scholarly journals Irrigant selection for treating trauma wounds on injured wildlife patients

2021 ◽  
Vol 37 (1) ◽  
pp. 16-21
Author(s):  
Kariana Atkinson ◽  
Dave McRuer

Contaminated wounds are frequently encountered on injured wildlife patients. Left untreated, contaminated wounds may result in infection with ongoing complications. Wound irrigation is an essential part wound treatment and arguably the most effective means of preventing wound infection. Successful treatment depends on a number of factors but selecting the most appropriate irrigant for the type of wound, degree and type of contamination, species and patient status is up to the informed caregiver. This article discusses some of the pros and cons of common irrigants used in veterinary wound management and best practices for application.


2021 ◽  
Vol 15 (8) ◽  
pp. 2184-2186
Author(s):  
Ahmad Shah ◽  
Nazeer Ahmad Sasoli ◽  
Farrukh Sami

Objective: To compare the incidence of surgical site infection after appendectomy wound irrigation with regular saline solution and imipenem solution. Study Design: Comparative randomized control trial Place and Duration of Study: Department of Surgery Unit-1, Sandeman Provincial Hospital Quetta from 1st September 2020 to 30th April 2021. Methodology: Eighty patients of both genders were presented in this study. Patients detailed demographics age, sex and body mass index were recorded after taking informed written consent. Patients underwent for appendectomy wound irrigation were included. Patients were equally divided into two equal groups, I and II. Group I had 40 patients and received imipenem and group II irrigated with saline solution with 40 patients. Outcomes were surgical site infection, deep abscess formation was observed post-operatively. Results: The mean age of the patients in group I was 26.11±2.03 years with mean BMI 23.61±3.32 kg/m2 and in group II mean age was 25.14±3.12 years with mean BMI 22.14±4.88 kg/m2. In group I, 32 (80%) patients had inflamed appendix, perforated appendix was in 7 (17.5%) and gangrenous appendix in 1 (2.5%) while in group II inflamed appendix in 34 (85%), perforated appendix in 4 (10%) and gangrenous appendix 2 (5%). Surgical site infection in group I was 3 (7.5%) and abscess formation in 2 (5%) cases while in group II SSI in 6 (15%) and abscess formation in 3 (7.5%) cases. Conclusion: Imipenem irrigation after appendectomy reduces wound infection. Healthcare costs and patient suffering due to infection can be reduced. Keywords: Imipenem solution, Wound irrigation with saline, Appendectomy wound infection



2021 ◽  
Vol 25 (1) ◽  
pp. 48-70
Author(s):  
Dave Aftandilian

Abstract Although animals have served as subjects and objects of religion since the Paleolithic, they are often omitted from standard religious studies courses. In this article, I discuss some best practices for introducing students to the study of animals and religion. After outlining some of the benefits of teaching about animals and religion, I explain the pros and cons of the two main approaches: by tradition or by topic. The majority of the article discusses some of the most important topics to include, as well as how best to approach several of them in terms of pedagogy and media. The final section explains the importance of bringing real animals into courses like this, and offers a variety of experiential education techniques for doing so, including contemplative practices.



2020 ◽  
Vol 338 ◽  
pp. 393-403
Author(s):  
Ferdinand Fischer ◽  
Birgit Schenk

Digitalization of the public sector is being driven by a number of factors. In particular, the concept of "Smart Cities" has become an important driver of this development. This relies heavily on an intelligent infrastructure including the Internet of Things (IoT). But does it make sense for small and medium-sized municipalities to develop this? Is it justified to invest in IoT? (How) can a mediumsized city benefit from it? This paper presents the application of an evaluation scheme for business models of urban IoT applications to answer these questions. The research question focuses on how best practices of urban IoT applications in general and in particular can be evaluated. In order to establish a concrete practical reference we evaluated ten chosen IoT applications for the German city of Herrenberg.



2020 ◽  
pp. 196-198
Author(s):  
H Parkar ◽  
AD Cromarty

Healthcare professionals in general practice are tasked with treatment and management of wounds on a daily basis. The prognoses of these wounds are directly affected by the ability of the clinician to assess these wounds according to several parameters, including the wound type and the features which determine whether a wound is acute or transforming to a chronic wound. This can be achieved by proper and continuous wound assessment, which should guide wound treatment strategies to ensure optimal wound healing and prevent progression to complicated wounds.



2018 ◽  
Vol 8 (9) ◽  
pp. 1558 ◽  
Author(s):  
Giuseppe Cirella ◽  
Felix Iyalomhe

Nigeria’s 196 million people is the third fastest growing population in the world; the interactions of this build up has left an indelible mark on the landscape and environment. Urbanization, deforestation, flooding, desertification, over population and all levels of pollution are resultant effects of this interaction with the environment. These changes directly relate to a seemingly endless desire for food, shelter, recreation and infrastructural facilities and urbanization in general. This has placed enormous pressure on ecosystem stability and environmentally sound living conditions. Flooding has become an annual event for Nigerian cities—where it consistently causes economic problems in the rainy season. Effort made by the government and residents to forestall this problem has produced sub-optimal results. There is a need to adopt more proactive, standard and reliable procedures that can offer sustainable outcomes and restore the socioeconomic growth of urban areas. Frequency of flooding is due to a number of factors relating to differing climatological patterns of precipitation, urban growth and increase in paved surfaces. The aim of this review is to utilize a conceptual framework to assess and identify areas within Nigeria prone to flooding and examine possible means of alleviating damage and harm.



