scholarly journals Medical honey and the role in pediatric emergency wound management

2018 ◽  
Vol 2 (2) ◽  
Author(s):  
Stefan Bittmann 1 ◽  
Anne Weissenstein 2 ◽  
Gloria Villalon 3 ◽  
Elisabeth Luchter 4

The use of complementary medical treatment in wound management has continued to grow throughout the world. There is a large body of evidence to support the use of honey as a wound dressing for a wide range of types of wounds. Clear guidelines for the use of honey in pediatric wound care do not exist. We present an update of present knowledge using honey as a form of complementary medicine in pediatric wound management.

2020 ◽  
Vol 3 (2) ◽  
pp. 59-65
Author(s):  
Bittmann Stefan ◽  
◽  
Luchter Elisabeth ◽  
Villalon Gloria ◽  
◽  
...  

The use of complementary medical treatment in wound management has continued to grow throughout the world. There is a large body of evidence that supports the use of honey as a wound dressing for a wide range of types of wounds. We present an update of present knowledge using honey (Medihoney) as a form of complementary medicine in pediatric wound management.


2021 ◽  
Vol 19 ◽  
pp. 228080002110549
Author(s):  
Michael Rodrigues ◽  
Thilagavati Govindharajan

A hydrocellular functional material as a wound dressing is developed and it is found to be superior in its efficacy as compared to some of the comparator controls in diabetic wound healing studies. A study on wound contraction and Histopathological analysis is done in rats. The efficacy of the dressing is comparable to the established wound dressings like Carboxymethyl cellulose alginate dressings and autolytic enzyme based hydrogel. It is found to be superior to Polyhexamethylene biguanide dressing used as reference controls in this study. The reason for good wound healing performance of the dressing can be attributed to a combined property of effective exudates management and broad spectrum antimicrobial effect. The concept of functional hydro cellular material has shown good results due to the excellent balance of exudates pickup and drying it out. This ensures moist wound healing conditions on the wound. Because of its porous nature it allows good air flow and gaseous exchange in the structure. The cationic sites created on the surface of the dressing ensure a good antimicrobial action on the exudates in the dressing. It reduces the infection load on the wound. The nonleaching property of the dressing also helps in preventing the generation of more resistant and mutant strains of the microbes. The developed dressing can be used as a relatively durable long lasting dressing for wound management in diabetic wounds. The need of repetitive wound dressing changes can be brought down with this concept of dressing. It is not only cost effective in terms of its material cost but also is a cost effective solution when entire wound management cost is considered. Such novel wound dressing material can change the quality of life of diabetic wound patients especially in developing world, where access to functional advanced wound care dressings is limited.


2020 ◽  
Vol 29 (6) ◽  
pp. 321-334
Author(s):  
Stephanie A McNamara ◽  
Penelope A Hirt ◽  
Maximillian A Weigelt ◽  
Sonali Nanda ◽  
Valeria de Bedout ◽  
...  

Objective: Children can have non-healing wounds due to a wide range of pathologies, including epidermolysis bullosa (EB), pilonidal disease and Stevens-Johnson syndrome, with some causes being iatrogenic, including extravasation injuries and medical device-related hospital-acquired pressure ulcers. Furthermore, paediatric wounds are vastly different from adult wounds and therefore require a different treatment approach. While there are numerous types of dressings, topical remedies, and matrices with high-tier evidence to support their use in adults, evidence is scarce in the neonatal and paediatric age groups. The purpose of this review is to discuss the basic principles in paediatric wound management, as well as to present new treatment findings published in the literature to date. The benefits and risks of using different types of debridement are discussed in this review. Various topical formulations are also described, including the need to use antibiotics judiciously. Method: Databases were searched for relevant sources including Pubmed, Embase, Web of Science and DynaMed. Search terms used included ‘wound care’, ‘wound management’, ‘paediatrics’, ‘children’, ‘skin substitutes’, and ‘grafts’. Additionally, each treatment and disease entity was searched for relevant sources, including, for example: ‘Apligraf’, ‘dermagraft’, ‘Manuka honey’, ‘antibiotic’, ‘timolol’, and ‘negative pressure wound therapy’ (NPWT). Results: Amniotic membrane living skin equivalent is a cellular matrix that has been reportedly successful in treating paediatrics wounds and is currently under investigation in randomised clinical trials. Helicoll is an acellular matrix, which shows promise in children with recessive dystrophic EB. NPWT may be used as a tool to accelerate wound closure in children; however, caution must be taken due to limited evidence to support its safety and efficacy in the paediatric patient population. Integra has been reported as a useful adjunctive treatment to NPWT as both may act synergistically. Hospitalised children and neonates frequently have pressure ulcers, which is why prevention in this type of wound is paramount. Conclusion: Advancements in wound care are rapidly expanding. Various treatments for non-healing wounds in paediatric and neonatal patients have been reported, but high tier evidence in these populations is scarce. We hope to shed light on existing evidence regarding the different therapeutic modalities, from debridement techniques and dressing types to tissue substitutes and topical remedies. There have been promising results in many studies to date, but RCTs involving larger sample sizes are necessary, in order to determine the specific role these innovative agents play in paediatric wounds and to identify true safety and efficacy.


