Adjustability and Adaptability Are Critical Characteristics of Pediatric Support Surfaces.

Abstract:

:Significance: Pressure ulcers (PUs) in newborns and children are remarkably different from those in adults, both in their possible causal factors and in the etiology and biomechanical pathways for tissue damage. Recent Advances: Pediatric muscle and fat tissue structures are overall softer than those of adults, making newborns and young children more susceptible to deformation-inflicted injuries at their weight-bearing soft tissues. Critical Issues: The unique medical environment of neonatal and pediatric intensive care units, which is overloaded with medical devices, wiring, tubing, electrodes, and so on, is, in fact, an extrinsic risk factor for device-related PUs, since accidently misplaced tubes, wires, or electrodes can become trapped between the skin and the mattress, causing large sustained soft tissue deformations around them. Future Directions: Mattresses that are being used in neonatal and pediatric intensive care units must be able to respond to frequent movements and changing positions and also be able to effectively adapt and conform around such misplaced tubing or wires, which might contact the body and deform soft tissues. We used computer simulations of a tube caught under a preterm neonate's arm in a supine position to illustrate what adaptability of the support surface means in such cases. Our present simulations indicate that an air-cell-based technology provides considerably better protection against PUs in such cases, as the air-cells are able to locally buckle and conform around objects that are stiffer than the pediatric tissues (e.g., wires, tubes, electrodes), which minimizes exposure to tissue deformations.

journal_title

Advances in wound care

authors

Levy A,Kopplin K,Gefen A

doi

10.1089/wound.2015.0639

subject

Has Abstract

pub_date

2015-10-01 00:00:00

pages

615-622

issue

10

eissn

2162-1918

issn

2162-1934

pii

10.1089/wound.2015.0639

journal_volume

4

pub_type

杂志文章,评审
  • Proteases and Delayed Wound Healing.

    abstract:SIGNIFICANCE:Proteases and their inhibitors contribute to the balance between extracellular matrix (ECM) degradation and deposition, creating an equilibrium that is essential for the timely and coordinated healing of cutaneous wounds. However, when this balance is disrupted, wounds are led into a state of chronicity ch...

    journal_title:Advances in wound care

    pub_type: 评审

    doi:10.1089/wound.2012.0370

    authors: McCarty SM,Percival SL

    更新日期:2013-10-01 00:00:00

  • Therapeutic Approaches to the Regulation of Wound Angiogenesis.

    abstract:SIGNIFICANCE:Re-establishment of a functional vascular network is a critical component of successful wound repair. One of the most potent pro-angiogenic agents is vascular endothelial growth factor (VEGF), which, from a basic science and pre-clinical perspective, seems ideal for the therapeutic stimulation of blood ves...

    journal_title:Advances in wound care

    pub_type: 评审

    doi:10.1089/wound.2011.0348

    authors: Wietecha MS,DiPietro LA

    更新日期:2013-04-01 00:00:00

  • Nutrition and Chronic Wounds.

    abstract::Significance: Nutrition is one of the most basic of medical issues and is often ignored as a problem in the management of our chronic wound patients. Unfortunately, malnutrition is widespread in our geriatric patients even in nursing homes in developed countries. Attention to basic nutrition and providing appropriate ...

    journal_title:Advances in wound care

    pub_type: 评审

    doi:10.1089/wound.2014.0530

    authors: Molnar JA,Underdown MJ,Clark WA

    更新日期:2014-11-01 00:00:00

  • Chronic Wound Biofilm Model.

    abstract::Significance: Multispecies microbial biofilms may contribute to wound chronicity by derailing the inherent reparative process of the host tissue. In the biofilm form, bacteria are encased within an extracellular polymeric substance and become recalcitrant to antimicrobials and host defenses. For biofilms of relevance ...

    journal_title:Advances in wound care

    pub_type: 杂志文章,评审

    doi:10.1089/wound.2014.0587

    authors: Ganesh K,Sinha M,Mathew-Steiner SS,Das A,Roy S,Sen CK

    更新日期:2015-07-01 00:00:00

  • Prolotherapy: Potential for the Treatment of Chronic Wounds?

