scholarly journals TELEDERMATOLOGY: CONCEPTS AND APPLICATIONS IN MEDICINE

2015 ◽  
Vol 62 (2) ◽  
pp. 99-104
Author(s):  
Maria-Magdalena Constantin ◽  
◽  
Anca Răducan ◽  
Elena Poenaru ◽  
Traian Constantin ◽  
...  
Keyword(s):  
Systematic Review ◽  
Health Care ◽  
Chronic Wound ◽  
Wound Care ◽  
Skin Cancers ◽  
Acne Rosacea ◽  
Therapeutic Algorithm ◽  
Chronic Skin ◽  
Store And Forward ◽  
Chronic Skin Disease

Objectives. To assess the concepts of teledermatology (TD), a subspecialty of dermatology and one of the most common applications of telemedicine. Material and methods. This systematic review, totaling 32 works, is aimed to evaluate the advantages and limitations of teledermatology, which can be delivered in two ways: real-time (synchronous), using videoconference technology, and store-and-forward (SAF) methods (aynchronous), using digital images via internet, a cheaper and more convenient modality for the health care provider. Results. So far, teledermatology has been implemented in dermoscopy, dermatopathology and chronic wound care. However, other chronic skin disease, such as psoriasis, dermatitis, acne, rosacea and skin cancers can be evaluated and monitored using store-and-forward methods. Conclusions. In order to develop a teledermatology platform, Romanian dermatology requires specific protocols and equipment for taking and sending photographs. A dermatologist would then review the data using store-and forward method and respond with a diagnosis and therapeutic algorithm.

scholarly journals Telemedicine for wound management

2012 ◽  
Vol 45 (02) ◽  
pp. 412-417 ◽  
Author(s):  
Ravi K. Chittoria
Keyword(s):  
Health Care ◽  
Chronic Wounds ◽  
Wound Care ◽  
Cost Effective ◽  
Skin Lesions ◽  
Wound Management ◽  
Care Practice ◽  
Telemedicine Technology ◽  
Store And Forward ◽  
Financial Burdens

ABSTRACTThe escalating physiological, psychological, social and financial burdens of wounds and wound care on patients, families and society demand the immediate attention of the health care sector. Many forces are affecting the changes in health care provision for patients with chronic wounds, including managed care, the limited number of wound care therapists, an increasingly ageing and disabled population, regulatory and malpractice issues, and compromised care. The physician is also faced with a number of difficult issues when caring for chronic wound patients because their conditions are time consuming and high risk, represent an unprofitable part of care practice and raise issues of liability. Telemedicine enhances communication with the surgical wound care specialist. Digital image for skin lesions is a safe, accurate and cost-effective referral pathway. The two basic modes of telemedicine applications, store and forward (asynchronous transfer) and real-time transmission (synchronous transfer, e.g. video conference), are utilized in the wound care setting. Telemedicine technology in the hands of an experienced physician can streamline management of a problem wound. Although there is always an element of anxiety related to technical change, the evolution of wound care telemedicine technology has demonstrated a predictable maturation process.

Evidence for person-centred care in chronic wound care: A systematic review and recommendations for practice

2020 ◽  
Vol 29 (Sup9b) ◽  
pp. S1-S22 ◽  
Author(s):  
Georgina Gethin ◽  
Sebastian Probst ◽  
Jan Stryja ◽  
Natalia Christiansen ◽  
Patricia Price
Keyword(s):  
Systematic Review ◽  
Wound Healing ◽  
Chronic Wounds ◽  
Chronic Wound ◽  
Wound Care ◽  
Patient Knowledge ◽  
Person Centered Care ◽  
Centered Care ◽  
Recommendations For Practice ◽  
The Impact

Background Chronic wounds affect an estimated 2.21 per 1000 population. They are a significant source of morbidity and affect individuals physically, psychologically, socially and financially. Person-centered care is one approach to improve patient outcomes in wound care as it values patients' perspectives, beliefs and autonomy and considers the person as a whole within the cultural context in which care is provided. Aim We aimed to review the evidence on the use of person-centered care (PCC) in chronic wound care management and provide recommendations for practice and future research. Method Using a systematic review methodology, we searched six databases for full-text papers from 2009–2019 published in peer-reviewed journals with no limits on language. Results Eighteen articles on studies involving 3149 patients from nine countries were identified. Studies were conducted under three broad intervention categories: healthcare professional education (n=1); patient education (n=14) and telemedicine (n=3). Studies were equally focused on prevention and treatment of chronic wounds. Significant improvements were reported in patient knowledge, pain and self-care behaviours. Only two studies evaluated the impact on wound healing and one study estimated the cost of implementing person-centered care. Conclusions The evidence base to support PCC in wound management is developing and based on our review has shown improved outcomes in areas of pressure ulcer prevention, patient satisfaction, patient knowledge and quality of life, but clinical outcomes such as wound healing were less well explored. Further research with more objective outcome measures are required.

