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Radiation sterilization of cellulose dressing materials.

The results of investigations in the field of application of 60 Co gamma-irradiation for sterilization of cellulose dressing materials have been presented on the ground of our own experiments. The investigations were carried out for the model objects which are contents of all dressing materials, nowadays used in medical practice: cotton gauze, viscose-cotton gauze, cotton wool and cotton-viscose wool. In the present report there have been discussed the results of the test estimation of sterilized materials immediately after irradiation and during long storage as well (3-5 years after irradiation). The estimation was carried out according to the requirements of Pharmacopoeia. Moreover, the choice of parameters of sterilization process from the view-point of microbiological experiments and estimation of initial contamination degree of irradiated materials have been discussed.

Bandages↗

Quantitative determination of polysorbate to in non-standard salad dressings.

Six samples of non-standard salad dressing, containing 0.10 to 0.60% polysorbate 60, were submitted to 6 collaborators. The salad dressing is extracted and the extract is saponified and acidified, and the acids are removed. The aqueous, polyol solution is desalted and the polyoxyethylated polyols are precipitated as a highly insoluble heteropoly acid complex. The polysorbate 60 content is calculated from the weight of the precipitate, using a gravimetric factor. Average recoveries from the collaboration samples ranged from 105 to 130%, with standard deviations from 0.016 to 0.047. The method has been adopted as official first action.

Food Additives↗

Evaluation of a method for teaching dressing skills to profoundly mentally retarded persons.

The present study was a systematic replication of Azrin, Schaeffer, and Wesolowski's (1976) method for teaching dressing skills to mentally retarded persons. Of the 3 profoundly retarded adults trained in this study, 2 attained criterion for independent undressing. No residents reached criterion on dressing despite as much as 108.2 hours of training. These results contrasted with those of Azrin et al. (1976), whose subjects reached criterion on all skills in an average of 12 hours. We also found that treatment gains were generally maintained through 3 months of follow-up. We concluded that although the program improved the clients' self-care skills, more research is needed to identify critical program and subject variables that may have accounted for the contrasting results between this study and the earlier work.

Activities of Daily Living↗

[CODOFIX elastic mesh dressings].

The author discusses characteristic features of the new dressing material--elastic net CODOFIX, taking into consideration the choice of material and its properties. Functional and usable qualities are pointed out and the author presents indications for the use of elastic nets. The conditions of use and distribution of the elastic dressing nets are also discussed.

Bandages↗

The best dressing for a nail bed is the nail itself.

The replacement of a surgically avulsed nail as a splint and dressing with "Superglue" is reported. It provides a painless cover for the sterile matrix and facilitates the dressing of finger tip injuries.

Adhesives↗

Postsurgical compressive dressings for the maxillofacial area.

A convenient and functional type of compressive dressing for use in oral and maxillofacial surgery has been described and illustrated. The special nature of the dressing material permits an ease of manipulation and application to particular points that has previously been lacking in this aspect of postsurgical case. The authors have found this material to be easily and quickly applied, readily cleaned, nonallergenic nonrestrictive, retentive, and highly acceptable to the patient. In addition, it may also be used to maintain wet soaks or ice packs. Its effectiveness in minimizing postoperative edema in a variety of maxillofacial surgical procedures has been clinically established.

Adult↗

[Autoradiographic and electron microscopic studies of the effect of Soviet dressing materials on experimental wound healing].

Autoradiography and scanning electron microscopy were-used to assess new Soviet dressing materials in experiments on rats. It was shown that the two-layer nonwoven atraumatic material, caproic gauze, a modified surface active agent and kombutek-11 exert favourable effects on the regenerative processes in the wounds and promote more rapid wound healing as compared with a conventional cotton-gauze bandage. It is advisable to devise dressing materials possessing wound-healing action similar to kombutek-11.

Animals↗

Weaving reimbursement of surgical dressings into the plan of treatment.

Caring for chronic wounds in today's rapidly changing healthcare environment can present a variety of challenges to the nurse. The risk of these challenges being transformed into obstacles is exacerbated by a lack of knowledge of the reimbursement mechanisms for the dressings needed for wound management. A clear and current understanding of reimbursement should be integrated into the plan of treatment. This article attempts to clarify present Medicare policy for coverage and reimbursement of dressings utilized for chronic wound care.

Bandages↗

[Modern dressings. Hydrogels].

Hydrogels are occlusive types of dressings. They are three-dimensional nets made up of hydrophil polymers. They can be produced from synthetic or semisynthetic materials or a combination of the two. Hydrogels retain different percentages of water but are themselves insoluble in water. This is why they maintain on the wound surface their structure and do not dissolve. They are suited for the dressing of wounds with low secretion such as grade I and II burns, grade I and II bedsores and above all epithelial defects, major skin abrasions and areas after collection of epithelial grafts. Their use is contraindicated in infected wounds, in wounds with a massive secretion and ulcers of arterial origin. Although the domain of their clinical use are clean granulating or already epithelizing wounds, they are very well suited also for rehydration of dry and black skin necroses. Their advantages include minimal pain in the wound as well as the fact that they can be left on the wound without redressing till complete healing. This is made possible also by the fact that they are translucent.

Bandages↗

["Supreme" dressing in the prevention of hematoma and edema in scrotal surgery].

An efficient compression can reduce the complications of an inadequate hemostasis following scrotal surgery. The main difference between the "sumo" and previously described compressive methods lies in the use of both pelvic brims as main loading points for the dressing. Similar features are provided by standard scrotal supports but the compression they are able to achieve is minimal compared to that of "sumo" dressing.

