Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “DRESSINGS”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 973 records · Page 54Linked to original sources
PubMed1985

Effect of physician dress style on patient-physician relationship.

This study evaluates the effect of physician dress and other variables (i.e., sex of physician and patient, age, and type and site of visit) on patient-physician rapport. Three hundred eighty-six teens filled out a questionnaire, at the end of an office visit, which evaluated their attitudes regarding their physician and their preference for physician dress. The physicians alternated between very informal, informal, formal-white coat, and formal-suit/dress styles. Dress style made no statistical difference in patients' attitudes toward their physician. When asked what they preferred their doctor to wear 43% responded "makes no difference," 26% said "white coat," 14% said "pants and shirt," 10% said "jeans and shirt," and 4% said "suit and tie." Female patients were significantly more comfortable (3.6 versus 3.3, p less than 0.01) with female physicians. Male patients did not show a preference for a same-sex physician.

Adolescent↗
PubMed2003

A randomised clinical trial comparing a hydrocolloid-derived dressing and glycerol preserved allograft skin in the management of partial thickness burns.

Membranous dressings for the treatment of partial and mixed thickness burns are among the most innovative and promising new developments of the last years. In this study, we present data of a randomised prospective comparative study on a carboxymethylcellulose based dressing, Hydrofibre((R)) and glycerolized human allograft skin. In a 2 year period, 80 patients (40 for each material) were enrolled in the trial. Study wounds (<10% TBSA) that had not re-epithelialised after 14+/-3 days were debrided and grafted or, if small enough, managed with a topical antimicrobial agent. Mean total TBSA was 8.3+/-5.2%, study burn 3.7+/-2.0% for the Hydrofibre((R)) group and 7.3+/-4.3% total, 3.4+/-2.1% study burn for the allograft skin group (n.s. Wilcoxon rank sum test). No significant differences between groups were established in number of patients with superficial/deep burns. In both groups about 2/3 of the patients healed completely with the dressings applied (24/40 versus 27/40 for Hydrofibre((R)) versus allograft skin, respectively). However, a higher incidence of post-study excision and grafting was found in the Hydrofibre((R)) group (45% versus 15% in the allograft skin group, P=0.004, Mann-Whitney). At 10 weeks follow-up no significant differences were seen in scar colour, pigmentation, pliability, height or itching (Vancouver Scar Scale). Skin elasticity, measured by the Cutometer((R)), was significantly better for the allograft group (P=0.010, Wilcoxon). These differences were no longer found at 6 months and 1 year follow-up. Incidence of hypertrophy after 6 months was higher, but not significantly, in the Hydrofibre((R)) compared to the allograft skin group (52.5% versus 30%, P=0.09, chi-square). In view of the results from our comparative study on Hydrofibre((R)) versus allograft skin, we prefer the use of allograft skin for the category of larger burns of mixed depth, usually presented to burn centres. However, for partial thickness and small burns Hydrofibre((R)) can be the first choice in treatment.

Adult↗
PubMed1988

Surfasoft, a new graft dressing.

We present our preliminary experience using Surfasoft, a new dressing material, in the management of burns following skin grafting. It was found to be a useful dressing in awkward sites where conventional dressings have many disadvantages.

Adolescent↗
PubMed2000

Unusual donor site reactions to calcium alginate dressings.

Calcium alginate dressings have been used as the standard dressing for split skin donor sites at the Women's and Children's Hospital burn unit for the last 12 yr. This method has proven satisfactory with good haemostasis, reliable healing, low infection rate and is well accepted by the children and nursing staff. We have recently had 5 cases with the unusual and unexplained phenomenon of dermal calcification in the donor site following the use of two new varieties of calcium alginate dressing.

Alginates↗
PubMed2006

[A new cause of intra and extrahepatic cholangitis: the drug hypersensitivity syndrome or DRESS (Drug Rash with Eosinophilia and Systemic Symptoms)].

