somruethai; Tanodekaew, Siriporn; Chokrungvaranont, Prayuth; Sirimaharaj, Wimol

    2010-06-01

    Polyacrylic acid grafted chitin (Chitin-PAA) contains a hydrogel characteristic that makes it more suitable for wound dressing application. In animal models, Chitin-PAA dressing exhibited properties as a promising dressing. Epithelization promotion, rapid reduction of wound size, reduction of inflammatory cell response, and less toxicity had been noted. Carryout a pilot clinical comparative study of Chitin-PAA dressing, lipido-colloid absorbent dressing, and alginate wound dressing in the treatment of partial-thickness wound. Between June 2006 and March 2007, 36 partial-thickness wounds were randomized into three groups and three different types of dressing were used. Each wound was treated until it was completely healed, and a visual analogue scale was used for the pain evaluation. The present study shows the visual analogue pain score in the Chitin-PAA group seems to be a bit higher than the Urgocell group but not statistically different. The completely healed day is not significantly different. Three patients in the lipido-colloid absorbent dressing groups had wound infection but eventually healed after treatment. There was no statistical difference in terms of visual analogue pain score and healing time between the lipido-colloid absorbent dressing, alginate dressing, and chitin-PAA dressing.

  12. Odor Absorbing Hydrocolloid Dressings for Direct Wound Contact.

    PubMed

    Lipman, Roger D A; van Bavel, Davy

    2007-05-01

    Patients in institutional settings, such as hospitals and nursing homes, often have or acquire chronic wounds such as those resulting from venous insufficiency and pressure ulcers-these wounds can possess a very offensive odor. 1 The most direct way of avoiding or eliminating wound odor is to prevent or eradicate the infection responsible for it.Topical antibiotics, such as metronidazole gel (0.8 w/v) have proved to be quite effective, but can generate resistant organisms. Further, the action of metronidazole can be sluggish; often several days are needed for any infection to be resolved, and meanwhile the odor is still being generated.Thus, in practice, other methods such as charcoal-based dressings are often used with or with-out concomitant antibiotic therapy. Odor absorbing dressings have been marketed in one form or other for many years. During the past decades a number of charcoal based dressings have been introduced into the market. Some of the more current products are Actisorb ® Silver (Johnson & Johnson Medical Ltd, Gargrave, UK), CarboFlex ® (ConvaTec, Princeton, NJ), Carbonet ® (Smith and Nephew Abstract: Charcoal based odor-absorbing dressings for management of odoriferous chronic wounds have been marketed for many years. However, the presence of wound serum deactivates the charcoal and inhibits the adsorption of odor molecules. Charcoal dressings also gen-erally need adjunct fixation to hold them in place. A new series of hydrocolloid adhesives based on cyclodextrins has been developed to provide an alternative technology for the adsorption of chronic wound odors. Dressings incorporating this technology are suitable for direct wound contact. In presence of serum, superior odor absorption with these new materials in comparison with charcoal dressings has been demonstrated in vitro. These new dressings have significant fluid absorption potential, are self-adhesive, and require no additional fixa-tion. Some of the factors affecting performance of

  13. Transient absorption spectra of the laser-dressed hydrogen atom

    NASA Astrophysics Data System (ADS)

    Murakami, Mitsuko; Chu, Shih-I.

    2013-10-01

    We present a theoretical study of transient absorption spectra of laser-dressed hydrogen atoms, based on numerical solutions of the time-dependent Schrödinger equation. The timing of absorption is controlled by the delay between an extreme ultra violet (XUV) pulse and an infrared (IR) laser field. The XUV pulse is isolated and several hundred attoseconds in duration, which acts as a pump to drive the ground-state electron to excited p states. The subsequent interaction with the IR field produces dressed states, which manifest as sidebands between the 1s-np absorption spectra separated by one IR-photon energy. We demonstrate that the population of dressed states is maximized when the timing of the XUV pulse coincides with the zero crossing of the IR field, and that their energies can be manipulated in a subcycle time scale by adding a chirp to the IR field. An alternative perspective to the problem is to think of the XUV pulse as a probe to detect the dynamical ac Stark shifts. Our results indicate that the accidental degeneracy of the hydrogen excited states is removed while they are dressed by the IR field, leading to large ac Stark shifts. Furthermore, we observe the Autler-Townes doublets for the n=2 and 3 levels using the 656 nm dressing field, but their separation does not agree with the prediction by the conventional three-level model that neglects the dynamical ac Stark shifts.

  14. Application of VitaVallis dressing for infected wounds

    SciTech Connect

    Kirilova, N. V. Fomenko, A. N. Korovin, M. S.

    2015-11-17

    Today there is a growing demand for safe and efficient antimicrobial dressings for infected wound treatment. The antimicrobial sorption material for VitaVallis dressings was produced by one-stage oxidation of aluminum nanopowder in water in the presence of fibrous acetylcellulose matrix. Scanning electron microscopy revealed that the material is made up of fibers of diameter 1.5–3.0 µm with adhered agglomerated alumina nanosheets. An antimicrobial study revealed a high inhibitory effect of VitaVallis against the growth of gram-negative (E.coli, P. aeruginosa) and gram-positive (S. aureus) strains. The antimicrobial activity of the dressing against microbial pathogens on the wound surface was demonstrated in in vivo experiments on male rats. The dressing was also tested on volunteer patients. The testing showed reduction of the wound healing period, accelerated cleaning of the infected wound and enhanced tissue regeneration in the wound. The results demonstrate that the VitaVallis dressing can be used for the treatment of deep infected wounds.

  15. Application of VitaVallis dressing for infected wounds

    NASA Astrophysics Data System (ADS)

    Kirilova, N. V.; Fomenko, A. N.; Korovin, M. S.

    2015-11-01

    Today there is a growing demand for safe and efficient antimicrobial dressings for infected wound treatment. The antimicrobial sorption material for VitaVallis dressings was produced by one-stage oxidation of aluminum nanopowder in water in the presence of fibrous acetylcellulose matrix. Scanning electron microscopy revealed that the material is made up of fibers of diameter 1.5-3.0 µm with adhered agglomerated alumina nanosheets. An antimicrobial study revealed a high inhibitory effect of VitaVallis against the growth of gram-negative (E.coli, P. aeruginosa) and gram-positive (S. aureus) strains. The antimicrobial activity of the dressing against microbial pathogens on the wound surface was demonstrated in in vivo experiments on male rats. The dressing was also tested on volunteer patients. The testing showed reduction of the wound healing period, accelerated cleaning of the infected wound and enhanced tissue regeneration in the wound. The results demonstrate that the VitaVallis dressing can be used for the treatment of deep infected wounds.

  16. Chronic Wound Dressings Based on Collagen-Mimetic Proteins

    PubMed Central

    Cereceres, Stacy; Touchet, Tyler; Browning, Mary Beth; Smith, Clayton; Rivera, Jose; Höök, Magnus; Whitfield-Cargile, Canaan; Russell, Brooke; Cosgriff-Hernandez, Elizabeth

    2015-01-01

    Objective: Chronic wounds are projected to reach epidemic proportions due to the aging population and the increasing incidence of diabetes. There is a strong clinical need for an improved wound dressing that can balance wound moisture, promote cell migration and proliferation, and degrade at an appropriate rate to minimize the need for dressing changes. Approach: To this end, we have developed a bioactive, hydrogel microsphere wound dressing that incorporates a collagen-mimetic protein, Scl2GFPGER, to promote active wound healing. A redesigned Scl2GFPGER, engineered collagen (eColGFPGER), was created to reduce steric hindrance of integrin-binding motifs and increase overall stability of the triple helical backbone, thereby resulting in increased cell adhesion to substrates. Results: This study demonstrates the successful modification of the Scl2GFPGER protein to eColGFPGER, which displayed enhanced stability and integrin interactions. Fabrication of hydrogel microspheres provided a matrix with adaptive moisture technology, and degradation rates have potential for use in human wounds. Innovation: This collagen-mimetic wound dressing was designed to permit controlled modulation of cellular interactions and degradation rate without impact on other physical properties. Its fabrication into uniform hydrogel microspheres provides a bioactive dressing that can readily conform to irregular wounds. Conclusion: Overall, this new eColGFPGER shows strong promise in the generation of bioactive hydrogels for wound healing as well as a variety of tissue scaffolds. PMID:26244101

  17. Effect of Hydrofiber wound dressings on bacterial ultrastructure.

    PubMed

    Hobot, Jan; Walker, Michael; Newman, Geoffrey; Bowler, Philip

    2008-04-01

    Ionic silver has well-proven bactericidal properties, and silver-containing wound dressings are now widely used to aid in the creation of an antimicrobial environment in wounds. The effect of silver ions on bacterial ultrastructure can best be studied by viewing bacterial cells under a transmission electron microscope (TEM). Bacterial cells of Pseudomonas aeruginosa were incubated within a control dressing (e.g. a non-antimicrobial Hydrofiber dressing) (Hydrofiber is a registered trademark of E.R. Squibb and Sons, L.L.C.) and a silver-containing Hydrofiber dressing, followed by processing for TEM. Liquid cultures, with and without silver, were prepared for comparison. The addition of silver to growing bacterial cultures stopped growth of the cells very quickly. Ultrastructurally, the presence of silver was found to affect both the shape of the bacterial nucleoid and the organization of bacterial DNA. X-ray microanalysis of bacteria from liquid cultures showed the presence of silver within silver-treated cells and the absence of calcium. It is suggested that the presence of available silver ions within the Hydrofiber dressing could lead to the loss of cellular ions, vital for maintaining the structural integrity of the nuclear area.

  18. Spectroscopic signatures of dressed Rydberg-Rydberg interactions in Sr

    NASA Astrophysics Data System (ADS)

    Mukherjee, Rick; Hazzard, Kaden

    2015-05-01

    Ultracold Rydberg-dressed atoms exhibit strong, long-range interactions that can potentially create exotic phases of matter and entangled states that are useful in quantum computation and metrology. Rydberg-dressed atoms are obtained by off-resonantly admixing a Rydberg state | R > into a long-lived electronic state, often the ground state. As a tool to observe dressed Rydberg interactions, we theoretically consider a spectroscopic method that relies on strontium's unique long-lived (~ 23 μ s) electronic excited state 3P1. Specifically, we consider an effective two level system: the electronic ground state | G > and the Rydberg dressed state | D > = | 3 P1 > + ɛ | R > with ɛ << 1 . Using spin language to describe this two level system, our proposed Ramsey scheme rotates the spins by angle θ, allows the atoms to interact for a time t, and then measures the final spin vector. Our calculation is exact and includes experimental complications, such as dissipation and pulse timing errors. Excitingly, the dependence of the spin vector on time and θ can be used to experimentally measure the strength and power law dependence of the dressed Rydberg atom interaction.

  19. DRESS syndrome and thrombotic thrombocytopaenic purpura: are they related?

    PubMed Central

    Sandouk, Zahrae; Alirhayim, Zaid; Khoulani, Dania; Hassan, Syed

    2012-01-01

    A middle-aged man diagnosed with a drug reaction with eosinophilia and systemic symptom (DRESS) syndrome, secondary to phenytoin use, subsequently developed thrombotic thrombocytopaenic purpura. The patient improved with steroids and plasmapheresis. Their diagnosis can be challenging, and an early recognition and treatment are critical owing to their high mortality rates. Both diseases are thought to be of an autoimmune origin, and a potential relationship between them led to the consideration of the DRESS syndrome as an aetiology for thrombotic thrombocytopaenic purpura in this case. We concluded that two possibilities exist: some type of antibody developed during the clinical presentation of DRESS syndrome and subsequently resulted in an inhibition of a disintegrin and metalloproteinase with a thrombospondin type-1 motif, member 13 (ADAMTS13) leading to thrombotic thrombocytopaenic purpura, or perhaps this patient's autoimmune predisposition to thrombotic thrombocytopaenic purpura contributed to the drug reaction. PMID:23152183

  20. Disconnection: the user voice within the wound dressing supply chain.

    PubMed

    Campling, Natasha; Grocott, Patricia; Cowley, Sarah

    2008-03-01

    This study examined the user voice in England's National Health Service (NHS) wound dressing supply chain. The impetus for this work came from involvement in a collaboration between industry and clinicians, entitled Woundcare Research for Appropriate Products. Experiences from that study highlighted the notable absence of research about the impact of the supply chain on the users of dressings. Interview data are presented following an outline of the grounded theory method used. These data were obtained from key stakeholders (n = 41) within the wound dressing supply chain such as nurses, manufacturers, distributors, professional organizations, government organizations and user groups. The consequences of supply disconnection revealed haphazard supply, unmet user needs and lack of information transfer between player groups. These consequences explain the lack of user voice in the supply chain and have far-reaching implications for nursing management, through purchasing decisions and nurses' management of wound care.

  1. Use of fibre dressings in children with severe epidermolysis bullosa.

    PubMed

    Denyer, Jacqueline; Gibson, Elaine

    This non-comparative study explored the benefits of a natural gelling fibre dressing in 10 children with epidermolysis bullosa (EB). The clinical challenge in managing these children is that they often present with recalcitrant wounds that are perpetuated by critical colonisation, presence of biofilms and infection. KytoCel® (Aspen Medical) is a highly absorbent dressing composed of natural, biodegradable acylated chitosan. These fibres bond with wound exudate to form a clear gel that locks in fluid absorbs pathogens and is conformable to the wound bed. It also has haemostatic properties. ( Dutta PK et al, 2004 ; Lee et al, 2009 ; Stephen Haynes et al, 2014 ). Factors considered were whether the dressing could aid healing, reduce bleeding, reduce bioburden, be atraumatic and comfortable during wear time and removal.

  2. LGBTQ Women, Appearance Negotiations, and Workplace Dress Codes.

    PubMed

    Reddy-Best, Kelly L

    2017-05-24

    The purpose of this study was to explore LGBTQ women's experiences with unwritten or formal dress codes at work. I asked: What are LGBTQ women's experiences in the workplace with appearance management, and what are LGBTQ women's experiences navigating the written and unwritten dress codes in the workplace? To answer the research question, interviews were conducted with 24 self-identifying LGBTQ women. Six key themes emerged from the data. Themes included (1) expressed sexual identity in appearance, (2) unwritten dress codes in work environments did not always allow for expression of sexual identity in appearance, (3) motivations for pressure or desire to conceal expression of sexual identity in appearance at work, (4) negotiations of revealing or concealing sexual identity in appearance in the workplace impacted levels of comfort and confidence, (5) verbal and nonverbal negative experiences related to appearance at work, and (6) received compliments about appearance at work.

  3. [Skin reaction to carbamazepine or DRESS syndrome: a case presentation].

    PubMed

    Cabrera Fundora, Emigdio Jesús; Cabrera Osorio, Yuliet; Cabrera Osorio, Claudia

    2016-02-25

    Carbamazepine is a frequently used drug that can produce adverse reactions like vertigo, somnolence and severe skin reactions like Drug Rash with Eosinophilia and Systemic Symptoms Syndrome (DRESS Syndrome). This syndrome is characterized by a late-appearing, slow-progressing cutaneous eruption accompanied by atypical lymphocytes, eosinophilia, and systemic symptoms such as fever, lymphadenopathy, hepatic compromise, and renal dysfunction that can be severe enough to cause death. We present a case that aims to highlight the importance of an early diagnosis of DRESS syndrome to adjust therapy and improve survival. The patient is a female patient prescribed carbamazepine for trigeminal neuralgia who presented with skin lesions, which were initially attributed to a hypersensitivity reaction. The lesions worsened in spite of treatment and systemic symptoms ensued. A diagnosis of DRESS syndrome was proposed and steroid treatment was initiated with rapid improvement.

  4. Early-Onset Vemurafenib-Induced DRESS Syndrome.

    PubMed

    Munch, Marion; Peuvrel, Lucie; Brocard, Anabelle; Saint Jean, Mélanie; Khammari, Amir; Dreno, Brigitte; Quereux, Gaelle

    2016-01-01

    Vemurafenib is a BRAF inhibitor indicated in metastatic or unresectable melanoma in patients with BRAF mutations. Vemurafenib is frequently toxic, but the toxicity is often not serious. The third case of vemurafenib-induced drug rash with eosinophilia and systemic symptoms (DRESS) syndrome is reported herein. The case is unusual in that the onset was early, with symptoms emerging as of day 8 of treatment. Treatment of DRESS syndrome is not currently based on precise recommendations, but systemic corticosteroid therapy is effective in serious cases. Severe toxidermias under vemurafenib are exceptional; immediate discontinuation of treatment upon diagnosis is imperative. Switching from vemurafenib to dabrafenib then seems to constitute an interesting therapeutic alternative, since its efficacy is the same but with fewer cutaneous adverse reactions. This case highlights the importance of awareness of the risk of DRESS syndrome associated with vemurafenib and monitoring for warning signs from treatment initiation. © 2015 S. Karger AG, Basel.

  5. DRESS syndrome and thrombotic thrombocytopaenic purpura: are they related?

    PubMed

    Sandouk, Zahrae; Alirhayim, Zaid; Khoulani, Dania; Hassan, Syed

    2012-11-14

    A middle-aged man diagnosed with a drug reaction with eosinophilia and systemic symptom (DRESS) syndrome, secondary to phenytoin use, subsequently developed thrombotic thrombocytopaenic purpura. The patient improved with steroids and plasmapheresis. Their diagnosis can be challenging, and an early recognition and treatment are critical owing to their high mortality rates. Both diseases are thought to be of an autoimmune origin, and a potential relationship between them led to the consideration of the DRESS syndrome as an aetiology for thrombotic thrombocytopaenic purpura in this case. We concluded that two possibilities exist: some type of antibody developed during the clinical presentation of DRESS syndrome and subsequently resulted in an inhibition of a disintegrin and metalloproteinase with a thrombospondin type-1 motif, member 13 (ADAMTS13) leading to thrombotic thrombocytopaenic purpura, or perhaps this patient's autoimmune predisposition to thrombotic thrombocytopaenic purpura contributed to the drug reaction.

  6. Co-Trimoxazole-Induced DRESS Syndrome: A Case Report.

    PubMed

    Paitorn, Limvorraphan

    2016-02-01

    Drug Rash with Eosinophilia and Systemic Symptoms (DRESS syndrome) is a severe adverse drug reaction. The drugs, which most commonly induce this condition, are anti-convulsants and sulfonamides. A 15-year-old Thai woman with no known underlying disease was prescribed co-trimoxazole, and two months after initiation, DRESS was diagnosed by RegiSCAR's score. Her clinical symptoms were fever laboratory abnormalities and maculopapular rash on her face, trunk and extremities. She was treated with antipyretics, antihistamines and steroid therapy, and her clinical and laboratory findings were restored to normal by the 10th day of treatment. Early diagnosis, discontinuation of the culprit drug, and management with steroids therapy can reduce the severity of DRESS syndrome.

  7. Medicare Payment: Surgical Dressings and Topical Wound Care Products

    PubMed Central

    Schaum, Kathleen D.

    2014-01-01

    Medicare patients' access to surgical dressings and topical wound care products is greatly influenced by the Medicare payment system that exists in each site of care. Qualified healthcare professionals should consider these payment systems, as well as the medical necessity for surgical dressings and topical wound care products. Scientists and manufacturers should also consider these payment systems, in addition to the Food and Drug Administration requirements for clearance or approval, when they are developing new surgical dressings and topical wound care products. Due to the importance of the Medicare payment systems, this article reviews the Medicare payment systems in acute care hospitals, long-term acute care hospitals, skilled nursing facilities, home health agencies, durable medical equipment suppliers, hospital-based outpatient wound care departments, and qualified healthcare professional offices. PMID:25126477

  8. Medicare Payment: Surgical Dressings and Topical Wound Care Products.

    PubMed

    Schaum, Kathleen D

    2014-08-01

    Medicare patients' access to surgical dressings and topical wound care products is greatly influenced by the Medicare payment system that exists in each site of care. Qualified healthcare professionals should consider these payment systems, as well as the medical necessity for surgical dressings and topical wound care products. Scientists and manufacturers should also consider these payment systems, in addition to the Food and Drug Administration requirements for clearance or approval, when they are developing new surgical dressings and topical wound care products. Due to the importance of the Medicare payment systems, this article reviews the Medicare payment systems in acute care hospitals, long-term acute care hospitals, skilled nursing facilities, home health agencies, durable medical equipment suppliers, hospital-based outpatient wound care departments, and qualified healthcare professional offices.

  9. The Efficacy of Gelam Honey Dressing towards Excisional Wound Healing.

    PubMed

    Tan, Mui Koon; Hasan Adli, Durriyyah Sharifah; Tumiran, Mohd Amzari; Abdulla, Mahmood Ameen; Yusoff, Kamaruddin Mohd

    2012-01-01

    Honey is one of the oldest substances used in wound management. Efficacy of Gelam honey in wound healing was evaluated in this paper. Sprague-Dawley rats were randomly divided into four groups of 24 rats each (untreated group, saline group, Intrasite Gel group, and Gelam honey group) with 2 cm by 2 cm full thickness, excisional wound created on neck area. Wounds were dressed topically according to groups. Rats were sacrificed on days 1, 5, 10, and 15 of treatments. Wounds were then processed for macroscopic and histological observations. Gelam-honey-dressed wounds healed earlier (day 13) than untreated and saline treated groups, as did wounds treated with Intrasite Gel. Honey-treated wounds exhibited less scab and only thin scar formations. Histological features demonstrated positive effects of Gelam honey on the wounds. This paper showed that Gelam honey dressing on excisional wound accelerated the process of wound healing.

  10. Bedazzled: A Blue and Black Ship, Dressed to Deceive

    PubMed Central

    2015-01-01

    The blue and black dress that “melted the Internet” is thought to have done so because its perceived color depended on people using different prior assumptions about discounting the illuminant. However, this is not the first monochromatic object to have confused the public. For a brief period during WWI, RMS Mauretania was dressed in (dazzle) camouflage shades of blue and black/grey, yet she is sometimes depicted by artists, modelers, and historians in a much showier dress of red, blue, yellow, green, and black. I raise the possibility that this originates from a case of public deception deriving from the momentary misperception of a playful artist who neglected to discount the illuminant, propagating the most (perhaps only) successful application of dazzle camouflage known. PMID:28299171

  11. Dust acoustic dressed soliton with dust charge fluctuations

    SciTech Connect

    Asgari, H.; Muniandy, S. V.; Wong, C. S.

    2010-06-15

    Modeling of dust acoustic solitons observed in dusty plasma experiment [Bandyopadhyay et al., Phys. Rev. Lett. 101, 065006 (2008)] using the Korteweg-de Vries (KdV) equation showed significant discrepancies in the regime of large amplitudes (or high soliton speed). In this paper, higher order perturbation corrections to the standard KdV soliton are proposed and the resulting dressed soliton is shown to describe the experimental data better, in particular, at high soliton speed. The effects of dust charge fluctuations on the dust acoustic dressed soliton in a dusty plasma system are also investigated. The KdV equation and a linear inhomogeneous equation, governing the evolution of first and second order potentials, respectively, are derived for the system by using reductive perturbation technique. Renormalization procedure is used to obtain nonsecular solutions of these coupled equations. The characteristics of dust acoustic dressed solitons with and without dust charge fluctuations are discussed.

  12. Expanding Dress Code Requirements in the Doctor of Pharmacy Program.

    PubMed

    Naughton, Cynthia A; Schweiger, Teresa A; Angelo, Lauren B; Lea Bonner, C; Dhing, Conrad W; Farley, Joel F

    2016-06-25

    Although the use of a professional dress code is standard practice across colleges and schools of pharmacy during introductory and advanced pharmacy practice experiences, requiring professional attire is not applied consistently during the didactic portion of students' education. There are arguments for and against the adoption of a professional dress code throughout the entire doctor of pharmacy program, including the classroom setting. Given uncertainty regarding the potential benefits and challenges that may arise from adopting a professional dress code in the didactic portion of a student pharmacist's education, it is perhaps not surprising that programs adopt disparate policies regarding its use. This exploration was conducted as part of a series of debates held in conjunction with the American Association of Colleges of Pharmacy's (AACP) Academic Leadership Fellows Program (ALFP) and was presented at the 2015 AACP Interim Meeting on February 7, 2015.

  13. Expanding Dress Code Requirements in the Doctor of Pharmacy Program

    PubMed Central

    Schweiger, Teresa A.; Angelo, Lauren B.; Lea Bonner, C.; Dhing, Conrad W.; Farley, Joel F.

    2016-01-01

    Although the use of a professional dress code is standard practice across colleges and schools of pharmacy during introductory and advanced pharmacy practice experiences, requiring professional attire is not applied consistently during the didactic portion of students’ education. There are arguments for and against the adoption of a professional dress code throughout the entire doctor of pharmacy program, including the classroom setting. Given uncertainty regarding the potential benefits and challenges that may arise from adopting a professional dress code in the didactic portion of a student pharmacist’s education, it is perhaps not surprising that programs adopt disparate policies regarding its use. This exploration was conducted as part of a series of debates held in conjunction with the American Association of Colleges of Pharmacy’s (AACP) Academic Leadership Fellows Program (ALFP) and was presented at the 2015 AACP Interim Meeting on February 7, 2015. PMID:27402977

  14. Trap losses induced by Rydberg dressing of cold atomic gases

    NASA Astrophysics Data System (ADS)

    Aman, J. A.; Desalvo, B. J.; Dunning, F. B.; Killian, T. C.

    2015-05-01

    The near-resonant dressing of ultracold strontium gases and BECs contained in an optical dipole trap (ODT) with the n = 303S1 Rydberg state is investigated as a function of the effective two-photon Rabi frequency, detuning, and dressing time. The measurements demonstrate that, even when well detuned from resonance, such dressing can lead to a rapid decrease in the ground-state atom population in the ODT. This decrease is attributed to Rydberg atom excitation which can lead to direct escape from the trap and/or population of very-long-lived metastable states. The large Rydberg atom production rates are explained using a reaction model in which the initial excitation of a Rydberg atom triggers the excitation of neighboring atoms leading to rapid avalanche-like growth in the Rydberg population. Research supported by the AFOSR, the NSF and the Robert A Welch Foundation.

  15. Effect of dressing choice on outcomes after hip and knee arthroplasty: a literature review.

    PubMed

    Tustanowski, J

    2009-11-01

    Selecting the right dressing for these wounds can prevent blistering, maceration and the risk of infection. Ideally, the dressing should be permeable, waterproof, transparent, absorbent and flexible enough to withstand joint movement.

  16. Biomaterials based on chitin and chitosan in wound dressing applications.

    PubMed

    Jayakumar, R; Prabaharan, M; Sudheesh Kumar, P T; Nair, S V; Tamura, H

    2011-01-01

    Wound dressing is one of the most promising medical applications for chitin and chitosan. The adhesive nature of chitin and chitosan, together with their antifungal and bactericidal character, and their permeability to oxygen, is a very important property associated with the treatment of wounds and burns. Different derivatives of chitin and chitosan have been prepared for this purpose in the form of hydrogels, fibers, membranes, scaffolds and sponges. The purpose of this review is to take a closer look on the wound dressing applications of biomaterials based on chitin, chitosan and their derivatives in various forms in detail.

  17. Dressed Hard States and Black Hole Soft Hair

    NASA Astrophysics Data System (ADS)

    Mirbabayi, Mehrdad; Porrati, Massimo

    2016-11-01

    A recent, intriguing Letter by Hawking, Perry, and Strominger suggests that soft photons and gravitons can be regarded as black hole hair and may be relevant to the black hole information paradox. In this Letter we make use of factorization theorems for infrared divergences of the S matrix to argue that by appropriately dressing in and out hard states, the soft-quanta-dependent part of the S matrix becomes essentially trivial. The information paradox can be fully formulated in terms of dressed hard states, which do not depend on soft quanta.

  18. Doubly Dressed Bosons: Exciton Polaritons in a Strong Terahertz Field

    NASA Astrophysics Data System (ADS)

    Pietka, B.; Bobrovska, N.; Stephan, D.; Teich, M.; Król, M.; Winnerl, S.; Pashkin, A.; Mirek, R.; Lekenta, K.; Morier-Genoud, F.; Schneider, H.; Deveaud, B.; Helm, M.; Matuszewski, M.; Szczytko, J.

    2017-08-01

    We demonstrate the existence of a novel quasiparticle, an exciton in a semiconductor doubly dressed with two photons of different wavelengths: a near infrared cavity photon and terahertz (THz) photon, with the THz coupling strength approaching the ultrastrong coupling regime. This quasiparticle is composed of three different bosons, being a mixture of a matter-light quasiparticle. Our observations are confirmed by a detailed theoretical analysis, treating quantum mechanically all three bosonic fields. The doubly dressed quasiparticles retain the bosonic nature of their constituents, but their internal quantum structure strongly depends on the intensity of the applied terahertz field.

  19. Polariton condensation with saturable molecules dressed by vibrational modes

    SciTech Connect

    Cwik, Justyna A.; Reja, Sahinur; Littlewood, Peter B.; Keeling, Jonathan

    2014-02-01

    Here, polaritons, mixed light-matter quasiparticles, undergo a transition to a condensed, macroscopically coherent state at low temperatures or high densities. Recent experiments show that coupling light to organic molecules inside a microcavity allows condensation at room temperature. The molecules act as saturable absorbers with transitions dressed by molecular vibrational modes. Motivated by this, we calculate the phase diagram and spectrum of a modified Tavis-Cummings model, describing vibrationally dressed two-level systems, coupled to a cavity mode. Coupling to vibrational modes can induce re-entrance, i.e. a normal-condensed-normal sequence with decreasing temperature and can drive the transition first-order.

  20. Dressed counterions: Polyvalent and monovalent ions at charged dielectric interfaces

    NASA Astrophysics Data System (ADS)

    Kanduč, Matej; Naji, Ali; Forsman, Jan; Podgornik, Rudolf

    2011-07-01

    We investigate the ion distribution and overcharging at charged interfaces with dielectric inhomogeneities in the presence of asymmetric electrolytes containing polyvalent and monovalent ions. We formulate an effective “dressed counterion” approach by integrating out the monovalent salt degrees of freedom and show that it agrees with results of explicit Monte Carlo simulations. We then apply the dressed counterion approach within the framework of the generalized strong-coupling theory, valid for polyvalent ions at low concentrations, which enables an analytical description for salt effects as well as dielectric inhomogeneities in the limit of strong Coulomb interactions. Limitations and applicability of this theory are examined by comparing the results with simulations.

  1. The traditions and terminology of wound dressings: food for thought.

    PubMed

    van Rijswijk, L; Beitz, J

    1998-05-01

    During the past 40 years, health care professionals have witnessed an evolution of wound care traditions and terminology and an explosion in the number of wound care products and the amount of information. Unfortunately, these developments have not resulted in optimal wound care for all patients. Appropriate dressing selection and communication are hampered by a lack of clinically valid definitions, as well as ambiguous indications, contraindications, and instructions for their use. One method of setting the stage for a more therapeutic future would be to classify dressings based on their functions rather than the ingredients they contain.

  2. Dressed Hard States and Black Hole Soft Hair.

    PubMed

    Mirbabayi, Mehrdad; Porrati, Massimo

    2016-11-18

    A recent, intriguing Letter by Hawking, Perry, and Strominger suggests that soft photons and gravitons can be regarded as black hole hair and may be relevant to the black hole information paradox. In this Letter we make use of factorization theorems for infrared divergences of the S matrix to argue that by appropriately dressing in and out hard states, the soft-quanta-dependent part of the S matrix becomes essentially trivial. The information paradox can be fully formulated in terms of dressed hard states, which do not depend on soft quanta.

  3. Nanomaterials from bacterial cellulose for antimicrobial wound dressing

    NASA Astrophysics Data System (ADS)

    Liyaskina, E.; Revin, V.; Paramonova, E.; Nazarkina, M.; Pestov, N.; Revina, N.; Kolesnikova, S.

    2017-01-01

    Bacterial nanocellulose (BNC) is widely used in biomedical applications. BNC has attracted increasing attention as a novel wound dressing material, but it has no antimicrobial activity. To get over this problem in the present study the BNC was saturated with antibiotic fusidic acid (FA). The subject of the experiment was BNC, produced by bacteria Gluconacetobacter sucrofermentans B-11267. The resulting biocomposites have high antibiotic activity against Staphylococcus aureus and can be used in medicine as a wound dressing. The structure of BNC was analyzed by atomic force microscopy (AFM) and Fourier transform infrared spectroscopy (FTIR).

  4. Super-absorbent dressings: how do they perform in vitro?

    PubMed

    F Cutting, Keith; Westgate, Samantha J

    The free swell and absorption capacity under compression of six wound dressings that are indicated for moderately to highly exuding wounds was investigated. Measuring in vitro the absorptive capacity and retention under compression is important in terms of clinical efficacy and efficiency. This in vitro comparative study demonstrated that sorbion sachet EXTRA had the highest free swell capacity of the six test dressings and absorbed more than twice the volume (126%) of the test solution than its nearest competitor. When measuring capacity under compression, sorbion sachet EXTRA absorbed 88% more fluid than the nearest competitor.

  5. Dressed-atom description of the bichromatic force

    SciTech Connect

    Yatsenko, Leonid; Metcalf, Harold

    2004-12-01

    We develop a dressed-atom picture of the bichromatic force in two standing waves using a Floquet approach. It is based on previous work, but the approach allows for an interpretation of the velocity range of the force. It is limited to two-level atoms and one dimension, and the Floquet frequency is the beat between the two bichromatic optical fields. The force is mediated by Landau-Zener transitions between the dressed states of the Floquet Hamiltonian. Related topics have been addressed before in the literature, but not applied to this particular case.