Informatics ◽  
2020 ◽  
Vol 7 (3) ◽  
pp. 27
Author(s):  
Luca Anselma ◽  
Alessandro Mazzei

This paper describes the Multimedia Application for Diet Management (MADiMan), a system that supports users in managing their diets while admitting diet transgressions. MADiMan consists of a numerical reasoner that takes into account users’ dietary constraints and automatically adapts the users’ diet, and of a natural language generation (NLG) system that automatically creates textual messages for explaining the results provided by the reasoner with the aim of persuading users to stick to a healthy diet. In the first part of the paper, we introduce the MADiMan system and, in particular, the basic mechanisms related to reasoning, data interpretation and content selection for a numeric data-to-text NLG system. We also discuss a number of factors influencing the design of the textual messages produced. In particular, we describe in detail the design of the sentence-aggregation procedure, which determines the compactness of the final message by applying two aggregation strategies. In the second part of the paper, we present the app that we developed, CheckYourMeal!, and the results of two human-based quantitative evaluations of the NLG module conducted using CheckYourMeal! in a simulation. The first evaluation, conducted with twenty users, ascertained both the perceived usefulness of graphics/text and the appeal, easiness and persuasiveness of the textual messages. The second evaluation, conducted with thirty-nine users, ascertained their persuasive power. The evaluations were based on the analysis of questionnaires and of logged data of users’ behaviour. Both evaluations showed significant results.



2019 ◽  
Vol 24 (Sup9) ◽  
pp. S26-S32 ◽  
Author(s):  
Leanne Atkin

The immense burden imposed by chronic wounds—those persisting over 6 weeks despite active intervention—on patients and health services is well recognised. There are various reasons for why a wound fails to progress towards closure, and clinicians must investigate the underlying cause of wound chronicity, as this information guides the management of such wounds. The TIME framework (T=tissue; I=infection/inflammation; M=moisture balance; E=wound edges) is a useful tool for practitioners to systematically undertake wound assessment and product selection. This article discusses chronic wound management based on the TIME framework, examining the aspects to be considered when managing chronic wounds. It also describes the process of dressing selection for overcoming the various barriers to wound healing, specifically discussing the AQUACEL family of dressings.



Phlebologie ◽  
2016 ◽  
Vol 45 (02) ◽  
pp. 100-105
Author(s):  
G. U. Seip

SummaryChronic wounds continue to present a significant challenge to health-care providers around the globe. Unlike acute wounds, chronic wounds do not proceed through an orderly process of repair. In recent years many new modalities of modern wound treatment systems have been promoted. However, until recently there were few modalities designed to promote epithelialisation of a fully granulated wound. Mesh graft procedures have long been the gold standard for the management of acute wounds and chronic wounds but have also many disadvantages like discomfort associated with the donor site and the creation of a second painful wound (donor site).The increase of chronical wounds in Germany due to the average age of patients, the aggressiveness of medical treatment and increase of numbers of patients with diabetes and severe polymorbidity requires specialized wound treatment and plastic surgery. Since 2014 there was a new innovative system introduced in the market called Cellutome epidermal harvesting system. The Cellutome system is a epidermal harvesting system for skin grafting and can replace in many cases the traditional meshgraft procedure with a classic dermatoma. The skin donor section on the patient`s thigh heals within days without scarring. The system offers a precise, simplified and minimal invasive option for skin grafting in the treatment of especially chronic wounds.



2021 ◽  
Vol 2131 (3) ◽  
pp. 032111
Author(s):  
Gurru Akperov ◽  
Ilgar Alekperov ◽  
Anastasia Gorbacheva ◽  
Imran Magerramov ◽  
Anatoly Bocharov

Abstract Selection of an optimal route within the intelligent approach provides for the possibility of applying soft models and computing in estimation of the trainee presence in the knowledge space. Among numerous ways of representation and processing of information of this type, the special place is held by those able to adapt to the maximal number of NO factors, characterizing the actual training situations, their measurable data and actual methods and ways of their processing that have ambiguities, uncertainties and incompleteness of the respective models and methods. In this paper, we suggest to extend the certain well-proven best practices in data analysis and transformation in the training environment information space to solving the actual training management problems. In addition, the paper demonstrates approaches to the use of Pareto-optimal approaches for fuzzy and underdetermined situations in actual training processes. Formally, this problem is solved with a fuzzy systemic graph. Variants of calculating procedures, allowing the use of the available apparatus of soft models and computing with the purpose to eliminate uncertainties when forming grounded decisions, are given. Methods and criteria of route options selection with regard of vaguely defined functional specification requirements have been developed pursuant to the study.



Author(s):  
Morgan Carter

We are in a new chapter of crop and livestock improvement with the emergence of genome editing. This latest generation of molecular tools can be used to make targeted changes in a genome including insertions, deletions, and mutations. With new advances comes new risks for unintended changes and impacts, thus the need for appropriate risk assessment for product development and to inform regulatory measures. Though CRISPR/Cas has arisen as the predominant technology, there are multiple types of genome editing tools each with pros and cons depending on the organism and desired outcome. Furthermore, each editing tool differs in specificity as they may edit non-intended sites, referred to as off-target edits. The consensus of the agricultural editing community is to avoid off-target editing through design and detection, instead of determining whether off-target editing in each case is detrimental. The design of a targeting component, the tool chosen, and the identification of the edit(s) made are the critical factors in avoiding off-target edits and confirming intended edits in final products that are released commercially. The limited amount of head-to-head comparisons of genome editing tools in diverse crops and livestock make it difficult to develop broad conclusions and best practices, which is further compounded by the diversity of techniques, targets, and processes. Developers and breeders should consult the literature and test as needed to determine which editing technology will be the most effective for their purposes, especially as more tools with altered efficiency and specificity become available. Yet, the lack of off-target edits in studies that employed careful design of targeting components followed by wide testing for on- and off-target edits bodes well for the use of genome editing with proper precautions of target selection and screening.



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