The DRESS (Drug Rash with Eosinophilia and Systemic Symptoms) corresponds to a drug reaction generally including cutaneous eruption, fever, hematologic abnormalities such as eosinophilia and atypical lymphocytosis and one or more specific visceral lesions specially in the liver. We report a case of drug hypersensitivity syndrome or DRESS associated with intra and extra-hepatic biliary lesions. This syndrome was associated with sulfasalazine and naproxene therapy. A reactivation of HHV6 was documented in the continuations of the DRESS and could play a role in the symptomms.

Adult↗
PubMed1998

Biopatch--a new concept in antimicrobial dressings for invasive devices.

A randomised controlled trial (RCT) was conducted to assess the reduction in the rate of catheter-related infections associated with the Biopatch dressing (Johnson & Johnson Medical Inc., Arlington, Texas, USA) used for insertion-site management of central venous catheters (CVCs) placed in the intensive care unit. Patients having a CVC placed were randomly assigned to receive either a Biopatch keyhole dressing to the occlusive Opsite IV 3000 (Smith and Nephew Medical Ltd., Hull, UK) (experimental group) or the Opsite IV 3000 alone (control group). There was a very low colonisation rate of CVC tip and skin exit-site swabs in both the experimental group (6 of 17) and the control group (5 of 16). No statistical difference was found between the two groups with regard to CVC or exit-site colonisation. A calculated sample size of 11,000 would be required to statistically demonstrate a 10 per cent reduction in CVC infection rate using the new Biopatch dressing. A much larger RCT would be required to demonstrate the efficacy of this new device.

Adult↗
PubMedDate not supplied

Microengineered surface topography facilitates cell grafting from a prototype hydrogel wound dressing with antibacterial capability.

Skin wounds derive therapeutic benefit from redeployment of dermal tissues, whether as split-thickness allo- and autografts or as biological dressings comprising cultured cells. However, the clinical outcome is strongly influenced by the techniques used for cell/tissue grafting and also the microbiological status of the wound. Here we report that microtopography incorporated into the surface of a novel polymeric material, derivatized with fibronectin to promote attachment and encourage motility, improved the efficiency of cell transfer onto de-epithelialized human skin ex vivo. The microtopography had two functions, first as a conduit for migrating cells to cross between the vehicle and recipient surface and second to shield adherent cells from destruction by mechanical shearing during handling and application. Quantitative analysis showed that topographic projections (columns) rather than recesses (pits) in the hydrogel surface achieved the highest efficiency of cell transfer. In order to address the crucial relevance of microbiological contamination to the success of wound grafting, the effect of iodine on several common bacterial pathogens was examined using an XTT+C(Q10) kinetic cell viability assay. Increasing concentrations of iodine initially stressed and after 0.5% v/v were subsequently bacteriocidal for Gram-negative Pseudomonas aeruginosa and Escherichia coli and Gram-positive Bacillus subtillis and Staphylococcus aureus. Slightly higher doses of iodine (approx 1-1.5% v/v) were required to kill HaCaT cells outright, but for both pro- and eukaryotes the major determinant of cytotoxicity was absolute dose rather than duration of exposure. Iodine delivered by the hydrogel at low concentration was bacteriostatic but not apparently cytotoxic to epithelial cells as measured by MTT end-point cell viability assay. Zone of inhibition studies confirmed that bacteriocidal quantities of neomycin, phenol red, and silver could also be delivered using the same hydrogel. This research suggests that grafting cell-based biological dressings to wounds using a topographically modified hydrogel dressing capable of simultaneous reducing the microbiological threat to a successful outcome may be a realistic clinical proposition.

Adult↗
PubMed2002

Hyaluronic acid and silver sulfadiazine-impregnated polyurethane foams for wound dressing application.

Five different kinds of PU foam wound dressings were prepared to investigate their wound healing capability. They include (i) PU+silver sulfadiazine (AgSD), (ii) PU+alginate (Al), (iii) PU+Al+AgSD, (i.v.) PU+hyaluronic acid (HA), and (v) PU+HA+AgSD. Physical properties and in vitro behaviors of AgSD release and fibroblast adhesion on those dressings were evaluated. From the drug release and fibroblast adhesion studies, it was observed that PU foam impregnated with both HA and AgSD shows good drug release behavior and low adhesion of the cells. Furthermore, the HA and AgSD-containing PU foam showed excellent wound healing effect without any inflammation or yellow cluster. The wound size decreased around 77% after 1 week application of that foam dressing onto a rat skin defect.