  6. Hemicellulose dressing versus rayon dressing in the re-epithelialization of split-thickness skin graft donor sites: a multicenter study.

    PubMed

    Ferreira, Lydia M; Blanes, Leila; Gragnani, Alfredo; Veiga, Daniela F; Veiga, Frederico P; Nery, Gilka B; Rocha, Gustavo Henrique H R; Gomes, Heitor C; Rocha, Mario G; Okamoto, Regina

    2009-08-01

    The aim of this study was to compare the effectiveness of a hemicellulose dressing with that of rayon dressing in the healing of split-thickness skin graft donor sites. Twenty-eight patients were selected from five different hospitals and randomized into two groups: hemicellulose dressing group and rayon dressing group. All patients underwent split-thickness skin grafting for various reasons, and the skin graft donor site wounds were covered with hemicellulose dressing (n=14) or rayon dressing (n=14). The donor site was assessed on postoperative days 1, 7, 14, 21, and 28 for hyperemia, pruritus, pain, exudate level, and adherence of the wound dressing. At the 60-day follow-up visit, the donor site was assessed again for pruritus and pain. Touch-pressure, thermal, and pain sensibility tests were performed preoperatively and on postoperative day 60 together with the assessment of color and texture of the re-epithelialized area. In all patients, re-epithelialization was completed between 14 and 21 days after surgery. There were no significant differences between the two groups with regard to pain, hyperemia, pruritus, exudate, and final appearance (color and texture) of the skin graft donor site. The rayon dressing provided significantly better adherence than the hemicellulose dressing, and both dressings showed similar results with regard to the parameters evaluated when used in the treatment of split-thickness skin graft donor sites.

  7. Colloidal silver-based nanogel as nonocclusive dressing for multiple superficial pellet wounds.

    PubMed

    Dharmshaktu, Ganesh Singh; Singhal, Aanshu; Pangtey, Tanuja

    2016-01-01

    A good dressing is mandatory to an uncomplicated wound healing, especially when foreign particles contaminate the wound. Various forms of dressing preparations are available for use and differ in chemical composition and efficacy. Silver has been a known agent with good antimicrobial and healing properties and recent times has seen an upsurge in various silver-based dressing supplements. We describe our report of use and efficacy of a silver nanoparticle- based gel dressing in the healing of multiple superficial firearm pellet wounds.

  8. Rationales and Norms for Teacher Dress Codes: A Review of Employee Handbooks

    ERIC Educational Resources Information Center

    Freeburg, Beth W.; Workman, Jane E.; Arnett, Sally E.; Robinson, Joyce R.

    2011-01-01

    The research question was "What dress norms and related rationales are found in teacher dress policies?" Data were 102 school employee handbooks. Eighty-two handbooks (80.4%) provided one or more rationale, most frequently being "To project a positive image in the community" (n = 56). Dress norms, categorized as broad and itemized, were determined…

  9. Similarities between Students Receiving Dress Code Violations and Discipline Referrals at Newport Junior High School

    ERIC Educational Resources Information Center

    Nicholson, Nikki

    2007-01-01

    Background: Looking at dress code violations and demographics surrounding kids breaking the rules. Purpose: To see if there is a connection between dress code violations and discipline referrals. Setting: Jr. High School; Study Sample: Students with dress code violations for one week; Intervention: N/A; Research Design: Correlational; and Control…

  10. Cleavage in a Tank Top: Bodily Prohibition and the Discourses of School Dress Codes

    ERIC Educational Resources Information Center

    Pomerantz, Shauna

    2007-01-01

    In this article I explore the gendered assumptions in the new generation of dress codes that have swept through North American schools in response to how girls are dressing these days. Through a feminist poststructural examination of a particular case in Langley, British Columbia, I locate three contradictory discourses in one school's dress code…

  11. Cleavage in a Tank Top: Bodily Prohibition and the Discourses of School Dress Codes

    ERIC Educational Resources Information Center

    Pomerantz, Shauna

    2007-01-01

    In this article I explore the gendered assumptions in the new generation of dress codes that have swept through North American schools in response to how girls are dressing these days. Through a feminist poststructural examination of a particular case in Langley, British Columbia, I locate three contradictory discourses in one school's dress code…

  12. Rationales and Norms for Teacher Dress Codes: A Review of Employee Handbooks

    ERIC Educational Resources Information Center

    Freeburg, Beth W.; Workman, Jane E.; Arnett, Sally E.; Robinson, Joyce R.

    2011-01-01

    The research question was "What dress norms and related rationales are found in teacher dress policies?" Data were 102 school employee handbooks. Eighty-two handbooks (80.4%) provided one or more rationale, most frequently being "To project a positive image in the community" (n = 56). Dress norms, categorized as broad and itemized, were determined…

  13. School Dress Codes v. The First Amendment: Ganging up on Student Attire.

    ERIC Educational Resources Information Center

    Jahn, Karon L.

    Do school dress codes written with the specific purpose of limiting individual dress preferences, including dress associated with gangs, infringe on speech freedoms granted by the First Amendment of the U.S. Constitution? Although the Supreme Court has extended its protection of political speech to nonverbal acts of communication, it has…

  14. "Who Wore the Pants?" Dress, Gender, and Power, 1850-1914.

    ERIC Educational Resources Information Center

    Bennet, Paul W.

    1990-01-01

    Presents a study of historical documents focusing on the complex relationship between dress, gender, and power in North America in the late nineteenth and early twentieth centuries. Examines social rules governing dress and appearance, providing examples of how people dressed to comply with social expectations. Loosely based on a Smithsonian…

  15. "Who Wore the Pants?" Dress, Gender, and Power, 1850-1914.

    ERIC Educational Resources Information Center

    Bennet, Paul W.

    1990-01-01

    Presents a study of historical documents focusing on the complex relationship between dress, gender, and power in North America in the late nineteenth and early twentieth centuries. Examines social rules governing dress and appearance, providing examples of how people dressed to comply with social expectations. Loosely based on a Smithsonian…

  16. Split-thickness skin graft donor site management. A randomized prospective trial comparing a hydrophilic polyurethane absorbent foam dressing with a petrolatum gauze dressing.

    PubMed

    Weber, R S; Hankins, P; Limitone, E; Callender, D; Frankenthaler, R M; Wolf, P; Goepfert, H

    1995-10-01

    Traditionally, skin graft donor sites have been covered with fine-mesh gauze dressings, and a dry eschar has been allowed to form. Newer dressings that can provide a moist wound environment may facilitate reepithelialization. We compared a hydrophilic semipermeable absorbent polyurethane foam dressing that provides a moist wound environment with a petrolatum gauze dressing for donor sites. Prospective randomized trial; follow-up at 14 days. Department of head and neck surgery in a tertiary care center. Sixty-eight eligible patients received one of the two dressings. Harvested skin grafts were 0.375-mm (0.015-in) thick; donor site surface areas were recorded. At postoperative day 14, the dressings were removed, and wound epithelialization was scored: 1, none; 2, scattered or spotty; and 3, complete. Donor site and operative site pain intensities were assessed by a visual numeric scale: none (0) to the worst (100) experienced over the preceding 24-hour period. Pain scores were available for 58 patients. Dressings were compared based on these criteria: healing at 14 days, infection, and donor site and operative site pain. A healing score of 3 was seen in 37% (14/38) of patients with hydrophilic semipermeable absorbent polyurethane foam dressings and in 17% (5/30) of patients with petrolatum gauze dressings (P = .06) by day 14. Overall, however, mean healing scores were similar in both groups. Mean healing scores for the patients who received a hydrophilic semipermeable absorbent polyurethane foam dressing was 2.3 (SD = 0.6) vs 2.2 (SD = 0.6) for patients who received the petrolatum gauze dressing (P = .20). Numbers of days required for complete epithelialization in these groups were 20.6 (SD = 10.1) and 19.3 (SD = 5.1), respectively (P = .49). One infection occurred in the group who received the petrolatum gauze dressing. The mean maximum pain intensity scores were lower for those who were given the hydrophilic semipermeable absorbent polyurethane foam dressing on

  17. 21 CFR 878.4490 - Absorbable hemostatic agent and dressing.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Absorbable hemostatic agent and dressing. 878.4490 Section 878.4490 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES GENERAL AND PLASTIC SURGERY DEVICES Surgical Devices § 878.4490...

  18. 21 CFR 878.4018 - Hydrophilic wound dressing.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 21 Food and Drugs 8 2014-04-01 2014-04-01 false Hydrophilic wound dressing. 878.4018 Section 878.4018 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES GENERAL AND PLASTIC SURGERY DEVICES Surgical Devices § 878.4018 Hydrophilic wound...

  19. 21 CFR 878.4020 - Occlusive wound dressing.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 21 Food and Drugs 8 2014-04-01 2014-04-01 false Occlusive wound dressing. 878.4020 Section 878.4020 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES GENERAL AND PLASTIC SURGERY DEVICES Surgical Devices § 878.4020 Occlusive wound...

  20. 21 CFR 878.4490 - Absorbable hemostatic agent and dressing.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 21 Food and Drugs 8 2014-04-01 2014-04-01 false Absorbable hemostatic agent and dressing. 878.4490 Section 878.4490 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES GENERAL AND PLASTIC SURGERY DEVICES Surgical Devices § 878.4490...

  1. 21 CFR 878.4020 - Occlusive wound dressing.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 21 Food and Drugs 8 2012-04-01 2012-04-01 false Occlusive wound dressing. 878.4020 Section 878.4020 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES GENERAL AND PLASTIC SURGERY DEVICES Surgical Devices § 878.4020 Occlusive wound...

  2. 21 CFR 878.4018 - Hydrophilic wound dressing.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 21 Food and Drugs 8 2011-04-01 2011-04-01 false Hydrophilic wound dressing. 878.4018 Section 878.4018 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES GENERAL AND PLASTIC SURGERY DEVICES Surgical Devices § 878.4018 Hydrophilic wound...

  3. 21 CFR 878.4490 - Absorbable hemostatic agent and dressing.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 21 Food and Drugs 8 2013-04-01 2013-04-01 false Absorbable hemostatic agent and dressing. 878.4490 Section 878.4490 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES GENERAL AND PLASTIC SURGERY DEVICES Surgical Devices § 878.4490...

  4. 21 CFR 878.4020 - Occlusive wound dressing.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 21 Food and Drugs 8 2011-04-01 2011-04-01 false Occlusive wound dressing. 878.4020 Section 878.4020 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES GENERAL AND PLASTIC SURGERY DEVICES Surgical Devices § 878.4020 Occlusive wound...

  5. 21 CFR 878.4020 - Occlusive wound dressing.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 21 Food and Drugs 8 2013-04-01 2013-04-01 false Occlusive wound dressing. 878.4020 Section 878.4020 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES GENERAL AND PLASTIC SURGERY DEVICES Surgical Devices § 878.4020 Occlusive wound...

  6. 21 CFR 878.4490 - Absorbable hemostatic agent and dressing.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 21 Food and Drugs 8 2012-04-01 2012-04-01 false Absorbable hemostatic agent and dressing. 878.4490 Section 878.4490 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES GENERAL AND PLASTIC SURGERY DEVICES Surgical Devices § 878.4490...

  7. 21 CFR 878.4018 - Hydrophilic wound dressing.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 21 Food and Drugs 8 2013-04-01 2013-04-01 false Hydrophilic wound dressing. 878.4018 Section 878.4018 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES GENERAL AND PLASTIC SURGERY DEVICES Surgical Devices § 878.4018 Hydrophilic wound...

  8. 21 CFR 878.4490 - Absorbable hemostatic agent and dressing.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 21 Food and Drugs 8 2011-04-01 2011-04-01 false Absorbable hemostatic agent and dressing. 878.4490 Section 878.4490 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES GENERAL AND PLASTIC SURGERY DEVICES Surgical Devices § 878.4490...

  9. 21 CFR 878.4018 - Hydrophilic wound dressing.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Hydrophilic wound dressing. 878.4018 Section 878.4018 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES GENERAL AND PLASTIC SURGERY DEVICES Surgical Devices § 878.4018 Hydrophilic wound...

  10. 21 CFR 878.4020 - Occlusive wound dressing.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Occlusive wound dressing. 878.4020 Section 878.4020 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES GENERAL AND PLASTIC SURGERY DEVICES Surgical Devices § 878.4020 Occlusive wound...

  11. 21 CFR 878.4018 - Hydrophilic wound dressing.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 21 Food and Drugs 8 2012-04-01 2012-04-01 false Hydrophilic wound dressing. 878.4018 Section 878.4018 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES GENERAL AND PLASTIC SURGERY DEVICES Surgical Devices § 878.4018 Hydrophilic wound...

  12. Dressed Quark Mass Dependence of Pion and Kaon Form Factors

    SciTech Connect

    Ninomiya, Y.; Bentz, W.; Cloet, I. C.

    2015-02-04

    The structure of hadrons is described well by the Nambu-Jona-Lasinio (NJL) model, which is a chiral effective quark theory of QCD. In this work we explore the electromagnetic structure of the pion and kaon using the three-flavor NJL model in the proper-time regularization scheme, including effects of the pion cloud at the quark level. In the calculation there is only one free parameter, which we take as the dressed light quark (u and d) mass. In the regime where the dressed light quark mass is approximately 0.25 GeV we find that the calculated values of the kaon decay constant, current quark masses, and quark condensates are consistent with experiment- and QCD-based analyses. We also investigate the dressed light quark mass dependence of the pion and kaon electromagnetic form factors, where comparison with empirical data and QCD predictions also favors a dressed light quark mass near 0.25 GeV.

  13. Development of medicated aerosol dressings of chlorhexidine acetate with hemostatics.

    PubMed

    Garg, S; Sharma, S N

    1992-12-01

    Aerosol formulations to act as medicated aerosol dressings have been prepared with an aim of forming a protective film over the wound after spraying combining the properties of antiseptics and hemostatics. Chlorhexidine acetate along with three hemostatics namely zinc acetate, methyl cellulose and Calendula tincture were used for the formulations. The formulations were found to be satisfactory in their performance and purpose.

  14. 9 CFR 108.9 - Dressing rooms and other facilities.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 9 Animals and Animal Products 1 2011-01-01 2011-01-01 false Dressing rooms and other facilities. 108.9 Section 108.9 Animals and Animal Products ANIMAL AND PLANT HEALTH INSPECTION SERVICE, DEPARTMENT OF AGRICULTURE VIRUSES, SERUMS, TOXINS, AND ANALOGOUS PRODUCTS; ORGANISMS AND VECTORS...

  15. 9 CFR 108.9 - Dressing rooms and other facilities.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 9 Animals and Animal Products 1 2010-01-01 2010-01-01 false Dressing rooms and other facilities. 108.9 Section 108.9 Animals and Animal Products ANIMAL AND PLANT HEALTH INSPECTION SERVICE, DEPARTMENT OF AGRICULTURE VIRUSES, SERUMS, TOXINS, AND ANALOGOUS PRODUCTS; ORGANISMS AND VECTORS...

  16. Plasticized polyvinylchloride as a temporary dressing for burns.

    PubMed Central

    Wilson, G; French, G

    1987-01-01

    Plasticized polyvinylchloride film has been used in this burns unit for a long time for dressings before the ward round, before surgery, and when the burned patient is transferred from the casualty department to the burns unit. Plasticized polyvinylchloride film is easy to use, safe, and causes no pain. Most importantly, in the present financial climate, it is cheap. PMID:3103775

  17. Absorption and swelling characteristics of silver (I) antimicrobial wound dressings

    USDA-ARS?s Scientific Manuscript database

    An important characteristic of moist wound dressings is their ability to swell and absorb exudates from the wound, while maintaining a moist atmosphere at the wound site. At the Southern Regional Research Center (SRRC), we have previously developed antimicrobial silver-sodium-carboxymethylated (CM)-...

  18. Cutaneous Mucormycosis in a Diabetic Patient following Traditional Dressing

    PubMed Central

    Ahmadinejad, Zahra; Khazraiyan, Hamideh; Ghanbari, Fahime; Ahmadi, Bahram; Gerami Shoar, Mohsen

    2013-01-01

    Cutaneous mucormycosis is a rare manifestation of an aggressive fungal infection. Early diagnosis and treatment are vitally important in improving outcome. We report an unusual case presenting with progressive necrotizing fasciitis due to mucormycosis following trauma and dressing by man-made herbal agents. PMID:23991340

  19. Challenged Dress Code Prohibited Clothing with Offensive Illustrations.

    ERIC Educational Resources Information Center

    Kozlowski, James C.

    2001-01-01

    Discusses the extent to which public recreation programs can regulate attire which many people might consider offensive, noting that the U.S. Supreme Court states that school boards have the authority to decide what constitutes appropriate behavior and dress in public schools. One case involving a student who wanted to wear a Marilyn Manson…

  20. Quantitative Analysis of Standardized Dress Code and Minority Academic Achievement

    ERIC Educational Resources Information Center

    Proctor, J. R.

    2013-01-01

    This study was designed to investigate if a statistically significant variance exists in African American and Hispanic students' attendance and Texas Assessment of Knowledge and Skills test scores in mathematics before and after the implementation of a standardized dress code. For almost two decades supporters and opponents of public school…

  1. Drug reaction with eosinophilia and systemic symptoms (DRESS syndrome).

    PubMed

    Silva, Soraia Aparecida da; Figueiredo, Mariana Maciel Pereira de; Carneiro, Lauro; Reiss, Débora Borowiak; Damásio, Mariana Amaranto de Souza

    2016-01-01

    To review the hypersensitivity reaction to drugs known as drug reaction with eosinophilia and systemic symptoms (DRESS syndrome), based on a case report. We also intend to discuss the difficulty and importance of disease recognition, since none of the changes is pathognomonic of this disease and failure to identify it may have disastrous consequences for the patient. To describe this case report, in addition to the information collected for clinical assessment, a literature review was performed in the PubMed and Bireme databases in order to retrieve the latest information published in literature on DRESS syndrome. The case of a 20-year old patient is reported. After anamnesis, physical examination and laboratory tests a diagnosis of DRESS syndrome was performed, characterized by rash, hematologic alterations, lymphadenopathy and lesions in target organ. This is a rare syndrome, whose frequency varies according to the drug used and the immune status of the patient, being more often associated with the use of anticonvulsants. The approach and discussion of the topic are of paramount importance, in view of the potential lethality of this treatable syndrome. Recognizing the occurrence of DRESS syndrome and starting treatment as soon as possible is crucial to reduce the risk of mortality and improve prognosis.

  2. Avoided-Level-Crossing Spectroscopy with Dressed Matter Waves

    SciTech Connect

    Eckardt, Andre; Holthaus, Martin

    2008-12-12

    We devise a method for probing resonances of macroscopic matter waves in shaken optical lattices by monitoring their response to slow parameter changes, and show that such resonances can be disabled by particular choices of the driving amplitude. The theoretical analysis of this scheme reveals far-reaching analogies between dressed atoms and time periodically forced matter waves.

  3. Avoided-level-crossing spectroscopy with dressed matter waves.

    PubMed

    Eckardt, André; Holthaus, Martin

    2008-12-12

    We devise a method for probing resonances of macroscopic matter waves in shaken optical lattices by monitoring their response to slow parameter changes, and show that such resonances can be disabled by particular choices of the driving amplitude. The theoretical analysis of this scheme reveals far-reaching analogies between dressed atoms and time periodically forced matter waves.

  4. Moving beyond Dance, Dress, and Dining in Multicultural Canada

    ERIC Educational Resources Information Center

    Sensoy, Ozlem; Sanghera, Raj; Parmar, Geetu; Parhar, Nisha; Nosyk, Lianne; Anderson, Monica

    2010-01-01

    The mainstream curriculum is extremely efficient in furthering a neoliberal multicultural discourse, what is described as the dance, dress, and dining, or heroes and holidays, or Taco Tuesday approaches to diversity. Given this, doing anything else is an ongoing challenge. This paper shares details of a government-university-school collaboration…

  5. Dress Codes in Post-Apartheid South African Workplaces

    ERIC Educational Resources Information Center

    Grant, Terri; Nodoba, Gaontebale

    2009-01-01

    There are many factors that influence dress code decision making in formal and informal business arenas. In South Africa, with its colonial and apartheid history followed by an exuberant resurgence of Africanism, factors such as diversity of race, ethnicity, religion, and culture play a critical role in lifestyle and worldview. These many and…

  6. Good-by to Dress Codes--for Now.

    ERIC Educational Resources Information Center

    Johnson, Bettye

    1979-01-01

    Strict dress codes have been virtually eliminated in the public schools, particularly those regulations for hair length and style. The existing grooming policies are general and deal mainly with cleanliness, neatness, appropriateness, safety, health, and nondisruption of the learning environment. (Author)

  7. Lasers without inversion: Interference of dressed lifetime-broadened states

    SciTech Connect

    Imamoglu, A.; Harris, S.E.

    1989-12-15

    We describe the use of a coupling electromagnetic field to provide a general method of producing inversion-free laser systems. The interference between dressed states produces a zero in absorption while allowing gains of the order of that of the uncoupled system.

  8. Dress Codes in Post-Apartheid South African Workplaces

    ERIC Educational Resources Information Center

    Grant, Terri; Nodoba, Gaontebale

    2009-01-01

    There are many factors that influence dress code decision making in formal and informal business arenas. In South Africa, with its colonial and apartheid history followed by an exuberant resurgence of Africanism, factors such as diversity of race, ethnicity, religion, and culture play a critical role in lifestyle and worldview. These many and…

  9. Good-by to Dress Codes--for Now.

    ERIC Educational Resources Information Center

    Johnson, Bettye

    1979-01-01

    Strict dress codes have been virtually eliminated in the public schools, particularly those regulations for hair length and style. The existing grooming policies are general and deal mainly with cleanliness, neatness, appropriateness, safety, health, and nondisruption of the learning environment. (Author)

  10. Sanctions Connected to Dress Code Violations in Secondary School Handbooks

    ERIC Educational Resources Information Center

    Workman, Jane E.; Freeburg, Elizabeth W.; Lentz-Hees, Elizabeth S.

    2004-01-01

    This study identifies and evaluates sanctions for dress code violations in secondary school handbooks. Sanctions, or consequences for breaking rules, vary along seven interrelated dimensions: source, formality, retribution, obtrusiveness, magnitude, severity, and pervasiveness. A content analysis of handbooks from 155 public secondary schools…

  11. School Dress Code Violations and the Ensuing Controversy.

    ERIC Educational Resources Information Center

    Craig, Benjamin L.

    This report compares and contrasts Federal court decisions involving student dress codes, with special emphasis on Denver area cases. Discussion covers code enforcement, subsequent court battles, relevant constitutional issues, and First Amendment and procedural and substantive due process considerations. The report includes the official…

  12. Avoided-Level-Crossing Spectroscopy with Dressed Matter Waves

    NASA Astrophysics Data System (ADS)

    Eckardt, André; Holthaus, Martin

    2008-12-01

    We devise a method for probing resonances of macroscopic matter waves in shaken optical lattices by monitoring their response to slow parameter changes, and show that such resonances can be disabled by particular choices of the driving amplitude. The theoretical analysis of this scheme reveals far-reaching analogies between dressed atoms and time periodically forced matter waves.

  13. Quantitative Analysis of Standardized Dress Code and Minority Academic Achievement

    ERIC Educational Resources Information Center

    Proctor, J. R.

    2013-01-01

    This study was designed to investigate if a statistically significant variance exists in African American and Hispanic students' attendance and Texas Assessment of Knowledge and Skills test scores in mathematics before and after the implementation of a standardized dress code. For almost two decades supporters and opponents of public school…

  14. Pants and Hats: Dress Codes and Expressive Conduct as Speech.

    ERIC Educational Resources Information Center

    DeMitchell, Todd A.

    1999-01-01

    It has been 30 years since the U.S. Supreme Court, in the "Tinker" case, upheld three students' right to wear black armbands protesting the Vietnam War to school. Recent cases involving sagging pants and an African headwrap (dress code violations) did not meet allowable "free-speech" requirements. (MLH)

  15. Sanctions Connected to Dress Code Violations in Secondary School Handbooks

    ERIC Educational Resources Information Center

    Workman, Jane E.; Freeburg, Elizabeth W.; Lentz-Hees, Elizabeth S.

    2004-01-01

    This study identifies and evaluates sanctions for dress code violations in secondary school handbooks. Sanctions, or consequences for breaking rules, vary along seven interrelated dimensions: source, formality, retribution, obtrusiveness, magnitude, severity, and pervasiveness. A content analysis of handbooks from 155 public secondary schools…

  16. INTERIOR VIEW OF THE BEDROOM 1 DRESSING AREA. SHOWING THE ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    INTERIOR VIEW OF THE BEDROOM 1 DRESSING AREA. SHOWING THE WINDOW WITH TRANSOM LIFT, AND SLIDING CLOSET DOORS. NOTE THE SMALL CLOSET DOORS NEAR THE CEILING. VIEW FACING NORTH. - Hickam Field, Officers' Housing Type J, 701 Beard Street, Honolulu, Honolulu County, HI

  17. Dressed to Present: Ratings of Classroom Presentations Vary with Attire

    ERIC Educational Resources Information Center

    Gurung, Regan A. R.; Kempen, Laura; Klemm, Kayla; Senn, Rebecca; Wysocki, Rosie

    2014-01-01

    This study investigates the effects of formality of dress on ratings of classroom presentations. Participants (N = 65, 66% women) from a Midwestern university in the United States rated three female students giving a presentation designed for a health psychology class in one of four outfits: casual, party, business casual, or business formal.…

  18. Dressings for Preventing Pressure Ulcers: A Meta-analysis.

    PubMed

    Huang, Lei; Woo, Kevin Y; Liu, Li-Bao; Wen, Rui-Juan; Hu, Ai-Ling; Shi, Cheng-Gang

    2015-06-01

    The purpose of this analysis is to determine the effectiveness of dressing material in the prevention of pressure ulcers. Results showed that hydrocolloid, foam, and film were more effective than a standard care protocol in patients at risk for pressure ulcers.

  19. Parents' Opinions of the Uniform Student Dress Code.

    ERIC Educational Resources Information Center

    Woods, Helen; Ogletree, Earl

    The attitudes of parents toward a uniform student dress code were surveyed at a Chicago (Illinois) public school. Subjects were 15 Black parents (10 females and 5 males) and 15 Hispanic American parents (10 females and 5 males) who answered a questionnaire sent home with their children. The questionnaire examined attitudes toward designer clothing…

  20. Highly Absorbent Antibacterial Hemostatic Dressing for Healing Severe Hemorrhagic Wounds.

    PubMed

    Li, Ting-Ting; Lou, Ching-Wen; Chen, An-Pang; Lee, Mong-Chuan; Ho, Tsing-Fen; Chen, Yueh-Sheng; Lin, Jia-Horng

    2016-09-21

    To accelerate healing of severe hemorrhagic wounds, a novel highly absorbent hemostatic dressing composed of a Tencel(®)/absorbent-cotton/polylactic acid nonwoven base and chitosan/nanosilver antibacterial agent was fabricated by using a nonwoven processing technique and a freeze-drying technique. This study is the first to investigate the wicking and water-absorbing properties of a nonwoven base by measuring the vertical wicking height and water absorption ratio. Moreover, blood agglutination and hemostatic second tests were conducted to evaluate the hemostatic performance of the resultant wound dressing. The blending ratio of fibers, areal weight, punching density, and fiber orientation, all significantly influenced the vertical moisture wicking property. However, only the first two parameters markedly affected the water absorption ratio. After the nonwoven base absorbed blood, scanning electron microscope (SEM) observation showed that erythrocytes were trapped between the fibrin/clot network and nonwoven fibers when coagulation pathways were activated. Prothrombin time (PT) and activated partial thromboplastin time (APTT) blood agglutination of the resultant dressing decreased to 14.34 and 50.94 s, respectively. In the femoral artery of the rate bleeding model, hemostatic time was saved by 87.2% compared with that of cotton cloth. Therefore, the resultant antibacterial wound dressing demonstrated greater water and blood absorption, as well as hemostatic performance, than the commercially available cotton cloth, especially for healing severe hemorrhagic wounds.

  1. Highly Absorbent Antibacterial Hemostatic Dressing for Healing Severe Hemorrhagic Wounds

    PubMed Central

    Li, Ting-Ting; Lou, Ching-Wen; Chen, An-Pang; Lee, Mong-Chuan; Ho, Tsing-Fen; Chen, Yueh-Sheng; Lin, Jia-Horng

    2016-01-01

    To accelerate healing of severe hemorrhagic wounds, a novel highly absorbent hemostatic dressing composed of a Tencel®/absorbent-cotton/polylactic acid nonwoven base and chitosan/nanosilver antibacterial agent was fabricated by using a nonwoven processing technique and a freeze-drying technique. This study is the first to investigate the wicking and water-absorbing properties of a nonwoven base by measuring the vertical wicking height and water absorption ratio. Moreover, blood agglutination and hemostatic second tests were conducted to evaluate the hemostatic performance of the resultant wound dressing. The blending ratio of fibers, areal weight, punching density, and fiber orientation, all significantly influenced the vertical moisture wicking property. However, only the first two parameters markedly affected the water absorption ratio. After the nonwoven base absorbed blood, scanning electron microscope (SEM) observation showed that erythrocytes were trapped between the fibrin/clot network and nonwoven fibers when coagulation pathways were activated. Prothrombin time (PT) and activated partial thromboplastin time (APTT) blood agglutination of the resultant dressing decreased to 14.34 and 50.94 s, respectively. In the femoral artery of the rate bleeding model, hemostatic time was saved by 87.2% compared with that of cotton cloth. Therefore, the resultant antibacterial wound dressing demonstrated greater water and blood absorption, as well as hemostatic performance, than the commercially available cotton cloth, especially for healing severe hemorrhagic wounds. PMID:28773912

  2. Challenged Dress Code Prohibited Clothing with Offensive Illustrations.

    ERIC Educational Resources Information Center

    Kozlowski, James C.

    2001-01-01

    Discusses the extent to which public recreation programs can regulate attire which many people might consider offensive, noting that the U.S. Supreme Court states that school boards have the authority to decide what constitutes appropriate behavior and dress in public schools. One case involving a student who wanted to wear a Marilyn Manson…

  3. Pants and Hats: Dress Codes and Expressive Conduct as Speech.

    ERIC Educational Resources Information Center

    DeMitchell, Todd A.

    1999-01-01

    It has been 30 years since the U.S. Supreme Court, in the "Tinker" case, upheld three students' right to wear black armbands protesting the Vietnam War to school. Recent cases involving sagging pants and an African headwrap (dress code violations) did not meet allowable "free-speech" requirements. (MLH)

  4. Mepilex Ag: an antimicrobial, absorbent foam dressing with Safetac technology.

    PubMed

    Barrett, Simon

    This article examines the role of a unique dressing-Mepilex Ag--that incorporates the rapid and sustained antimicrobial action of ionic silver with the benefits of Safetac soft silicone adhesive technology. The combined attributes of each component of this dressing allow both the control of pain and infection to be achieved simultaneously. This dual approach to the management of wounds is of significance since the evidence suggests that wound infection and the release of pro-inflammatory modulators result in both local pain and delayed healing. In this respect the control and treatment of pain is as important as the treatment of infection itself. A review of the clinical evidence relating to Safetac technology clearly demonstrates that it can be used to prevent dressing-related trauma, minimize pain at dressing change, and control exudate when used on a wide range of wound types and skin injuries. In combination with silver, this technology has been shown in in-vitro studies to have an almost instant and sustainable antimicrobial effect on a broad range of pathogens associated with delayed healing. Finally, in small clinical and case studies, Mepilex Ag has been shown to control wound bioburden and improve healing rates.

  5. Prospective cohort study on surgical wounds comparing a polyhexanide-containing biocellulose dressing with a dialkyl-carbamoyl-chloride-containing hydrophobic dressing.

    PubMed

    Nielsen, Anna Marie; Andriessen, Anneke

    2012-09-01

    Postsurgery dressing changes in diabetic foot amputation wounds and surgical wounds healing by secondary intention are often conducted in the operating room under general anesthesia. A prospective comparative cohort study was performed in 60 patients (n = 60: n = 30/n = 30) with secondary-intention surgical wounds (82% had forefoot and/or digit[s] amputations) to compare 2 different dressing types. Patients at the study center gave informed written consent, after which they were randomly allocated to one of the treatment groups. Group A received a biocellulose dressing with polyhexanide, and group B a hydrophobic dressing with dialkyl-carbamoyl-chloride. In both groups, gauze was used as secondary dressing and fixed with a film dressing. One day after surgery, the dressings were removed by the surgeon and patient-reported pain and dressing adherence/integrity were evaluated. The number of patients that required general anesthesia was determined during the procedure and afterward. All patients (n = 60; n = 30/n = 30) were included in the intention-to-treat analysis. Pain levels in group A were significantly (t (59) = 4.026, P < .000) lower upon dressing removal, when compared with group B; in group A, n = 21 reported no pain versus n = 8 (26%) for group B. In group A, the dressing adhered in 7 subjects (23%) versus n = 27 (90%) of cases in group B (P = .000). No anesthesia was required for the patients in group A, contrary to group B, where 16% of patients received general anesthesia for dressing removal. Pain levels were significantly lower and the dressing adhered significantly less in group A, compared with group B, demonstrating a better quality of life for the patients in group A.

  6. An evaluation of an adhesive hydrocellular foam dressing and a self-adherent soft silicone foam dressing in a nursing home setting.