2016 ◽  
Vol 24 (4) ◽  
pp. 369-376 ◽  
Author(s):  
Augustin Bahufite ◽  
Albert Ndagijimana ◽  
Eva Adomako ◽  
Abraham Zerihun ◽  
Calliope Akintije Simba ◽  
...  

Purpose Caesarean section (CS) is one of the most common surgeries in the world. Although the procedure saves lives, it poses important risks such as post-caesarean surgical site infection (PCS-SSI). Basic patient care procedures can prevent PCS-SSI, however, they are not always followed. The purpose of this study is to describe how strategic problem solving (SPS) was used to implement a wound dressing protocol in a district hospital in Rwanda to reduce PCS-SSI rates. Design/methodology/approach To address variations in wound care practice, a new clinical protocol was developed and implemented by a quality improvement team which included clinicians. Training and supervision was also provided to the maternity team. Findings The intervention reduced PCS-SSI from 5.1 to 1.8 per cent. It also significantly improved the compliance to recommended wound dressing practices. Practical implications By applying SPS and effective leadership skills, the authors secured buy-in and support from stakeholders and introduced a wound management protocol in a district hospital of Rwanda. The intervention significantly improved wound management practice; however, long term follow-up will be necessary to sustain the improvements. Originality/value The results will inform hospitals in resource-limited settings of how to improve basic standards of care using SPS and leadership without additional cost to the hospital.


2021 ◽  

James Augustine Aloysius Joyce (b. 1882–d. 1941) was a novelist, short story writer, playwright, and poet. He is one of the preeminent writers of the 20th century, regarded as one the greatest innovators of the novel form and a central figure in the modernist literary tradition. That reputation has made him the focus of an extraordinarily large body of scholarship, covering an almost limitless range of topics and contexts, and often placing him at the center of key philosophical debates about the nature of modernity and of literature. Furthermore, due to his close association with some of the most prominent writers in Irish, American, and European literature, and his influence on writers from across the world, his work is read in relation to a wide range of cultural and literary contexts. His writing is intensely focused on the details of Dublin life at the turn of the 20th century, as well as navigating a deeply ambivalent relationship with the Irish Literary Revival of which he was both a fierce critic and a participant. Living in Trieste, Paris, and Zurich for much of his life, he was also in close contact with many Modernist writers, and he was engaged with the tumultuous political and cultural life of Europe. Though he dabbled in socialism as a young man and was, privately, very critical of the rise of fascism, his own political convictions remain somewhat enigmatic and the subject of scholarly debate. Indeed, a characteristic feature of Joyce scholarship has been how amenable his work is to co-option by diverse and often conflicting ideological perspectives. In part, this may be due to the encyclopedically inclusiveness in historical, cultural, and sensory detail of his most famous works. His works were at once a scrupulous account of the city of his birth, faithfully rendering the topographical and human life of Dublin at a particular moment in its history, and one that simultaneously laid claim to the sweep of human history and knowledge, Joyce once claiming that if he could get to the heart of Dublin he could get to the heart of “all the cities of the world.” This article aims to reflect the diversity of approaches to Joyce’s work, as well as disagreements that have defined debate around his work and its significance. The topics covered reflect several major areas of study that have defined critical responses to Joyce.