Bandages↗

Effects of conformity and nonconformity to gender-role expectations for dress: teachers versus students.

Role theory predicts that a student's conformity to gender-role expectations for dress will result in favorable teacher evaluations and expectations. This conformity may be complicated by contradictory expectations from two sources: teachers and peers. This study examined the effects of conformity and nonconformity to gender-role expectations for dress on evaluations made by teachers and students. Both viewed a photograph of a young male student wearing or not wearing an earring and rated his personal traits, educational performance, parents' attitudes, social class, and interpersonal skills. Subjects were also asked to assess guilt and assign punishment after reading a behavior vignette. Results revealed that evaluations of personal traits, social class, and reactions to the behavior vignette were influenced by the presence or absence of an earring and by whether the evaluator was a teacher or a student. Results are discussed in terms of role theory.

Adolescent↗

Evaluation of a semipermeable polyurethane absorptive dressing.

While semipermeable film dressings are well established for treatment of moist wounds, they lose moisture to the atmosphere at a fixed rate. This article reports an evaluation of a semipermeable dressing recently made available in the UK which claims to vary the rate of moisture vapour loss.

Adolescent↗

Amniotic membranes as a biological dressing.

Amniotic membrane dressings were tested in the treatment of 30 patients. Fifteen of them had burns, 5 had chronic varicose ulcers, and 10 had decubitus ulcers or other open infected wounds. No effort was made to separate the chorion from the amnion. Dressings were changed every 48 hours, and treatment was, in some cases, partially ambulatory. Good results were obtained in the treatment of 2nd- and 3rd-degree burns and of other open, infected wounds, both in the preparation of the patients for autografting and in consequent treatment.

Adult↗

[The efficacy of treating skin ulcers and burns with film dressings with antibiotics].

The article summarizes the results of studies conducted during the treatment of burns (108 patients), and ecthymas (85 patients) with the help of film dressing and antibiotic powder (R. Breitman's method). During application of this method the healing process was more rapid, the administration of antibiotics was minimum, the dressing process became more easy, good cosmetic results were obtained. The period of inpatient care was shortened, cost of treatment was reduced.

Adolescent↗

A semipermeable skin dressing for extremely low birth weight infants.

Skin breakdown and high fluid requirements are common problems in extremely low birth weight infants that may be reduced by application of a semipermeable skin dressing (SPD). An SPD was applied to 39 study infants who weighed < 1000 gm (control subjects, n = 37) to determine whether it would protect the skin and decrease fluid requirements. Randomization occurred before 12 hours of life and SPD was applied to the chest, abdomen, and back. Sixty-one infants survived the first 14 days. Skin remained nonerythematous, intact, and undamaged under the dressing, whereas uncovered skin sustained significant breakdown in both groups. No significant differences were found in fluid or electrolyte status. Although the SPD did not affect fluid requirements, the significant improvement in skin integrity under the SPD may justify its use in premature infants with delicate skin.

Bandages↗

Healing properties of calcium alginate dressings.

In a prospective, randomised, controlled trial of 92 patients with full-thickness pressure ulcers, the efficacy of an alginate wound dressing was compared to that of an established local treatment with dextranomer paste. During treatment, a minimal 40% reduction in wound area was obtained in 74% of the patients in the alginate group and in 42% of those in the dextranomer group. The median time taken to achieve this goal was four weeks with alginate and more than eight weeks in the control group. Mean surface area reduction per week was 2.39 cm2 (sd 3.54) and 0.27 cm2 (sd 3.21) in the alginate and dextranomer groups respectively (p = 0.0001). This difference was still highly significant when the sub-groups of almost completely healed subjects at the end of the study were considered. This striking healing efficacy of an alginate dressing suggests it possesses pharmacological properties which require further investigation.

Aged↗

Transparent and gauze dressings and their effect on infection rates of central venous catheters: a review of past and current literature.

Infection has been identified as a potentially life-threatening complication of central venous catheterization. The type of dressing applied to the catheter site has been suggested to influence the incidence of catheter-related infection. Although numerous research studies were conducted before 1990 and in the past 5 years to compare the effect of gauze and transparent dressing on the infection rate of central venous catheters, results are conflicting. This literature review analyzes some of those efforts.

Bandages↗

A novel wound dressing with an antibiotic delivery system stimulated by microbial infection.

The aim of this study was to develop a new wound dressing with controlled release of antibiotics only in the presence of infection. In the first experiment using an infected dorsal pouch of rats, exudate containing proteinases from pouches contaminated with Staphylococcus aureus or Pseudomonas aeruginosa showed significantly higher hydrolytic activity toward Boc-Val-Pro-Arg-MCA than that from noninfected wounds. The authors then developed a new type of wound dressing (AGX), a drug delivery system in which gentamicin is bound to polyvinylalcohol hydrogel through an enzymatically degradable peptide linker containing a -(D)-Phe-Pro-Arg-sequence. To investigate in vitro effectiveness, AGX was incubated with exudate from S. aureus infected or P. aeruginosa infected wounds. Gentamicin was selectively released from AGX in the presence of the exudate from S. aureus infected or P. aeruginosa infected wounds, but was not released in the presence of exudate from noninfected wounds. Next, AGX or the polyvinylalcohol hydrogel that served as control was incubated with S. aureus in the presence of human plasma. After 24 hours, S. aureus concentration was markedly lower in the case with AGX than in that with polyvinylalcohol hydrogel. These results indicate that proteinases from wounds infected with S. aureus or P. aeruginosa cleaved the linker and gentamicin was released.

Animals↗