    abstract::Significance: Chronic skin ulcers, including venous, diabetic, and pressure ulcers, constitute a major health care burden, affecting 2-6 million people in the United States alone, with projected increases in incidence owing to the aging population and rising epidemic of diabetes. The ulcers are often accompanied by pa...

    journal_title:Advances in wound care

    pub_type: 杂志文章,评审

    doi:10.1089/wound.2018.0866

    authors: Siadat AH,Isseroff RR

    更新日期:2019-04-01 00:00:00

  • Autologous Bone Marrow Aspirate Therapy for Skin Tissue Engineering and Tissue Regeneration.

    abstract::Introduction: Chronic wounds that are difficult to heal are physical and financial burden to the sufferer and a challenge to the treating physician. Objective: The main purpose of this study was to develop a novel method of using bone marrow (BM) aspirate, either cultured or fresh, as early solution for healing of chr...

    journal_title:Advances in wound care

    pub_type: 杂志文章

    doi:10.1089/wound.2016.0704

    authors: Gupta GJ,Karki K,Jain P,Saxena AK

    更新日期:2017-04-01 00:00:00

  • Instillation Negative Pressure Wound Therapy: A Role for Infected LVAD Salvage.

    abstract::Objective: To determine the utility of instillation negative pressure wound therapy (NPWT) in achieving eradication of infection and definitive wound closure in patients with infected left ventricular assist device (LVAD). Approach: A retrospective review was performed in a series of patients with infected and exposed...

    journal_title:Advances in wound care

    pub_type: 杂志文章

    doi:10.1089/wound.2018.0832

    authors: Hodson T,West JM,Poteet SJ,Lee PH,Valerio IL

    更新日期:2019-03-01 00:00:00

  • Fidgetin-Like 2 siRNA Enhances the Wound Healing Capability of a Surfactant Polymer Dressing.

    abstract::Microtubules (MTs) are intracellular polymers that provide structure to the cell, serve as railways for intracellular transport, and regulate many cellular activities, including cell migration. The dynamicity and function of the MT cytoskeleton are determined in large part by its regulatory proteins, including the rec...

    journal_title:Advances in wound care

    pub_type: 杂志文章

    doi:10.1089/wound.2018.0827

    authors: O'Rourke BP,Kramer AH,Cao LL,Inayathullah M,Guzik H,Rajadas J,Nosanchuk JD,Sharp DJ

    更新日期:2019-03-01 00:00:00

  • Vascular Endothelial Growth Factor Release Following Electrical Stimulation in Human Subjects.

    abstract::Significance: Angiogenesis is an important phenomenon involved in the healing of chronic wounds, and it is mainly mediated by the release of vascular endothelial growth factor (VEGF) from endothelial cells. Electrical stimulation (ES) is a well-documented treatment used to assist the healing of chronic wounds. Due to ...

    journal_title:Advances in wound care

    pub_type: 评审

    doi:10.1089/wound.2013.0427

    authors: Liebano RE,Machado AF

    更新日期:2014-02-01 00:00:00

  • Therapeutic Applications of Extracellular Matrix.

    abstract::Chronic and hard-to-heal wounds are a tremendous burden on our healthcare system and impair the quality of life for millions of people. An emerging focus of regenerative medicine is the development of natural biomaterials that can stimulate tissue formation or repair by recreating the functional and structural propert...

    journal_title:Advances in wound care

    pub_type: 杂志文章

    doi:10.1089/wound.2015.0652

    authors: Hocking DC

    更新日期:2015-08-01 00:00:00

  • In Situ Forming Nutritional and Temperature Sensitive Scaffold Improves the Esthetic Outcomes of Meshed Split-Thickness Skin Grafts in a Porcine Model.

    abstract::Objective: Full-thickness burn wounds require immediate coverage, and the primary clinical approaches comprise of skin allografts and autografts. The use of allografts is often temporary due to the antigenicity of allografts. In contrast, the availability of skin autografts may be limited in large burn injuries. In su...

