A novel approach to chronic wound management using a patented cream of silicon dioxide, silver ions, chlorhexidine and hyaluronic acid

Chronic wounds with low healing rate generally lead to decreased in quality of life of patients, financial burden and increased morbidity rate (Järbrink et al, 2016). Thus, wound care management involving a patented 4-in-1 formulation is an aid in the management of chronic wounds. To demonstrate its efficacy, seven patients were chosen, four with a venous leg ulcer, two with a diabetic foot ulcer and 1 with a pressure ulcer. All the wounds were cleaned, debrided and then the silicon dioxide, silver ions, chlorhexidine and hyaluronic acid cream (KAdermin cream) was applied as the primary dressing, with a non-adhesive dressing as a secondary dressing. This case series demonstrates that the cream was able to reduce wound size significantly, while eliminating infection signs.

Harikrishna KR Nair is a Professor and Head of Wound Care Unit, Department of Internal Medicine, Hospital Kuala Lumpur; Nur Zati Ilwani, a SRN, Staff Nurse of Wound Care Unit, Department of Internal Medicine, Hospital Kuala Lumpur; Ling Li Ng is a Pharmacist of Y.S.P. Industries (M) Sdn. Bhd.Lumpur

IWGDF Guideline on the prevention of foot ulcers in persons with diabetes(2)

AUTHORS

Sicco A. Bus1 , Larry A. Lavery2, Matilde Monteiro-Soares3 , Anne Rasmussen4, Anita Raspovic5 , Isabel C.N. Sacco6, Jaap J. van Netten1,7,8 on behalf of the International Working Group on the Diabetic Foot (IWGDF)

INSTITUTIONS

1 Amsterdam UMC, Department of Rehabilitation Medicine, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands

2 Department of Plastic Surgery, University of Texas Southwestern Medical Center, Dallas, Texas, USA

3 MEDCIDES: Departamento de Medicina da Comunidade Informação e Decisão em Saúde & CINTESIS – Center for Health Technology and Services Research, Faculdade de Medicina da Universidade do Porto, Porto, Portugal

4 Steno Diabetes Center Copenhagen, Gentofte, Denmark

5 Discipline of Podiatry, School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, Victoria, Australia

6 Physical Therapy, Speech and Occupational Therapy department, School of Medicine, University of São Paulo, São Paulo, Brazil

7 School of Clinical Sciences, Queensland University of Technology, Brisbane, Australia

8 Diabetic foot clinic, Department of Surgery,Ziekenhuisgroep Twente, Almelo and Hengelo, The Netherlands

KEYWORDS

diabetic foot; foot ulcer; guidelines; prevention; footwear; self-care; self-management; education www.iwgdfguidelines.org

IWGDF Guidelines on the prevention and management of diabetic foot disease(1)

AUTHORS

Nicolaas C. Schaper1 , Jaap J. van Netten2,3,4, Jan Apelqvist5 , Sicco A. Bus2 , Robert J. Hinchlife6 , Benjamin A. Lipsky7 on behalf of the International Working Group on the Diabetic Foot (IWGDF)

INSTITUTIONS

1 Div. Endocrinology, MUMC+, CARIM and CAPHRI Institute, Maastricht, The Netherlands

2 Amsterdam UMC, Department of Rehabilitation Medicine, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands

3 School of Clinical Sciences, Queensland University of Technology, Brisbane, Australia

4 Diabetic foot clinic, Department of Surgery, Ziekenhuisgroep Twente, Almelo and Hengelo, The Netherlands

5 Department of Endocrinology, University Hospital of Malmö, Sweden

6 Bristol Centre for Surgical Research, University of Bristol, Bristol, UK

7 Department of Medicine, University of Washington, Seattle, USA; Green Templeton College, University of Oxford, Oxford, UK

KEYWORDS

diabetic foot; foot ulcer; guidelines; guidance; implementation; prevention; treatment www.iwgdfguidelines.org

Telemedicine and Telehealth in Urology—What Do the ‘Patients’ Think About It?

Nithesh Naik 1,2, B. M. Zeeshan Hameed2,3 *, Sanjana Ganesh Nayak 4 , Anshita Gera4, Shreyas Raghavan Nandyal 5 , Dasharathraj K. Shetty 6 , Milap Shah2,7, Sufyan Ibrahim2,8 , Aniket Naik 8 , Nagaraj Kamath8 , Delaram Mahdaviamiri 9 , Kenisha Kevin D’costa10 , Bhavan Prasad Rai 2,11, Piotr Chlosta12 and Bhaskar K. Somani 2,13

1 Department of Mechanical and Manufacturing Engineering, Manipal Institute of Technology, Manipal Academy of Higher Education, Manipal, India,

2 iTRUE (International Training and Research in Uro-oncology and Endourology) Group, Manipal, India,

3 Department of Urology, Father Muller Medical College, Mangalore, India,

4 Department of Computer Science and Engineering, Manipal Institute of Technology, Manipal Academy of Higher Education, Manipal, India,

5 Gandhi Medical College, Kaloji Narayana Rao University of Health Sciences, Secunderabad, India,

6 Department of Humanities and Management, Manipal Institute of Technology, Manipal Academy of Higher Education, Manipal, India,

7 Robotics and Urooncology, Max Hospital and Max Institute of Cancer Care, New Delhi, India,

8 Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, India,

9 Manipal College of Pharmaceutical Sciences, Manipal, Manipal Academy of Higher Education, Manipal, India,

10 Department of Biomedical Engineering, Manipal Institute of Technology, Manipal Academy of Higher Education, Manipal, India,