    PubMed

    Viamontes, Louis; Temple, Demaree; Wytall, Donna; Walker, Andreta

    2003-08-01

    To assess the performance of two wound dressings in the management of chronic wounds, a 5-year retrospective descriptive study was conducted involving 4,200 wounds in 1,891 residents of 30 nursing homes in the state of Florida. Wound and patient variables were abstracted from charts completed by the wound care clinicians providing care in the nursing homes. The chart abstraction time period was chosen to capture a change in wound dressing regimens in these nursing homes. Patient demographic and wound assessment variables, including evidence of surrounding skin stripping information, were abstracted from the database. The majority of wounds were classified as pressure ulcers (3,579 out of 3,795 [94%] hydrocellular-dressing treated wounds; 339 of 352 [96%] silicone dressing-treated wounds, and 51 of wounds managed with both dressings). The majority of wounds were classified as Stage II or III ulcers. Wounds in the hydrocellular group were larger (mean area 7.53 cm2) and took longer to heal (mean 70.1 days) than those in the silicone dressing group (mean area 5.5 cm2, 39.2 days) but the proportion of ulcers healed was the same (63%) in both groups. Skin stripping was rare with either dressing (1% to 2% of wounds). Problems with adhesion and infections occurred more frequently in the silicone dressing group than in the hydrocellular dressing group. The results of this study show that most chronic wounds managed with either dressing will heal after an average of 70 days, that differences between the two dressings are minimal, and that periwound skin stripping is uncommon. Ease of use characteristics and the ability of dressings to remain in place appeared to differ, possibly affecting infection rates and costs of care.

  7. Effects and mechanisms of a microcurrent dressing on skin wound healing: a review.

    PubMed

    Yu, Chao; Hu, Zong-Qian; Peng, Rui-Yun

    2014-01-01

    The variety of wound types has resulted in a wide range of wound dressings, with new products frequently being introduced to target different aspects of the wound healing process. The ideal wound dressing should achieve rapid healing at a reasonable cost, with minimal inconvenience to the patient. Microcurrent dressing, a novel wound dressing with inherent electric activity, can generate low-level microcurrents at the device-wound contact surface in the presence of moisture and can provide an advanced wound healing solution for managing wounds. This article offers a review of the effects and mechanisms of the microcurrent dressing on the healing of skin wounds.

  8. [Combined polyurethane foam and hydrogel dressing. Outcome in lesions of diverse etiology].

    PubMed

    Rueda López, Justo; Arboix Perejamo, Montserrat; Muñoz Bueno, Ana Maria; Rosell Moreno, Carmen; Blanco Blanco, Joan; Ballester Torralba, Jordi; Gago Fornells, Manuel; García González, R Fernando

    2004-11-01

    The authors present an observational evaluation on the effectiveness of a dressing included in the Indafoam brand for treatment of skin lesions due to different etiology which have an acute or chronic diagnosis; the authors include some very valuable information for professionals who use combined polyurethane foam and hydrogel dressings in their daily practice. Due to their composition, these dressings may be considered combined dressings having only one structure which maintains a stable temperature at the lesion site; these dressings have a high absorption capacity which prevents maceration of the skin surrounding lesions and protects lesions from contamination by exogenous germs.

  9. [Hydro-colloidal dressings which release hydro-active silver].

    PubMed

    Serra, N; Torres, O G; Romo, M I; Llovera, J M; Vigil-Escalera, L J; Soto, M A; González-Parra, S

    2005-02-01

    The study presented is a multicentric, prospective, open and comparative study designed with the objective of evaluating the performance of an antibacterial hydrocolloid dressing with hydroactivated silver (Comfeel Plata), when used to activate the healing process in wounds with high bacterial load, clinical signs of infection or malodour. Additionally, once the wound bed was appropriately prepared, a comparison in terms of efficacy was made between, on the one hand, continued treatment with the antibacterial hydrocolloid dressing, and, on the other hand, continued treatment with other dressings specifically designed for the proliferative phase of healing. Included into this study were 43 patients with chronic ulcers who were divided into two parallel treatment groups: In one group, Comfeel Plata (Coloplast AIS) was used until complete wound healing or for a maximum of 10-12 weeks, and in the second group Comfeel Plata (Coloplast A/S) was used until a clean wound bed was obtained and until the wound showed signs of positive evolution, at which moment the treatment was continued until complete healing or for a maximum of 10-12 weeks with dressings without silver designed especially for the proliferative phase of healing [Alione, Comfeel or Biatain (Coloplast AIS)]. The results obtained from the various study parameters indicate that the use of Comfeel Plata in the treatment of infected or colonized wounds prepares the wound bed and facilitates more rapid healing, and that the use of Comfeel Plata effectively reduces pain and malodour. The results indicate that once a clean wound bed is obtained, the use of a dressing without silver specifically for the proliferative phase will facilitate healing.

  10. Toxic epidermal necrolysis, DRESS, AGEP: Do overlap cases exist?

    PubMed Central

    2012-01-01

    Background Severe cutaneous adverse reactions to drugs (SCARs) include acute generalized exanthematous pustulosis (AGEP), drug reaction with eosinophilia and systemic symptoms (DRESS) and epidermal necrolysis (Stevens-Johnson syndrome–toxic epidermal necrolysis [SJS-TEN]). Because of the varied initial presentation of such adverse drug reactions, diagnosis may be difficult and suggests overlap among SCARs. Overlapping SCARs are defined as cases fulfilling the criteria for definite or probable diagnosis of at least 2 ADRs according to scoring systems for AGEP, DRESS and SJS-TEN. We aimed to evaluate the prevalence of overlap among SCARs among cases in the referral hospital in France. Methods We retrospectively analyzed data for 216 patients hospitalized in the referral centre over 7 years with a discharge diagnosis of AGEP (n = 45), DRESS (n = 47), SJS-TEN (n = 80) or “drug rash” (n = 44). Each case with detailed clinical data and a skin biopsy specimen was scored for AGEP, DRESS and SJS-TEN by use of diagnostic scores elaborated by the RegiSCAR group. Results In total, 45 of 216 cases (21%) had at least 2 possible diagnoses: 35 had a single predominant diagnosis (definite or probable), 7 had several possible diagnoses and 3 (2.1% of 145 confirmed SCARs) were overlap SCARs. Conclusions Despite ambiguities among SCARs, confirmed overlap cases are rare. This study did not avoid pitfalls linked to its retrospective nature and selection bias. In the acute stage of disease, early identification of severe ADRs can be difficult because of clinical or biologic overlapping features and missing data on histology, biology and evolution. Retrospectively analyzing cases by use of diagnostic algorithms can lead to reliable discrimination among AGEP, DRESS and SJS-TEN. PMID:23009177

  11. Novel Asymmetric Wettable AgNPs/Chitosan Wound Dressing: In Vitro and In Vivo Evaluation.

    PubMed

    Liang, Donghui; Lu, Zhong; Yang, Hao; Gao, Jingting; Chen, Rong

    2016-02-17

    A novel silver nanoparticles (AgNPs)/chitosan composite dressing with asymmetric wettability surfaces was successfully prepared via a simple two-step method for biomedical applications as wound healing materials. First, AgNPs were assembled into the chitosan sponge which was prepared by lyophilization process. Then one side of the sponge was modified by a thin layer of stearic acid. The incorporation of AgNPs into chitosan dressing could enhance the antibacterial activity against drug-sensitive and drug-resistant pathogenic bacteria. The asymmetric surface modification endows the dressing with both highly hydrophobic property and inherent hydrophilic nature of chitosan. The hydrophobic surface of the dressing shows waterproof and antiadhesion for contaminant properties, whereas the hydrophilic surface preserves its water-absorbing capability and efficiently inhibits the growth of bacteria. Furthermore, the AgNPs/chitosan composite dressing displays improved moisture retention and blood clotting ability compared to the unmodified dressings. Cytocompatibility test evaluated in vitro and in a wound infection model illustrates the nontoxic nature of the composite dressing. More importantly, the in vivo wound healing model evaluation in mice reveals that the asymmetric AgNPs/chitosan dressing promotes the wound healing and accelerates the reepithelialization and collagen deposition. The silver accumulation in mice body treated by the composite dressing is far lower than that of the clinically used Acasin nanosilver dressing treated mice. This work indicates the huge potential of the novel AgNPs/chitosan wound dressing with asymmetrical wettability for clinical use.

  12. Histological effects of occlusive dressing on healing of incisional skin wounds.

    PubMed

    Yamamoto, Naoto; Kiyosawa, Tomoharu

    2014-12-01

    Occlusive dressing is widely accepted and used to manage skin ulcers. However, with respect to its application to incisional wounds, most studies have been conducted about the clinical effects on incisional healing of surgical sites. Studies of the histological effects of occlusive dressing for incisional wounds have been few. The aim of this study was to clarify the histological effects of occlusive dressings on healing of incisional skin wounds. Rat dorsal skin was incised down to the panniculus and sutured immediately. Dressing types included 2-octyl cyanoacrylate and hydrocolloid materials as occlusive dressings and no-dressing as the open therapy. Histological examination and dermoscopic observation were performed 1, 2, 4 and 7 days after surgery. The findings from each dressing type were compared. In the open therapy group, the upper portion of the edge of incision was necrosed minimally and finally healed with wide scar formation. However, in the occlusive dressing groups, micronecrosis of the incision edge seen in the no-dressing group was not observed, healing was more rapid and the remaining scar was finer. Occlusive dressing can prevent micronecrosis of the incision edge, resulting in rapid and excellent healing. This study shows that the efficacy of and supports the use of occlusive dressing in incisional wound management.

  13. Comparative histological analysis of drug-induced maculopapular exanthema and DRESS.

    PubMed

    Skowron, F; Bensaid, B; Balme, B; Depaepe, L; Kanitakis, J; Nosbaum, A; Maucort-Boulch, D; Bérard, F; D'Incan, M; Kardaun, S H; Nicolas, J-F

    2016-12-01

    Cutaneous adverse drug reactions frequently present as a benign maculopapular exanthema (MPE) with a rapid healing. Sometimes systemic signs are present, which could represent a more severe or systemic MPE (sMPE) or even be the initial phase of a drug reaction with eosinophilia and systemic symptoms (DRESS). Histopathology associated with MPE, sMPE and DRESS has not been well characterized. To study the cutaneous histopathological changes associated with MPE, sMPE and DRESS. A retrospective clinicopathological analysis of 13 cases of MPE, 13 of sMPE and 45 of DRESS, collected in one centre from 2005 to 2013. The number of histopathological changes per section increased gradually from MPE to sMPE and DRESS. Prevalence of spongiosis, dermal lymphocytes, eosinophils and neutrophils did not differ between MPE, sMPE and DRESS. Keratinocyte damage, rare in MPE, was regularly found in sMPE and frequent in DRESS. The density of the inflammatory infiltrate increased progressively from MPE to sMPE and DRESS. Atypical lymphocytes were absent in MPE, present in sMPE and more frequent in DRESS. Deep dermal involvement and leukocytoclastic vasculitis were only observed in DRESS. This was a retrospective study. Numerous histopathological changes per section in drug-induced exanthema should alert for a more severe form of cutaneous adverse drug reactions, i.e. DRESS. © 2016 European Academy of Dermatology and Venereology.

  14. Assessment in vitro of the active hemostatic properties of wound dressings.

    PubMed

    Jesty, Jolyon; Wieland, Martin; Niemiec, Jack

    2009-05-01

    The development of actively hemostatic wound dressings for use in severe trauma remains a major public-health and military goal. But, although some manufacturers claim that existing dressings activate platelets and/or blood coagulation, mechanistic evidence is often lacking. We describe a method for assessing the active hemostatic properties of dressings in vitro, entailing measurement of the flow of recalcified platelet-rich plasma (PRP) through a dressing sample. If the dressing is hemostatically active, flow is reduced. This flow is then compared with the flow-through of PRP in which both platelet and coagulation function are blocked with EDTA. The ratio of the two generates a hemostatic index that ranges from 1.0 (no active hemostasis) to 0 (highly potent). The method is applicable to porous or semiporous dressings, whether fabric, sponge, fleece, or granules. For an active dressing, the test is easily modified to differentiate between the contributions of platelet and coagulation to overall hemostasis. The method is illustrated for fabrics, over-the-counter gauze and sponge dressings, collagen-based sheets, and an absorbent granule dressing. One active collagen dressing is used to illustrate discrimination between platelet and coagulation function. The ability to assess hemostatic properties may significantly enhance the development of advanced active dressings.

  15. Evaluation of a foam dressing for acute and chronic wound exudate management.

    PubMed

    Bullough, Lindsay; Johnson, Sue; Forder, Rebecca

    2015-09-01

    This article discusses the use of a foam dressing for exudate management in both chronic and acute wounds, such as surgical wounds, pressure ulcers, diabetic ulcers, trauma wounds, and leg ulcers. The primary objective of the study was to observe patients' wound progression in terms of wound size and the condition of the wound bed, when using this foam dressing as either a primary or secondary dressing. The outcome of the evaluation demonstrated that ActivHeal Foam Contact dressing effectively managed exudate. It was also observed that the dressing can assist in autolysis and support improvements in peri-wound status. Choosing an appropriate dressing to manage a wound is essential. Clinicians working in the NHS are under pressure to deliver good-quality clinical outcomes, and the ActivHeal Foam Contact dressing supports this outcome.

  16. The Application of Modern Dressings to Buruli Ulcers: Results from a Pilot Implementation Project in Ghana.

    PubMed

    Velding, Kristien; Klis, Sandor-Adrian; Abass, K Mohammad; van der Werf, Tjip S; Stienstra, Ymkje

    2016-07-06

    Buruli ulcer (BU) is a tropical, infectious skin disease. The resulting ulcer can take a long time to heal, and a high standard of wound care is essential. Currently, the only dressing used for BU wound care is gauze, and its removal causes pain and bleeding. We performed a pilot implementation project using HydroTac(®) (HARTMANN, Heidenheim, Germany), a modern dressing combining foam with a hydrogel component. For future BU treatment, we recommend to use a more absorbent dressing than the HydroTac dressing used in the current project. However, we show that modern dressings can be applied to BUs and that HydroTac dressings yield clean, healing wounds, and prevent the pain and bleeding associated with gauze dressings. Wound care is a vital but to date neglected aspect of BU management. © The American Society of Tropical Medicine and Hygiene.

  17. A comparative study to evaluate the effect of honey dressing and silver sulfadiazene dressing on wound healing in burn patients.

    PubMed

    Baghel, P S; Shukla, S; Mathur, R K; Randa, R

    2009-07-01

    To compare the effect of honey dressing and silver-sulfadiazene (SSD) dressing on wound healing in burn patients. Patients (n=78) of both sexes, with age group between 10 and 50 years and with first and second degree of burn of less than 50% of TBSA (Total body surface area) were included in the study, over a period of 2 years (2006-08). After stabilization, patients were randomly attributed into two groups: 'honey group' and 'SSD group'. Time elapsed since burn was recorded. After washing with normal saline, undiluted pure honey was applied over the wounds of patients in the honey group (n=37) and SSD cream over the wounds of patients in SSD group (n=41), everyday. Wound was dressed with sterile gauze, cotton pads and bandaged. Status of the wound was assessed every third and seventh day and on the day of completion of study. Patients were followed up every fortnight till epithelialization. The bacteriological examination of the wound was done every seventh day. The mean age for case (honey group) and control (SSD group) was 34.5 years and 28.5 years, respectively. Wound swab culture was positive in 29 out of 36 patients who came within 8 hours of burn and in all patients who came after 24 hours. The average duration of healing in patients treated with honey and SSD dressing at any time of admission was 18.16 and 32.68 days, respectively. Wound of all those patients (100%) who reported within 1 hour became sterile with honey dressing in less than 7 days while none with SSD. All of the wounds became sterile in less than 21 days with honey, while tthis was so in only 36.5% with SSD treated wounds. The honey group included 33 patients reported within 24 hour of injury, and 26 out of them had complete outcome at 2 months of follow-up, while numbers for the SSD group were 32 and 12. Complete outcome for any admission point of time after 2 months was noted in 81% and 37% of patients in the honey group and the SSD group. Honey dressing improves wound healing, makes the

  18. Dressings for venous leg ulcers: systematic review and meta-analysis.

    PubMed

    Palfreyman, Simon; Nelson, E Andrea; Michaels, Jonathan A

    2007-08-04

    To review the evidence of effectiveness of dressings applied to venous leg ulcers. Systematic review and meta-analysis. Hand searches of journals and searches of electronic databases, conference proceedings, and bibliographies up to April 2006; contacts with dressing manufacturers for unpublished studies. All randomised controlled trials that evaluated dressings applied to venous leg ulcers were eligible for inclusion. Data from eligible studies were extracted and summarised independently by two reviewers using a data extraction sheet. Methodological quality was assessed independently by two reviewers. The search strategy identified 254 studies; 42 of these fulfilled the inclusion criteria. Hydrocolloids were no more effective than simple low adherent dressings used beneath compression (eight trials; relative risk for healing with hydrocolloid 1.02, 95% confidence interval 0.83 to 1.28). For other comparisons, insufficient evidence was available to allow firm conclusions to be drawn. None of the dressing comparisons showed evidence that a particular class of dressing healed more ulcers. Some differences existed between dressings in terms of subjective outcome measures and ulcer healing rates. The results were not affected by the size or quality of trials or the unit of randomisation. Insufficient data were available to allow conclusions to be drawn about the relative cost effectiveness of different dressings. The type of dressing applied beneath compression was not shown to affect ulcer healing. The results of the meta-analysis showed that applying hydrocolloid dressings beneath compression produced no benefit in terms of ulcer healing compared with applying simple low adherent dressings. No conclusive recommendations can be made as to which type of dressing is most cost effective. Decisions on which dressing to apply should be based on the local costs of dressings and the preferences of the practitioner or patient.

  19. Optimization of the dressing parameters in cylindrical grinding based on a generalized utility function

    NASA Astrophysics Data System (ADS)

    Aleksandrova, Irina

    2016-01-01

    The existing studies, concerning the dressing process, focus on the major influence of the dressing conditions on the grinding response variables. However, the choice of the dressing conditions is often made, based on the experience of the qualified staff or using data from reference books. The optimal dressing parameters, which are only valid for the particular methods and dressing and grinding conditions, are also used. The paper presents a methodology for optimization of the dressing parameters in cylindrical grinding. The generalized utility function has been chosen as an optimization parameter. It is a complex indicator determining the economic, dynamic and manufacturing characteristics of the grinding process. The developed methodology is implemented for the dressing of aluminium oxide grinding wheels by using experimental diamond roller dressers with different grit sizes made of medium- and high-strength synthetic diamonds type ??32 and ??80. To solve the optimization problem, a model of the generalized utility function is created which reflects the complex impact of dressing parameters. The model is built based on the results from the conducted complex study and modeling of the grinding wheel lifetime, cutting ability, production rate and cutting forces during grinding. They are closely related to the dressing conditions (dressing speed ratio, radial in-feed of the diamond roller dresser and dress-out time), the diamond roller dresser grit size/grinding wheel grit size ratio, the type of synthetic diamonds and the direction of dressing. Some dressing parameters are determined for which the generalized utility function has a maximum and which guarantee an optimum combination of the following: the lifetime and cutting ability of the abrasive wheels, the tangential cutting force magnitude and the production rate of the grinding process. The results obtained prove the possibility of control and optimization of grinding by selecting particular dressing

  20. Antimicrobial Activity of a Novel Vascular Access Film Dressing Containing Chlorhexidine Gluconate.

    PubMed

    Wibaux, Anne; Thota, Priyaleela; Mastej, Jozef; Prince, Daniel L; Carty, Neal; Johnson, Peter

    2015-01-01

    Covering insertion sites with chlorhexidine impregnated dressings has been proven to be clinically effective in reducing catheter related blood stream infections (CR-BSI). Two chlorhexidine gluconate (CHG)-impregnated dressings are commercially available, a polyurethane foam disk and a film dressing containing a chlorhexidine gluconate-impregnated gel pad. While both have demonstrated efficacy in clinical settings, the major drawback of high cost and impaired IV insertion site visibility limits their usage. A new, simple film dressing containing CHG within its adhesive layer is now available. The objective of this study was to test the in vitro antimicrobial efficacy of the new dressing in comparison to the CHG-impregnated gel dressing. Quantitative aliquots of suspensions (concentration of 1.0x106 to 5.0x106 cfu/sample) of clinically relevant challenge organisms (Staphylococcus species, gram-negative bacilli, Candida albicans) were incubated in contact with the new CHG-containing film dressing, a placebo version of the same (negative control) and the commercially available CHG-impregnated gel dressing (positive control). Serial dilutions of the surviving organisms were quantified using the pour plate after 1, 3, 5, and 7 days of incubation in order to calculate an antimicrobial log10 reduction for each organism/dressing combination at each point in time. The new CHG-containing film dressing delivered greater than 5.0 log10 reduction throughout the 7 days on all aerobic gram-negative bacilli and Staphylococcus species tested. As of day 1 the CHG-containing film dressing provided greater than 5.0 log10 reduction on Candida albicans. There were no statistically significant differences in the log10 reduction between the two dressings tested. The new CHG-containing film dressing was found to be as effective as the chlorhexidine gluconate-impregnated gel dressing on clinically relevant microbes.

  1. Antimicrobial Activity of a Novel Vascular Access Film Dressing Containing Chlorhexidine Gluconate

    PubMed Central

    Wibaux, Anne; Thota, Priyaleela; Mastej, Jozef; Prince, Daniel L.; Carty, Neal; Johnson, Peter

    2015-01-01

    Background Covering insertion sites with chlorhexidine impregnated dressings has been proven to be clinically effective in reducing catheter related blood stream infections (CR-BSI). Two chlorhexidine gluconate (CHG)-impregnated dressings are commercially available, a polyurethane foam disk and a film dressing containing a chlorhexidine gluconate-impregnated gel pad. While both have demonstrated efficacy in clinical settings, the major drawback of high cost and impaired IV insertion site visibility limits their usage. A new, simple film dressing containing CHG within its adhesive layer is now available. The objective of this study was to test the in vitro antimicrobial efficacy of the new dressing in comparison to the CHG-impregnated gel dressing. Methods Quantitative aliquots of suspensions (concentration of 1.0x106 to 5.0x106 cfu/sample) of clinically relevant challenge organisms (Staphylococcus species, gram-negative bacilli, Candida albicans) were incubated in contact with the new CHG-containing film dressing, a placebo version of the same (negative control) and the commercially available CHG-impregnated gel dressing (positive control). Serial dilutions of the surviving organisms were quantified using the pour plate after 1, 3, 5, and 7 days of incubation in order to calculate an antimicrobial log10 reduction for each organism/dressing combination at each point in time. Results The new CHG-containing film dressing delivered greater than 5.0 log10 reduction throughout the 7 days on all aerobic gram-negative bacilli and Staphylococcus species tested. As of day 1 the CHG-containing film dressing provided greater than 5.0 log10 reduction on Candida albicans. There were no statistically significant differences in the log10 reduction between the two dressings tested. Conclusion The new CHG-containing film dressing was found to be as effective as the chlorhexidine gluconate-impregnated gel dressing on clinically relevant microbes. PMID:26599087

  2. Comparing the Effect of Dressing Versus No-dressing on Exit Site Infection and Peritonitis in Chronic Ambulatory Peritoneal Dialysis Patients

    PubMed Central

    Taheri, Shahram; Ahmadnia, Mahdieh; Mortazavi, Mojgan; Karimi, Shirin; Reihani, Homa; Seirafian, Shiva

    2017-01-01

    Bachground: Peritonitis and exit site (ES) infection are two main complications of peritoneal dialysis. There are some controversies regard to preventive strategies for ES care. In this study we compared peritonitis and ES infection rates in patients with and without dressing. Materials and Methods: This historical cohort study carried out on 72 patients under continuous ambulatory peritoneal dialysis treatment, 54 with dressing versus 18 patients without dressing, followed from October 1, 2010 to March 31, 2011 for peritonitis and ES infection. Results: A total of 17 episodes of ES infection occurred in 12 patients in dressing group, but no case was seen in no-dressing group (P = 0.02). Twenty-one episodes of peritonitis occurred in 15 patients in both groups (one episode every 20.6 patient-months). In no-dressing group two episodes occurred in only one patient (one episode every 54 patient-months), and in dressing group, 19 episode in 14 patients (one episode every 17.1 patient-months) (P = 0.03). Peritonitis was significantly more frequent in male versus female in overall patients (38% vs. 14%, P = 0.025) and in dressing group (52% vs. 15%, P = 0.003). In dressing group, peritonitis was more frequent in diabetics versus non-diabetics (48% vs. 11%, P = 0.01). Odds ratio for developing peritonitis was 9.4 in dressing group (95% confidence interval [CI] =1.05 − 84.4; P = 0.045), and 4.4 in men (95% CI = 1.26 − 15.19; P = 0.02). Conclusion: In this study, chronic ES care without dressing was associated with lower risk of peritonitis and ES infection. PMID:28217650

  3. Microbial alginate dressings show improved binding capacity for pathophysiological factors in chronic wounds compared to commercial alginate dressings of marine origin.

    PubMed

    Fischer, Melissa; Gebhard, Florian; Hammer, Timo; Zurek, Christian; Meurer, Guido; Marquardt, Christoph; Hoefer, Dirk

    2017-01-01

    Marine alginates are well established in wound management. Compared with different modern wound dressings, marine alginates cannot prove superior effects on wound healing. Alginates from bacteria have never been studied for medical applications so far, although the microbial polymer raises expectations for improved binding of wound factors because of its unique O-acetylation. Due to its possible positive effects on wound healing, alginates from bacteria might be a superior future medical product for clinical use. To prove the binding capacity of microbial alginates to pathophysiological factors in chronic wounds, we processed microbial alginate fibres, produced from fermentation of the soil bacterium Azotobacter vinelandii ATCC 9046, into needle web dressings and compared them with commercial dressings made of marine alginate. Four dressings were assessed: Marine alginate dressings containing either ionic silver or zinc/manganese/calcium, and microbial alginate dressings with and without nanosilver. All dressings were tested in an in vitro approach for influence on chronic wound parameters such as elastase, matrix metalloproteases-2, tumour necrosis factor-α, interleukin-8, and free radical formation. Despite the alginate origin or addition of antimicrobials, all dressings were able to reduce the concentration of the proinflammatory cytokines TNF-α and IL-8. However, microbial alginate was found to bind considerable larger amounts of elastase and matrix metalloproteases-2 in contrast to the marine alginate dressings. The incorporation of zinc, silver or nanosilver into alginate fibres did not improve their binding capacity for proteases or cytokines. The addition of nanosilver slightly enhanced the antioxidant capacity of microbial alginate dressings, whereas the marine alginate dressing containing zinc/manganese/calcium was unable to inhibit the formation of free radicals. The enhanced binding affinity by microbial alginate of Azotobacter vinelandii to

  4. Dressings and topical agents for treating pressure ulcers.

    PubMed

    Westby, Maggie J; Dumville, Jo C; Soares, Marta O; Stubbs, Nikki; Norman, Gill

    2017-06-22

    Pressure ulcers, also known as bedsores, decubitus ulcers and pressure injuries, are localised areas of injury to the skin or the underlying tissue, or both. Dressings are widely used to treat pressure ulcers and promote healing, and there are many options to choose from including alginate, hydrocolloid and protease-modulating dressings. Topical agents have also been used as alternatives to dressings in order to promote healing.A clear and current overview of all the evidence is required to facilitate decision-making regarding the use of dressings or topical agents for the treatment of pressure ulcers. Such a review would ideally help people with pressure ulcers and health professionals assess the best treatment options. This review is a network meta-analysis (NMA) which assesses the probability of complete ulcer healing associated with alternative dressings and topical agents. To assess the effects of dressings and topical agents for healing pressure ulcers in any care setting. We aimed to examine this evidence base as a whole, determining probabilities that each treatment is the best, with full assessment of uncertainty and evidence quality. In July 2016 we searched the Cochrane Wounds Specialised Register; the Cochrane Central Register of Controlled Trials (CENTRAL); Ovid MEDLINE; Ovid MEDLINE (In-Process & Other Non-Indexed Citations); Ovid Embase and EBSCO CINAHL Plus. We also searched clinical trials registries for ongoing and unpublished studies, and scanned reference lists of relevant included studies as well as reviews, meta-analyses, guidelines and health technology reports to identify additional studies. There were no restrictions with respect to language, date of publication or study setting. Published or unpublished randomised controlled trials (RCTs) comparing the effects of at least one of the following interventions with any other intervention in the treatment of pressure ulcers (Stage 2 or above): any dressing, or any topical agent applied directly

  5. Aquacel(®) Ag dressing versus Acticoat™ dressing in partial thickness burns: a prospective, randomized, controlled study in 100 patients. Part 1: burn wound healing.

    PubMed

    Verbelen, Jozef; Hoeksema, Henk; Heyneman, Alexander; Pirayesh, Ali; Monstrey, Stan

    2014-05-01

    Studies comparing contemporary silver dressings in burns are scarce. In a prospective, randomized, controlled study, counting 50 patients/research group, we compared two frequently used silver dressings, Acticoat™ and Aquacel(®) Ag, in the management of partial thickness burns with a predicted healing time between 7 and 21 days as assessed by laser Doppler imaging between 48 and 72h after burn. Variables investigated were related to baseline research group characteristics, wound healing, bacteriology, economics, nurse, and patient experience. Both research groups were comparably composed taking into account gender, age and burn characteristics. Similar results were obtained as to healing time and bacterial control with both silver dressings. A statistically significant difference in favor of the Aquacel(®) Ag dressing was found for average ease of use (p<0.001), average ease of application (p=0.001), patient pain (p<0.001), patient comfort with the dressing (p=0.017), silver staining (p<0.001), and cost effectiveness (p<0.001). Both silver dressings resulted in comparable healing times and bacterial control but the Aquacel(®) Ag dressing significantly increased comfort for patients as well as nurses and was significantly more cost-effective than the Acticoat™ dressing for the given indication. Copyright © 2013 Elsevier Ltd and ISBI. All rights reserved.

  6. Development of a novel antimicrobial seaweed extract-based hydrogel wound dressing.

    PubMed

    Tan, Shiau Pin; McLoughlin, Peter; O'Sullivan, Laurie; Prieto, Maria Luz; Gardiner, Gillian E; Lawlor, Peadar G; Hughes, Helen

    2013-11-01

    The objective of this study was to develop a novel antimicrobial seaweed wound dressing. The seaweed extract was active against nine clinically-relevant wound pathogens. A hydrogel formulation was prepared using polyvinyl alcohol (PVA) and polyvinylpyrrolidone (PVP), followed by addition of 1% seaweed extract. The antimicrobial properties of the novel dressing were tested using agar diffusion assays, with release-profiles examined using gel leaching and gel transfer assays. The dressing was found to be effective against the same microbial strains as the seaweed extract, with similar efficacy to the commonly used silver-based dressing, Acticoat(®). Antimicrobial release-profile assays revealed that the dressing was effective in inhibiting 70-90% of the bacterial population within the first 30 min, followed by a long, sustained released up to 97 h, without leaving a residue following five subsequent transfers of the dressing. Antimicrobial activity was stable for up to 6 months of storage at 4 °C, but activity was reduced slightly after 15 weeks. Following autoclave sterilization, the dressing displayed a slower release profile compared to a non-autoclaved counterpart. Hence, the seaweed dressing may have commercial applications, potentially competing with silver-based dressings at a lower cost per-application. This is the first report of development of a seaweed-based antimicrobial dressing.

  7. Antimicrobial and release study of drug loaded PVA/PEO/CMC wound dressings.

    PubMed

    Gupta, Bhuvanesh; Agarwal, Roopali; Sarwar Alam, M

    2014-06-01

    The aim of the present study was to develop PVA/PEO/CMC/aloe vera (PPCAV) and PVA/PEO/CMC/curcumin (PPCCu) dressings with nonwoven polyester fabric as the support layer via freeze-drying (FD) approach. Tetracycline hydrochloride drug (TC) was loaded along with curcumin and aloe vera on these dressings. The morphology of the dressings was characterized by scanning electron microscopy. The swelling behavior, water vapor transmission rate (WVTR), in vitro drug release and antimicrobial nature were analyzed to assess the applicability of these freeze-dried membranes as wound dressing materials. The results show that these dressings made from PPCAVTC and PPCCuTC were highly porous with three-dimensional interconnected porous morphology. The cumulative release of drug from the dressings increases with increasing immersion time and continued up to 24 h, after that it gets leveled off. These dressings evidenced wonderful antimicrobial nature in vitro. These dressings were found to have more than 900 % PBS uptake, WVTR was found to be in the range 2,000-2,500 gm(-2) day(-1). These dressings possess many characteristics desirable in an ideal wound dressing material.

  8. Control of electronic transport in graphene by electromagnetic dressing

    PubMed Central

    Kristinsson, K.; Kibis, O. V.; Morina, S.; Shelykh, I. A.

