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Investigating the severity and factors influencing the occurrence of pressure ulcers in hospitalized cerebrovascular accident patients: a retrospective cohort study

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Fallahi M., Vafaee K., Korab M., Sadeghi N., Moradi Y., Amini M., Karimi Z., Mahdavikian S.
Acta Neuropsychologica
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2024
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vol. 22(1)
67-80
EN
Patients with cerebrovascular accidents (CVA) are at risk of developing PUs due to sensory, motor and cognitive deficits following the disease. Therefore, the aim of the present study was to investigate the severity and factors affecting the occurrence of PUs in patients with CVA. The present study was a retrospective cohort study. The data of this research was extracted from the registry system of Imam Reza Hospital located in the west of Iran. 217 patients with CVA with Braden score below 14 or with PU were included in the study. In order to investigate the relationship between independent variables and wound stage in univariate regression model, logistic regression was used, and the results were reported as odds ratio (OR). Data were analyzed with Stata statistical software version 15 and Excel 2016 software. Out of 217 CVA patients hospitalized, 180 had pressure ulcers. In total, 465 PUs were diagnosed in 180 patients in different areas. The average age of patients was (SD=61±8.78) years. 65 patients suffered only one wound, 38 patients experienced two wounds, and 37 patients experienced three wounds. The highest number of PUs was with 201 cases of stage I, followed by 180 cases of stage II. Stage IV with 2 cases was the least PU cases. Patients with a Braden score of 10-12 were 3.89 times more likely than patients with a Braden score greater than 14, and patients with a Braden score of 6-9 were diagnosed with PUS 6.67 times more than those with a Braden score greater than 14. Regarding the site of PUs, the sacrum and then the buttock were the most common sites of PU, which were observed in 65.56% and 29.49% of patients, respectively. The highest number of stage I was related to the sacrum area. The sacrum was the most common site of PU occurrence and the highest number of PUs was related to stage I. Age, fecal incontinence, hemoglobin levels and Braden’s score have been among the factors affecting PUs in patients with CVA.
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Knowledge of nursing students on the subject of pressure ulcers prevention and treatment. What we know about pressure ulcers?

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Szymański S., Porębska E., Sipak- Szmigiel O.
Polish Journal of Surgery
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2020
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vol. 92(3)
22-25
EN
Introduction: Pressure ulcers and their consequences can occur in any patient regardless of the underlying disease, so the knowledge of their prevention and treatment is extremely important. The aim of the study: The aim of the study was to analyze the state of students’ knowledge on pressure ulcers. Material and methods: The research was carried out in the Pomeranian Medical University in Szczecin among students of nursing. The study involved 203 full-time students. Data was collected using a questionnaire consisting of 27 questions. The questions addressed the issues of the formation, prevention and treatment of pressure ulcers. The Kolmogorow-Smirnow, Fisher-Snedecor test, (ANOVA) with Spearman’s correlation and Student’s t-test were applied for statistical analysis. The statistical significance was assumed to be p ≤ 0.05. Results: Over half of the respondents (57.64%) had a sufficient level of knowledge on pressure ulcers prevention and treatment. The level increased with the duration of the study, the highest was in the last few years, both I and II cycle of studies. The better (the higher) subjects assessed their knowledge about prevention and treatment of pressure ulcers, they were characterized by a higher level of knowledge. Conclusions: The knowledge of nursing students on pressure ulcers increases with subsequent years of study. The selfassessment of students’ knowledge about pressure ulcers, their prevention and treatment is accurate. Students of the consecutive years are better prepared to carry out anti-bedsore prevention. Students are aware of the need to have knowledge, as well as practice in the field of prevention and treatment of pressure ulcers.
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Łączne stosowanie zmiennego pola magnetycznego i światła niskoenergetycznego – nowe możliwości leczenia schorzeń dermatologicznych? Demonstracja przypadków

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Pasek J., Cieślar G., Pasek T., Manierak A., Sieroń-Stołtny K., Sieroń A.
Annales Academiae Medicae Silesiensis
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2009
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vol. 63
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issue 3
75-81
EN
Physical methods using variable magnetic fi eld and low-energy light show high effi cacy in the treatment of various skin diseases, and that is why testing clinical application of simultaneous, synergistic use of both these physical factors in the treatment of dermatological diseases, especially resistant to conventional therapy, seem to be purposeful. In the paper therapeutic possibilities of simultaneous use of variable magnetic fi eld with low induction values and low-energy light applied in form of magnetolasertherapy and magnetoledtherapy in the treatment of respectively: pustular psoriasis of skin in heel region in 65-year old female patient resistant to conventional pharmacotherapy, as well as pressure ulcer in sacral region in 97-year old female patient after unsuccessful local, symptomatic treatment were presented. High therapeutic effi cacy in both presented cases, lack of substantial side eff ects and good tolerance of procedures indicate potential usefulness of magnetolasertherapy and magnetoledtherapy as valuable supplement of conventional, symptomatic treatment of pustular psoriasis and pressure ulcers. The obtained initial results could motivate for continuation of further randomized clinical trials in this domain.
PL
Metody fi zykalne wykorzystujące zmienne pole magnetyczne oraz światło niskoenergetyczne wykazują dużą skuteczność w leczeniu licznych chorób skóry, stąd też celowym wydają się próby klinicznego wykorzystania jednoczesnego, synergistycznego oddziaływania obu tych czynników fi zycznych w leczeniu schorzeń dermatologicznych nie poddających się konwencjonalnej farmakoterapii. W artykule przedstawiono możliwości terapeutyczne łącznego wykorzystania zmiennego pola magnetycznego o niskich wartościach indukcji oraz niskoenergetycznego promieniowania świetlnego stosowanych w formie magnetolaseroterapii oraz magnetoledoterapii w leczeniu odpowiednio: opornej na terapię farmakologiczną łuszczycy krostkowej skóry w okolicy pięty u 65-letniej kobiety oraz odleżyny okolicy krzyżowej u 97-letniej pacjentki po nieskutecznym, miejscowym leczeniu objawowym. Wysoka skuteczność terapeutyczna w obu przedstawionych przypadkach, przy braku istotnych działań ubocznych i dobrej tolerancji zabiegów, wskazują na potencjalną przydatność magnetolaseroterapii i magnetoledoterapii jako cennego uzupełnienia konwencjonalnych metod objawowego leczenia łuszczycy oraz odleżyn. Uzyskane wstępne wyniki stanowić mogą uzasadnienie do prowadzenia dalszych randomizowanych badań klinicznych w tym zakresie.
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