Negative pressure wound therapy technologies for chronic wound care in the home setting: A systematic review

2015 ◽  
Vol 23 (4) ◽  
pp. 506-517 ◽  
Author(s):  
Susan M. Rhee ◽  
M. Frances Valle ◽  
Lisa M. Wilson ◽  
Gerald Lazarus ◽  
Jonathan M. Zenilman ◽  
...  
Keyword(s):  
Systematic Review ◽  
Negative Pressure ◽  
Negative Pressure Wound Therapy ◽  
Chronic Wound ◽  
Wound Care ◽  
Wound Therapy ◽  
Home Setting

scholarly journals Utilizzo di staminali da tessuto adiposo nelle lesioni cutanee croniche: esperienza clinica/Use of adipose tissue stem cells in chronic skin lesions: clinical experience

2018 ◽  
Vol 2 (2) ◽  
Author(s):  
Fabrizio Moffa ◽  
Alberico Balbiano da Colcavagno ◽  
Elia Ricci
Keyword(s):  
Stem Cells ◽  
Adipose Tissue ◽  
Chronic Wound ◽  
Wound Care ◽  
Local Treatment ◽  
Skin Lesions ◽  
Complex Process ◽  
Number Of Patients ◽  
Global Vision ◽  
Chronic Skin

La guarigione di una ferita cronica è un processo articolato e complesso, che richiede una visione clinica globale del paziente. Tuttavia, il trattamento locale del letto della ferita riveste un’importanza fondamentale. Sempre più ormai si parla di medicina rigenerativa di tipo induttivo come mezzo per stimolare le cellule senescenti all’interno di una lesione cutanea cronica, in particolare mediante l’utilizzo delle cellule staminali mesenchimali. Il tessuto adiposo autologo rappresenta una fonte di cellule staminali e la tecnologia Lipogems® ne rende possibile la sua applicazione clinica. In questo studio vengono analizzati i risultati ottenuti con tale metodica che, seppur con i limiti di un numero ancora non consistente di pazienti, sono comunque incoraggianti nel proseguire lungo questa strada, considerata da molti come l’ultima frontiera nel wound care. The healing of a chronic wound is an articulated and complex process, requiring a patient’s clinical global vision. However, local treatment of the wound bed is of fundamental importance. More and more now we talk about regenerative medicine as a means to stimulate senescent cells in a chronic skin lesion, particularly through the use of mesenchymal stem cells. Autologous adipose tissue is a source of stem cells and Lipogems® technology makes it possible for its clinical application. In this study we analyze the results obtained with this method that, even with the limits of a not yet substantial number of patients, they are still in encouraging continue along this road, considered by many as the last frontier in wound care.

scholarly journals Modern Dressing Wound Care Mempercepat Proses Penyembuhan Ulkus Kaki pada Pasien Diabetes: A Systematic Review

2021 ◽  
Vol 7 (1) ◽  
pp. 146-155
Author(s):  
Bangu Bangu ◽  
Heriviyatno Julika Siagian ◽  
Rosani Naim ◽  
Evodius Nasus
Keyword(s):  
Systematic Review ◽  
Wound Healing ◽  
Green Tea ◽  
Chronic Wound ◽  
Wound Care ◽  
Healing Process ◽  
Wound Dressings ◽  
Foot Ulcers ◽  
Diabetic Patients ◽  
Cost Effective Treatment

Foot ulcers in diabetic patients should receive treatment to reduce the risk of infection and amputation and improve function and quality of life. Wound care techniques are developing very quickly, which can help nurses and patients to improve the healing of foot ulcers in diabetic patients. Several wound care methods that can accelerate the healing process of foot ulcers in DM patients include modern wound dressings, the process of healing diabetic ulcers. With modern dressing methods, chronic wound care with modern dressings, the potential of green tea in wound healing, honey as a debridement agent. Objective: This study reviews several dressing methods that accelerate the healing process of foot ulcers in diabetic patients. This study uses a Systematic Review based on Preferred Reporting Items for Systematic Reviews & Meta-Analyses (PRISMA) to identify all published literature using relevant databases and keywords. In the 5 articles that we analyzed, the use of modern wound dressings proved to be more effective in accelerating wound healing, especially foot ulcers in diabetic patients. Modern wound care (Modern wound dressing), chronic wound care with modern dressings, the potential of green tea in wound healing, Honey as a debridement agent: a systematic review. And the role of the family in helping patients take medication regularly is the right choice to accelerate the healing process of foot ulcers in diabetic patients with more cost-effective treatment.

Paracrystalline Aggregates of Psoriatic Keratin and Their Relation to Normal Keratin Structure

1985 ◽  
Vol 43 ◽  
pp. 680-681
Author(s):  
S. Trachtenberg ◽  
P.M. Steinert ◽  
B.L. Trus ◽  
A.C. Steven
Keyword(s):  
Cell Death ◽  
Stratum Corneum ◽  
Intermediate Filament ◽  
Skin Disease ◽  
Amorphous Matrix ◽  
Terminal Differentiation ◽  
Proteolytic Degradation ◽  
Horny Layer ◽  
Chronic Skin ◽  
Chronic Skin Disease

During terminal differentiation of vertebrate epidermis, certain specific keratin intermediate filament (KIF) proteins are produced. Keratinization of the epidermis involves cell death and disruption of the cytoplasm, leaving a network of KIF embedded in an amorphous matrix which forms the outer horny layer known as the stratum corneum. Eventually these cells are shed (desquamation). Normally, the processes of differentiation, keratinization, and desquamation are regulated in an orderly manner. In psoriasis, a chronic skin disease, a hyperkeratotic stratum corneum is produced, resulting in abnormal desquamation of unusually large scales. In this disease, the normal KIF proteins are diminished in amount or absent, and other proteins more typical of proliferative epidermal cells are present. There is also evidence of proteolytic degradation of the KIF.

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