    journal_title:Advances in wound care

    pub_type: 杂志文章

    doi:10.1089/wound.2019.1108

    authors: Pourghadiri A,Alnojeidi H,Jalili R,Kilani RT,Nabai L,Ghahary A

    更新日期:2020-05-28 00:00:00

  • Wound Healing Finally Enters the Age of Molecular Diagnostic Medicine.

    abstract:BACKGROUND:Many wounds are difficult to heal because of the large, complex community of microbes present within the wound. THE PROBLEM:Classical laboratory culture methods do not provide an accurate picture of the microbial interactions or representation of microorganisms within a wound. There is an inherent bias in d...

    journal_title:Advances in wound care

    pub_type: 评审

    doi:10.1089/wound.2011.0303

    authors: Tatum OL,Dowd SE

    更新日期:2012-06-01 00:00:00

  • Interim Results of the Remede d'Or Study: A Multicenter, Single-Blind, Randomized, Controlled Trial to Assess the Safety and Efficacy of an Innovative Topical Formulation of Erythropoietin for Treating Diabetic Foot Ulcers.

    abstract::Objective: To inform on the interim results of the Remede d'Or study, which is a prospective, multicenter, single-blind, randomized, controlled clinical study on the safety and efficacy of RMD-G1, a topical carbopol-based hydrogel with a fibronectin matrix whose active pharmaceutical ingredient is erythropoietin (EPO)...

    journal_title:Advances in wound care

    pub_type: 新闻

    doi:10.1089/wound.2018.0808

    authors: Hamed S,Belokopytov M,Ullmann Y,Safadi M,Stark Y,Shoufani A,Akita S,Liu PY,Teot L

    更新日期:2019-10-01 00:00:00

  • Evidence-Based Review of Antibiofilm Agents for Wound Care.

    abstract::Significance: Biofilms in vivo are small densely packed aggregations of microbes that are highly resistant to host immune responses and treatment. They attach to each other and to nearby surfaces. Biofilms are difficult to study and identify in a clinical setting as their quantification necessitates the use of advance...

    journal_title:Advances in wound care

    pub_type: 杂志文章

    doi:10.1089/wound.2020.1193

    authors: Weigelt MA,McNamara SA,Sanchez D,Hirt PA,Kirsner RS

    更新日期:2021-01-01 00:00:00

  • Treatment of Full-Thickness Skin Wounds with Blood-Derived CD34+ Precursor Cells Enhances Healing with Hair Follicle Regeneration.

    abstract::Objective: Epidermal CD34+ stem cells located in the hair follicle (HF) bulge area are capable of inducing HF neogenesis and enhancing wound healing after transplantation. In this study, we observed CD34+ cells derived from blood directly participate in dermal regeneration during full-thickness excisional wound healin...

    journal_title:Advances in wound care

    pub_type: 杂志文章

    doi:10.1089/wound.2019.0974

    authors: Li S,Hu M,Lorenz HP

    更新日期:2020-05-01 00:00:00

  • Focal Contact and Hemidesmosomal Proteins in Keratinocyte Migration and Wound Repair.

    abstract::Significance: During wound healing of the skin, keratinocytes should move over while still adhering to their underlying matrix. Thus, mechanistic insights into the wound-healing process require an understanding of the forms and functions of keratinocyte matrix adhesions, specifically focal contacts and hemidesmosomes,...

    journal_title:Advances in wound care

    pub_type: 评审

    doi:10.1089/wound.2013.0489

    authors: Hopkinson SB,Hamill KJ,Wu Y,Eisenberg JL,Hiroyasu S,Jones JC

    更新日期:2014-03-01 00:00:00

  • The Role of Endothelial Progenitor Cells in Postnatal Vasculogenesis: Implications for Therapeutic Neovascularization and Wound Healing.

    abstract:SIGNIFICANCE:Postnatal vasculogenesis mediated via endothelial progenitor cells (EPCs) contributes to re-endothelialization and augments neovascularization after ischemia and tissue injury, providing a novel therapeutic application. However, controversy exists with respect to the origin, identification, and contributio...