11 Department of Urology, Freeman Hospital, Newcastle upon Tyne, United Kingdom,

12 Department of Urology, Jagiellonian University in Krakow, Kraków, Poland,

13 Department of Urology,University Hospital Southampton NHS Trust, Southampton, United Kingdom

       Telemedicine is the delivery of healthcare to patients who are not in the same location as the physician. The practice of telemedicine has a large number of advantages, including cost savings, low chances of nosocomial infection, and fewer hospital visits. Teleclinics have been reported to be successful in the post-surgery and post-cancer therapy follow-up, and in offering consulting services for urolithiasis patients. This review focuses on identifying the outcomes of the recent studies related to the usage of video consulting in urology centers for hematuria referrals and follow-up appointments for a variety of illnesses, including benign prostatic hyperplasia (BPH), kidney stone disease (KSD), and urinary tract infections (UTIs) and found that they are highly acceptable and satisfied. Certain medical disorders can cause embarrassment, social exclusion, and also poor self-esteem, all of which can negatively impair health-related quality-of-life. Telemedicine has proven beneficial in such patients and is a reliable, cost-effective patient-care tool, and it has been successfully implemented in various healthcare settings and specialties.

Keywords: telemedicine, telehealth, urology, patients perspective, COVID-19

Standards and Guidelines in Telemedicine and Telehealth

Elizabeth A. Krupinski 1,* and Jordana Bernard 2

1 Department of Medical Imaging, University of Arizona, 1609 N Warren Bldg 211, Tucson,AZ 85724, USA

2 American Telemedicine Association, Washington, DC 20036, USA; E-Mail: 该Email地址已收到反垃圾邮件插件保护。要显示它您需要在浏览器中启用JavaScript。 * Author to whom correspondence should be addressed; E-Mail: 该Email地址已收到反垃圾邮件插件保护。要显示它您需要在浏览器中启用JavaScript。;">该Email地址已收到反垃圾邮件插件保护。要显示它您需要在浏览器中启用JavaScript。; Tel.: +1-520-626-4498; Fax: +1-520-626-4376.

Received: 10 December 2013; in revised form: 14 January 2014 / Accepted: 7 February 2014 /

Published: 12 February 2014

Abstract: The development of guidelines and standards for telemedicine is an important and valuable process to help insure effective and safe delivery of quality healthcare. Some organizations, such as the American Telemedicine Association (ATA), have made the development of standards and guidelines a priority. The practice guidelines developed so far have been well received by the telemedicine community and are being adopted in numerous practices, as well as being used in research to support the practice and growth of telemedicine. Studies that utilize published guidelines not only help bring them into greater public awareness, but they also provide evidence needed to validate existing guidelines and guide the revision of future versions. Telemedicine will continue to grow and be adopted by more healthcare practitioners and patients in a wide variety of forms not just in the traditional clinical environments, and practice guidelines will be a key factor in fostering this growth. Creation of guidelines is important to payers and regulators as well as increasingly they are adopting and integrating them into regulations and policies. This paper will review some of the recent ATA efforts in developing telemedicine practice guidelines, review the role of research in guidelines development, review data regarding their use, and discuss some of areas where guidelines are still needed.

Keywords: telemedicine; standards; guidelines; practice; research

Patients’ Satisfaction with and Preference for Telehealth Visits

Jennifer M. Polinski, ScD, MPH, Tobias Barker, MD, Nancy Gagliano, MD, Andrew Sussman, MD, Troyen A. Brennan, MD, JD, MPH, and William H. Shrank, MD, MSHS

CVS Health, Woonsocket, RI, USA.

BACKGROUND: One-quarter of U.S. patients do not have a primary care provider or do not have complete access to one. Work and personal responsibilities also compete with finding convenient, accessible care. Telehealth services facilitate patients’ access to care, but whether patients are satisfied with telehealth is unclear.

OBJECTIVE: We assessed patients’ satisfaction with and preference for telehealth visits in a telehealth program at CVS MinuteClinics.

DESIGN: Cross-sectional patient satisfaction survey.

PARTICIPANTS: Patients were aged ≥18 years, presented at a MinuteClinic offering telehealth in January–September 2014, had symptoms suitable for telehealth consultation, and agreed to a telehealth visit when the on-site practitioner was busy.

MAIN MEASURES: Patients reported their age, gender, and whether they had health insurance and/or a primary care provider. Patients rated their satisfaction with seeing diagnostic images, hearing and seeing the remote practitioner, the assisting on-site nurse’s capability, quality of care, convenience, and overall understanding. Patients ranked telehealth visits compared to traditional ones: better (defined as preferring telehealth), just as good (defined as liking telehealth), or worse. Predictors of preferring or liking telehealth were assessed via multivariate logistic

KEY RESULTS: In total, 1734 (54 %) of 3303 patients completed the survey: 70 % were women, and 41 % had no usual place of care. Between 94 and 99 % reported being Bvery satisfied^ with all telehealth attributes. Onethird preferred a telehealth visit to a traditional in-person visit. An additional 57 % liked telehealth. Lack of medical insurance increased the odds of preferring telehealth (OR=0.83, 95 % CI, 0.72–0.97). Predictors of liking telehealth were female gender (OR=1.68, 1.04–2.72) and being very satisfied with their overall understanding of telehealth (OR=2.76, 1.84–4.15), quality of care received (OR=2.34, 1.42–3.87), and telehealth’s convenience (OR=2.87, 1.09–7.94)

CONCLUSIONS: Patients reported high satisfaction with their telehealth experience. Convenience and perceived quality of care were important to patients, suggesting that telehealth may facilitate access to care.

KEY WORDS: telehealth; patient satisfaction; access to care.