    2016-01-01

    We demonstrated theoretically that the renormalization of the electron energy spectrum near the Dirac point of graphene by a strong high-frequency electromagnetic field (dressing field) drastically depends on polarization of the field. Namely, linear polarization results in an anisotropic gapless energy spectrum, whereas circular polarization leads to an isotropic gapped one. As a consequence, the stationary (dc) electronic transport in graphene strongly depends on parameters of the dressing field: A circularly polarized field monotonically decreases the isotropic conductivity of graphene, whereas a linearly polarized one results in both giant anisotropy of conductivity (which can reach thousands of percents) and the oscillating behavior of the conductivity as a function of the field intensity. Since the predicted phenomena can be observed in a graphene layer irradiated by a monochromatic electromagnetic wave, the elaborated theory opens a substantially new way to control electronic properties of graphene with light. PMID:26838371

  9. Control of electronic transport in graphene by electromagnetic dressing.

    PubMed

    Kristinsson, K; Kibis, O V; Morina, S; Shelykh, I A

    2016-02-03

    We demonstrated theoretically that the renormalization of the electron energy spectrum near the Dirac point of graphene by a strong high-frequency electromagnetic field (dressing field) drastically depends on polarization of the field. Namely, linear polarization results in an anisotropic gapless energy spectrum, whereas circular polarization leads to an isotropic gapped one. As a consequence, the stationary (dc) electronic transport in graphene strongly depends on parameters of the dressing field: A circularly polarized field monotonically decreases the isotropic conductivity of graphene, whereas a linearly polarized one results in both giant anisotropy of conductivity (which can reach thousands of percents) and the oscillating behavior of the conductivity as a function of the field intensity. Since the predicted phenomena can be observed in a graphene layer irradiated by a monochromatic electromagnetic wave, the elaborated theory opens a substantially new way to control electronic properties of graphene with light.

  10. Using absorbable chitosan hemostatic sponges as a promising surgical dressing.

    PubMed

    Huang, Xiaofei; Sun, Yongfu; Nie, Jingyi; Lu, Wentao; Yang, Ling; Zhang, Zhiliang; Yin, Hongping; Wang, Zhengke; Hu, Qiaoling

    2015-04-01

    As absorbable hemostatic dressings, chitosan with a deacetylation degree of 40% (CS-40) and 73% (CS-73) have been fabricated into sponges via a modified method. The hemostatic, biocompatible and biodegradable properties were evaluated through in vivo assays. In a hepatic hemorrhage model, the chitosan sponges, with excellent blood compatibility, achieved less blood loss than the gelation sponge (GS). In addition, CS-40 showed better hemostatic capability and biodegradability than CS-73. After implantation, a histological analysis indicated that CS-40 exhibited the best biodegradability, tissue regeneration and least tissue adhesion. By contrasting CS-40 and CS-73, the deacetylation degree is confirmed to be a key factor for the hemostatic effect, biodegradability, biocompatibility and tissue regeneration. Our overall results demonstrated the potential application of CS-40 for use in absorbable hemostatic dressings.

  11. Nonadiabatic Holonomic Quantum Computation with Dressed-State Qubits

    NASA Astrophysics Data System (ADS)

    Xue, Zheng-Yuan; Gu, Feng-Lei; Hong, Zhuo-Ping; Yang, Zi-He; Zhang, Dan-Wei; Hu, Yong; You, J. Q.

    2017-05-01

    Implementing holonomic quantum computation is a challenging task as it requires complicated interaction among multilevel systems. Here we propose to implement nonadiabatic holonomic quantum computation based on dressed-state qubits in circuit QED. An arbitrary holonomic single-qubit gate can be conveniently achieved using external microwave fields and tuning their amplitudes and phases. Meanwhile, nontrivial two-qubit gates can be implemented in a coupled-cavities scenario assisted by a grounding superconducting quantum-interference device (SQUID) with tunable interaction, where the tuning is achieved by modulating the ac flux threaded through the SQUID. In addition, our proposal is directly scalable, up to a two-dimensional lattice configuration. In the present scheme, the dressed states involve only the lowest two levels of each transmon qubit, and the effective interactions exploited are all of resonant nature. Therefore, we release the main difficulties for physical implementation of holonomic quantum computation on superconducting circuits.

  12. Dressing and grooming: preferences of community-dwelling older adults.

    PubMed

    Cohen-Mansfield, Jiska; Jensen, Barbara

    2007-02-01

    This study explored dressing and grooming habits and preferences of older adults. Fifty-eight community-dwelling older persons (mean age = 80 years) in suburban Maryland responded to the Self-maintenance Habits and Preferences in Elderly (SHAPE) questionnaire. There was a large variability in preferences, and all items were very important for at least some of the participants. Women attributed higher levels of importance to dressing and grooming than did men. Importance ratings increased with level of education and were higher for unmarried persons, but were not related to age or need for assistance with instrumental activities of daily living (IADLs). On an individual basis, this information can be used to suggest items for interventions or to structure a personal care environment. Alternately, it can be used in the aggregate as a guideline for designing programs of care to reflect the preferences of a majority of older persons.

  13. Radio-frequency dressed lattices for ultracold alkali atoms

    NASA Astrophysics Data System (ADS)

    Sinuco-León, German A.; Garraway, Barry M.

    2015-05-01

    Ultracold atomic gases in periodic potentials are powerful platforms for exploring quantum physics in regimes dominated by many-body effects as well as for developing applications that benefit from quantum mechanical effects. Further advances face a range of challenges including the realization of potentials with lattice constants smaller than optical wavelengths as well as creating schemes for effective addressing and manipulation of single sites. In this paper we propose a dressed-based scheme for creating periodic potential landscapes for ultracold alkali atoms with the capability of overcoming such difficulties. The dressed approach has the advantage of operating in a low-frequency regime where decoherence and heating effects due to spontaneous emission do not take place. These results highlight the possibilities of atom-chip technology in the future development of quantum simulations and quantum technologies, and provide a realistic scheme for starting such an exploration.

  14. Electron emission in collisions between atoms and dressed projectiles

    NASA Astrophysics Data System (ADS)

    Mondal, A.; Ghosh, T. K.; Mandal, C. R.; Purkait, M.

    2016-12-01

    We present theoretical results for electron emission in collisions between helium atoms and dressed projectiles at high energies. Double-differential cross sections (DDCSs) as a function of the emitted electron energies and angles are calculated. In our study we have applied the three-body formalism using the three-Coulomb wave (3CW-3B) model. The interaction between the dressed projectile and the active electron in the target has been approximated by a model potential having both a long-range Coulomb potential part and a short-range part. However, the active electron in the target has been treated as hydrogenic. We have also studied the projectile charge state dependence of the DDCS. Our theoretical results are compared with available experimental data as well as other theoretical calculations. The comparison shows a good agreement between the present calculations and the measurements. The obtained results are also compatible with other theoretical findings.

  15. Resonant scattering of surface plasmon polaritons by dressed quantum dots

    SciTech Connect

    Huang, Danhong; Cardimona, Dave; Easter, Michelle; Gumbs, Godfrey; Maradudin, A. A.; Lin, Shawn-Yu; Zhang, Xiang

    2014-06-23

    The resonant scattering of surface plasmon-polariton waves (SPP) by embedded semiconductor quantum dots above the dielectric/metal interface is explored in the strong-coupling regime. In contrast to non-resonant scattering by a localized dielectric surface defect, a strong resonant peak in the spectrum of the scattered field is predicted that is accompanied by two side valleys. The peak height depends nonlinearly on the amplitude of SPP waves, reflecting the feedback dynamics from a photon-dressed electron-hole plasma inside the quantum dots. This unique behavior in the scattered field peak strength is correlated with the occurrence of a resonant dip in the absorption spectrum of SPP waves due to the interband photon-dressing effect. Our result on the scattering of SPP waves may be experimentally observable and applied to spatially selective illumination and imaging of individual molecules.

  16. Sulfasalazine-induced linear immunoglobulin A bullous dermatosis with DRESS.

    PubMed

    Hernández, N; Borrego, L; Soler, E; Hernández, J

    2013-05-01

    Linear immunoglobulin (Ig) A dermatosis is an immune-mediated bullous disease characterized by linear deposits of IgA along the basal membrane. While usually idiopathic, it can occasionally be induced by drug exposure. We report the case of a 60-year-old woman with rheumatoid arthritis being treated with sulfasalazine who developed linear IgA dermatosis and drug rash with eosinophilia and systemic symptoms (DRESS). The dermatosis and associated symptoms resolved following withdrawal of the drug and treatment with systemic corticosteroids for 2 months. This is the first report of sulfasalazine-induced linear IgA dermatosis in association with DRESS and we believe that sulfasalazine should be added to the list of drugs that can cause linear IgA dermatosis.

  17. High-order harmonic generation from the dressed autoionizing states

    NASA Astrophysics Data System (ADS)

    Fareed, M. A.; Strelkov, V. V.; Thiré, N.; Mondal, S.; Schmidt, B. E.; Légaré, F.; Ozaki, T.

    2017-07-01

    In high-order harmonic generation, resonant harmonics (RH) are sources of intense, coherent extreme-ultraviolet radiation. However, intensity enhancement of RH only occurs for a single harmonic order, making it challenging to generate short attosecond pulses. Moreover, the mechanism involved behind such RH was circumstantial, because of the lack of direct experimental proofs. Here, we demonstrate the exact quantum paths that electron follows for RH generation using tin, showing that it involves not only the autoionizing state, but also a harmonic generation from dressed-AIS that appears as two coherent satellite harmonics at frequencies +/-2Ω from the RH (Ω represents laser frequency). Our observations of harmonic emission from dressed states open the possibilities of generating intense and broadband attosecond pulses, thus contributing to future applications in attosecond science, as well as the perspective of studying the femtosecond and attosecond dynamics of autoionizing states.

  18. Species-selective confinement of atoms dressed with multiple radiofrequencies

    NASA Astrophysics Data System (ADS)

    Bentine, E.; Harte, T. L.; Luksch, K.; Barker, A. J.; Mur-Petit, J.; Yuen, B.; Foot, C. J.

    2017-05-01

    Methods to manipulate the individual constituents of an ultracold quantum gas mixture are essential tools for a number of applications, such as the direct quantum simulation of impurity physics. We investigate a scheme in which species-selective control is achieved using magnetic potentials dressed with multiple radiofrequencies, exploiting the different Landé {g}F-factors of the constituent atomic species. We describe a mixture dressed with two frequencies, where atoms are confined in harmonic potentials with a controllable degree of overlap between the two atomic species. This is then extended to a four radiofrequency scheme in which a double well potential for one species is overlaid with a single well for the other. The discussion is framed with parameters that are suitable for a {}85{Rb} and {}87{Rb} mixture, but is readily generalised to other combinations.

  19. How to perform a tracheostomy dressing and inner cannula change.

    PubMed

    Credland, Nicola

    2016-03-23

    RATIONALE AND KEY POINTS: Proactive tracheostomy management increases patient safety and reduces adverse events. ▶ A cleaning regimen performed every four hours reduces the risk of a blocked tracheostomy cannula, complete tube occlusion and respiratory arrest. ▶ Sterile tracheostomy dressings allow secretions from the stoma to be absorbed and prevent pressure damage from the tracheostomy tube. ▶ Regular dressing changes and skin inspection permit timely identification of inflammatory processes and skin excoriation, enabling prompt treatment to be instigated. REFLECTIVE ACTIVITY: Clinical skills articles can help update your practice and ensure it remains evidence based. Apply this article to your practice. Reflect on and write a short account of: 1. How this article will change your practice. 2. How you intend to develop your knowledge and skills regarding tracheostomy management.

  20. Dressings and topical agents for preventing pressure ulcers.

    PubMed

    Moore, Zena E H; Webster, Joan

    2013-08-18

    Pressure ulcers, which are localised injury to the skin, or underlying tissue or both, occur when people are unable to reposition themselves to relieve pressure on bony prominences. Pressure ulcers are often difficult to heal, painful and impact negatively on the individual's quality of life. The cost implications of pressure ulcer treatment are considerable, compounding the challenges in providing cost effective, efficient health services. Efforts to prevent the development of pressure ulcers have focused on nutritional support, pressure redistributing devices, turning regimes and the application of various topical agents and dressings designed to maintain healthy skin, relieve pressure and prevent shearing forces. Although products aimed at preventing pressure ulcers are widely used, it remains unclear which, if any, of these approaches are effective in preventing the development of pressure ulcers. To evaluate the effects of dressings and topical agents on the prevention of pressure ulcers, in people of any age without existing pressure ulcers, but considered to be at risk of developing a pressure ulcer, in any healthcare setting. In February 2013 we searched the following electronic databases to identify reports of relevant randomised clinical trials (RCTs): the Cochrane Wounds Group Specialised Register; the Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library); Database of Abstracts of Reviews of Effects (The Cochrane Library); Ovid MEDLINE; Ovid MEDLINE (In-Process & Other Non-Indexed Citations); Ovid EMBASE; and EBSCO CINAHL. We included RCTs evaluating the use of dressings, topical agents, or topical agents with dressings, compared with a different dressing, topical agent, or combined topical agent and dressing, or no intervention or standard care, with the aim of preventing the development of a pressure ulcer. We assessed trials for their appropriateness for inclusion and for their risk of bias. This was done by two review

  1. Preparation and evaluation of biocomposites as wound dressing material.

    PubMed

    Ramnath, V; Sekar, S; Sankar, S; Sankaranarayanan, C; Sastry, T P

    2012-12-01

    Collagen was isolated from the chrome containing leather waste (CCLW) which is a major solid waste in leather industry. Composite films were made using sago starch (SG), soya protein (SY), and collagen (C) and were cross linked with glutaraldehyde (G).The films prepared were characterized for their physico chemical properties like tensile strength, infrared spectra, thermogravimetric analysis, surface morphology, and water absorption studies. Better mechanical properties and surface morphology were observed for SG-SY-G-C films compared to other films prepared using collagen. The composite films prepared were used as wound dressing material on the experimental wounds of rats and healing pattern was evaluated using planimetric, biochemical, and histopathological studies. These studies have revealed better wound healing capacity of SG-SY-G-C film and utilization of CCLW in the preparation of value added product like wound dressing material.

  2. Development of an Ultrafast-Curing Wound Dressing

    DTIC Science & Technology

    1985-03-15

    AD V TE4337-53-85 DEVELOPMENT OF AN SULTRAFAST-CURING WOUND DRESSING ANNUAL REPORT 0 Michael Szycher, Ph.D. and Jonathan L. Rolfe March 15, 1985...in this report are not to be construed as.. j an official Department of the Army position unless so A designated by other authorized documents. 85 12...10 037 SECURITY CLASSI’ICATION OF THIS’PAGE .... REPORT DOCUMENTATION PAGE Ia. REPORT SECURITY CLASSIFICATION lb. RESTRICTIVE MARKINGS Unc lassif ied

  3. Cytotoxicity testing of burn wound dressings: first results.

    PubMed

    Hajská, M; Dragúňová, J; Koller, J

    2017-06-01

    Topical antimicrobial therapy represents an essential part of burn wound care. In order to prevent and treat burn wound infection dressings with antimicrobial properties are applied directly on the wound surface. Not only the infection control but also promotion of healing is very important in burn wound management. It is well known, that a dressing in bactericidal concentration might also delay wound healing. This study was aimed to evaluate the potential toxic effect of topical antimicrobial agents on murine and human dermal cells. For toxicity testing the method by Vittekova et al. was used to evaluate potential toxic effects of 16 agents and 6 control samples on two in vitro cultured cell systems [3T3 cells and dermal fibroblasts] during the first 24 h. Following the 24 h cell culture with the tested agents the live cell counts were evaluated. According to results obtained on both cell systems, the tested samples were divided into three groups-nontoxic, semi-toxic and toxic. Nontoxic samples included Acetic acid 1%, Acticoat(®), Dermacyn(®), Framykoin(®), Silverlon(®), gauze, acellular human allodermis and acellular porcine xenodermis. Semi-toxic group included Algivon(®)Plus, Aquacel(®)Ag, Betadine(®), Nitrofurazone, Octenisept(®), Suprasorb(®) A and a porcine dermal scaffold Xeno-Impl. Finally, the toxic group included Algivon(®), Dermazin(®), Ialugen(®)Plus, Prontoderm(®), Suprasorb(®) A Ag and 20% SDS. As the preliminary results of this study have shown, our findings may serve as a potential guide to selection of the most appropriate topical antimicrobial dressings for treatmet of burns. However before they can be translated into clinical practice recommendations, more research on antimicrobial dressings cytotoxicity testing will be necessary.

  4. Resonant Scattering of Surface Plasmon Polaritons by Dressed Quantum Dots

    DTIC Science & Technology

    2014-06-23

    Resonant scattering of surface plasmon polaritons by dressed quantum dots Danhong Huang,1 Michelle Easter,2 Godfrey Gumbs,3 A. A. Maradudin,4 Shawn... polariton waves (SPP) by embedded semiconductor quantum dots above the dielectric/metal interface is explored in the strong-coupling regime. In con- trast to...induced polarization field, treated as a source term9 arising from photo-excited electrons, allows for a resonant scattering of surface plasmon- polariton

  5. A Preliminary Study on Dressing Patterns and Incidence of Candidiasis

    PubMed Central

    Elegbe, Isaac A.; Botu, Modupe

    1982-01-01

    The incidence of candidiasis in two groups of voluntary participants wearing tight and loose fitted dresses was investigated by both microscopic and cultural techniques for a period of two months. Two-thirds of the positives by stain and culture were recovered from those wearing tight clothing (P < 0.05). The findings suggest that tight clothing can predispose the wearer to candidiasis, an organism that can cause vaginitis. (Am J Public Health 1982; 72:176-177.) PMID:7034553

  6. Dressing up nursing diagnoses: a critical-thinking strategy.

    PubMed

    Sedlak, C A; Ludwick, R

    1996-01-01

    Teaching nursing diagnoses to beginning students who have no clinical experiences challenges educators to use their creative energies in developing strategies that facilitate students' critical-thinking skills. Dressing Up Nursing Diagnoses is a fun and creative classroom teaching strategy you can use during the Halloween season to help beginning students formulate nursing diagnoses. Two nurse educators describe their successful experiences with this unique teaching strategy.

  7. Coherent control of Floquet-mode dressed plasmon polaritons

    NASA Astrophysics Data System (ADS)

    Frank, Regine

    2012-05-01

    We study the coherent properties of plasmon polaritons optically excited on periodic nanostructures. The gold grains are coupled to a single-mode photonic waveguide which exhibits a dramatically reduced transmission originating from the derived quantum interference. With a nonequilibrium description of Floquet-dressed polaritons we demonstrate the switching of light transmission through the waveguide due to sheer existence of intraband transitions in gold from right above the Fermi level driven by the external laser light.

  8. Avance: silver hydropolymer dressing for critically colonized wounds.

    PubMed

    Ballard, Kate; McGregor, Fiona

    Avance is a hydropolymer dressing that has a silver compound bonded into it. The silver acts as a bacterial shield to prevent bacterial invasion, and as a bacterial barrier to impede cross-infection. This article aims to give an overview of the use of silver in eradicating surface bacteria, and provides case study evidence of the use of Avance on the leg ulcers of two patients. Both patients had complex medical histories and underlying aetiologies that delayed the wound-healing process.

  9. Bio-Conjugated Polycaprolactone Membranes: A Novel Wound Dressing

    PubMed Central

    Cai, Elijah Zhengyang; Teo, Erin Yiling; Jing, Lim; Koh, Yun Pei; Qian, Tan Si; Wen, Feng; Lee, James Wai Kit; Hing, Eileen Chor Hoong; Yap, Yan Lin; Lee, Hanjing; Lee, Chuen Neng; Teoh, Swee-Hin; Lim, Jane

    2014-01-01

    Background The combination of polycaprolactone and hyaluronic acid creates an ideal environment for wound healing. Hyaluronic acid maintains a moist wound environment and accelerates the in-growth of granulation tissue. Polycaprolactone has excellent mechanical strength, limits inflammation and is biocompatible. This study evaluates the safety and efficacy of bio-conjugated polycaprolactone membranes (BPM) as a wound dressing. Methods 16 New Zealand white rabbits were sedated and local anaesthesia was administered. Two 3.0×3.0 cm full-thickness wounds were created on the dorsum of each rabbit, between the lowest rib and the pelvic bone. The wounds were dressed with either BPM (n=12) or Mepitel (n=12) (control), a polyamide-silicon wound dressing. These were evaluated macroscopically on the 7th, 14th, 21st, and 28th postoperative days for granulation, re-epithelialization, infection, and wound size, and histologically for epidermal and dermal regeneration. Results Both groups showed a comparable extent of granulation and re-epithelialization. No signs of infection were observed. There was no significant difference (P>0.05) in wound size between the two groups. BPM (n=6): 8.33 cm2, 4.90 cm2, 3.12 cm2, 1.84 cm2; Mepitel (n=6): 10.29 cm2, 5.53 cm2, 3.63 cm2, 2.02 cm2; at the 7th, 14th, 21st, and 28th postoperative days. The extents of epidermal and dermal regeneration were comparable between the two groups. Conclusions BPM is comparable to Mepitel as a safe and efficacious wound dressing. PMID:25396174

  10. Chitosan-containing hydrogel wound dressings prepared by radiation technique

    NASA Astrophysics Data System (ADS)

    Mozalewska, Wiktoria; Czechowska-Biskup, Renata; Olejnik, Alicja K.; Wach, Radoslaw A.; Ulański, Piotr; Rosiak, Janusz M.

    2017-05-01

    The aim of the study was to develop an antimicrobial hydrogel wound dressing by means of radiation-initiated crosslinking of hydrophilic polymers, i.e. by well-established technology comprising gel manufacturing and its sterilization in one process. The approach included admixture of chitosan of relatively low molecular weight dissolved in lactic acid (LA) into the initial regular components of the conventional hydrogel dressing based on poly(N-vinyl pyrrolidone) (PVP) and agar. Molecular weight of chitosan was regulated by radiation-initiated degradation in the range of 39-132 kg mol-1. Optimum total concentration of LA in the resultant hydrogel dressing was evaluated as 0.05 mol dm-3, that is ca. 0.5%. Presence of LA in the system influenced essential radiation and technological parameters of hydrogel manufacturing. The setting temperature of the pre-hydrogel mixture, resulting from agar ability to congeal, was reduced with LA concentration, yet remained significantly above the room temperature. 0.5% of chitosan was effectively dissolved in aqueous solution of lactic acid due to its pH (lower than 5.5). Radiation parameters of PVP crosslinking in the presence of LA, as determined with generalized Charlesby-Pinner equation, were reflected in slight reduction of the maximum gel fraction and increase in gelation dose and in the factor comparing yields of scission to crosslinking. Nevertheless, essentially physical characteristics of the hydrogel was not affected, except for somewhat increased water uptake capacity, what in turn improves functionality of the dressing as extensive exudate for the wound can be efficiently absorbed. Preliminary microbiological studies showed antimicrobial character of the chitosan-containing hydrogel towards Gram-positive bacterial strain.

  11. Bi-Layer Wound Dressing System for Combat Casualty Care

    DTIC Science & Technology

    2004-08-01

    loading concentration used. The magnitude of this relationship is likely to be material-specific, as we have previously shown a two-fold reduction...mupirocin cream was effective in reducing the bacterial load of foreign-body induced skin wound infections even when the treatment was delayed by... load in superficial muscles in a rat model of established wound infection [24]. Although it appears an important consideration that the dressing

  12. A multicentred cohort evaluation of a chitosan gelling fibre dressing.

    PubMed

    Mason, Sue; Clarke, Caroline

    A multicentre cohort evaluation was undertaken by 15 clinicans in 11 centres across Staffordshire community care on chitosan gelling fibre dressing (Kytocel(®)). The aim of this evaluation was to examine whether the new fibre dressing improved healing outcomes for patients with chronic non-healing wounds of 6 weeks or more, observations were made regarding tissue type, fluid handling, haemostasis in bleeding friable wounds and increased granulation. Quality of life observations regarding leaking, strikethrough, pain, wear time and malodour were observed over a 4-week period or until healed. A total of 18 patients took part; 13 women and 5 men, with a mean age of 60.7 years. Fifteen (83%) had wounds in excess of 12 weeks and nine (50%) received care within wound clinics compared to home visits. Eleven (61%) patients' wounds healed within 4 weeks. A number of quality-of-life issues were addressed successfully, namely reduction in malodour and fluid handling. Sixteen (89%) rated the dressing's overall performance as very good to good.

  13. Vancomycin-induced DRESS syndrome in a female patient.

    PubMed

    Vauthey, Laetitia; Uçkay, Ilker; Abrassart, Sophie; Bernard, Louis; Assal, Mathieu; Ferry, Tristan; Djordjevic, Marina; Roussos, Constantinos; Vaudaux, Pierre

    2008-01-01

    DRESS syndrome (drug rash with eosinophilia and systemic symptoms) is a hypersensitivity reaction with skin rashes, eosinophilia, fever, lymph node enlargement and internal organ involvement. A 60-year-old diabetic woman was hospitalized at the University Hospitals of Geneva for mid-leg amputation due to peripheral arterial occlusive disease. No drug allergy was reported. Because of a wound infection by methicillin-resistant Staphylococcus aureus, treatment with vancomycin (2 g/day) in continuous perfusion was initiated. Approximately 2 weeks later, she developed a toxidermia with fever, a progressive maculopapular skin rash, eosinophilia and acute renal insufficiency. The skin biopsy revealed a necrosis with lymphocytic and eosinophilic infiltrations, supporting the suspicion of DRESS syndrome. A cure was achieved by the withdrawal of vancomycin and the administration of methylprednisolone (1 g/day), antihistaminics and topical mometasone, without the introduction of other antibiotics. Vancomycin can be a cause of DRESS syndrome. A high index of suspicion is warranted in order not to miss this potentially lethal disease. Copyright 2008 S. Karger AG, Basel.

  14. Polymer-xerogel composites for controlled release wound dressings.

    PubMed

    Costache, Marius C; Qu, Haibo; Ducheyne, Paul; Devore, David I

    2010-08-01

    Many polymers and composites have been used to prepare active wound dressings. These materials have typically exhibited potentially toxic burst release of the drugs within the first few hours followed by a much slower, potentially ineffective drug release rate thereafter. Many of these materials also degraded to produce inflammatory and cytotoxic products. To overcome these limitations, composite active wound dressings were prepared here from two fully biodegradable and tissue compatible components, silicon oxide sol-gel (xerogel) microparticles that were embedded in tyrosine-poly(ethylene glycol)-derived poly(ether carbonate) copolymer matrices. Sustained, controlled release of drugs from these composites was demonstrated in vitro using bupivacaine and mepivacaine, two water-soluble local anesthetics commonly used in clinical applications. By systematically varying independent compositional parameters of the composites, including the hydrophilic:hydrophobic balance of the tyrosine-derived monomers and poly(ethylene glycol) in the copolymers and the porosity, weight ratio and drug content of the xerogels, drug release kinetics approaching zero-order were obtained. Composites with xerogel mass fractions up to 75% and drug payloads as high as 13% by weight in the final material were fabricated without compromising the physical integrity or the controlled release kinetics. The copolymer-xerogel composites thus provided a unique solution for the sustained delivery of therapeutic agents from tissue compatible wound dressings. 2010 Elsevier Ltd. All rights reserved.

  15. Theory and practice of dressed coherent states in circuit QED

    NASA Astrophysics Data System (ADS)

    Wilhelm, Frank; Govia, Luke C. G.

    In the dispersive regime of qubit-cavity coupling, classical cavity drive populates the cavity, but leaves the qubit state unaffected. However, the dispersive Hamiltonian is derived after both a frame transformation and an approximation. Therefore, to connect to external experimental devices, the inverse frame transformation from the dispersive frame back to the lab frame is necessary. We show that in the lab frame the system is best described by an entangled state known as the dressed coherent state, and thus even in the dispersive regime, entanglement is generated between the qubit and the cavity. Also, we show that further qubit evolution depends on both the amplitude and phase of the dressed coherent state. This provides a limitation to readout in the dispersive regime. We show that only in the limit of infinite measurement time is this protocol QND, as the formation of a dressed coherent state in the qubit-cavity system applies an effective rotation to the qubit state. We show how this rotation can be corrected by a unitary operation, leading to improved qubit initialization by measurement and unitary feedback.] L.C.G. Govia and F.K. Wllhelm Phys. Rev. Applied 4, 054001 (2015) LC.G. Govia and F.K. Wilhelm, arXiv:1506.04997 Supported by the ARO under contract W911NF-14-1-0080 and the European Union through ScaleQIT. LCGG acknowledges support from NSERC through an NSERC PGS-D.

  16. Chitin membranes containing silver nanoparticles for wound dressing application.

    PubMed

    Singh, Rita; Singh, Durgeshwer

    2014-06-01

    Silver nanoparticles are gaining importance as an antimicrobial agent in wound dressings. Chitin is a biopolymer envisioned to promote rapid dermal regeneration and accelerate wound healing. This study was focused on the evaluation of chitin membranes containing silver nanoparticles for use as an antimicrobial wound dressing. Silver nanoparticles were synthesised by gamma irradiation at doses of 50 kGy in the presence of sodium alginate as stabiliser. The UV-Vis absorption spectra of nanoparticles exhibited an absorption band at 415-420 nm, which is the typical plasmon resonance band of silver nanoparticles. The peaks in the X-ray diffraction (XRD) pattern are in agreement with the standard values of the face-centred cubic silver. Transmission electron microscopy (TEM) images indicate silver nanoparticles with spherical morphology and small particle size in the range of 3-13 nm. In vitro antimicrobial tests were performed using Pseudomonas aeruginosa and Staphylococcus aureus to determine the antimicrobial efficiency of the chitin membranes containing 30, 50, 70 and 100 ppm nanosilver. No viable counts for P. aeruginosa were detected with 70 ppm silver nanoparticles dressing after 1-hour exposure. A 2-log reduction in viable cell count was observed for S. aureus after 1 hour and a 4-log reduction after 6 hours with 100 ppm nanosilver chitin membranes. This study demonstrates the antimicrobial capability of chitin membranes containing silver nanoparticles. The chitin membranes with 100 ppm nanosilver showed promising antimicrobial activity against common wound pathogens.

  17. DRESS syndrome associated with type 2 diabetes in a child

    PubMed Central

    Erdem, Semiha Bahceci; Bag, Ozlem; Karkiner, Canan Sule Unsal; Korkmaz, Huseyin Anil; Can, Demet

    2016-01-01

    Drug rash with eosinophilia and systemic symptoms (DRESS) syndrome is an uncommon, life-threatening drug reaction. The basic findings are skin rash, multiorgan involvement, and eosinophilia. Most of the aromatic anticonvulsants, such as phenytoin, phenobarbital and carbamazepine can induce DRESS. Herein we report a 14-year-old patient with DRESS syndrome related to carbamazepine use. The patient presented with signs of involvement of the skin, lungs, liver, and microscopic hematuria. Carbamazepine treatment was discontinued; antihistamines and steroids were started. Hyperglycemia, commencing on the first dose of the steroid given, persisted even after the discontinuation of steroids and improvement of other signs. There were no signs of pancreatitis or type 1 diabetes clinically in laboratory tests. Her blood glucose levels were regulated at first with insulin and later with metformin. Within 1 year of follow-up, still regulated with oral antidiabetics, she has been diagnosed with type 2 diabetes. Formerly, long-term sequelae related to “drug rash with eosinophilia and systemic symptoms syndrome” such as hepatic and renal failure, type 1 diabetes mellitus, Grave's disease, autoimmune hemolytic anemia, and lupus have also been reported. However, up to date, no cases with type 2 diabetes have been reported as long-term sequelae. To our knowledge, this is the first case in the literature presenting with type 2 diabetes as long-term sequelae. PMID:26862317

  18. The application of moist dressing in treating burn wound

    PubMed Central

    Wei, Liu

    2015-01-01

    Basic experiments have demonstrated that the effect of wound healing in moist environments is better than that in dry environments; therefore, research on moist dressing is the focus of wound healing research. 42 burn patients receiving treatment in Jiangsu Provincial People’s Hospital were selected as experimental cases. Wound surface is divided into treatment group and control group using a self-contrasted method. The treatment group received a moist dressing in the treatment of burn wounds and the control group adopted iodine gauze or Vaseline gauze coverage. Wound healing effect and the impact on the degree of pain of in the two different treatment methods were observed after treatment. The results of 42 patients were included in the analysis. The average healing time of patients’ burn wounds in treatment group is (10.9 3.3) d, and the average healing time in control group is (13.8 3.6) d, so, the difference is significant (P<0.01). Wound pain in the treatment group is significantly lower than that in the control group (P<0.01). Using moist dressing (Mepitel and Mepilex, etc.) in the treatment of burn wounds, wound-healing time can be shortened and wound pain can be reduced significantly. PMID:28352735

  19. Use of CMC foam sinus dressing in FESS.

    PubMed

    Szczygielski, Kornel; Rapiejko, Piotr; Wojdas, Andrzej; Jurkiewicz, Dariusz

    2010-04-01

    Aim is to determine the efficacy and pain level associated with the use of dissolvable carboxymethyl cellulose (CMC) foam dressing in functional endoscopic sinus surgery (FESS) in adult patients. In the present prospective study, 60 patients with bilateral chronic rhinosinusitis were included. All patients underwent bilateral FESS. Thirty patients had both nasal cavities packed with dissolvable CMC foam (CMCF) and another 30 patients had their nasal cavities packed with routine nasal packing (RNP) in latex glove fingers. The haemostatic effect of the CMCF was assessed during the recovery period, and pain levels were recorded by the patients on a visual analogue scale 24 h after surgery. The prevalence of postoperative middle meatal synechia formation was assessed 1, 2, 4 and 8 weeks after the operation. Four (13.3%) of the patients packed with CMCF had primary postoperative bleeding during the recovery period and required additional dressing. Bleeding appeared in two (6.7%) patients packed with RNP. The mean level of pain was 0.962 (range 0-4) for patients packed with CMCF but was 5.5 (range 3-9) for patients packed with RNP. Four (6.7%) of 26 CMCF patients and 10 (35.7%) of 28 RNP patients developed a synechia in the middle meatus. We found that dissolvable CMC foam dressing is associated with very low levels of localised pain and with low levels of postoperative bleeding and synechia formation.

  20. A simplified model for TIG-dressing numerical simulation

    NASA Astrophysics Data System (ADS)

    Ferro, P.; Berto, F.; James, M. N.