    journal_title:Advances in wound care

    pub_type: 评审

    doi:10.1089/wound.2012.0398

    authors: Balaji S,King A,Crombleholme TM,Keswani SG

    更新日期:2013-07-01 00:00:00

  • The Wound Healing Index for Predicting Venous Leg Ulcer Outcome.

    abstract::Objective: To develop a venous leg ulcer (VLU) risk stratification system for use in research and clinical practice. Approach: U.S. Wound Registry data were examined retrospectively and assigned an outcome. Bivariate analysis identified significant variables (p < 0.05) that were used to create a multivariable logistic...

    journal_title:Advances in wound care

    pub_type: 杂志文章

    doi:10.1089/wound.2019.1038

    authors: Fife CE,Horn SD

    更新日期:2020-02-01 00:00:00

  • The Wound Microbiome: Modern Approaches to Examining the Role of Microorganisms in Impaired Chronic Wound Healing.

    abstract::Significance: Bacterial burden is believed to play a significant role in impaired wound healing of chronic wounds and the development of infection-related complications. The standard of care in the clinic relies upon cultivation-dependent methods to identify microorganisms. These assays are biased toward microorganism...

    journal_title:Advances in wound care

    pub_type: 评审

    doi:10.1089/wound.2012.0397

    authors: Misic AM,Gardner SE,Grice EA

    更新日期:2014-07-01 00:00:00

  • The Importance of Mast Cells in Dermal Scarring.

    abstract::Significance: Mast cells are resident inflammatory cells present in high numbers in the skin. They are one of the first cell types to respond to damage and they do so by quickly releasing a variety of preformed mediators that are stored within mast cell granules. Mast cells are not only active early on, where they hel...

    journal_title:Advances in wound care

    pub_type: 评审

    doi:10.1089/wound.2013.0457

    authors: Wilgus TA,Wulff BC

    更新日期:2014-04-01 00:00:00

  • Effect of Flightless I Expression on Epidermal Stem Cell Niche During Wound Repair.

    abstract::Objective: Activation of epidermal stem cells (EpSCs) from their quiescent niche is an integral component of wound reepithelialization and involves Wnt/β-catenin (β-Cat) signaling and remodeling of the actin cytoskeleton. The aim of this study was to investigate the effect of Flightless I (Flii), a cytoskeletal protei...

    journal_title:Advances in wound care

    pub_type: 杂志文章

    doi:10.1089/wound.2018.0884

    authors: Yang GN,Strudwick XL,Bonder C,Kopecki Z,Cowin AJ

    更新日期:2020-04-01 00:00:00

  • Integrins in Wound Healing.

    abstract::Significance: Regulation of cell adhesions during tissue repair is fundamentally important for cell migration, proliferation, and protein production. All cells interact with extracellular matrix proteins with cell surface integrin receptors that convey signals from the environment into the nucleus, regulating gene exp...

    journal_title:Advances in wound care

    pub_type: 评审

    doi:10.1089/wound.2013.0436

    authors: Koivisto L,Heino J,Häkkinen L,Larjava H

    更新日期:2014-12-01 00:00:00

  • Absorption and Safety of Topically Applied Timolol for Treatment of Chronic Cutaneous Wounds.

    abstract::Objective: There are no safety or absorption studies to guide topical timolol therapy for treatment of chronic wounds. This study was undertaken to address this gap. Approach: A prospective, observational, cross-sectional comparative study of timolol plasma levels in patients after topical administration to a chronic ...

    journal_title:Advances in wound care

    pub_type: 杂志文章

    doi:10.1089/wound.2019.0970

    authors: Gallegos AC,Davis MJ,Tchanque-Fossuo CN,West K,Eisentrout-Melton A,Peavy TR,Dixon RW,Patel RP,Dahle SE,Isseroff RR

    更新日期:2019-11-01 00:00:00

  • An Introduction to Functional Genomics and Systems Biology.

    abstract:OBJECTIVE:Over the past decade, the development of high-throughput technologies for DNA and protein analysis has revolutionized the ways in which cells can be studied. Within a relatively short time frame, research has changed from studying individual genes and proteins to analyzing entire genomes and proteomes. APPRO...