Journal Article↗
PubMed2004

The sartorial self: William James's philosophy of dress.

William James placed great importance on clothing, and this emphasis on apparel is reflected in his writings on psychology, in his letters, and in his own style of dress. his perspective on dress was influenced by a passage on the "philosophy of clothing" in Hermann Lotze's Microcosmus. James believed clothing to be an essential part of the material self; in this article it is argued that it is important to the spiritual and social selves as well. James's interest in the self-expressive aspects of clothing was reflected in his attire, his descriptions of colleagues" clothing, his account book, and his chairmanship of Harvard's Committee on Academic Dress.

Clothing↗
PubMed1998

Evaluation of the hygienic performances of the processes for beef carcass dressing at 10 packing plants.

The hygienic performances of the carcass dressing processes at 10 beef packing plants were assessed from small sets of microbiological data. For each process, a single sample was obtained from a randomly selected site on each of 25 randomly selected beef sides leaving the process. In addition, during a period of about a year, a further nine such sets of samples were obtained from each of two of those processes. The aerobic bacteria, coliforms and Escherichia coli recovered from each sample were enumerated. For each set of 25 counts, values for the mean log and standard deviation were calculated on the assumption that the log values were normally distributed, and the log of the arithmetic mean was estimated for each set from the mean log and the standard deviation. The processes were ranked with respect to the log mean numbers of E. coli, coliforms and total counts estimated for the products. Log mean numbers of E. coli, coliforms and total counts ranged from about 2 to < 100 cm-2, from about 3 to < 100 cm-2, and from about 5 to about 2 cm-2, respectively. For one of the processes, 8, 7, and 8 of the log mean values for the replicated sets of aerobic, coliform and E. coli counts, respectively, differed by < 1 log unit. For the other process 5, 7, and 9 of the log mean values for the replicated sets of aerobic, coliform and E. coli counts, respectively, differed by < 1 log unit. These results indicate that the first process was generally consistent in the contamination of carcasses with aerobes, coliforms and E. coli. The contamination of carcasses in the second process with coliforms and E. coli was also generally consistent, but contamination of those carcasses with aerobes was inconsistent. The findings suggest that beef carcass dressing processes can be operated consistently with respect to the bacterial contamination of carcasses, and that log mean numbers of 1 +/- 0.5 to 100 cm-2, 1 +/- 0.5 to 100 cm-2 and 3 +/- 0.5 cm-2 for E. coli, coliform and total counts, respectively, may be appropriate, commercially attainable acceptance criteria for the hygienic performance of beef carcass dressing processes.

Animals↗
PubMed1999

Silicone gel sheet dressings for prevention of post-minigraft cobblestoning in vitiligo.

Punch grafting was performed in 15 patients using punches varying in size from 2 to 3 mm in diameter. Silicone gel sheets were used as a post-operative dressing. Removal of the dressings after 7 days revealed no lifting of grafts in 13 patients. A minimally raised surface seen in two patients flattened after 6 to 8 weeks of continuous use of the dressing. At two months of follow-up, no cobblestoning or any other untoward effect was evident. Firm pressure provided by silicone gel sheets probably prevents cobblestoning by counteracting forces which tend to lift the grafts. Additionally, the sheets act as a brace preventing graft dislocation, provide a sterile atmosphere underneath the grafts, facilitate periodic observation due to their transparency, and are easily removed at the time of follow-up.

Bandages↗
PubMed1993

Prospective randomized study of the efficacy of hydrogel, hydrocolloid, and saline solution-moistened dressings on the management of pressure ulcers.

A total of 67 patients with pressure ulcers were randomized into one of three treatment modalities: hydrogel sheet dressing, hydrocolloid, or wet-to-moist gauze. Safety, efficacy, and physical attributes of the three dressings were evaluated. No statistical significance was found in wound healing rate among the three treatments. Hydrogel sheets were advantageous in allowing wound visualization without dressing or wound disruption.