    2017-04-01

    Irrespective of the mechanical properties of the alloy to be welded, the fatigue strength of welded joints is primarily controlled by the stress concentration associated with the weld toe or weld root. In order to reduce the effects of such notch defects in welds, which are influenced by tensile properties of the alloy, post-weld improvement techniques have been developed. The two most commonly used techniques are weld toe grinding and TIG dressing, which are intended to both remove toe defects such as non-metallic intrusions and to re-profile the weld toe region to give a lower stress concentration. In the case of TIG dressing the weld toe is re-melted to provide a smoother transition between the plate and the weld crown and to beneficially modify the residual stress redistribution. Assessing the changes to weld stress state arising from TIG-dressing is most easily accomplished through a complex numerical simulation that requires coupled thermo-fluid dynamics and solid mechanics. However, this can be expensive in terms of computational cost and time needed to reach a solution. The present paper therefore proposes a simplified numerical model that overcomes such drawbacks and which simulates the remelted toe region by means of the activation and deactivation of elements in the numerical model.

  1. Nonequilibrium dressing in a cavity with a movable reflecting mirror

    NASA Astrophysics Data System (ADS)

    Armata, Federico; Kim, M. S.; Butera, Salvatore; Rizzuto, Lucia; Passante, Roberto

    2017-08-01

    We consider a movable mirror coupled to a one-dimensional massless scalar field in a cavity. Both the field and the mirror's mechanical degrees of freedom are described quantum mechanically, and they can interact with each other via the radiation pressure operator. We investigate the dynamical evolution of mirror and field starting from a nonequilibrium initial state, and their local interaction which brings the system to a stationary configuration for long times. This allows us to study the time-dependent dressing process of the movable mirror interacting with the field, and its dynamics leading to a local equilibrium dressed configuration. Also, in order to explore the effect of the radiation pressure on both sides of the movable mirror, we generalize the effective field-mirror Hamiltonian and previous results to the case of two cavities sharing the same mobile boundary. This leads us to address, in the appropriate limit, the dynamical dressing problem of a single mobile wall, bounded by a harmonic potential, in the vacuum space.

  2. A Dressed Atom Description of the Bichromatic Force

    NASA Astrophysics Data System (ADS)

    Yatsenko, Leonid; Metcalf, Harold

    2004-05-01

    We have elaborated on the dressed atom description of the bichromatic force initially proposed by Grimm et al(R. Grimm et al., Opt. Lett. 19), 658 (1994).^,(R. Grimm et al., Proceeding of the International School of Physics, ``Enrico Fermi", Course CXXXI, IOS Press, Amsterdam 1996.). We present two completely equivalent Floquet Hamiltonians that mimic the ``atom plus field" system of the dressed atom spectrum. One is best for high velocities and the other for small velocities (kv relative to 2δ, the bichromatic frequency difference). Then we argue that the force arises from the exchange of kinetic energy with the ``atom plus field" system. But transitions between the dressed states must occur by Landau-Zener (LZ) transitions as the atoms pass through exact or small crossings, and calculate these rates from the eigenstates of the Floquet Hamiltonian. We find that some ``anti-crossings" are passed adiabatically and some non-adiabatically, and the criterion is the atomic velocity. We find two LZ velocities that bound the range of the force, thus enabling a description of its velocity range. This is the first time that the observed capture range ± δ/2k has been calculated.

  3. Application of Eleutherine americana crude extract in homemade salad dressing.

    PubMed

    Ifesan, Beatrice Olawumi; Siripongvutikorn, Sunisa; Voravuthikunchai, Supayang Piyawan

    2009-03-01

    Crude extract from the herb Eleutherine americana was investigated for its antistaphylococcal activity both in vitro and in a food system. The extract activity against Staphylococcus aureus was better during incubation at 35 degrees C than at 10 and 4 degrees C. The extract exhibited excellent stability in response to heat and pH treatments. The extract was incorporated into homemade salad dressing and evaluated for its antibacterial, physical, chemical, and sensory properties. A more than 1-log reduction in S. aureus counts was observed compared with the control. Examination of lipid oxidation revealed that the extract could retard the formation of thiobarbituric acid-reactive substances in the salad dressing. The magnitude of the storage changes were minimal, and there were no significant differences in the appearance, color, taste, and overall acceptability ranking between samples supplemented with E. americana extract and the control samples. Based on all sensory attributes, the sensory evaluation from 0 to 16 days indicated that products with each extract concentration were acceptable. The extract from E. americana is a promising novel additive that can be used to improve the quality and safety of homemade salad dressing.

  4. Seed dressing pesticides on springtails in two ecotoxicological laboratory tests.

    PubMed

    Alves, Paulo Roger L; Cardoso, Elke J B N; Martines, Alexandre M; Sousa, José Paulo; Pasini, Amarildo

    2014-07-01

    Terrestrial ecotoxicological tests are powerful tools for assessing the ecological risks that pesticides pose to soil invertebrates, but they are rarely used to evaluate seed dressing pesticides. This study investigated the effects of seed dressing pesticides on survival and reproduction of Folsomia candida (Collembola), using standardized ecotoxicological tests (after ISO guidelines with few adaptations for tropical conditions). Commercial formulations of five seed dressing pesticides were tested individually in Tropical Artificial Soil (TAS): the insecticides imidacloprid, fipronil, thiametoxam, and the fungicides captan and carboxin+thiram. Thiametoxam, captan, and carboxin+thiram were only lethal to F. candida at the highest concentration tested (1000mg of active ingredient kg(-1) of dry soil). Imidacloprid and fipronil were lethal at lower concentrations (100 and 10mg a.i. kg(-1) soil d.w, respectively), however, these concentrations were much higher than those predicted (PEC) for soil. Imidacloprid and fipronil were the most toxic pesticides in both tests, reducing significantly collembolan reproduction (EC20=0.02 and 0.12mga.i.kg(-1) soil d.w, respectively). Further studies under more realistic conditions are needed, since imidacloprid and fipronil reduced collembolan reproduction at concentrations below or close to their respective PECs.

  5. Randomized controlled trial of the absorbency of four dressings and their effects on the evaporation of burn wounds.

    PubMed

    Chen, Jiong; Han, Chun-mao; Su, Guo-liang; Tang, Zhi-jian; Su, Shi-jie; Lin, Xiao-wei

    2007-10-20

    Wound dressings are divided into traditional and new types. The new dressings are thought to accelerate wound healing. The purpose of this study was to supplement the scanty data on the absorbency of the new dressings and their effects on evaporation from the burn surface. The water absorption rate of four dressings (carbon fiber dressing, hydrogel dressing, silver nanoparticle dressing, and vaseline gauze) were measured by the immersion-weight gain method. A total of 120 inpatients with 10% superficial partial-thickness burn wounds were randomly assigned to four groups, each with 30 participants. Carbon fiber dressing, hydrogel dressing, and silver nanoparticle dressing were used in groups A, B, and C as the primary dressing, and traditional vaseline gauze was used in group D as the control. Multi-spot evaporation from normal skin and naked wound, and from wounds covered with each of the four dressings was measured post-burn on days 1, 3, 5, and 7 by an EP-I evaporimeter under conditions of 21 degrees C - 22 degrees C ambient temperature and 74% - 78% humidity. The absorption rates of the four dressings were 988% with carbon fiber dressing, 96% with silver nanoparticle, 41% with vaseline gauze, and 6% with hydrogel. Evaporation from the naked burn wounds was about 1/3 higher than from normal skin (P < 0.01). Compared with wounds without applied dressing, evaporation from dressed wounds decreased and was time-dependent (P < 0.01). The evaporation of wounds with carbon fiber dressing was the lowest ((13.40 +/- 2.82) mlxh(-1)xm(-2), P < 0.01) on day 1 post-burn, compared with the other groups. All four dressings have water retention capacity while carbon fiber dressing has the highest absorption rate and shows the best containment and evaporation from the burn wound.

  6. To dress or not to dress surgical wounds? Patients' attitudes to wound care after major abdominal operations.

    PubMed

    Persson, M; Svenberg, T; Poppen, B

    1995-11-01

    To find out what patients' attitudes were to wound care after abdominal operations to ensure that patients' own views were not violated by introducing a new method of wound care. Randomised study. University hospital, Sweden. 68 consecutive patients operated for benign gastrointestinal disease. Patients were randomised to have their abdominal wounds dressed or exposed. On their last day in hospital their attitudes were assessed by visual analogue score and questionnaire. Attitudes to wound care. There were no differences between the two groups in any of the variables studied. The visual analogue scores for postoperative pain were higher than had been anticipated. Most patients do not mind whether their wounds are covered with a dressing or not after abdominal operations.

  7. Preparation and characterization of antimicrobial wound dressings based on silver, gellan, PVA and borax.

    PubMed

    Cencetti, C; Bellini, D; Pavesio, A; Senigaglia, D; Passariello, C; Virga, A; Matricardi, P

    2012-10-15

    Silver-loaded dressings are designed to provide the same antimicrobial activity of topical silver, with the advantages of a sustained silver release and a reduced number of dressing changes. Moreover, such type of dressing must provide a moist environment, avoiding fiber shedding, dehydration and adherence to the wound site. Here we describe the preparation of a novel silver-loaded dressing based on a Gellan/Hyaff(®) (Ge-H) non woven, treated with a polyvinyl alcohol (PVA)/borax system capable to enhance the entrapment of silver in the dressing and to modulate its release. The new hydrophilic non woven dressings show enhanced water uptake capability and slow dehydration rates. A sustained silver release is also achieved. The antibacterial activity was confirmed on Staphylococcus aureus and Pseudomonas aeruginosa. Copyright © 2012 Elsevier Ltd. All rights reserved.

  8. Optimizing wound care with a new lipido-colloid dressing (Urgotul Duo).

    PubMed

    Meaume, S; Ourabah, Z; Charru, P; Meyer, P; Perez, J; Sauvadet, A; Bohbot, S

    This non-comparative, multicentre clinical trial includes 43 patients whose acute or chronic wounds were treated with a new lipido-colloid dressing, Urgotul Duo, for at most 4 weeks, or until healing first occurred. The efficacy, tolerance and acceptability results obtained from this 'ready-for-use' dressing were similar to those reported for the Urgotul dressing in numerous previous clinical trials, and for all the different types of acute and chronic wounds. This well-tolerated new dressing greatly facilitates care operations in terms of execution (reduced use of supplementary gauzes for the secondary dressing) and duration (shorter nursing time), while improving patient comfort. This dressing is indicated for the local treatment of moderate exudative acute and chronic wounds in the granulation and epidermization phases.

  9. Impact of an absorbent silver-eluting dressing system on lower extremity revascularization wound complications.

    PubMed

    Childress, Beverly B; Berceli, Scott A; Nelson, Peter R; Lee, W Anthony; Ozaki, C Keith

    2007-09-01

    Surgical wounds for lower extremity revascularization are prone to infection and dehiscence. Acticoat Absorbent, an antimicrobial dressing, offers sustained release of ionic silver. We hypothesized that immediate application of Acticoat as a postoperative dressing would reduce wound complications in patients undergoing leg revascularization. All infrainguinal revascularization cases involving leg incisions at a single Veterans Administration Medical Center were identified from July 1, 2002, to September 30, 2005. The control group received conventional dressings, while the treatment group received an Acticoat dressing. Wound complication rates were captured via National Surgical Quality Improvement Program data. Patient characteristics and procedure distributions were similar between groups. The wound complication rate fell 64% with utilization of the Acticoat-based dressing (control 14% [17/118], treatment 5% [7/130]; P = 0.016). An Acticoat-based dressing system offers a potentially useful, cost-effective adjunct to reduce open surgical leg revascularization wound complications.

  10. Novel neomycin sulfate-loaded hydrogel dressing with enhanced physical dressing properties and wound-curing effect.

    PubMed

    Choi, Jong Seo; Kim, Dong Wuk; Kim, Dong Shik; Kim, Jong Oh; Yong, Chul Soon; Cho, Kwan Hyung; Youn, Yu Seok; Jin, Sung Giu; Choi, Han-Gon

    2016-10-01

    To develop a novel neomycin sulfate-loaded hydrogel dressing (HD), numerous neomycin sulfate-loaded HDs were prepared with various amounts of polyvinyl alcohol (PVA), polyvinyl pyrrolidone (PVP) and sodium alginate (SA) using freeze-thawing technique, and their physical dressing properties, drug release, in vivo wound curing and histopathology in diabetic-induced rats were assessed. SA had a positive effect on a swelling capacity, but a negative effect on the physical dressing properties and drug release of HD. However, PVP did the opposite. In particular, the neomycin sulfate-loaded HD composed of drug, PVA, PVP and SA at the weight ratio of 1/10/0.8/0.8 had excellent swelling and bioadhesive capacity, good elasticity and fast drug release. Moreover, this HD gave more improved wound curing effect compared to the commercial product, ensured the disappearance of granulation tissue and recovered the wound tissue to normal. Therefore, this novel neomycin sulfate-loaded HD could be an effective pharmaceutical product for the treatment of wounds.

  11. Physical and biological assessments of the innovative bilayered wound dressing made of silk and gelatin for clinical applications.

    PubMed

    Hasatsri, Sukhontha; Yamdech, Rungnapha; Chanvorachote, Pithi; Aramwit, Pornanong

    2015-04-01

    The physical and biological assessments of the innovative bilayered wound dressing made of silk and gelatin that we have developed previously were performed to evaluate its efficacy for clinical applications. The absorption ability and dehydration rate of the dressing were assessed using the split-thickness skin graft and leg ulcer wound bed models. The bioactivities of the bilayered wound dressing were evaluated. The bilayered dressing showed continuous absorption rate of wound exudate, providing the suitability for the wound with extended inflammation phase. The dehydration rate of the bilayered dressing was comparable to the commercially available dressing of which the moisture maintenance capability is claimed. The bilayered dressing showed good conformability, as can be seen by the homogeneous distribution pattern of bromophenol blue absorbed. In terms of biological activities, the bilayered dressing was less toxic to skin cells than the commercially available dressing. The bilayered dressing was also shown to promote cell migration and collagen production due to the bioactive protein components. We here concluded that the superior properties of the bilayered dressing over the commercially available dressing were the conformability and biological activities to accelerate the wound healing, while the other properties were comparable to those of commercially available dressing. The data obtained in this study would be very useful for the further evaluation of the bilayered dressing in clinical trial.

  12. Drug rash with eosinophilia and systemic symptoms (DRESS) syndrome: suspected association with titanium bioprosthesis.

    PubMed

    Nawaz, Fareha; Wall, Barry M

    2007-09-01

    Drug rash with eosinophilia and systemic symptoms (DRESS), also known as hypersensitivity syndrome, is an idiosyncratic drug reaction presenting with fever, diffuse lymphadenopathy, exfoliative dermatitis, and visceral involvement, which may include hepatitis, pneumonitis, pericarditis, myocarditis, nephritis, and colitis. This report describes a 19-year-old, previously healthy man with manifestations of hypersensitivity (DRESS) syndrome after acquiring a titanium bioprosthesis for a spinal fracture. To our knowledge, there have been no prior reports of DRESS syndrome in association with titanium bioprosthetic implants.

  13. Silver-Coated Nylon Dressing Plus Active DC Microcurrent for Healing of Autogenous Skin Donor Sites

    DTIC Science & Technology

    2013-08-01

    Silver-Coated Nylon Dressing Plus Active DC Microcurrent for Healing of Autogenous Skin Donor Sites Edward W. Malin, MD, Chaya M. Galin, BSN, RN... microcurrent in comparison to silver-coated dressing with sham microcurrent on wound-closure time for autogenous skin donor sites. Methods: Four...hundred five patients were screened for treatment of their donor sites using a silver-coated nylon dressing with either sham or active microcurrent

  14. The visualisation and speed of kill of wound isolates on a silver alginate dressing.

    PubMed

    Hooper, Samuel J; Percival, Steven L; Hill, Katja E; Thomas, David W; Hayes, A J; Williams, David W

    2012-12-01

    In chronic wound management, alginate dressings are used to absorb exudate and reduce the microbial burden. Silver alginate offers the added benefit of an additional antimicrobial pressure on contaminating microorganisms. This present study compares the antimicrobial activity of a RESTORE silver alginate dressing with a silver-free control dressing using a combination of in vitro culture and imaging techniques. The wound pathogens examined included Candida albicans, Escherichia coli, Pseudomonas aeruginosa, Staphylococcus aureus, β-haemolytic Streptococcus, and strictly anaerobic bacteria. The antimicrobial efficacy of the dressings was assessed using log(10) reduction and 13-day corrected zone of inhibition (CZOI) time-course assays. Confocal laser scanning microscopy (CLSM) was used to visualise the relative proportions of live/dead microorganisms sequestered into the dressings over 24 hours and estimate the comparative speed of kill. The RESTORE silver alginate dressing showed significantly greater log(10) reductions and CZOIs for all microorganisms compared with the control, indicating the antimicrobial effect of ionic silver. Antimicrobial activity was evident against all test organisms for up to 5 days and, in some cases, up to 12 days following an on-going microbial challenge. Imaging bacteria sequestered in the silver-free dressing showed that each microbial species aggregated in the dressing and remained viable for more than 20 hours. Growth was not observed inside of the dressing, indicating a possible microbiostatic effect of the alginate fibres. In comparison, organisms in the RESTORE silver alginate dressing were seen to lose viability at a considerably greater rate. After 16 hours of contact with the RESTORE silver alginate dressing, >90% of cells of all bacteria and yeast were no longer viable. In conclusion, collectively, the data highlights the rapid speed of kill and antimicrobial suitability of this RESTORE silver alginate dressing on wound

  15. "Wet diapers--dry patients": an effective dressing for patients undergoing arthroscopic shoulder surgery.

    PubMed

    Kapila, Atul; Bhargava, Amit; Funk, Len; Copeland, Stephen; Levy, Ofer

    2005-02-01

    Shoulder arthroscopy is very commonly associated with postoperative leakage of irrigation fluid. This causes apprehension to patients and their relatives and leads to frequent change of dressings. We describe a simple and effective diaper dressing for patients undergoing arthroscopic shoulder surgery. It is highly absorbent, cost-effective, and easy to apply. We have used this dressing successfully in more than 1,500 shoulder arthroscopies over the last 3 years with no adverse reaction.

  16. A comparison of strength for two continuous peripheral nerve block catheter dressings.

    PubMed

    Borg, Lindsay; Howard, Steven K; Kim, T Edward; Steffel, Lauren; Shum, Cynthia; Mariano, Edward R

    2016-10-01

    Despite the benefits of continuous peripheral nerve blocks, catheter dislodgment remains a major problem, especially in the ambulatory setting. However, catheter dressing techniques to prevent such dislodgment have not been studied rigorously. We designed this simulation study to test the strength of two commercially available catheter dressings. Using a cadaver model, we randomly assigned 20 trials to one of two dressing techniques applied to the lateral thigh: 1) clear adhesive dressing alone, or 2) clear adhesive dressing with an anchoring device. Using a digital luggage scale attached to a loop secured by the dressing, the same investigator applied steadily increasing force with a downward trajectory towards the floor until the dressing was removed or otherwise disrupted. The weight, measured (median [10th-90th percentile]) at the time of dressing disruption or removal, was 1.5 kg (1.3-1.8 kg) with no anchoring device versus 4.9 kg (3.7-6.5 kg) when the dressing included an anchoring device (P < 0.001). Based on this simulation study, using an anchoring device may help prevent perineural catheter dislodgement and therefore premature disruption of continuous nerve block analgesia.

  17. Modified wound dressing with phyto-nanostructured coating to prevent staphylococcal and pseudomonal biofilm development

    NASA Astrophysics Data System (ADS)

    Anghel, Ion; Holban, Alina Maria; Grumezescu, Alexandru Mihai; Andronescu, Ecaterina; Ficai, Anton; Anghel, Alina Georgiana; Maganu, Maria; Lazǎr, Veronica; Chifiriuc, Mariana Carmen

    2012-12-01

    This paper reports a newly fabricated nanophyto-modified wound dressing with microbicidal and anti-adherence properties. Nanofluid-based magnetite doped with eugenol or limonene was used to fabricate modified wound dressings. Nanostructure coated materials were characterized by TEM, XRD, and FT-IR. For the quantitative measurement of biofilm-embedded microbial cells, a culture-based method for viable cell count was used. The optimized textile dressing samples proved to be more resistant to staphylococcal and pseudomonal colonization and biofilm formation compared to the uncoated controls. The functionalized surfaces for wound dressing seems to be a very useful tool for the prevention of wound microbial contamination on viable tissues.

  18. Evaluation of a two-stage antibacterial hydrogel dressing for healing in an infected diabetic wound.

    PubMed

    He, Hong; Xia, Dong-Lin; Chen, Yan-Pei; Li, Xiao-Dong; Chen, Chao; Wang, Yu-Fei; Shen, Lingling; Hu, Yu-Lin; Gu, Hai-Ying

    2017-10-01

    Various types of wound dressings have been used to treat complex infections in diabetes mellitus. This study is the first to evaluate the healing effects using a two-stage dressing in infected diabetic wounds. A two-stage antibacterial hydrogel dressing (two-stage dressing) was established with two time phases, an antibacterial phase and a drug release phase. We established each phase by using a swelling and rate of drug release test. These results suggested that the antimicrobial phase is activated as soon as the two-stage dressing attaches to the skin. The drugs in the drug release layer of the dressing were released to a greater extent than expected 20-36 h after attachment to the skin, likely due to extensive water absorption. Histological analysis and measurement of vascular endothelial growth factor expression through in vivo testing suggested that the benefits of a two-stage dressing include rapid antibacterial properties, sustained drug release, and promotion of wound healing through cell proliferation as compared with the traditional composite antibacterial hydrogel dressing. Further in vivo tests confirmed that separation of the antibacterial and drug-releasing properties, along with biocompatibility and rapid wound closure rates made two-stage dressings suitable for healing of infected wounds. © 2015 Wiley Periodicals, Inc. J Biomed Mater Res Part B: Appl Biomater, 105B: 1808-1817, 2017. © 2015 Wiley Periodicals, Inc.

  19. Sulfasalazine-induced DRESS and severe agranulocytosis successfully treated by granulocyte colony-stimulating factor.

    PubMed

    Fathallah, Neila; Slim, Raoudha; Rached, Salaheddine; Hachfi, Wissem; Letaief, Amel; Ben Salem, Chaker

    2015-08-01

    A drug reaction with eosinophilia and systemic symptom (DRESS) is a severe and rare adverse-drug hypersensitivity syndrome. The evolution of DRESS is unpredictable and haematological abnormalities may occur in 50 % of cases. Sulfasalazine (SSZ) is rarely associated with DRESS. Agranulocytosis is a rare but recognized side-effect to SSZ. Both DRESS and agranulocytosis were not reported previously with SSZ. We report a case of SSZ-induced DRESS followed by severe agranulocytosis occurring in a 25-year-old man. The patient's general condition and laboratory tests gradually improved after the administration of granulocyte colony-stimulating factor (GCSF). In our patient, the co-occurrence of DRESS and agranulocytosis is unlikely to be coincidental. Immunological mechanisms may play an important role in drug associated agranulocytosis in patients presenting DRESS. According to the Naranjo's algorithm the likelihood that our patient's DRESS and agranulocytosis occurred as a result of therapy with SSZ is probable. G-CSF was found to be useful in shortening the duration of granulocyte recovery in drug-induced agranulocytosis. Careful monitoring of neutrophil counts is required on SSZ therapy as well as in the course of DRESS.

  20. Postoperative dressing and management strategies for transtibial amputations: a critical review.

    PubMed

    Smith, Douglas G; McFarland, Lynne V; Sangeorzan, Bruce J; Reiber, Gayle E; Czerniecki, Joseph M

    2003-01-01

    Postamputation management is an important determinant of recovery from amputation. However, consensus on the most effective postoperative management strategies for individuals undergoing transtibial amputation (TTA) is lacking. Dressings can include simple soft gauze dressings, thigh-high rigid cast dressings, shorter removable rigid dressings, and prefabricated pneumatic dressings. Postoperative prosthetic attachments can be added to all but simple soft dressings. These dressings address the need to cleanly cover a fresh surgical wound, but not all postoperative dressings are designed to facilitate the strategic goals of preventing knee contractures, reducing edema, protecting from external trauma, or facilitating early weight bearing. The type of dressing and management strategy often overlap and are certainly interrelated. Current protocols and decisions are based on local practice, skill, and intuition. The current available literature is challenging, and difficulties include variations in healing potential, in comorbidity, in surgical-level selection, in techniques and skill, in experience with postoperative strategies, and with poorly defined outcome criteria. This paper reviews the published literature and compares measures of safety, efficacy, and clinical outcomes of the various techniques. Analysis of 10 controlled studies supported only 4 of the 14 claims cited in uncontrolled, descriptive studies.

  1. Severe acute hepatitis in the DRESS syndrome: Report of two cases.

    PubMed

    Lens, Sabela; Crespo, Gonzalo; Carrión, Jose A; Miquel, Rosa; Navasa, Miquel

    2010-01-01

    The DRESS (drug rash, eosinophilia and systemic symptoms) syndrome, also known as DIHS (drug-induced hypersensitivity syndrome), is a severe idiosyncratic reaction to several drugs, mainly antiepileptics and antibiotics, which can occasionally produce acute liver failure. In this article we present two cases of the DRESS syndrome presenting with severe acute hepatitis, including the first case of DRESS associated with levetiracetam. Although both cases finally resolved with good outcomes, DRESS can lead to acute liver failure and has a bad prognosis when liver damage is present. Rapid diagnosis is crucial since withdrawal of the offending drug is the key of treatment, while the potential role of corticosteroids is discussed.

  2. Effect of laminar air flow and clean-room dress on contamination rates of intravenous admixtures.

    PubMed

    Brier, K L; Latiolais, C J; Schneider, P J; Moore, T D; Buesching, W J; Wentworth, B C

    1981-08-01

    The effect of laminar air flow conditions and clean-room dress on the microbial contamination rates of intravenous admixtures was investigated. Intravenous admixtures were prepared by one investigator using aseptic technique under four environmental conditions: laminar air flow conditions with clean-room dress; laminar air flow without clean-room dress; clean table top with clean-room dress; and clean table top without clean-room dress. In each environmental condition, 350 admixtures were compounded. Negative-control samples (n = 150) were also tested, as were 10 positive-control samples. Samples were tested in each of two growth media and incubated at 35 degrees C for 14 days or until growth occurred. The incidence of contamination of admixtures compounded in laminar air flow conditions was significantly less than the contamination of those compounded on a clean table top (p less than 0.05) regardless of the operator's dress. The incidence of contamination of admixtures compounded while wearing clean-room dress was not significantly different from those prepared while not wearing clean-room dress regardless of the environment in which the admixture was prepared. The overall low level of contamination [0.79% (11/1400)] was inconclusive regarding the effect of dress on the incidence of contamination when admixtures were prepared under LAF conditions. It is concluded that, when one adheres to aseptic technique, the environment in which admixtures are compounded is the most important variable affecting the microbial contamination rate.

  3. Clinical efficacy and cost-effectiveness of a new synthetic polymer sheet wound dressing.

    PubMed

    Motta, G; Dunham, L; Dye, T; Mentz, J; O'Connell-Gifford, E; Smith, E

    1999-10-01

    Stage II and III pressure ulcers present product development and product choice challenges to manufacturers and professional wound care clinicians respectively. We evaluated the clinical performance and cost of use associated with a new synthetic polymer dressing for the management of these wounds. A total of 10 home healthcare patients, each with a Stage II or III pressure ulcer, were enrolled and randomized for wound treatment using either the new polymer hydrogel wound dressing or the leading market hydrocolloid dressing. Dressings were changed on an as needed basis only. The wounds were assessed weekly and parameters recorded using the Bates-Jensen Pressure Sore Status Tool. In addition, the clinical performance of the dressing and treatment costs were evaluated. The overall healing rate for the two groups was similar. However the new polymer hydrogel dressing was found to have a more favorable overall clinical performance evaluation based largely on its more favorable support of autolytic debridement. The new polymeric dressing also had a more favorable cost of use based on the evaluation. We conclude that the new polymer dressing may be a favorable alternative to the leading market hydrocolloid dressing for the treatment of Stage II and III pressure ulcers due to a better clinical performance and the substantially lower treatment costs associated with its use.

  4. Processing parameter optimization for the laser dressing of bronze-bonded diamond wheels

    NASA Astrophysics Data System (ADS)

    Deng, H.; Chen, G. Y.; Zhou, C.; Li, S. C.; Zhang, M. J.

    2014-01-01

    In this paper, a pulsed fiber-laser dressing method for bronze-bonded diamond wheels was studied systematically and comprehensively. The mechanisms for the laser dressing of bronze-bonded diamond wheels were theoretically analyzed, and the key processing parameters that determine the results of laser dressing, including the laser power density, pulse overlap ratio, ablation track line overlap ratio, and number of scanning cycles, were proposed for the first time. Further, the effects of these four key parameters on the oxidation-damaged layer of the material surface, the material removal efficiency, the material surface roughness, and the average protrusion height of the diamond grains were explored and summarized through pulsed laser ablation experiments. Under the current experimental conditions, the ideal values of the laser power density, pulse overlap ratio, ablation track line overlap ratio, and number of scanning cycles were determined to be 4.2 × 107 W/cm2, 30%, 30%, and 16, respectively. Pulsed laser dressing experiments were conducted on bronze-bonded diamond wheels using the optimized processing parameters; next, both the normal and tangential grinding forces produced by the dressed grinding wheel were measured while grinding alumina ceramic materials. The results revealed that the normal and tangential grinding forces produced by the laser-dressed grinding wheel during grinding were smaller than those of grinding wheels dressed using the conventional mechanical method, indicating that the pulsed laser dressing technology provides irreplaceable advantages relative to the conventional mechanical dressing method.

  5. Honey dressing versus boiled potato peel in the treatment of burns: a prospective randomized study.

    PubMed

    Subrahmanyam, M

    1996-09-01

    Honey dressing was compared with boiled potato peel dressings as a cover for fresh partial-thickness burns in two groups of 50 randomly allocated patients. In the 50 patients treated with honey, 90 per cent of wounds were rendered sterile within 7 days. In the 50 patients treated with boiled potato peel dressings, persistent infection was noted within 7 days. Of the wounds treated with honey, 100 per cent healed within 15 days as against 50 per cent in the wounds treated with boiled potato peel dressings (mean 10.4 vs. 16.2 days).

  6. An innovative bi-layered wound dressing made of silk and gelatin for accelerated wound healing.

    PubMed

    Kanokpanont, Sorada; Damrongsakkul, Siriporn; Ratanavaraporn, Juthamas; Aramwit, Pornanong

    2012-10-15

    In this study, the novel silk fibroin-based bi-layered wound dressing was developed. Wax-coated silk fibroin woven fabric was introduced as a non-adhesive layer while the sponge made of sericin and glutaraldehyde-crosslinked silk fibroin/gelatin was fabricated as a bioactive layer. Wax-coated silk fibroin fabrics showed improved mechanical properties compared with the non-coated fabrics, but less adhesive than the commercial wound dressing mesh. This confirmed by results of peel test on both the partial- and full-thickness wounds. The sericin-silk fibroin/gelatin spongy bioactive layers showed homogeneous porous structure and controllable biodegradation depending on the degree of crosslinking. The bi-layered wound dressings supported the attachment and proliferation of L929 mouse fibroblasts, particularly for the silk fibroin/gelatin ratio of 20/80 and 0.02% GA crosslinked. Furthermore, we proved that the bi-layered wound dressings promoted wound healing in full-thickness wounds, comparing with the clinically used wound dressing. The wounds treated with the bi-layered wound dressings showed the greater extent of wound size reduction, epithelialization, and collagen formation. The superior properties of the silk fibroin-based bi-layered wound dressings compared with those of the clinically used wound dressings were less adhesive and had improved biological functions to promote cell activities and wound healing. This novel bi-layered wound dressing should be a good candidate for the healing of full-thickness wounds.

  7. [ALEA study. Treatment of chronic wounds infected by the application of silver dressings nanocrystalline combined with dressings hydrocellular].