2019 ◽  
Vol 25 (41) ◽  
pp. 5782-5797 ◽  
Author(s):  
Antonio Francesko ◽  
Petya Petkova ◽  
Tzanko Tzanov

Background: Composed in a large extent of water and due to their nonadhesiveness, 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. Objective: The objective of this 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.


Author(s):  
Surya Geetha V ◽  
Vishal Gupta N ◽  
Gowda Dv ◽  
Kulkarni Pk

Wound can be defined as any process which leads to the disruption of the normal architecture of a tissue. They may be closed or open, for example, abrasions, lacerations, avulsions, ballistic and excised, or surgical wounds. Successful wound care includes advancing patient local and systemic conditions in conjunction with a perfect injury healing condition. Numerous wide assortments of dressing materials are accessible both for extreme and persistent non-healing wounds. A wide range of wound healing products have been produced to impact this injury condition to give a non-pathogen, ensured, and clammy region for healing to happen. A perfect injury dressing ought to limit loss of protein, electrolytes, and liquids from twisted and to diminish pain and contamination alongside wound healing. More current products are as of now being utilized to supplant or enlarge different substrates in the injury healing period. There is a sharp complexity to prior routine of wound administration, where the injury is permitted to dry, yet the present advancement was to move forward to the idea of wet injury recovering. This review of the present wounding periphery in wound recovery occurs at the most recent utilizations of silver and the employments of negative pressure wound gadgets, propelled dressings and skin substitutes, and biologic injury items including development of hydrogels and hyperbaric oxygen as an aid in wound mending. With the advancement of accessible dressings, the objective is to locate the most proper methodology or blend of modalities to optimize wound healing.


2019 ◽  
pp. 42-48
Author(s):  
David Brett

Iodine-based preparations have been used for almost two centuries in the prevention of surgical site and other wound infections, but they can be toxic to tissue. Cadexomer iodine is an iodophor, which provides controlled release of iodine without cytotoxic effects. Cadexomer iodine is a long-established topical antimicrobial, which is used in the treatment of a variety of wounds. Its therapeutic efficacy is supported by a large body of clinical evidence. Moreover, ongoing research continues to reveal new insights into the mode of action of cadexomer iodine, and suggests new therapeutic applications. In addition, new clinical evidence/reviews in the form of Cochrane Reviews reveals comparisons to a wide range of topically applied wound care therapies.


GIS Business ◽  
2019 ◽  
Vol 14 (6) ◽  
pp. 597-606
Author(s):  
Dr. Maha Mustafa Omer Abdalaziz

The study aims at the technological developments that are taking place in the world and have impacted on all sectors and fields and imposed on the business organizations and commercial companies to carry out their marketing and promotional activities within the electronic environment. The most prominent of these developments is the emergence of the concept of electronic advertising which opened a wide range of companies and businessmen to advertise And to promote their products and their work easily through the Internet, which has become full of electronic advertising, and in light of that will discuss the creative strategy used in electronic advertising;


2020 ◽  
Vol 14 (3) ◽  
pp. 459-464
Author(s):  
Alevtina Vasilevna Kamitova ◽  
Tatyana Ivanovna Zaitseva

The paper reflects the specificity of the fundamental ideas of the artistic world of M. G. Atamanov, which includes a wide range of literary facts from the content level of the text of the works to their poetics. A particularly important role in the works of M. G. Atamanov is played by cross-cutting themes and images that reflect the author's individual style and his idea of national-ethnic identity. The subject of the research is the book of essays “Mon - Udmurt. Maly mynym vös’?” (“I am Udmurt. Why does it hurt?”), which most vividly reflected the main spiritual and artistic searches of M. G. Atamanov, associated with his ideas about the Udmurt people. The main motives and plots of the works included in the book under consideration are accumulated around the concept of “Udmurtness”. The comprehension of “Udmurtness” is modeled in his essays through specific leit themes: native language, Udmurt people, national culture, mentality, geographic and topographic features of the Udmurt people’ places of residence, the Orthodox idea. The “Udmurt theme” is recognized and comprehended by the writer through the prism of national identity.


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