Journal Article↗
PubMed1994

A transparent dressing in free-flap surgery.

The authors have developed a technique for postoperative monitoring of transferred free flaps, making the removal of gauze dressings unnecessary. Their technique involves the transparent, hydrogel wound dressing, Clear Site. A Doppler probe can also be directly applied over this material, to examine the patency of the vascular pedicle. An adhesive border on the sheeted material keeps the flap aseptic, thus providing fewer opportunities for wound infection. A wider use of this transparent dressing technique in free-flap surgery is expected.

Bandages↗
PubMed2006

Psychiatric patients: views on psychiatrists' dress and address.

Dress styles and forms of address vary among psychiatrists according to personal preferences. Gledhill et al. (Br J Psychiatry 1997;171;228-32) asked the patients in a London psychiatric hospital about their views on their psychiatrists' dress and address. To survey the preferences of our patients and reproduce the study of Gledhill et al., we interviewed Norwegian psychiatric inpatients and outpatients to identify preferences for dress styles and terms of address. Our patients preferred fairly smart attire. Most patients wanted to be called by their first name; about half wanted to address their doctors by their first name and half by surname. Results were somewhat different from the London survey, but the conclusion is similar: paying more attention to the way psychiatrists interact and present themselves may facilitate the therapeutic alliance with their patients.

Adult↗
PubMed1989

A prospective, randomized study comparing transparent and dry gauze dressings for central venous catheters.

Patients having central venous catheters for three or more days were prospectively randomized to receive a transparent (n = 58) or gauze (n = 57) dressing to compare the incidence of insertion site colonization, local catheter-related infection, and catheter-related sepsis. Quantitative cultures of the catheter insertion site (25 cm2) revealed significantly greater colonization (P less than or equal to .009) after 48 h in the transparent versus the gauze dressing group. Local catheter-related infection occurred significantly more often (P = .002) in the transparent (62%) than in the gauze group (24%). Seven episodes of catheter-related bacteremia occurred in the transparent group (16.6%) and none in the gauze group (P = .015). Stepwise logistic regression analysis revealed that cutaneous colonization at the insertion site of greater than or equal to 10(3) cfu/mL (relative risk, 13.16) and difficulty of insertion (relative risk, 5.39) were significant factors for catheter-related infection. These data suggest that transparent dressings are associated with significantly increased rates of insertion site colonization, local catheter-related infection, and systemic catheter-related sepsis in patients with long-term central venous catheters.

Bacterial Infections↗
PubMed2006

Silver-containing dressings and the need for evidence.

The field of wound care has been inundated with "active" dressings--those that deliver biologically active substances to the wound site--and much attention has been given to those containing silver. Silver is a broad-spectrum agent: it is bactericidal to a large number of Gram-positive and Gram-negative microorganisms, many aerobes and anaerobes, and several antibiotic-resistant strains. More than 10 dressings containing pure silver are currently available; all claim to enhance wound healing through the antimicrobial activity of silver. But research findings on silver's antimicrobial efficacy are often inconclusive or contradictory. How, therefore, can clinicians decide which dressing is most appropriate for each patient? A grading system for reviewing the literature is presented.

Anti-Infective Agents↗
PubMed1980

The "Sulfamylon sandwich"--a laminated mafenide-saline dressing.

Though commercially available 11.2% mafenide acetate cream (Sulfamylon) has been shown to be very effective in preventing burn wound sepsis, it has several serious drawbacks. Five percent mafenide acetate solution dressings are also effective and do not have the disadvantages of the cream. This preparation, however, is not available for general usage. For these reasons, we have devised a laminated dressing using the 11.2% cream and saline, which delivers an aqueous solution of mafenide acetate to the wound. The dressing has proved both effective and acceptable to patients, and is particularly valuable following the application of split-thickness skin grafts to burns and other chronic open wounds. The technique is described.

Administration, Topical↗