    PubMed

    Verdú Soriano, José; Nolasco Bonmati, Andreu

    2010-10-01

    This study was conducted with the objective to assess, in real clinical conditions in primary care and geriatric centers, application and utility of nanocrystalline silver dressings dressings combined with hydrocellular in relation to the development during 20 shifts dressing or complete healing of the characteristics of the lesions included in the study Prospective observational multicenter open, repeated measures. It could include injuries of different etiologies (pressure ulcers stage 11-111, lower limb and traumatic wounds or surgical origin), with clinical signs of local infection (at least three of the following: redness, purulent discharge, heat, edema and pain). Only one wound was included per patient. An analysis of effectiveness by intention to treat all lesions included. We recruited 103 patients who met the inclusion criteria but were collected in which 77 patients were used for nanocrystalline silver dressings in some phase of the study, They had a median of 80 years of age and 58.4% were women. By type of injury: 53.2% pressure ulcers, 31.2% lower extremity ulcers and 14.3% traumatic or surgical wounds. Over 50% of the lesions was older than eight months and a larger area of 22.75 cm2. At first, 70.1% had redness, purulent discharge 64.9%, 37.7% heat edema 42.9% and 65.8% pain. Remained in the study a median of 42.5 days at a rate of change of dressing every 2.5. During this time in 96.1% of the lesions were removed for clinical signs of local infection in a statistically significant (p < or = 0.001). 27.3% healed from injuries and those not healed, 92.9% experienced improvement, and its healing curves were statistically significant (p < 0.05). 92.2% of clinicians assessed treatment with these products as good or excellent. The use of the products used in this study consistent with the concept and PLH TIME, has proved useful in this type of injury reducing the clinical signs of infection, promoting granulation tissue and necrotic removing the burden

  8. Terbinafine-loaded wound dressing for chronic superficial fungal infections.

    PubMed

    Paskiabi, Farnoush Asghari; Bonakdar, Shahin; Shokrgozar, Mohammad Ali; Imani, Mohammad; Jahanshiri, Zahra; Shams-Ghahfarokhi, Masoomeh; Razzaghi-Abyaneh, Mehdi

    2017-04-01

    In spite of developing new drugs and modern formulations, the treatments of chronic fungal infections are still challenging. Fibrous wound dressings are new suggestions for the treatment of chronic superficial infections. In the present study, we formulated an antifungal agent, terbinafine hydrochloride (TFH), which is a hydrophobic drug, in wound dressings prepared by electrospun polycaprolactone, polycaprolactone/gelatin (50:50 w/w) and gelatin. To obtain more water-stable meshes, the preparations were treated by glutaraldehyde and their properties were determined before and after treatment. The morphology of fibrous meshes was observed by scanning electron microscopy. Drug loading efficiency and release rate were measured by high performance liquid chromatography (HPLC) and the release rate was monitored for 144h. Antifungal tests were performed on Trichophyton mentagrophytes, Aspergillus fumigatus and Candida albicans cultured on Muller-Hinton agar. The toxicity of the meshes was measured after 24h and 14days by MTT assay. Terbinafine loading of polycaprolactone/gelatin (50:50) was 100% and it released the highest amount of TFH too. In antifungal tests, all samples were able to hinderT. mentagrophytes and A. fumigatus but not C. albicans growth among them, polycaprolactone fibers made the largest inhibition zone. In MTT assay, none of prepared samples showed toxicity against L929 cells. Teken together, the prepared TFH-loaded PCL/gelatin electrospun meshes were able to release TFH slowly and in a steady state in time. With respect to no obvious cytotoxicity in MTT assay and stong antifungal activity toward T. mentagrophytesin vitro, these TFH-based meshes could be considered as potential candidates in clinical application as wound dressing for treatment of chronic dermatophytosis.

  9. The design, characteristics, and application of polyurethane dressings using the electrospinning process

    NASA Astrophysics Data System (ADS)

    Kampeerapappun, Piyaporn

    In general, a dressing is used to protect and help heal wounds. There are several types of dressings on the market such as hydrocolloid, hydrogel, and medicated dressings. One technique for making a dressing is electrospinning, which is a very simple procedure used to produce fibers. Due to much smaller fiber-diameters than produced with the conventional technique, the fibers from electrospinning have unique properties: high porosity and high surface areas, which are advantageous for wound healing. In this research, the fibers were electrospun using polyurethane, TecophilicRTM or TecoflexRTM, with various additives. First, multilayer transdermal electrospun dressings, four and five-layers, were developed that allowed for the controlled release of nitric oxide (NO) from a NO2 -/ascorbic acid system encapsulated in polymer nanofibers. The amount of NO released from each wound dressing was investigated. Both the four and five-layer dressings were tested for morphology of fibers, water absorption, nitrite distribution, NO release profile after sterilization by gamma radiation, and stability. In the case of the four-layer transdermal dressing, the dressing was tested in diabetic, periodontal, and cutaneous leishmaniasis patients. Furthermore, the color change of dressing was investigated. TecophilicRTM was also spun with an antimicrobial agent, which was added to the TecophilicRTM solution to electrospin an antimicrobial dressing. The morphology of fibers was tested using an optical microscope and the water absorption, uniformity, and percent extraction of dressing were also determined. In addition, the efficiency of the antimicrobial agent in the dressing was determined according to SN 195920-1994 and ASTM 2149-01. Another NO-releasing dressing was developed employing the NO donor molecules, sodium salt of linear polyethylenimine NONOates (LPEINO-Na) and calcium salt of linear polyethylenimine NONOates (LPEINO-Ca), which were electrospun with TecophilicRTM. The NO

  10. Pressure ulcers--randomised controlled trial comparing hydrocolloid and saline gauze dressings.

    PubMed

    Chang, K W; Alsagoff, S; Ong, K T; Sim, P H

    1998-12-01

    An open comparative randomised study comparing the performance of hydrocolloid dressings (DuoDERM CGF) to saline gauze dressings in the treatment of pressure ulcers was done to evaluate the overall dressing performance, wound healing and cost effectiveness. Thirty-four subjects were enrolled at the University Hospital, Kuala Lumpur over a 643 days period. Inclusion criteria were Stage II or III pressure ulcers, at least 18 years of age and written informed consent. Only one pressure ulcer per subject was enrolled in the study. Patients with infected pressure ulcers, diabetes mellitus, an immuno-compromised status and known sensitivity to the study dressings were excluded. Subjects who met the enrollment criteria were randomised to one of the two dressing regimes. They were expected to participate in the study for a maximum of eight weeks or until the pressure ulcer healed, which ever occurred first. Overall subject age averaged 58 years and the mean duration of pressure ulcer existence was about 1 month. Twenty-one of the thirty-four ulcers enrolled were stage II and thirteen were stage III. The majority of the ulcers (88%) were located in the sacral area and seventeen subjects (50%) were incontinent. In the evaluation of dressing performance in terms of adherence to wound bed, exudate handling ability, overall comfort and pain during dressing removal; all favoured the hydrocolloid dressing by a statistically significant margin (p < 0.001). Subjects assigned the hydrocolloid dressing experienced a mean 34% reduction from their baseline surface area measurement compared to a mean 9% increase by subjects assigned gauze dressings. This was not statistically significant (p = 0.2318). In cost evaluation of the study products, there was no statistical significance in the total cost of wound management per subject. When only labour time and cost was evaluated, there was a statistically significant advantage towards hydrocolloid dressings.

  11. Interface dressings influence the delivery of topical negative-pressure therapy.

    PubMed

    Jones, Sophia M; Banwell, Paul E; Shakespeare, Peter G

    2005-09-15

    Topical negative-pressure therapy is a widely used wound management system that generates a negative pressure at the wound surface through a foam pad, which aids in wound stimulation through mechanical forces on the wound bed. System guidelines state that the foam dressing should be placed in direct apposition with the wound surface; however, an interface dressing is often inserted at this point to promote comfort at dressing changes. Topical negative-pressure dressings were applied to 40 healthy volunteers. Pressures at the skin surface under the dressing were recorded and compared with those measured by a topical negative-pressure machine using the Therapeutic Regulated Accurate Care pad system. These were repeated, inserting different types of interface dressings: petroleum jelly (Vaseline)-impregnated gauze, nonadherent silicone dressing, and mylar polyester film dressing. Pressures recorded at the skin interface with no interface dressing were close to those set on the topical negative-pressure machine (mean pressure change, -5.11 +/- 0.55 mmHg). Interposition of dressings at the skin/foam interface affected pressure transmission through the foam, and some caused significant decreases in pressures recorded at the skin surface (e.g., Vaseline-impregnated gauze: mean pressure change, -11.76 mmHg; maximum pressure change, -41 mmHg). The loss in negative pressure means that pressures designated by the machine cannot be relied on as a measure of wound pressure when certain dressings are used at the interface. This could be important in determining the outcome of some wounds under topical negative-pressure therapy treatment.

  12. Lamb shift of laser-dressed atomic states.

    PubMed

    Jentschura, Ulrich D; Evers, Jörg; Haas, Martin; Keitel, Christoph H

    2003-12-19

    We discuss radiative corrections to an atomic two-level system subject to an intense driving laser field. It is shown that the Lamb shift of the laser-dressed states, which are the natural state basis of the combined atom-laser system, cannot be explained in terms of the Lamb shift received by the atomic bare states which is usually observed in spectroscopic experiments. In the final part, we propose an experimental scheme to measure these corrections based on the incoherent resonance fluorescence spectrum of the driven atom.

  13. Surgical dressings and turbulent years of cotton industry.

    PubMed

    Stephens-Borg, Keith

    2008-07-01

    Everyday use of a simple cotton bud should remind us of our not so distant past and of the appalling trade in people. Harvesting this precious commodity required forced labour eventually leading to a key turning point in the history of surgery, as civil war raged in America during the 1860s. The fight to end slavery was to reveal a new weapon against disease and certain death. A material used in this struggle against wound infection was the available stockpiles of redundant cotton. Once boiled to make softer, its use on patients in military hospitals proved to be the first clinical application of sterile surgical dressings.

  14. Glasgow patients' attitude to doctors' dress and appearance.

    PubMed

    Dover, S

    1991-11-01

    Three hundred out patients were surveyed by questionnaire to determine their views of doctors' dress and appearance. The majority felt that this was important. Most patients did not mind a male doctor with an earring, a women in trousers or a man without a tie. A majority preferred their doctors to wear a white coat, be free of political badges and for men to have conventional length hair. Older patients are stricter than young patients. Most strict patients would accept more relaxed standards at night and during the weekend.

  15. Exit-Site Dressing and Infection in Peritoneal Dialysis: A Randomized Controlled Pilot Trial.

    PubMed

    Mushahar, Lily; Mei, Lim Wei; Yusuf, Wan Shaariah; Sivathasan, Sudhaharan; Kamaruddin, Norilah; Idzham, Nor Juliana Mohd

    2016-01-01

    ♦ Peritoneal dialysis (PD)-related infection is a common cause of catheter loss and the main reason for PD drop-out. Exit-site infection (ESI) is a pathway to developing tunnel infection and peritonitis, hence rigorous exit-site care has always been emphasized in PD therapy. The aim of this study was to evaluate the effect of exit-site dressing vs non-dressing on the rate of PD-related infection. ♦ A prospective randomized controlled study was conducted in prevalent PD patients at the Hospital Tuanku Jaafar Seremban, Negeri Sembilan, Malaysia, from April 2011 until April 2013. All patients were required to perform daily washing of the exit site with antibacterial soap during a shower. In the dressing group (n = 54), patients were required to clean their exit site using povidone-iodine after drying, followed by topical mupirocin antibiotic application to the exit site. The exit site was then covered with a sterile gauze dressing and the catheter immobilized with tape. In the non-dressing group (n = 54), patients were not required to do any further dressing after drying. They were only required to apply mupirocin cream to the exit site and then left the exit site uncovered. The catheter was immobilized with tape. The primary outcome was ESI. The secondary outcomes were evidence of tunnel infection or peritonitis. ♦ A total of 97 patients completed the study. There were a total of 12 ESI episodes: 4 episodes in 4 patients in the dressing group vs 8 episodes in 4 patients in the non-dressing group. This corresponds to 1 episode per 241.3 patient-months vs 1 episode per 111.1 patient-months in the dressing and non-dressing groups respectively. Median time to first ESI episode was shorter in the non-dressing than in the dressing group, but not significant (p = 0.25). The incidence of gram-positive ESI in both groups was similar. There were no gram-negative ESI in the non-dressing group compared with 2 in the dressing group. The peritonitis rate was 1 per 37

  16. Comparing the efficacies of alginate, foam, hydrocolloid, hydrofiber, and hydrogel dressings in the management of diabetic foot ulcers and venous leg ulcers: a systematic review and meta-analysis examining how to dress for success.

    PubMed

    Saco, Michael; Howe, Nicole; Nathoo, Rajiv; Cherpelis, Basil

    2016-08-15

    Diabetic foot ulcers and venous leg ulcers are chronic wounds frequently encountered by dermatologists. Choosing appropriate wound dressings can effectively promote wound healing and potentially reduce morbidity and financial burden experienced by patients. The objective of our systematic review and meta-analysis was to evaluate wound healing efficacies of synthetic active dressings in diabetic foot ulcer and venous leg ulcer management. For data collection, PubMed, Embase, Cochrane Library, CINAHL, and clinicaltrials.gov online databases were searched from database inception to 10 May 2015. Fixed and random effects modeling were used to calculate pooled risk ratios for complete ulcer healing from pairwise dressing comparisons. The results of our review showed moderate-quality level evidence that hydrogels were more effective in healing diabetic foot ulcers than basic wound contact dressings (RR 1.80 [95% CI, 1.27-2.56]). The other dressing comparisons showed no statistically significant differences between the interventions examined in terms of achieving complete diabetic foot ulcer healing. Non-adherent dressings were more cost-effective than hydrofiber dressings for diabetic foot ulcers in terms of mean total cost per patient of the dressings themselves. All venous leg ulcer pairwise dressing comparisons showed equivalent dressing efficacies in terms of promoting complete ulcer healing. Overall, most synthetic active dressings and traditional wound dressings are equally efficacious in treating diabetic foot ulcers and venous leg ulcers. For treating diabetic foot ulcers, hydrogels are more efficacious than basic wound contact dressings, and non-adherent dressings are more cost-effective than hydrofiber dressings. Ultimately, dressing choice should be tailored to the wound and the patient.

  17. Oxidized cellulose dressings for persistent bleeding from a superficial malignant tumor.

    PubMed

    Lagman, Ruth; Walsh, Declan; Day, Kathy

    2002-01-01

    Persistent bleeding from superficial malignant tumors, although uncommon, can be a major and distressing problem. Management includes frequent skilled dressing changes, correction of clotting abnormalities, and maintaining blood volume by repeated transfusions. We report a case where application of oxidized regenerated cellulose surgical dressing appeared to contribute to successful hemostasis.

  18. The Effect of Academics' Dress and Gender on Student Perceptions of Instructor Approachability and Likeability

    ERIC Educational Resources Information Center

    Chatelain, Amber M.

    2015-01-01

    This study sought to discover student perceptions of academics' dress and gender and their impact on perceived instructor approachability and likeability. Three categories of dress were examined: casual, business casual and professional. The results of this study suggest students at career-arts institutions perceive female teachers as less…

  19. The application of a cellulose-based fibre dressing in surgical wounds.

    PubMed

    Foster, L; Moore, P

    1997-11-02

    In this randomised prospective parallel-group controlled study, a modern cellulose-based fibre dressing was compared with a traditional ribbon gauze and proflavine dressing, used intra- and post-operatively. The study evaluates each treatment for the reduction in pain, improvement in the quality of treatment and patient satisfaction. Forty patients, with wounds left to heal by secondary intention, were studied. The results show several significant advantages for the cellulose-based fibre dressing. Pain levels on removal at the first dressing change were significantly reduced in the cellulose-based fibre dressing group (p = 0.002); the ribbon gauze patients routinely required analgesia before removal of the first dressing. At one week, a significantly greater number of patients in the cellulose-based fibre dressing group stated that they would be happy to have their first dressing change carried out at home without analgesia compared to the ribbon gauze group. This would enable patients to be discharged earlier and could represent a considerable financial saving to the hospital.

  20. Human neutrophil elastase inhibition with a novel cotton alginate wound dressing formulation

    USDA-ARS?s Scientific Manuscript database

    Occlusion and elasticity were combined in a novel cotton-based alginate dressing containing a non-toxic elastase inhibitor. Cotton gauzes were modified with a textile finishing process for incorporating alginate to yield a dressing material that retains elasticity while enhancing absorption. The ...

  1. The multifunctional wound dressing with core-shell structured fibers prepared by coaxial electrospinning

    NASA Astrophysics Data System (ADS)

    Wei, Qilin; Xu, Feiyang; Xu, Xingjian; Geng, Xue; Ye, Lin; Zhang, Aiying; Feng, Zengguo

    2016-06-01

    The non-woven wound dressing with core-shell structured fibers was prepared by coaxial electrospinning. The polycaprolactone (PCL) was electrospun as the fiber's core to provide mechanical strength whereas collagen was fabricated into the shell in order to utilize its good biocompatibility. Simultaneously, the silver nanoparticles (Ag-NPs) as anti-bacterial agent were loaded in the shell whereas the vitamin A palmitate (VA) as healing-promoting drug was encapsulated in the core. Resulting from the fiber's core-shell structure, the VA released from the core and Ag-NPs present in the shell can endow the dressing both heal-promoting and anti-bacteria ability simultaneously, which can greatly enhance the dressing's clinical therapeutic effect. The dressing can maintain high swelling ratio of 190% for 3 d indicating its potential application as wet dressing. Furthermore, the dressing's anti-bacteria ability against Staphylococcus aureus was proved by in vitro anti-bacteria test. The in vitro drug release test showed the sustainable release of VA within 72 h, while the cell attachment showed L929 cells can well attach on the dressing indicating its good biocompatibility. In conclusion, the fabricated nanofibrous dressing possesses multiple functions to benefit wound healing and shows promising potential for clinical application.

  2. A PEGylated Fibrin-Based Wound Dressing with Antimicrobial and Angiogenic Activity

    DTIC Science & Technology

    2011-04-13

    mitigated by topical application of antibacterial / antimicrobial agents. Wound dressings currently used have been designed using biocompatible polymers or...composites incorporating the desired antibacterial agents [30]. Chitosan -based carrier systems, ranging from micro- spheres to nanospheres, have been...A PEGylated fibrin-based wound dressing with antimicrobial and angiogenic activity Shanmuganathan Seetharaman a,c,1, Shanmugasundaram Natesan a,c,1

  3. Rural School District Dress Code Implementation: Perceptions of Stakeholders after First Year

    ERIC Educational Resources Information Center

    Wright, Krystal M.

    2012-01-01

    Schools are continuously searching for solutions to solve truancy, academic, behavioral, safety, and climate issues. One of the latest trends in education is requiring students to adhere to dress codes as a solution to these issues. Dress codes can range from slightly restrictive clothing to the requiring of a uniform. Many school district…

  4. Carbamazepine-induced DRESS syndrome in a child: rapid response to pulsed corticosteroids.

    PubMed

    Teng, Paul; Tan, Boon

    2013-05-15

    DRESS syndrome is an idiosyncratic reaction to drugs, which can occur in both adults and children. To date there is no agreed upon criteria for its diagnosis; there is even less consensus on its management. We report the case of a 14- year-old boy with carbamazepine induced DRESS syndrome, predominantly involving the liver. He responded rapidly to high dose pulsed intravenous corticosteroids.

  5. Hydro-responsive wound dressings simplify T.I.M.E. wound management framework.

    PubMed

    Ousey, Karen; Rogers, Alan A; Rippon, Mark G

    2016-12-01

    The development of wound management protocols and guidelines such as the T.I.M.E. acronym are useful tools to aid wound care practitioners deliver effective wound care. The tissue, infection/inflammation, moisture balance and edge of wound (T.I.M.E.) framework provides a systematic approach for the assessment and management of the majority of acute and chronic wounds. The debridement of devitalised tissue from the wound bed, the reduction in wound bioburden and effective management of wound exudate - i.e., wound bed preparation - are barriers to wound healing progression that are targeted by T.I.M.E. There are a large number of wound dressings available to experienced wound care practitioners to aid in their goal of healing wounds. Despite the systematic approach of T.I.M.E., the large number of wound dressings available can introduce a level of confusion when dressing choices need to be made. Any simplification in dressing choice, for example by choosing a dressing system comprising of a limited number of dressings that are able to address all aspects of T.I.M.E., would be a valuable resource for delivering effective wound care. This article briefly reviews the principles of T.I.M.E. and describes the evidence for the use of a two-dressing, moisture balance-oriented, dressing-based wound management system.

  6. Counterconformity: An Attribution Model of Adolescents' Uniqueness-Seeking Behaviors in Dressing

    ERIC Educational Resources Information Center

    Ling, I-Ling

    2008-01-01

    This article explores how an attribution model will illustrate uniqueness-seeking behavior in dressing in the Taiwanese adolescent subculture. The study employed 443 senior high school students. Results show that the tendency of uniqueness-seeking behavior in dressing is moderate. However, using cluster analysis to segment the counterconformity…

  7. Dress-Related Responses to the Columbine Shootings: Other-Imposed and Self-Designed.

    ERIC Educational Resources Information Center

    Ogle, Jennifer Paff; Eckman, Molly

    2002-01-01

    An inductive content analysis approach was used to examine 155 dress-related newspaper articles following the Columbine High School shootings in 1999. Analysis revealed two dress-related responses: (1) other-imposed regulation to protect students and deter them from expressing hatred and (2) self-designed acts of resistance for grieving. (Contains…

  8. Politicas de uniformes y codigos de vestuario (Uniforms and Dress-Code Policies). ERIC Digest.

    ERIC Educational Resources Information Center

    Lumsden, Linda

    This digest in Spanish examines schools' dress-code policies and discusses the legal considerations and research findings about the effects of such changes. Most revisions to dress codes involve the use of uniforms, typically as a way to curb school violence and create a positive learning environment. A recent survey of secondary school principals…

  9. Effect of Most-to-Least Prompting Procedure on Dressing Skill of Students with Autism

    ERIC Educational Resources Information Center

    Çetrez-Iscan, Galibiye; Nurçin, Elçin; Fazlioglu, Yesim

    2016-01-01

    Dressing skill is one of the necessary self-care skills that is taught to individuals with autism in order for them to be able to live independently. Typically, developing individuals can acquire dressing skill on their own; however, children with autism have difficulties in learning such skill without systematic teaching. Thus, teaching dressing…

  10. Counterconformity: An Attribution Model of Adolescents' Uniqueness-Seeking Behaviors in Dressing

    ERIC Educational Resources Information Center

    Ling, I-Ling

    2008-01-01

    This article explores how an attribution model will illustrate uniqueness-seeking behavior in dressing in the Taiwanese adolescent subculture. The study employed 443 senior high school students. Results show that the tendency of uniqueness-seeking behavior in dressing is moderate. However, using cluster analysis to segment the counterconformity…

  11. Media Frames regarding Teacher Dress: Implications for Career and Technical Education Teacher Preparation

    ERIC Educational Resources Information Center

    Freeburg, Beth Winfrey; Workman, Jane E.

    2010-01-01

    The purpose of this study was to explore teacher dress in United States schools as presented in the newspaper. Twenty-nine articles were examined to answer three questions. Results revealed: (a) the newspaper provided four contexts for processing information about teacher dress--roles, control, impression management, and educational learning…

  12. Teachers' Perceptions of the Effect Uniforms or Strict Dress Codes Have on Elementary School Children.

    ERIC Educational Resources Information Center

    Padgett, Jackie Baker

    This study attempted to determine whether or not the teachers in a rural Georgia elementary school believed that a strict dress-code or student-uniform policy was needed to improve student behavior. A 20-item Likert Scale questionnaire was developed to measure teachers' feelings and/or beliefs concerning the students' dress code and effects on…

  13. Analyzing a School Dress Code in a Junior High School: A Set of Exercises.

    ERIC Educational Resources Information Center

    East, Maurice A.; And Others

    Five exercises based on a sample school dress code were designed from a political science perspective to help students develop skills in analyzing issues. The exercises are intended to be used in five or more class periods. In the first exercise, students read a sample dress code and name groups of people who might have opinions about it. In…

  14. School Dress Code Law in the 90's: "Tinkering" with Fashion and Gangs.

    ERIC Educational Resources Information Center

    Lane, Kenneth E.; Richardson, Michael D.

    Dress codes directed at gang attire present school officials with the dilemma of ensuring the safety of the students in a school environment versus the First Amendment rights of students to express themselves. A review of some of the court decisions limited to freedom of expression and general dress code cases serves as a foundation from which to…

  15. Foam dressing releases ibuprofen to ease the pain of chronic wounds.

    PubMed

    2009-02-05

    Painful, chronic wounds have long been treated with dressings that provide moist wound healing. This moist environment, by limiting the exposure of nerve ends, ensures some pain relief. This article reviews a foam dressing that combines the benefits of moist wound healing with a continuous release of ibruprofen into the wound area.

  16. In vitro measurements of burn dressing adherence and the effect of interventions on reducing adherence.

    PubMed

    Brichacek, Michal; Ning, Chenxi; Gawaziuk, Justin P; Liu, Song; Logsetty, Sarvesh

    2017-08-01

    There is a paucity of research on reducing dressing adherence. This is partly due to lack of an in vitro model, recreating the clinical variability of wounds. Previously we described an in vitro gelatin model to evaluate adherence in a standardized manner. We present evaluation of strategies to reduce adherence in six dressings. Dressing materials used were: PET (Control), fine mesh gauze coated in bismuth and petroleum jelly (BIS), nanocrystalline silver (NS), wide mesh polyester coated in polysporin ointment (WM), fine mesh cellulose acetate coated in polysporin ointment (FM), and soft silicone mesh (SIL). The dressing material was applied to gelatin and incubated for 24h. Adherence was tested using an Instron 5965 force-measurement device. Testing was repeated with various adherence reducing agents: water, surfactant, and mineral oil. Adherence from least to greatest was: SIL, NS, BIS, WM, FM, PET. Water reduced adherence in all dressings; the effect increasing with exposure time. Surfactant reduced adherence of NS. Mineral oil effectively decreased adherence of BIS, and WM. This model allows for reproducible measurement of dressing adherence. Different interventions affect various dressings. No single intervention optimally decreases adherence for all dressings. Copyright © 2017 Elsevier Ltd and ISBI. All rights reserved.

  17. Rural School District Dress Code Implementation: Perceptions of Stakeholders after First Year

    ERIC Educational Resources Information Center

    Wright, Krystal M.

    2012-01-01

    Schools are continuously searching for solutions to solve truancy, academic, behavioral, safety, and climate issues. One of the latest trends in education is requiring students to adhere to dress codes as a solution to these issues. Dress codes can range from slightly restrictive clothing to the requiring of a uniform. Many school district…

  18. Analyzing a School Dress Code in a Junior High School: A Set of Exercises.

    ERIC Educational Resources Information Center

    East, Maurice A.; And Others

    Five exercises based on a sample school dress code were designed from a political science perspective to help students develop skills in analyzing issues. The exercises are intended to be used in five or more class periods. In the first exercise, students read a sample dress code and name groups of people who might have opinions about it. In…

  19. Media Frames regarding Teacher Dress: Implications for Career and Technical Education Teacher Preparation

    ERIC Educational Resources Information Center

    Freeburg, Beth Winfrey; Workman, Jane E.

    2010-01-01

    The purpose of this study was to explore teacher dress in United States schools as presented in the newspaper. Twenty-nine articles were examined to answer three questions. Results revealed: (a) the newspaper provided four contexts for processing information about teacher dress--roles, control, impression management, and educational learning…

  20. Clothing and Dress--Symbols of Stratification in Schools and in Society: A Descriptive Study. Revised.

    ERIC Educational Resources Information Center

    Johnson, Norris Brock

    The sociocultural significance of clothing and dress in Deerfield, a rural, midwestern elementary school, is examined. The underlying assumption is that clothing and dress illustrate the symbolic level of correspondence between patterns and meanings in public school life and those existing in society to which schools are linked. The first part of…

  1. The Effect of Academics' Dress and Gender on Student Perceptions of Instructor Approachability and Likeability

    ERIC Educational Resources Information Center

    Chatelain, Amber M.

    2015-01-01

    This study sought to discover student perceptions of academics' dress and gender and their impact on perceived instructor approachability and likeability. Three categories of dress were examined: casual, business casual and professional. The results of this study suggest students at career-arts institutions perceive female teachers as less…

  2. 21 CFR 520.2380a - Thiabendazole top dressing and mineral protein block.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 21 Food and Drugs 6 2011-04-01 2011-04-01 false Thiabendazole top dressing and mineral protein... § 520.2380a Thiabendazole top dressing and mineral protein block. (a) Chemical name. 2-(4-Thiazolyl... protein block feeding for 3 days. Milk taken from animals during treatment and within 96 hours (8 milkings...

  3. 21 CFR 520.2380a - Thiabendazole top dressing and mineral protein block.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 21 Food and Drugs 6 2010-04-01 2010-04-01 false Thiabendazole top dressing and mineral protein... § 520.2380a Thiabendazole top dressing and mineral protein block. (a) Chemical name. 2-(4-Thiazolyl... protein block feeding for 3 days. Milk taken from animals during treatment and within 96 hours (8 milkings...

  4. Dressing of diamond grinding wheels by abrasive water jet for freeform optical surface grinding

    NASA Astrophysics Data System (ADS)

    Wang, Wei; Yao, Peng; Li, Chengwu; Huang, Chuanzhen; Wang, Jun; Zhu, Hongtao; Liu, Zengwen

    2014-08-01

    During the ultra-precision grinding of a large aperture mirror made of RB-SiC, the grinding wheel becomes dull rapidly, which will lead to an increase of grinding force and a decrease of grinding ratio. In this paper, diamond grinding sticks were dressed with micro SiC abrasive water jet and water jet. Through single factorial experiments, the influence of jet pressure on the dressing performance was investigated. To analyze and evaluate the effect of dressing quantitatively, the 3D roughness and the wheel topography were measured and compared with laser scanning confocal microscope before and after dressing. The experimental results show that the abrasive grains are well protruded from binder and the distribution of the abrasive grains becomes uniform after dressing by abrasive water jet when the dressing parameters are properly selected. The dressing performance of abrasive water jet is much better than water jet. For dressing ultra-fine grit size wheels, the abrasive size of the jet should be smaller than the wheel grit size to achieve a better result. The jet pressure is an obvious influence factor of the surface topography.

  5. Cross Dressing and Gender Dysphoria in People with Learning Disabilities: A Descriptive Study

    ERIC Educational Resources Information Center

    Parkes, Georgina; Hall, Ian; Wilson, Daniel

    2009-01-01

    We aimed to determine the characteristics of people with learning disability who cross-dress or who have gender dysphoria. Using a retrospective review of anonymised data from clinical records about people referred to a specialist service. All 13 participants cross-dressed and 12 were biological males. Only one person was in a core transsexual…

  6. Cross Dressing and Gender Dysphoria in People with Learning Disabilities: A Descriptive Study

    ERIC Educational Resources Information Center

    Parkes, Georgina; Hall, Ian; Wilson, Daniel

    2009-01-01

    We aimed to determine the characteristics of people with learning disability who cross-dress or who have gender dysphoria. Using a retrospective review of anonymised data from clinical records about people referred to a specialist service. All 13 participants cross-dressed and 12 were biological males. Only one person was in a core transsexual…

  7. Violence and Other Antisocial Behaviors in Public Schools: Can Dress Codes Help Solve the Problem?

    ERIC Educational Resources Information Center

    Holloman, Lillian O.

    1995-01-01

    Gang violence, thefts, and costs are among the reasons schools are adopting dress codes or uniforms. Evidence of their effect on behavior is largely anecdotal; empirical research is needed. Home economics professionals can work with parents to set dress policies, get student input, incorporate the teaching of values about clothing, build student…

  8. Preparation of chitosan-collagen-alginate composite dressing and its promoting effects on wound healing.

    PubMed

    Xie, Haixia; Chen, Xiuli; Shen, Xianrong; He, Ying; Chen, Wei; Luo, Qun; Ge, Weihong; Yuan, Weihong; Tang, Xue; Hou, Dengyong; Jiang, Dingwen; Wang, Qingrong; Liu, Yuming; Liu, Qiong; Li, Kexian

    2017-08-30

    The present study aimed to prepare a composite dressing composed of collagen, chitosan, and alginate, which may promote wound healing and prevent from seawater immersion. Chitosan-collagen-alginate (CCA) cushion was prepared by paintcoat and freeze-drying, and it was attached to a polyurethane to compose CCA composite dressing. The swelling, porosity, degradation, and mechanical properties of CCA cushion were evaluated. The effects on wound healing and seawater prevention of CCA composite dressing were tested by rat wound model. Preliminary biosecurity was tested by cytotoxicity and hemocompatibility. The results revealed that CCA cushion had good water absorption and mechanical properties. A higher wound healing ratio was observed in CCA composite dressing treated rats than in gauze or chitosan treated ones. On the fifth day, the healing rates of CCA composite dressing, gauze, and chitosan were 48.49%±1.07%, 28.02%±6.4%, and 38.97%±8.53%, respectively. More fibroblast and intact re-epithelialization were observed in histological images of CCA composite dressing treated rats, and the expressions of EGF, bFGF, TGF-β, and CD31 increased significantly. CCA composite dressing showed no significant cytotoxicity, and favorable hemocompatibility. These results suggested that CCA composite dressing could prevent against seawater immersion and promote wound healing while having a good biosecurity. Copyright © 2017. Published by Elsevier B.V.

  9. Adolescent Dress, Part II: A Qualitative Study of Suburban High School Students.

    ERIC Educational Resources Information Center

    Eicher, Joanne B.; And Others

    1991-01-01

    Explored role of dress through observation and interviews of high school students. Examined adolescent dress in relation to public, private, and secret self. Obtained data on descriptions of various social types: average, punks, freaks, and nerds. Extreme social types appeared to offer valuable reference points for average adolescents in…

  10. 21 CFR 520.2380a - Thiabendazole top dressing and mineral protein block.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... protein block feeding for 3 days. Milk taken from animals during treatment and within 96 hours (8 milkings... 21 Food and Drugs 6 2014-04-01 2014-04-01 false Thiabendazole top dressing and mineral protein... § 520.2380a Thiabendazole top dressing and mineral protein block. (a) Chemical name....

  11. 21 CFR 520.2380a - Thiabendazole top dressing and mineral protein block.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... protein block feeding for 3 days. Milk taken from animals during treatment and within 96 hours (8 milkings... 21 Food and Drugs 6 2013-04-01 2013-04-01 false Thiabendazole top dressing and mineral protein... § 520.2380a Thiabendazole top dressing and mineral protein block. (a) Chemical name....

  12. 21 CFR 520.2380a - Thiabendazole top dressing and mineral protein block.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... protein block feeding for 3 days. Milk taken from animals during treatment and within 96 hours (8 milkings... 21 Food and Drugs 6 2012-04-01 2012-04-01 false Thiabendazole top dressing and mineral protein... § 520.2380a Thiabendazole top dressing and mineral protein block. (a) Chemical name....