    journal_title:Advances in wound care

    pub_type: 杂志文章

    doi:10.1089/wound.2012.0379

    authors: Bunnik EM,Le Roch KG

    更新日期:2013-11-01 00:00:00

  • Cutaneous Manifestations of COVID-19: A Systematic Review.

    abstract::Objective: Coronavirus disease 2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), is currently a pandemic. Although pulmonary health has been the primary focus of studies during the early days of COVID-19, development of a comprehensive understanding of this emergent disease requi...

    journal_title:Advances in wound care

    pub_type: 杂志文章

    doi:10.1089/wound.2020.1309

    authors: Singh H,Kaur H,Singh K,Sen CK

    更新日期:2021-02-01 00:00:00

  • PEGylated Platelet-Free Blood Plasma-Based Hydrogels for Full-Thickness Wound Regeneration.

    abstract::Objective: To develop a cost-effective and clinically usable therapy to treat full-thickness skin injuries. We accomplished this by preparing a viscoelastic hydrogel using polyethylene glycol (PEG)-modified platelet-free plasma (PEGylated PFP) combined with human adipose-derived stem cells (ASCs). Approach: PEGylated ...

    journal_title:Advances in wound care

    pub_type: 杂志文章

    doi:10.1089/wound.2018.0844

    authors: Natesan S,Stone R,Coronado RE,Wrice NL,Kowalczewski AC,Zamora DO,Christy RJ

    更新日期:2019-07-01 00:00:00

  • A Viable Lyopreserved Amniotic Membrane Modulates Diabetic Wound Microenvironment and Accelerates Wound Closure.

    abstract::Objective: Wound healing is a complex process involving the dynamic interplay of various types of cells and bioactive factors. Impaired wound healing is characterized by a loss in synchronization of the process, resulting in non-healing chronic wounds. Human amniotic membrane (AM) has been shown to be effective in the...

    journal_title:Advances in wound care

    pub_type: 杂志文章

    doi:10.1089/wound.2018.0931

    authors: Dhall S,Hoffman T,Sathyamoorthy M,Lerch A,Jacob V,Moorman M,Kuang JQ,Danilkovitch A

    更新日期:2019-08-01 00:00:00

  • Mathematical Modeling Can Advance Wound Healing Research.

    abstract::Significance: For over 30 years, there has been sustained interest in the development of mathematical models for investigating the complex mechanisms underlying each stage of the wound healing process. Despite the immense associated challenges, such models have helped usher in a paradigm shift in wound healing researc...

    journal_title:Advances in wound care

    pub_type: 杂志文章

    doi:10.1089/wound.2019.1132

    authors: Menon SN,Flegg JA

    更新日期:2020-09-11 00:00:00

  • An Improved Humanized Mouse Model for Excisional Wound Healing Using Double Transgenic Mice.

    abstract::Objective: Splinting full-thickness cutaneous wounds in mice has allowed for a humanized model of wound healing. Delineating the epithelial edge and assessing time to closure of these healing wounds via macroscopic visualization have remained a challenge. Approach: Double transgenic mice were created by crossbreeding ...

    journal_title:Advances in wound care

    pub_type: 杂志文章

    doi:10.1089/wound.2017.0772

    authors: Hu MS,Cheng J,Borrelli MR,Leavitt T,Walmsley GG,Zielins ER,Hong WX,Cheung ATM,Duscher D,Maan ZN,Irizarry DM,Stephan B,Parsa FD,Wan DC,Gurtner GC,Lorenz HP,Longaker MT

    更新日期:2018-01-01 00:00:00

  • Medicare Coverage: You Cannot Play the Game If You Do Not Know the Rules.

    abstract::WOUND CARE STAKEHOLDERS SHOULD REMEMBER THAT MEDICARE REIMBURSEMENT REQUIRES THREE PARTS: a relevant code, a published Medicare payment rate, and positive coverage or coverage based upon medical necessity. Qualified healthcare professionals, scientists, and manufacturers should establish a monthly routine, where they ...

    journal_title:Advances in wound care

    pub_type: 杂志文章

    doi:10.1089/wound.2013.0498

    authors: Schaum KD

    更新日期:2013-12-01 00:00:00