  13. [Clinical cases about the therapeutic use of debriding dressing hidrodetersive polyacrylate fibers with TLC and foam dressings TLC-NOSF polyurethane in chronic wounds].

    PubMed

    Blasco García, Carmen; Segovia Gómez, Teresa; Bermejo Martínez, Mariano; Cuesta Cuesta, Juan José; Alventosa Cortés, Ana María

    2012-10-01

    The treatment of chronic wounds requires the use of highly specific products for different phases of the healing process. This article raises a number of clinical cases with chronic wounds of vascular origin and pressure ulcers. Such cases required a initial debridement because of the large content of fibrin covering the wound bed at this stage was used dressing hidrodetersive polyacrylate fibers with TLC. Once the debridement is continued treatment with a polyurethane foam dressing with TLC-NOSF.

  14. A prospective, randomized, multisite clinical evaluation of a transparent absorbent acrylic dressing and a hydrocolloid dressing in the management of Stage II and shallow Stage III pressure ulcers.

    PubMed

    Brown-Etris, Marie; Milne, Catherine; Orsted, Heather; Gates, Judy L; Netsch, Debra; Punchello, Marion; Couture, Nancy; Albert, Martine; Attrell, Edie; Freyberg, Julie

    2008-04-01

    To compare clinical performance of a transparent absorbent acrylic dressing (3M Tegaderm Absorbent Clear Acrylic Dressing ]TAAD[; 3M Company, St Paul, MN) and a hydrocolloid dressing (HD ]DuoDERM CGF, ConvaTec, ER Squibb & Sons, Princeton, NJ[) in the management of Stage II and shallow Stage III pressure ulcers. Prospective, open-label, randomized, comparative, multisite clinical evaluation. Patients were followed up for a maximum of 56 days or until their ulcer healed. At weekly intervals, investigators conducted wound assessments and dressing performance evaluations. Wound care clinics, home care, and long-term care. Thirty-five patients received the TAAD, and 37 received the HD. Dressing performance assessments, patient comfort, dressing wear time, and wound healing were measured. The majority of investigator assessments favored the TAAD. Considerations given included the ability to center dressings over the ulcer (P = .005), ability to assess the ulcer before (P < .001) and after (P < .001) absorption, barrier properties (P = .039), patient comfort during removal (P < .001), overall patient comfort (P = .048), conformability before (P = .026) and after (P = .001) absorption, ease of removal (P < .001), nonadherence to wound bed (P < .001), residue in the wound (P = .002), residue on periwound skin (P < .001), and odor after absorption (P = .016). Overall satisfaction favored the TAAD (P < .001), and a high value was placed on its transparent feature (P < .001). Mean (SD) wear time for the TAAD was 5.7 (2.55) days compared with 4.7 (2.29) days for the HD (P = .086). This 1-day difference in wear time was clinically noticeable by the investigators (P = .035). Wound closure for the 2 dressing groups was nearly identical (P = .9627). Performance results favored the TAAD over the HD as standard treatment for Stage II and shallow Stage III pressure ulcers.

  15. Comfortable and leisurely: Old women on style and dress.

    PubMed

    Lövgren, Karin

    2016-01-01

    This article uses wardrobe interviews with women in the ages of 62-94 to explore transitions and continuities during the life course. During interviews the women have defined their style preferences. One categorization favored by several of them was comfortable. Different meanings were attached to this concept. Practical and convenient outfits were described as increasingly important when aging. Garments that did not expose the body-and its changes with aging-were preferred. The informants talked about the importance of feeling at ease, appropriately dressed for the occasion and situation. They were concerned with feeling nice in their outfits but also stressed becoming more laid-back and prioritizing convenience in their later years. All of these examples had to do with comfort and being comfortable. Uncomfortable clothes were too tight, deemed wrong for the occasion, and unwanted sources of self-consciousness and visibility. Transitions in their style of dress had been gradual, slowly adapting to changes in everyday life as well as in their bodies.

  16. New antimicrobial chitosan derivatives for wound dressing applications.

    PubMed

    Dragostin, Oana Maria; Samal, Sangram Keshari; Dash, Mamoni; Lupascu, Florentina; Pânzariu, Andreea; Tuchilus, Cristina; Ghetu, Nicolae; Danciu, Mihai; Dubruel, Peter; Pieptu, Dragos; Vasile, Cornelia; Tatia, Rodica; Profire, Lenuta

    2016-05-05

    Chitosan is a non-toxic, biocompatible, biodegradable natural cationic polymer known for its low imunogenicity, antimicrobial, antioxidant effects and wound-healing activity. To improve its therapeutic potential, new chitosan-sulfonamide derivatives have been designed to develop new wound dressing biomaterials. The structural, morphological and physico-chemical properties of synthesized chitosan derivatives were analyzed by FT-IR, (1)H NMR spectroscopy, scanning electron microscopy, swelling ability and porosity. Antimicrobial, in vivo testing and biodegradation behavior have been also performed. The chitosan derivative membranes showed improved swelling and biodegradation rate, which are important characteristics required for the wound healing process. The antimicrobial assay evidenced that chitosan-based sulfadiazine, sulfadimethoxine and sulfamethoxazole derivatives were the most active. The MTT assay showed that some of chitosan derivatives are nontoxic. Furthermore, the in vivo study on burn wound model induced in Wistar rats demonstrated an improved healing effect and enhanced epithelialization of chitosan-sulfonamide derivatives compared to neat chitosan. The obtained results strongly recommend the use of some of the newly developed chitosan derivatives as antimicrobial wound dressing biomaterials.

  17. Hydrocellular foam dressing increases the leptin level in wound fluid.

    PubMed

    Yoshino, Sawako; Nakagami, Gojiro; Ohira, Tomomi; Kawasaki, Rui; Shimura, Mari; Iwatsuki, Ken; Sanada, Hiromi; Kobayashi-Hattori, Kazuo; Oishi, Yuichi; Yamane, Takumi

    2015-09-01

    Hydrocellular foam dressing (HCF) absorbs excessive wound fluid, which contains various cytokines and growth factors, and ensures a moist environment to promote wound healing. However, the molecular mechanisms underlying the wound fluid component changes induced by HCF are poorly understood. In the present study, we examined the effect of HCF on wound healing and the associated regulatory mechanisms in relation to variations in cytokine levels in the wound fluid. We created full-thickness wounds on the dorsolateral skin of rats and collected the resulting wound fluid samples. HCF was immersed in a plate containing the wound fluids. HCF was then removed and the excess wound fluid remaining in the plate was examined by cytokine array and enzyme-linked immunosorbent assay. We also used a rat model and human dermal fibroblast cultures to examine the effect of wound fluid component changes during the wound healing process. Upon treatment with HCF, leptin levels were upregulated in the wound fluid. Fibroblast proliferation was enhanced and the effect was suppressed in the presence of leptin antagonist. In our in vivo model, HCF increased wound contraction compared with film dressings and this positive effect of HCF was suppressed by addition of leptin antagonist. Our results suggest that dermal fibroblast proliferation is upregulated by HCF due to increased leptin level at the wound surface, and these effects promote wound healing. We believe that the present study contributes to furthering the understanding of the mechanisms underlying the effects of HCF-induced wound healing.

  18. 150 patient experiences with a soft silicone foam dressing.

    PubMed

    Bateman, Sharon Dawn

    Pain, malodour and exudate from acute and chronic wounds can be catastrophic to the patient. Excessive exudate results in significant tissue damage to the wound bed and surrounding skin, reduces quality of life, and often requires costly specialist service input. Effective wound assessment and management including appropriate dressing choice is, therefore, paramount to ensure wound healing can take place in a timely manner. This observational evaluation explores 150 ward-based patients who presented with acute and chronic exuding wounds; it examines and evaluates the proposed benefits of the Cutimed(®) Siltec foam dressing range over a 4-month period in an acute hospital setting. The outcomes of the evaluation were exudate management, maceration reduction, atraumatic application and removal, non-adherence and patient experience. The evaluation highlights not only an overall positive improvement in exudate management and maceration reduction, non-adherence, atraumatic application and removal but also emphasises the importance of a positive patient experience in the wound-care journey.

  19. Measuring a transmon qubit in circuit QED: Dressed squeezed states

    NASA Astrophysics Data System (ADS)

    Khezri, Mostafa; Mlinar, Eric; Dressel, Justin; Korotkov, Alexander N.

    2016-07-01

    Using circuit QED, we consider the measurement of a superconducting transmon qubit via a coupled microwave resonator. For ideally dispersive coupling, ringing up the resonator produces coherent states with frequencies matched to transmon energy states. Realistic coupling is not ideally dispersive, however, so transmon-resonator energy levels hybridize into joint eigenstate ladders of the Jaynes-Cummings type. Previous work has shown that ringing up the resonator approximately respects this ladder structure to produce a coherent state in the eigenbasis (a dressed coherent state). We numerically investigate the validity of this coherent-state approximation to find two primary deviations. First, resonator ring-up leaks small stray populations into eigenstate ladders corresponding to different transmon states. Second, within an eigenstate ladder the transmon nonlinearity shears the coherent state as it evolves. We then show that the next natural approximation for this sheared state in the eigenbasis is a dressed squeezed state and derive simple evolution equations for such states by using a hybrid phase-Fock-space description.

  20. Severe descending necrotizing mediastinitis: vacuum-assisted dressing did wonder.

    PubMed

    Liew, Y T; Lim, Elizabeth Yenn Lynn; Zulkiflee, A B; Prepageran, N

    2017-04-01

    Descending necrotizing mediastinitis (DNM) is a rapidly progressive disease from the spread of cervical infection. Transcervical and transthoracic drainage was the recognized traditional surgical approach to achieve adequate clearance of infection. Non-invasive vacuum-assisted dressing is a new technique where applied negative pressure can help remove infective fluid and to promote wound healing. A 60-year-old man presented with odynophagia, fever and anterior neck swelling for 2 weeks. He was diagnosed to have anterior neck abscess and underwent surgical drainage. However, it did not respond well, but progressed to involve superior and inferior mediastinum. Vacuum-assisted dressing was applied for total of 2 weeks and the patient recovered without going through usual traditional transthoracic drainage. Vacuum drainage is a simple, safe and non-invasive method of managing DNM, in well selected group with small abscess cavity without airway obstruction and septicemia. This potential technique can lead to paradigm shift in treating life-threatening DNM.

  1. Quantum gates and memory using microwave-dressed states.

    PubMed

    Timoney, N; Baumgart, I; Johanning, M; Varón, A F; Plenio, M B; Retzker, A; Wunderlich, Ch

    2011-08-10

    Trapped atomic ions have been used successfully to demonstrate basic elements of universal quantum information processing. Nevertheless, scaling up such methods to achieve large-scale, universal quantum information processing (or more specialized quantum simulations) remains challenging. The use of easily controllable and stable microwave sources, rather than complex laser systems, could remove obstacles to scalability. However, the microwave approach has drawbacks: it involves the use of magnetic-field-sensitive states, which shorten coherence times considerably, and requires large, stable magnetic field gradients. Here we show how to overcome both problems by using stationary atomic quantum states as qubits that are induced by microwave fields (that is, by dressing magnetic-field-sensitive states with microwave fields). This permits fast quantum logic, even in the presence of a small (effective) Lamb-Dicke parameter (and, therefore, moderate magnetic field gradients). We experimentally demonstrate the basic building blocks of this scheme, showing that the dressed states are long lived and that coherence times are increased by more than two orders of magnitude relative to those of bare magnetic-field-sensitive states. This improves the prospects of microwave-driven ion trap quantum information processing, and offers a route to extending coherence times in all systems that suffer from magnetic noise, such as neutral atoms, nitrogen-vacancy centres, quantum dots or circuit quantum electrodynamic systems.

  2. Thermosensitive nanofibers loaded with ciprofloxacin as antibacterial wound dressing materials.

    PubMed

    Li, Heyu; Williams, Gareth R; Wu, Junzi; Lv, Yao; Sun, Xiaozhu; Wu, Huanling; Zhu, Li-Min

    2017-01-30

    To obtain wound dressings which could be removed easily without secondary injuries, we prepared thermoresponsive electrospun fiber mats containing poly(di(ethylene glycol) methyl ether methacrylate) (PDEGMA). Blend fibers of PDEGMA and poly(l-lactic acid-co-ε-caprolactone) (P(LLA-CL) were fabricated via electrospinning, and analogous fibers containing the antibiotic ciprofloxacin (CIF) were also prepared. Smooth cylindrical fibers were obtained, albeit with a small amount of beading visible for the ciprofloxacin-loaded fibers. X-ray diffraction showed the drug to exist in the amorphous physical form post-electrospinning. The composite fibers showed distinct thermosensitive properties and gave sustained release of CIF over more than 160h in vitro. The fibers could promote the proliferation of fibroblasts, and by varying the temperature cells could easily be attached to and detached from the fibers. Antibacterial tests demonstrated that fibers loaded with ciprofloxacin were effective in inhibiting the growth of E. coli and S. aureus. In vivo investigations on rats indicated that the composite PDEGMA/P(LLA-CL) fibers loaded with CIF had much more potent wound healing properties than a commercial gauze and CIF-loaded fibers made solely of P(LLA-CL). These results demonstrate the potential of PDEGMA/P(LLA-CL)/ciprofloxacin fibers as advanced wound dressing materials.

  3. Biological wound dressings sterilized with gamma radiation: Mexican clinical experience

    NASA Astrophysics Data System (ADS)

    Martínez-Pardo, M. E.; Ley-Chávez, E.; Reyes-Frías, M. L.; Rodríguez-Ferreyra, P.; Vázquez-Maya, L.; Salazar, M. A.

    2007-11-01

    Biological wound dressings sterilized with gamma radiation, such as amnion and pig skin, are a reality in Mexico. These tissues are currently processed in the tissue bank and sterilized in the Gamma Industrial Irradiation Plant; both facilities belong to the Instituto Nacional de Investigaciones Nucleares (ININ) (National Institute of Nuclear Research). With the strong support of the International Atomic Energy Agency, the bank was established at the ININ and the Mexican Ministry of Health issued its sanitary license on July 7, 1999. The Quality Management System of the bank was certified by ISO 9001:2000 on August 1, 2003; the scope of the system is "Research, Development and Processing of Biological Tissues Sterilized with Gamma Radiation". At present, more than 150 patients from 16 hospitals have been successfully treated with these tissues. This paper presents a brief description of the tissue processing, as well as the present Mexican clinical experience with children and adult patients who underwent medical treatment with radiosterilized amnion and pig skin, used as biological wound dressings on burns and ocular surface disorders.

  4. Physically crosslinked-sacran hydrogel films for wound dressing application.

    PubMed

    Wathoni, Nasrul; Motoyama, Keiichi; Higashi, Taishi; Okajima, Maiko; Kaneko, Tatsuo; Arima, Hidetoshi

    2016-08-01

    The thin hydrogel films consisting of water-swollen polymer networks can potentially be applied for biomedical fields. Recently, natural polysaccharides have great attentions to be developed as wound healing and protection. In the present study, we newly prepared and characterized a physically crosslinked-hydrogel film composed of a novel megamolecular polysaccharide sacran for wound dressing application. We successfully fabricated a physically crosslinked-sacran hydrogel film by a solvent-casting method. The thickness of a sacran hydrogel film was lower than that of a sodium alginate (Na-alginate) film. Importantly, the swollen ratio of a sacran hydrogel film in water at 24h was 19-fold, compared to initial weight. Meanwhile, a Na-alginate hydrogel film was completely broken apart after rehydration. Moreover, a sacran hydrogel film did not show any cytotoxicity on NIH3T3 cells, a murine fibroblast cell line. The in vivo skin hydration study revealed that a sacran hydrogel film significantly increased the moisture content on hairless mice skin and considerably improved wound healing ability, compared to control (non-treated), probably due to not only the moisturing effect but also the anti-inflammatory effect of sacran. These results suggest that sacran has the potential properties as a basic biomaterial in a hydrogel film for wound dressing application.

  5. In vivo wound-healing effects of novel benzalkonium chloride-loaded hydrocolloid wound dressing.

    PubMed

    Jin, Sung Giu; Yousaf, Abid Mehmood; Jang, Sun Woo; Son, Mi-Won; Kim, Kyung Soo; Kim, Dong-Wuk; Li, Dong Xun; Kim, Jong Oh; Yong, Chul Soon; Choi, Han-Gon

    2015-05-01

    The purpose of this study was to evaluate the wound-healing effects of a novel benzalkonium chloride (BC)-loaded hydrocolloid wound dressing (HCD). A BC-loaded HCD was prepared with various constituents using a hot melting method, and its mechanical properties and antimicrobial activities were assessed. The in vivo wound healings of the BC-loaded HCD in various would models were evaluated in rats compared with a commercial wound dressing, Duoderm™. This BC-loaded HCD gave better skin adhesion, swelling, mechanical strength, and flexibility compared with the commercial wound dressing. It showed excellent antimicrobial activity against Staphylococcus aureus, Escherichia coli, and Pseudomonas aeruginosa. In addition, as compared with the commercial wound dressing, it showed more improved wound healings and tissue restoration effect on the excision, infection, and abrasion wounds in rats. Thus, this novel BC-loaded HCD would be an excellent alternative to the commercial wound dressing for treatment of various wounds.

  6. Enhancing pressure ulcer prevention using wound dressings: what are the modes of action?

    PubMed

    Call, Evan; Pedersen, Justin; Bill, Brian; Black, Joyce; Alves, Paulo; Brindle, C Tod; Dealey, Carol; Santamaria, Nick; Clark, Michael

    2015-08-01

    Recent clinical research has generated interest in the use of sacral wound dressings as preventive devices for patients at risk of ulceration. This study was conducted to identify the modes of action through which dressings can add to pressure ulcer prevention, for example, shear and friction force redistribution and pressure distribution. Bench testing was performed using nine commercially available dressings. The use of dressings can reduce the amplitude of shear stress and friction reaching the skin of patients at risk. They can also effectively redirect these forces to wider areas which minimises the mechanical loads upon skeletal prominences. Dressings can redistribute pressure based upon their effective Poisson ratio and larger deflection areas, providing greater load redistribution.

  7. The "stegosaurus" dressing: a simple and effective method of securing skin grafts in the burn patient.

    PubMed

    Fullerton, J K; Smith, C E; Milner, S M

    2000-10-01

    Skin grafts are vulnerable to shear stress, infection, and hematoma formation during the postoperative period, all of which reduce graft survival. Various methods of dressing application and materials have been described in the literature to try and prevent graft loss. The authors report the use of the "stegosaurus dressing" (Eggcrate Pad) in 6 patients to secure skin grafts. Patients chosen were those who were either noncompliant or who sustained burns in unfavorable anatomic sites. All grafts demonstrated complete take without infection and hematoma formation. This foam dressing provides an even pressure to the recipient bed, absorbs drainage, and protects the graft from shearing. It also demonstrates the versatility to be used in difficult nonburn skin graft areas. The stegosaurus dressing is easy to apply, inexpensive, and provides a very secure dressing over the skin graft.

  8. The wound dressing supply chain within England's National Health Service: unravelling the context for users.

    PubMed

    Browne, Natasha; Grocott, Patricia; Cowley, Sarah

    2004-01-01

    To explore the representation of user needs (nurses and patients, both individuals and groups) at the industrial (wound dressing manufacture) and National Health Service interface. The wound dressing supply chain is outlined, tracking organizational changes. The methods that are used to transfer user information between industries that produce dressings and those using the products are reviewed in terms of their ability to communicate what users need from dressings. Organizational policies and systems are outlined, with the focus on their role in facilitating the communication of user needs. Methods for generating user information that can directly inform dressing design are needed together with interactive communication routes within the supply chain, specifically between users, manufacturers, purchasers and suppliers. This will facilitate dual benefits for nursing management through improvements in purchasing decisions and nurses' management of wound care.

  9. Silicone nipple shields: an innovative postoperative dressing technique after nipple reconstruction.

    PubMed

    Weissman, Oren; Tessone, Ariel; Liran, Alon; Stavrou, Demetris; Farber, Nimrod; Orenstein, Arie; Haik, Josef; Winkler, Eyal

    2010-02-01

    The newly reconstructed nipple is extremely sensitive to mechanical pressure and shearing forces, which can cause flap necrosis and sloughing of the skin, eventually promoting infection. Current available dressing solutions are cumbersome, inefficient, displeasing, or otherwise not readily obtainable. In this study, 10 patients with newly reconstructed nipples were instructed to use breastfeeding nipple shields as the sole means of nipple dressing after the reconstruction procedure. No complications were observed overall. Patients reported full adherence to the postoperative dressing regimen as well as ease of use, availability, low costs, and pleasing aesthetic appearance under garments. Silicone breastfeeding nipple shields offer an efficient, affable, cheap, widely available, and aesthetically pleasing form of postoperative dressing for reconstructed nipples. Their use may enhance patient compliance with the dressing regimen and lower the postoperative complication rate.

  10. The effectiveness of using a lipido-colloid dressing for patients with traumatic digital wounds.

    PubMed

    Ma, K K; Chan, M F; Pang, S M C

    2006-05-01

    This study compares the effect of a daily gauze dressing with that of a lipido-colloid dressing on the time taken to make up the dressing and efficacy of the management of traumatic digital wounds. This is a randomized controlled trial of 28 patients (16 experimental and 12 control) with injuries to their fingers and loss of tissue. The patients in the experimental and control groups were given a lipido-colloid dressing and a daily gauze dressing, respectively. The patients'wounds were assessed in terms of the size of the wound and the time it took for the wound to heal. The findings showed that patients in the experimental group had a faster recovery time from the healing of their wound than the control group (p= .024). The findings can help to establish an evidence-based practice in the management of traumatic digital wounds in clinical settings.

  11. 'Potato peel dressing': a novel adjunctive in the management of necrotizing fasciitis.

    PubMed

    Manjunath, K S; Bhandage, Supriya; Kamat, Shishir

    2015-03-01

    Management of necrotizing fasciitis, a rare and potentially fatal, polymicrobial disease comprises of aggressive debridement, intravenous antibiotics and application of various adjunctives. So far adjunctives like hyperbaric oxygen therapy, intravenous immunoglobulins, vacuum assisted or foam dressing, and guided tissue regeneration with amniotic dressing have been put to use. Each of these adjunctives has faced criticism for their shortcomings. Potato peel has been used as a dressing for chronic wounds but there is no literature available on its application over wounds afflicted with necrotizing fasciitis. Owing to various medicinal properties of potato peel and its use as a dressing in other medical conditions, same was used as an adjunctive in the present case. Here we present a case of cervical necrotizing fasciitis of dentogenous origin, treated by mainstay surgical treatment with debridement, drainage in combination with broad spectrum antibiotics and a novel adjunctive, 'potato peel dressing', which has shown promising results.

  12. A critical review of modern and emerging absorbent dressings used to treat exuding wounds.

    PubMed

    Sweeney, India R; Miraftab, Mohsen; Collyer, Graham

    2012-12-01

    Wound management has progressed significantly over the last five decades. This emanates from a greater understanding of wound healing, technological progression and improved clinical and scientific research. There are currently a plethora of absorbent dressings on the wound care market which claim to have the ability to manage exudates whilst encouraging healing. However, it is becoming clear, from analysing randomised controlled trials, that some of these absorbent dressings are not meeting their expectations when applied in a clinical setting. Many clinicians now feel that there should be more focus, not only on a dressing's ability to manage exudate efficiently, but on a dressing's ability to proactively encourage healing and thus exudate reduction will ensue. This paper proposes to critically review modern and emerging absorbent wound care dressings used to manage exuding wounds and discuses some advances in this area.

  13. Removal of adhesive wound dressing and its effects on the stratum corneum of the skin: comparison of eight different adhesive wound dressings.

    PubMed

    Matsumura, Hajime; Imai, Ryutaro; Ahmatjan, Niyaz; Ida, Yukiko; Gondo, Masahide; Shibata, Dai; Wanatabe, Katsueki

    2014-02-01

    In recent years, adhesive wound dressings have been increasingly applied postoperatively because of their ease of use as they can be kept in place without having to cut and apply surgical tapes and they can cover a wound securely. However, if a wound dressing strongly adheres to the wound, a large amount of stratum corneum is removed from the newly formed epithelium or healthy periwound skin. Various types of adhesives are used on adhesive wound dressings and the extent of skin damage depends on how much an adhesive sticks to the wound or skin surface. We quantitatively determined and compared the amount of stratum corneum removed by eight different wound dressings including polyurethane foam using acrylic adhesive, silicone-based adhesive dressing, composite hydrocolloid and self-adhesive polyurethane foam in healthy volunteers. The results showed that wound dressings with silicone adhesive and self-adhesive polyurethane foam removed less stratum corneum, whereas composite hydrocolloid and polyurethane foam using acrylic adhesive removed more stratum corneum. © 2012 The Authors. International Wound Journal © 2012 Medicalhelplines.com Inc and John Wiley & Sons Ltd.

  14. Randomized controlled trial of care bundles with chlorhexidine dressing and advanced dressings to prevent catheter-related bloodstream infections in pediatric hematology-oncology patients.

    PubMed

    Gerçeker, Gülçin Özalp; Yardımcı, Figen; Aydınok, Yeşim

    2017-06-01

    To compare the effects of the care bundles including chlorhexidine dressing and advanced dressings on the catheter-related bloodstream infection (CRBSI) rates in pediatric hematology-oncology patients with central venous catheters (CVCs). Twenty-seven PHO patients were recruited to participate in a prospective, randomized study in Turkey. The researcher used care bundles with chlorhexidine dressing in the experimental group (n = 14), and care bundles with advanced dressings in the control group (n = 13). According to the study results, 28.6% of the patients in the experimental group had CRBSI, while this rate was 38.5% in the control group patients. The CRBSI rate in the experimental group was 3.9, and the control group had 4.4 per 1000 inpatient catheter days. There was no exit-site infection in the experimental group. However, the control group had 1.7 per 1000 inpatient catheter days. Even though there was no difference between the two groups in which the researcher implemented care bundles with chlorhexidine dressing and advanced dressings in terms of CRBSI development, there was reduction in the CRBSI rates thanks to the care bundle approach. It is possible to control the CRBSI rates using care bundles in pediatric hematology-oncology patients. Copyright © 2017 Elsevier Ltd. All rights reserved.

  15. The effect of negative pressure wound therapy with antibacterial dressings or antiseptics on an in vitro wound model.

    PubMed

    Matiasek, J; Domig, K J; Djedovic, G; Babeluk, R; Assadian, O

    2017-05-02

    The aim of this study was to investigate the bacterial bioburden in experimental in vitro wounds during the application of conventional negative pressure wound therapy (NPWT), with and without antimicrobial dressings (polyhexanide, silver), against NPWT instillation of octenidine. Experimental wounds produced in an in vitro porcine wound model were homogenously contaminated with bacterial suspension and treated with NPWT and different options. Group A: non-antimicrobial polyurethane foam dressing; group B: antimicrobial polyurethane foam dressing containing silver; group C: antimicrobial gauze dressing containing polyhexanide; group D: non-antimicrobial polyurethane foam dressing intermittently irrigated with octenidine; group E: negative control (non-antimicrobial polyurethane foam dressing without NPWT). Standard biopsies were harvested after 24 and 28 hours. This study demonstrated that the use of NPWT with intermitted instillation of octenidine (group D) or application of silver-based polyurethane foam dressings (group B) is significantly superior against Staphylococcus aureus colonisation in experimental wounds compared with non-antimicrobial polyurethane foam dressing (group A) after 48 hours. Surprisingly, the polyhexanide-based dressing (group C) used in this model showed no statistical significant effect compared with the control group (group E) after 24 or 48 hours of treatment. Both intermitted instillation of octenidine and silver-based dressings in standard NPWT were significantly superior compared with non-antimicrobial polyurethane foam dressings or PHMB coated gauze dressing after 48 hours.

  16. Role of natural polysaccharides in radiation formation of PVA hydrogel wound dressing

    NASA Astrophysics Data System (ADS)

    Varshney, Lalit

    2007-02-01

    Radiation processed PVA-polysaccharides hydrogels have been observed to be suitable for producing transparent, flexible, mechanically strong, biocompatible, effective and economical hydrogel dressings. The dressings were formed in single stage irradiation process achieving gel formation and sterilization at 25-30 kGy gamma radiation dose. No synthetic plasticizers and additives were used. Different formulations containing poly-vinylalcohol (PVA) and polysaccharides selected from combinations of agar and carrageenan were used to make the dressings. The selected polysaccharides themselves form thermo-reversible gels and degrade on irradiation. Using concentration of polysaccharides as low as 0.5-2% resulted in increase of tensile strength from 45 g/cm 2 to 411 g/cm 2, elongation from 30% to 410% and water uptake from 25% to 157% with respect to PVA gel without polysaccharides. Besides improving mechanical strength, agar contributes more to elongation and carrageenan to mechanical strength of the gel dressing. PVA formulations containing the polysaccharides show significantly different pre-gel viscosities behaviour. Increasing the concentration of agar in the formulation to about 2% converts the sheet gel to paste gel useful for filling wound cavities. The results indicate that pre irradiation network structure of the formulation plays an important role in determining mechanical properties of the irradiated gel dressing. Formulations containing 7-9% PVA, 0.5-1.5% carrageenan and 0.5-1% agar gave highly effective usable hydrogel dressings. Scanning electron micrographs show highly porous structure of the gel. Clinical trials of wound dressing on human patients established safety and efficacy of the dressing. The dressing has been observed to be useful in treating burns, non-healing ulcers of diabetes, leprosy and other external wounds. The dressings are now being marketed in India under different brand names.

  17. A polyurethane dressing is beneficial for split-thickness skin-graft donor wound healing.

    PubMed

    Akita, Sadanori; Akino, Kozo; Imaizumi, Toshifumi; Tanaka, Katsumi; Anraku, Kuniaki; Yano, Hiroki; Hirano, Akiyoshi

    2006-06-01

    Few comparative studies have been performed on the various wound-dressing materials or methods proposed for use. To clarify the efficacy of wound dressing, 35 patients (17 females, aged 44.8+/-26.86 years and 18 males, aged 35.4+/-29.70) were subjected to a prospective study comparing a polyurethane dressing and a hydrogel dressing for split-thickness skin donors from the lateral thighs. We examined their clinical usefulness such as accelerated healing time, frequency of changing the dressing, degree of pain, or amount of exudates, and performed moisture meter analysis at 1 month and 1 year after re-epithelialization, which reflects the quality of the stratum corneum and subsequent scarring. The polyurethane dressing was superior to hydrogel in the wound healing time, amount of exudates, and frequency of dressing changes: the hydrogel was better for regulating the degree of pain. There was a positive correlation between transepidermal water loss and the effective contact coefficient, which indicates skin barrier function and affected by skin surface electrolytes and reflects water content, in moisture meter analysis (r(2)=0.32, p<0.01). Transepidermal water loss returned to the control level at 1 year after healing with both dressings. The effective contact coefficient of the polyurethane wound was significantly lower than that of hydrogel at 1 month (p<0.01), while both dressing wounds demonstrated significantly higher values at both 1 month and 1 year compared to the control (p<0.01). The polyurethane dressing is therefore superior both clinically and in moisture meter analysis.

  18. An evaluation of MRI safety and compatibility of a silver-impregnated antimicrobial wound dressing.

    PubMed

    Nyenhuis, John; Duan, Lian

    2009-07-01

    Wound infections can slow healing, increase pain, and have negative effects on a patient's quality of life. The recent emergence of antibiotic-resistant bacterial strains has led wound care specialists to revisit alternative topical agents such as silver to control wound bioburden. Aquacel Ag is an ionic silver-containing barrier dressing that is able to absorb large amounts of wound exudate. The aim of this study was to assess the magnetic resonance (MR) safety and compatibility of this dressing, according to the standard requirements of the American Society for Testing and Materials (ASTM). Radiofrequency-induced temperature changes associated with the test dressing were assessed using an ASTM phantom at 123 and 64 MHz. Whether the dressing caused any image distortion or magnetic deflection or if the electric resistance of the hydrated dressing differed significantly from that of tissue was also investigated. Similar radiofrequency-induced temperature changes were observed during 123 MHz (nominal 3 T) MR imaging of the phantom material alone (1.3 degrees C) and when the dressing was added (1.8 degrees C-2.0 degrees C). Similar increases in temperature were also observed at 64 MHz (1.5 T) in the phantom material alone (1.4 degrees C-1.9 degrees C) and with the dressing (1.6 degrees C-1.7 degrees C). The test dressing did not cause any discernible image distortion or magnetic deflection and had similar electric resistance to human body tissues. The wound dressing impregnated with ionic silver evaluated in this study has similar magnetic and electric characteristics to human tissues and is MR safe as defined in ASTM standard F2503-05. Therefore, the dressings can be left in place when a patient is undergoing MR imaging.

  19. [Application of modern wound dressings in the treatment of chronic wounds].

    PubMed

    Triller, Ciril; Huljev, Dubravko; Smrke, Dragica Maja

    2012-10-01

    Chronic and acute infected wounds can pose a major clinical problem because of associated complications and slow healing. In addition to classic preparations for wound treatment, an array of modern dressings for chronic wound care are currently available on the market. These dressings are intended for the wounds due to intralesional physiological, pathophysiological and pathological causes and which failed to heal as expected upon the use of standard procedures. Classic materials such as gauze and bandage are now considered obsolete and of just historical relevance because modern materials employed in wound treatment, such as moisture, warmth and appropriate pH are known to ensure optimal conditions for wound healing. Modern wound dressings absorb wound discharge, reduce bacterial contamination, while protecting wound surrounding from secondary infection and preventing transfer of infection from the surrounding area onto the wound surface. The use of modern wound dressings is only justified when the cause of wound development has been established or chronic wound due to the underlying disease has been diagnosed. Wound dressing is chosen according to wound characteristics and by experience. We believe that the main advantages of modern wound dressings versus classic materials include more efficient wound cleaning, simpler placement of the dressing, reduced pain to touch, decreased sticking to the wound surface, and increased capacity of absorbing wound exudate. Modern wound dressings accelerate the formation of granulation tissue, reduce the length of possible hospital stay and facilitate personnel work. Thus, the overall cost of treatment is reduced, although the price of modern wound dressings is higher than that of classic materials. All types of modern wound dressings, their characteristics and indications for use are described.

  20. Drug reaction with eosinophilia and systemic symptoms (DRESS): clinicopathological study of 45 cases.

    PubMed

    Skowron, F; Bensaid, B; Balme, B; Depaepe, L; Kanitakis, J; Nosbaum, A; Maucort-Boulch, D; Bérard, F; D'Incan, M; Kardaun, S H; Nicolas, J F

    2015-11-01

    Drug reaction with eosinophilia and systemic symptoms (DRESS) is a rare and severe adverse drug reaction. Large detailed studies of histopathological features of DRESS are sparse and suggest an association between keratinocyte damage and the severity of visceral involvement. To describe the dermatopathological features in a large series of DRESS and their possible association with clinical features and the severity of the disease. A retrospective analysis of the clinicobiological and dermatopathological features in a monocentric cohort of patients with DRESS. From January 2005 to January 2013, 45 patients were validated as probable or definite cases of DRESS. The median age was 64 years (range 3-87). The most frequent clinical and biological features included: fever ≥38.5°C (95%), facial oedema (72%), enlarged lymph nodes (51%), visceral involvement (75%), blood eosinophilia (97%) and atypical lymphocytes (82%). Severe DRESS occurred in 24% and a fatal outcome in 6% of patients. Histopathological analysis showed that no specific histopathological pattern was characteristic for DRESS. However, several changes in different cutaneous compartments were observed in 2 of 3 of cases. Spongiosis (55%) and keratinocyte damage (53%) were the most common epidermal changes. Spongiosis was associated with non-severe DRESS (P = 0.041) whereas confluent keratinocyte necrosis correlated with severe DRESS (P = 0.011). Vascular changes were frequent (88%). A moderate dermal perivascular lymphocytic infiltrate was invariably present, containing eosinophils, neutrophils and/or atypical lymphocytes in 57% of cases. Epidermal changes are indicative for the severity of DRESS. © 2015 European Academy of Dermatology and Venereology.

  1. Imparting commercial antimicrobial dressings with low-adherence to burn wounds.

    PubMed

    Asghari, Sogol; Logsetty, Sarvesh; Liu, Song

    2016-06-01

    The objective of our study was to decrease the wound adherence of commercial silver based wound dressings by depositing a non-adherent layer. Our hypothesis was that this non-adherent layer will lower the dressing's adherence to burn wounds without compromising the antimicrobial activity or increasing the cytotoxicity. A polyacrylamide (PAM) hydrogel layer was grafted on two commercial silver antimicrobial dressings (silver nanocrystal dressing (NC) and silver plated dressing (SP)) using a proprietary technique. The grafted PAM served as the non-adherent layer. Dressing adherence was measured with a previously published in vitro gelatin model using an Instron mechanical force testing instrument. The dressings were challenged with two clinically retrieved bacterial strains (Methicillin-resistant Staphylococcus aureus (MRSA) and multidrug resistant (MDR) Pseudomonas aeruginosa) with both a disk diffusion test, and a suspension antibacterial test. The cytotoxicity of samples to human neonatal fibroblast cells was evaluated with 3-(4,5-dimethyl-2-thiazolyl)-2,5-diphenyltetrazolium bromide (MTT) assay. Both untreated dressings showed high peeling energy: 2070±453J/m(2) (NC) and 669±68J/m(2) (SP), that decreased to 158±119J/m(2) (NC) and 155±138J/m(2) (SP) with the PAM deposition. Addition of the PAM caused no significant difference in zone of inhibition (ZOI) (disk diffusion test) or antibacterial kinetics (suspension test) against both bacteria (p>0.05, n=6) in either dressing. Survival of fibroblasts was improved by the PAM grafting from 48±5% to 60±3% viable cells in the case of NC and from 55±8% to 61±4% viable cells in SP (p<0.05, n=12). It was concluded that PAM as a non-adherent layer significantly decreases the adherence of these two commercial antimicrobial dressings in an in vitro gelatin model while preserving their antimicrobial efficacy, and reducing their cytotoxicity. Copyright © 2016 Elsevier Ltd and ISBI. All rights reserved.

  2. A Pilot Randomized Controlled Trial of Novel Dressing and Securement Techniques in 101 Pediatric Patients.

    PubMed

    Kleidon, Tricia M; Ullman, Amanda J; Gibson, Victoria; Chaseling, Brett; Schoutrop, Jason; Mihalia, Gabor; Rickard, Claire M

    2017-09-08

    To evaluate feasibility of an efficacy trial comparing peripherally inserted central catheter (PICC) dressing and securement techniques to prevent complications and failure. This pilot, 3-armed, randomized controlled trial was undertaken at Royal Children's Hospital and Lady Cilento Children's Hospital, Brisbane, Australia, between April 2014 and September 2015. Pediatric participants (N = 101; age range, 0-18 y) were assigned to standard care (bordered polyurethane [BPU] dressing, sutureless securement device), tissue adhesive (TA) (plus BPU dressing), or integrated securement dressings (ISDs). Average PICC dwell time was 8.1 days (range, 0.2-27.7 d). Primary outcome was trial feasibility including PICC failure. Secondary outcomes were PICC complications, dressing performance, and parent and staff satisfaction. Protocol feasibility was established. PICC failure was 6% (2/32) with standard care, 6% (2/31) with ISD, and 3% (1/32) with TA. PICC complications were 16% across all groups. TA provided immediate postoperative hemostasis, prolonging the first dressing change until 5.5 days compared with 3.5 days and 2.5 days with standard care and ISD respectively. Bleeding was the most common reason for first dressing change: standard care (n = 18; 75%), ISD (n = 11; 69%), TA (n = 4; 27%). Parental satisfaction (median 9.7/10; P = .006) and staff feedback (9.2/10; P = .002) were most positive for ISD. This research suggests safety and acceptability of different securement dressings compared with standard care; securement dressings may also reduce dressing changes after insertion. Further research is required to confirm clinically cost-effective methods to prevent PICC failure. Copyright © 2017 SIR. Published by Elsevier Inc. All rights reserved.

  3. [Experimental in vitro evaluation of the absorption capacity and control of exudate of 3 wound healing dressings].

    PubMed

    Torra i Bou, J E; Cortés i Borra, A; Manresa i Domínguez, J M

    1998-10-01

    The development of materials based in moist wound healing has meant an important step in wound care. The progressive development of knowledge referred to this issue has showed the importance of the management of wound exudate to obtain an optimal wound healing, which has concluded in a development of dressings orientated to manage exudate. Experimental "in vitro" study to evaluate the absorption capacity and exudate management of three moist wound healing dressings, Allevyn Adhesive (dressing A), CombiDERM (dressing B) and Tielle (dressing C). For each of this dressings the following parameters have been assessed: rate between the total surface and the absorption surface of the dressing, volume needed to saturate the retention capacity, pH evolution on the absorption surface and macroscopic aspect. Dressing A presents the major value in the rate between the total surface and the absorption surface (with a 64% rate, versus 28.7% for dressing B and 40.5% for dressing C). Dressing B was the one which needed a major quantity of exudate to saturate, with statistical significant differences versus dressings A and C (0.51 ml/cm2 versus 0.40 and 0.37 respectively). Dressing B was also the one that presented a best performance in reference to the leakage of exudate under pressure (with a loss of its initial weight of 8.34%, versus dressing C with a loss of 9.48%, and dressing A with a loss of 24.42%). None of the dressings presented pH modifications in the absorption surface. The results of this study let us establish that according to the used experimental evaluation methodology and the limitations that have been described in the manuscript, the dressing which presents the best performance in reference to absorption capacity and management of wound exudate is dressing B (CombiDERM) followed by dressing A (Allevyn Adhesive) and dressing C (Tielle). Experimental and clinical research will be required to examine thoroughly the absorption capacity and management of wound

  4. Evaluation of two absorbent silver dressings in a porcine partial-thickness excisional wound model.

    PubMed

    Bell, A; Hart, J

    2007-11-01

    To investigate and compare the performance of two widely used silver-containing, fibre-based dressings (Silvercel and Aquacel Ag) in terms of exudate management, wound-site adherence, dressing integrity, retention of dressing debris within wounds, frequency of debris-associated foreign body reactions and the impact of both debris and tissue reactions on wound-tissue integrity. The dressings were evaluated in a porcine partial-thickness exudating wound model (an in vivo model of moderate to high exudation up to post-wounding day 4, and low exudation from days 4 to 7). Dressing performance was assessed using a panel of semi-quantitative scales.Wound-exudate retention, dressing structure following exposure to exudate, and adherence to wound tissues were compared macroscopically; the extent of trapped dressing debris, any ensuing tissue reactions and the level of resulting tissue disruption were compared histologically. Silvercel was found to be significantly more effective in terms of wound exudate management than Aquacel Ag. On exposure to high levels of wound exudate, Silvercel retained its shape and mechanical strength, and remained at the site of application. In contrast, Aquacel Ag formed a fluid (semi-fibrous) gel, with minimal mechanical integrity and variable retention at the wound site. Silvercel was significantly more adherent to wound tissues than Aquacel Ag, but the level of trapped dressing debris, the frequency of ensuing foreign body reactions and the level of consequent wound-tissue disruption was lower, although not statistically, in the Silvercel-treated wounds. These results suggest that the potential adverse clinical consequences of unmanaged wound exudate may be less likely in Silvercel than Aquacel Ag-treated wounds. In addition, the adverse effects of dressing adherence may be less likely in Aquacel Ag-treated wounds, although such benefits may be negated by the potentially deleterious effects of elevated dressing debris deposition. In view of

  5. Gauze and tape and transparent polyurethane dressings for central venous catheters.

    PubMed

    Webster, Joan; Gillies, Donna; O'Riordan, Elizabeth; Sherriff, Karen L; Rickard, Claire M

    2011-11-09

    Central venous catheters (CVCs) facilitate venous access, allowing the intravenous administration of complex drug treatments, blood products and nutritional support, without the trauma associated with repeated venepuncture. However, CVCs are associated with a risk of infection. Some studies have indicated that the type of dressing used with them may affect the risk of infection. Gauze and tape, transparent polyurethane film dressings such as Tegaderm® and Opsite®, and highly vapour-permeable transparent polyurethane film dressings such as Opsite IV3000®, are the most common types of dressing used to secure CVCs. Currently, it is not clear which type of dressing is the most appropriate. To compare gauze and tape with transparent polyurethane CVC dressings in terms of catheter-related infection, catheter security, tolerance to dressing material and dressing condition in hospitalised adults and children. For this third update, we searched The Cochrane Wounds Group Specialised Register (10 May 2011); The Cochrane Central Register of Controlled Trials (CENTRAL; The Cochrane Library 2011, Issue 2), Ovid MEDLINE (1950 to April Week 4 2011); Ovid MEDLINE (In-Process & Other Non-Indexed Citations, May 11, 2011); Ovid EMBASE (1980 to 2011 Week 18); and EBSCO CINAHL (1982 to 6 May 2011). All randomised controlled trials (RCTs) evaluating the effects of dressing type (e.g. gauze and tape versus transparent polyurethane dressings) on CVC-related infection, catheter security, tolerance to dressing material and dressing condition in hospitalised patients. Two review authors independently assessed trial quality and extracted data. We contacted study authors for missing information. Six studies were included in earlier versions of the review. In this update two of the previously included papers have been excluded and two new trials have been added. Of these six trials, four compared gauze and tape with transparent polyurethane dressings (total participants = 337) and two

  6. Covalently antibacterial alginate-chitosan hydrogel dressing integrated gelatin microspheres containing tetracycline hydrochloride for wound healing.

    PubMed

    Chen, Huinan; Xing, Xiaodong; Tan, Huaping; Jia, Yang; Zhou, Tianle; Chen, Yong; Ling, Zhonghua; Hu, Xiaohong

    2017-01-01

    An antibacterial and biodegradable composite hydrogel dressing integrated with microspheres is developed for drug delivery and wound healing. The mechanism of gelation is attributed to the Schiff-base reaction between aldehyde and amino groups of oxidized alginate (OAlg) and carboxymethyl chitosan (CMCS). To enhance antibacterial and mechanical properties, tetracycline hydrochloride (TH) loaded gelatin microspheres (GMs) were fabricated by an emulsion cross-linking method, followed by integrating into the OAlg-CMCS hydrogel to produce a composite gel dressing. In vitro gelation time, swelling, degradation, compressive modulus and rheological properties of the gel dressing were investigated as the function of microsphere ratios. With increasing ratios of microspheres from 10 to 40mg/mL, the composite dressing manifested shorter gelation time and lower swelling ratios, as well as higher mechanical strength. Comparing to other formulations, the gel dressing with 30mg/mL microspheres showed more suitable stabilities and mechanical properties for wound healing. Also, in vitro drug release results showed that the loaded TH could be sustained release from the composite gel dressing by contrast with pure hydrogels and microspheres. Furthermore, powerful bacteria growth inhibition effects against Escherichia coli and Staphylococcus aureus suggested that the composite gel dressing, especially the one with 30mg/mL GMs containing TH, has a promising future in treatment of bacterial infection.

  7. Influence of hydrophilic polymers on functional properties and wound healing efficacy of hydrocolloid based wound dressings.

    PubMed

    Jin, Sung Giu; Yousaf, Abid Mehmood; Kim, Kyeong Soo; Kim, Dong Wuk; Kim, Dong Shik; Kim, Jin Ki; Yong, Chul Soon; Youn, Yu Seok; Kim, Jong Oh; Choi, Han-Gon

    2016-03-30

    The purpose of this study was to investigate the influence of different hydrophilic polymers on the swelling, bioadhesion and mechanical strength of hydrocolloid wound dressings (HCDs) in order to provide an appropriate composition for a hydrocolloid wound dressing system. In this study, the HCDs were prepared with styrene-isoprene-styrene copolymer (SIS) and polyisobutylene (PIB) as the base using a hot melting method. Additionally, numerous SIS/PIB-based HCDs were prepared with six hydrophilic polymers, and their wound dressing properties were assessed. Finally, the wound healing efficacy of the selected formulations was compared to a commercial wound dressing. The swelling ratio, bioadhesive force and mechanical strengths of HCDs were increased in the order of sodium alginate>sodium CMC=poloxamer=HPMC>PVA=PVP, sodium alginate>sodium CMC=poloxamer>PVA>HPMC=PVP and sodium alginate≥PVA>PVP=HPMC=sodium CMC>poloxamer, respectively. Among the hydrophilic polymers tested, sodium alginate most enhanced the swelling capacity, bioadhesive force and mechanical strengths. Thus, the hydrophilic polymers played great role in the swelling, bioadhesion and mechanical strength of SIS/PIB-based HCDs. The HCD formulation composed of PIB, SIS, liquid paraffin and sodium alginate at the weight ratio of 20/25/12/43 gave better wound dressing properties and more excellent wound healing efficacy than the commercial wound dressing. Therefore, the novel HCD formulation could be a promising hydrocolloid system for wound dressings.

  8. Electron beam crosslinked PEO and PEO/PVA hydrogels for wound dressing

    NASA Astrophysics Data System (ADS)

    Yoshii, F.; Zhanshan, Y.; Isobe, K.; Shinozaki, K.; Makuuchi, K.

    1999-06-01

    In order to prepare polyethylene oxide (PEO) hydrogel for wound dressing, different molecular weight PEO and PEO/poly(vinyl alcohol), PVA blend hydrogels were obtained with electron beam irradiation. Gel formation of PEO in aqueous solution was saturated at 40 kGy and the achieved gel fraction was 60-70%. The PEO hydrogel obtained was very fragile, hence PVA was added at 10-30% to give toughness to the PEO hydrogel. The PEO/PVA hydrogel blend showed satisfactory properties for wound dressing. To evaluate the healing effect of PEO/PVA hydrogel blend for dressing, the hydrogel covered a wound formed on the back of marmots. Healing under the wet environment of the hydrogel dressing had some advantages compared with that of gauze dressing which gives a dry environment: (1) the healing rate is faster, (2) easier to change the dressing, i.e. the hydrogel can be peeled off without any damage to the regenerated surface, and (3) no dressing material remains on the wound.

  9. DRESS Syndrome Caused by Cross-reactivity Between Vancomycin and Subsequent Teicoplanin Administration: A Case Report

    PubMed Central

    Miyazu, Daisuke; Kodama, Nobuhiro; Yamashita, Daiki; Tanaka, Hirokazu; Inoue, Sachiko; Imakyure, Osamu; Hirakawa, Masaaki; Shuto, Hideki; Kataoka, Yasufumi

    2016-01-01

    Patient: Male, 79 Final Diagnosis: DRESS Symptoms: Eosinophilia • fever • interstitial pneumonitis • skin rash Medication: Teicoplanin • vancomycin Clinical Procedure: — Specialty: Infectious Diseases Objective: Adverse events of drug therapy Background: Drug reaction with eosinophilia and systemic symptoms (DRESS) syndrome is a potentially life-threatening syndrome comprising severe skin eruption, fever, eosinophilia, lymphadenopathy, and involvement of internal organs. Here, we describe a case of DRESS syndrome caused by cross-reactivity between vancomycin and subsequent teicoplanin administration. Case Report: A 79-year-old male was admitted to our hospital for the treatment of injuries incurred in a traffic accident. Eosinophilia and lung dysfunction appeared after vancomycin administration. These symptoms were improved temporarily by withdrawal of vancomycin and administration of corticosteroid, but exacerbated by subsequent teicoplanin administration. These symptoms disappeared after discontinuation of teicoplanin. Based on comprehensive assessment of the overall clinical course, we judged that DRESS syndrome was induced by cross-reactivity between vancomycin and subsequent teicoplanin administration. Using the European Registry of Severe Cutaneous Adverse Reactions (RegiSCAR) scoring system, we categorized DRESS syndrome related to vancomycin and teicoplanin as “probable.” We describe, for the first time, DRESS syndrome (defined using the RegiSCAR scoring system) caused by cross-reactivity between vancomycin and subsequent teicoplanin administration. Conclusions: Clinicians should be aware that DRESS syndrome can be induced by cross-reactivity between vancomycin and teicoplanin. PMID:27572807

  10. A Wireless Electroceutical Dressing Lowers Cost of Negative Pressure Wound Therapy

    PubMed Central

    Ghatak, Piya Das; Schlanger, Richard; Ganesh, Kasturi; Lambert, Lynn; Gordillo, Gayle M.; Martinsek, Patsy; Roy, Sashwati

    2015-01-01

    Objective: To test whether the use of a wireless electroceutical dressing (WED) (Procellera®) in conjunction with a 5-day negative pressure wound therapy (NPWT) may reduce the number of dressing changes required per week with this therapy. Approach: At the Ohio State University Comprehensive Wound Center, chronic wound patients (n=30) undergoing NPWT were randomized into two arms following consent as approved by the institutional review board. The control arm received standard of care NPWT, where the dressing change was performed thrice a week. The test arm received the same care except that the WED was added as an interface layer and dressing change was limited to twice a week. Results: A reduced cost of care was achieved using the WED in conjunction with NPWT. Despite fewer dressing changes in wounds dressed with the WED, closure outcomes were comparable with no overt signs of any wound complication, including infection. The cost of NPWT care during the week was significantly lower (from $2918 to $2346) in the WED-treated group compared with patients in the control arm. Innovation: This work introduces a novel technology platform involving a WED, which may be used in conjunction with NPWT. If used as such, NPWT is effective in decreasing the frequency of dressing change and lowering the cost of care. Conclusion: This work points toward the benefit of using the WED combined with NPWT. A larger clinical trial investigating the cost-effectiveness of WED in wound care is warranted. PMID:26005596

  11. A rapid screening method for wound dressing by cell-on-a-chip device.

    PubMed

    Zhao, Qilong; Wang, Shiwen; Xie, Yunyan; Zheng, Wenfu; Wang, Zhuo; Xiao, Le; Zhang, Wei; Jiang, Xingyu

    2012-09-01

    This report demonstrates an in vitro method for screening wound dressing candidates that can minimize the use of animals for developing better methods for wound care. The development of materials and formulations for wound dressings, an important application of biomaterials, is laboriously and ethically challenging because of the use of a large number of animals. A method for rapid and effective screening of wound dressings in vitro, therefore, is in great need. A cell-on-a-chip model was used to simulate the cutaneous wound in vitro and screen the performances of several electrospun fibrous wound dressings in enhancing wound healing. For comparison, the performances of wound dressings were also evaluated in a rat model. It was found that the results acquired by microchip model corroborates well with animal experiments. It is the first time, as far as we know, that a good correlation between in vitro and in vivo results is reported for fibrous wound dressings. The cell-on-a-chip wound model we developed here may change the way that scientists screen candidates for wound dressings. Copyright © 2012 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.

  12. Patient-specific 3D scanned and 3D printed antimicrobial polycaprolactone wound dressings.

    PubMed

    Muwaffak, Zaid; Goyanes, Alvaro; Clark, Vivienne; Basit, Abdul W; Hilton, Stephen T; Gaisford, Simon

    2017-07-15

    The increasing prevalence of wound infections caused by antibiotic resistant bacteria is an urgent challenge facing modern medicine. To address this issue the expedient use of antimicrobial metals such as zinc, copper and silver were incorporated into an FDA-approved polymer (polycaprolactone - PCL) to produce filaments for 3D printing. These metals have broad-spectrum antimicrobial properties, and moreover, copper and zinc can enhance the wound healing process. 3D scanning was used to construct 3D models of a nose and ear to provide the opportunity to customize shape and size of a wound dressing to an individual patient. Hot melt extrusion was used to extrude pellets obtained by vacuum-drying of solutions of PCL and the different metals in order to manufacture metal-homogeneously-loaded filaments. Wound dressings with different shapes were produced with the filaments containing different concentrations of metals. Release of the metals from the dressings was determined by inductively coupled plasma atomic emission spectroscopy. All the different metal dressings show fast release (up to 24h) followed by slow release (up to 72h). The antibacterial efficacy of the wound dressings was tested using a thermal activity monitor system, revealing that silver and copper wound dressings had the most potent bactericidal properties. This study shows that 3D scanning and 3D printing, which are becoming simpler and more affordable, have the potential to offer solutions to produce personalised wound dressings. Crown Copyright © 2017. Published by Elsevier B.V. All rights reserved.

  13. Enhanced Performance and Mode of Action of a Novel Antibiofilm Hydrofiber® Wound Dressing

    PubMed Central

    Parsons, David

    2016-01-01

    Biofilm development in wounds is now acknowledged to be a precursor to infection and a cause of delayed healing. A next-generation antibiofilm carboxymethylcellulose silver-containing wound dressing (NGAD) has been developed to disrupt and kill biofilm microorganisms. This in vitro study aimed to compare its effectiveness against various existing wound dressings and examine its mode of action. A number of biofilm models of increasing complexity were used to culture biofilms of wound-relevant pathogens, before exposure to test dressings. Confocal microscopy, staining, and imaging of biofilm constituents, total viable counting, and elemental analysis were conducted to assess dressing antibiofilm performance. Live/dead staining and viable counting of biofilms demonstrated that the NGAD was more effective at killing biofilm bacteria than two other standard silver dressings. Staining of biofilm polysaccharides showed that the NGAD was also more effective at reducing this protective biofilm component than standard silver dressings, and image analyses confirmed the superior biofilm killing and removal performance of the NGAD. The biofilm-disruptive and silver-enhancing modes of action of the NGAD were supported by significant differences (p < 0.05) in biofilm elemental markers and silver donation. This in vitro study improves our understanding of how antibiofilm dressing technology can be effective against the challenge of biofilm. PMID:27990437

  14. Comparative evaluation of the functional properties of superabsorbent dressings and their effect on exudate management.

    PubMed

    Browning, P; White, R J; Rowell, T

    2016-08-01

    A range of wound dressings currently available in the UK and elsewhere, each claiming to possess different performance characteristics, can make dressing selection difficult. This report concentrates on the superabsorbent polymer dressings (SAPs) - which are designed to absorb medium to high levels of exudate and to maintain an 'ideal moist wound healing environment'. What do these dressings achieve, what are they suitable/not suitable for, and are all super-absorbent dressings equal in terms of performance and quality? When assessing the key performance characteristics of absorbency, moisture vapour transmission rate (MVTR), strikethrough and structural integrity, results show that SAPs are not all the same-in fact each of them varies considerably and may lend themselves to different wound aetiologies and usage conditions. While performance data is often presented from non-standard tests or modifications, it is proposed that to provide clarity over dressing selection, all SAPs were measured using International Standards for the key performance characteristics. This will aid clinical staff in selecting the most appropriate dressing for each wound.

  15. Clinical Curative Effect of Mesalt Combined with Mepilex Dressing in Postoperative Infection of Inguinal Hernia

    PubMed Central

    Liu, Zhenjun; Xiong, Zhonghua; Wu, Jiayu; Wang, Fang

    2015-01-01

    Background Inguinal hernia is a common surgical disease. Tension-free hernioplasty is currently commonly used for its treatment, with multiple advantages such as simple surgical method, low recurrence rate, and ability to be performed in primary care hospitals, but the risk of incision infection still exists. Mild infection can be cured by local washing, dressing, and systemic antibiotics. If the infection is severe, the wound may not heal after removing the patch, and secondary suturing is needed. Material/Methods A total of 60 patients with postoperative infection after tension-free repair of inguinal hernia were randomly divided into control (n=30) and treatment (n=30) groups. Patients in the treatment group received Mesalt combined with Mepilex for dressing while the patients in the control group received conventional gauze for dressing. Pain degree, wound healing time, and dressing times were observed. Results The clinical therapeutic effect in the treatment group was significantly better than in the control group. The treatment group exhibited significantly less pain when patients receive dressing, shorter wounds healing time (15±3.5 vs. 30±5.0), and less dressing frequency (10±2.1 vs. 20±2.4). Conclusions Mesalt combined with Mepilex can effectively improve postoperative infection after inguinal hernia treatment, obviously reducing pain, shorting wound healing time, and decreasing dressing frequency. It can be widely used in clinical practice. PMID:25854191

  16. Seeing "the Dress" in the Right Light: Perceived Colors and Inferred Light Sources.

    PubMed

    Chetverikov, Andrey; Ivanchei, Ivan

    2016-08-01

    In the well-known "dress" photograph, people either see the dress as blue with black stripes or as white with golden stripes. We suggest that the perception of colors is guided by the scene interpretation and the inferred positions of light sources. We tested this hypothesis in two online studies using color matching to estimate the colors observers see, while controlling for individual differences in gray point bias and color discrimination. Study 1 demonstrates that the interpretation of the dress corresponds to differences in perceived colors. Moreover, people who perceive the dress as blue-and-black are two times more likely to consider the light source as frontal, than those who see the white-and-gold dress. The inferred light sources, in turn, depend on the circadian changes in ambient light. The interpretation of the scene background as a wall or a mirror is consistent with the perceived colors as well. Study 2 shows that matching provides reliable results on differing devices and replicates the findings on scene interpretation and light sources. Additionally, we show that participants' environmental lighting conditions are an important cue for perceiving the dress colors. The exact mechanisms of how environmental lighting and circadian changes influence the perceived colors of the dress deserve further investigation.

  17. Polarisation response of delay dependent absorption modulation in strong field dressed helium atoms probed near threshold

    NASA Astrophysics Data System (ADS)

    Simpson, E. R.; Sanchez-Gonzalez, A.; Austin, D. R.; Diveki, Z.; Hutchinson, S. E. E.; Siegel, T.; Ruberti, M.; Averbukh, V.; Miseikis, L.; Strüber, C. S.; Chipperfield, L.; Marangos, J. P.

    2016-08-01

    We present the first measurement of the vectorial response of strongly dressed helium atoms probed by an attosecond pulse train (APT) polarised either parallel or perpendicular to the dressing field polarisation. The transient absorption is probed as a function of delay between the APT and the linearly polarised 800 nm field of peak intensity 1.3× {10}14 {{W}} {{cm}}-2. The APT spans the photon energy range 16-42 eV, covering the first ionisation energy of helium (24.59 eV). With parallel polarised dressing and probing fields, we observe modulations with periods of one half and one quarter of the dressing field period. When the polarisation of the dressing field is altered from parallel to perpendicular with respect to the APT polarisation we observe a large suppression in the modulation depth of the above ionisation threshold absorption. In addition to this we present the intensity dependence of the harmonic modulation depth as a function of delay between the dressing and probe fields, with dressing field peak intensities ranging from 2 × 1012 to 2 × 1014 {{W}} {{cm}}-2. We compare our experimental results with a full-dimensional solution of the single-atom time-dependent (TD) Schrödinger equation obtained using the recently developed abinitio TD B-spline ADC method and find good qualitative agreement for the above threshold harmonics.

  18. Using Urgotul dressing for the management of epidermolysis bullosa skin lesions.

    PubMed

    Blanchet-Bardon, C; Bohbot, S

    2005-11-01

    To evaluate the acceptability, tolerance and efficacy of Urgotul wound dressing in the management of epidermolysis bullosa (EB) skin lesions. This was an open-label uncontrolled clinical trial involving 20 patients (I I adults and nine children) with EB simplex or dystrophic EB. Patients were selected from the register of EB patients at the investigating centre and included if they presented with at least one skin lesion requiring management with a non-adherent wound dressing. Lesions were treated with the study dressing for a maximum of four weeks. All dressing changes, wound parameters, pain and effect on quality of life were recorded. All patients completed the trial. Nineteen out of 20 wounds healed within 8.7 +/- 8.5 days. Overall, 11 patients (55%) considered that their quality of life had improved following use of the dressing, which was also reported to be pain free and 'very easy' or 'easy' to remove at most dressing changes. Nineteen out of 20 patients stated that they would use the study dressing to manage their lesions in future. This study confirmed the very good acceptability and efficacy of Urgotul in the treatment of skin lesions in patients with EB.

  19. CASE REPORT Use of a Hydroconductive Dressing to Treat a Traumatic Avulsive Injury of the Face

    PubMed Central

    Perumal, Colin Jerome; Robson, Martin

    2012-01-01

    Introduction and objective: Traumatic avulsive injuries present complex therapeutic decisions. Radical and repeated debridement of all foreign material, necrotic tissue, bacteria, and deleterious chemicals followed by control of the bacterial bioburden and wound closure has been the gold standard. However, when such injuries occur in the face, the treatment requires modification. Specialized structures, nerves, and a maximum amount of tissue must be preserved. Topical antimicrobials may lead to dessication and further injury to tissue. Therefore, alternative treatments must be considered. Recently, a hydroconductive dressing has been demonstrated to decrease edema by removing excess exudate, to remove debris and necrotic tissue, and to decrease bacteria and deleterious cytokines in wounds. Methods: Regular dressings were done between 1 and 3 days by dedicated personnel, using a hydroconductive dressing. Following an initial conservative debridement and reconstruction while attempting to preserve as much of the normal structure as possible, the wounds were dressed with a hydroconductive dressing. Results: Using only selective conservative debridement following bony reconstruction and repeated hydroconductive dressing changes, this severe injury healed with preservation of the important facial features. No further extensive surgical procedures were required. On discharge, the patient was able to function well with a reasonably good aesthetic result. She was subsequently lost to follow-up. Conclusion: This case report demonstrates that a hydroconductive dressing can be useful for traumatic avulsive injuries. PMID:22848776

  20. Prevention and Treatment of Virulent Bacterial Biofilms with an Enzymatic Nitric Oxide-Releasing Dressing

    PubMed Central

    Sulemankhil, Imran; Ganopolsky, Jorge Gabriel; Dieni, Christopher Anthony; Dan, Andrei Florin; Jones, Mitchell Lawrence

    2012-01-01

    The use of percutaneous medical devices often results in nosocomial infections. Attachment of microorganisms to the surfaces of these medical devices triggers biofilm formation, which presents significant complications to the health of a patient and may lead to septicemia, thromboembolism, or endocarditis if not correctly treated. Although several antimicrobials are commonly used for prevention of biofilm formation, they have limited efficacy against formed biofilms. In this study, we report the use of an enzymatic, gaseous nitric oxide (gNO)-releasing dressing for the prevention and treatment of Acinetobacter baumannii, methicillin-resistant Staphylococcus aureus, and Pseudomonas aeruginosa biofilms. Results show that the bactericidal activity against biofilms of the test strains was dependent on time and rate of gNO release from the dressing. Following 6 h of treatment, gNO-releasing dressings significantly inhibited the growth of test strains relative to vehicle control dressings, demonstrating eradication of bacterial concentrations of up to 105 CFU/cm2. Complete cell death was observed for both prevention of biofilm formation and treatment of 24-h-grown biofilms after 6 h of treatment with the gNO-releasing dressings. Further, gNO-releasing dressings were more efficient against formed biofilms than other antimicrobial agents currently used. These results demonstrate that the gNO-releasing dressing can produce sufficient levels of gNO over a therapeutically relevant duration for maximal bactericidal effects against virulent bacterial strains known to cause nosocomial infections. PMID:22948868