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Biomedical subjects

M S Goldenberg

Publications and source records attributed to M S Goldenberg.

4 recordsLinked to original sources

Wound care management: proper protocol differs from athletic trainers' perceptions.

As research techniques in wound care management improve, treatment protocols for the care of wounds must also change to ensure safe and optimal healing. In this study, I surveyed current practices of athletic trainers regarding the care of athletic wounds and compared the findings to current literature. I contacted 501 athletic trainers, including all NATA curricular undergraduate directors. Overall response rate was 58%; 78% of the athletic trainers from the curricular schools responded. Wet-to-dry, irrigation, and soaks were the three most common methods used to debride and cleanse a wound. Povidone-iodine (Betadine) and hydrogen peroxide were the two most popular cleansing agents. Conventional gauze was the primary dressing used by 67% of the athletic trainers, while 20% of those surveyed used occlusive dressings. Although povidone-iodine and hydrogen peroxide are commonly used, both are toxic to cells involved in the wound-healing process and delay healing. Research indicates that the best method of cleansing and debriding a wound is to irrigate it with saline. Occlusive dressings have a lower infection rate, are viral barriers, and are associated with faster wound healing and less pain than gauze dressings. Athletic trainers need to assess their wound care protocols so that they give the best possible care to their athletes.

Journal Article↗

Head and Facial Injuries in Interscholastic Women's Lacrosse.

The Purpose of this study was to determine the advisability of protective headgear for interscholastic women playing lacrosse by recording the occurrence of head and facial injuries. During this 3-year study, the head and facial region was the most frequently injured individual area (5.4/100 athletes) of all body structures. The three areas of the head and face that were injured the most were: the head (36%), the eye (23%), and the nose (18%). Being struck by an opponent's stick or the ball were the two most common mechanisms of injury, with contusions (63%), lacerations (14%), and concussions (10%) being the most frequent injuries. Athletes were most often in the act of catching the ball or being stick-checked when the injury occurred to the head and facial area. Twice as many head and facial injuries occurred during game play than practice, with on-goal and midfield play being the most hazardous situations. Over the 3-year study, 75% of the athletes who sustained a head or facial injury were incapacitated for 0 to 1 day. Due to the lack of severity of injuries, we concluded that helmets were not necessary for interscholastic women.

Journal Article↗

Detection of protein deposition on contact lens type polymeric hydrogels by Coomassie blue R staining.

Using an aqueous solvent of high methanol content, we have been able to extend the use of Coomassie blue R protein staining to contact lens-type acrylate hydrogels of 35-80% water content. Protein deposition on a wide range of hydrogels was compared after exposure to protein and there was good agreement between in vitro and in vivo studies to assess deposit resistance. Staining was sensitive down to a 2 micrograms lysozyme/cm2 zone extending from one polymer surface to the other, and linear with protein content up to 40 micrograms/cm2. The staining method permits unusual deposit morphologies to be easily visualized and is best used for qualitative or semiquantitative evaluation of protein deposition during the development of new polymeric materials. We propose a new classification system for protein deposition based on the degree of Coomassie blue R staining.

Biocompatible Materials↗

Acoustic myography as an indicator of force during sustained contractions of a small hand muscle.

To test the hypothesis that muscle sound amplitudes would remain constant during sustained submaximal isometric contractions, we recorded acoustic myograms from the abductor digiti minimi muscle in 12 subjects at 15, 25, 50, and 75% of a maximum voluntary contraction (MVC). Muscle sounds were detected with an omni-directional electret microphone encased in closed-cell foam and attached to the skin over the muscle. Acoustic amplitudes from the middle and end of the sustained contractions were compared with the amplitudes from the beginning of contractions to determine whether acoustic amplitudes varied in magnitude as force remained constant. Physiological tremor was eliminated from the acoustic signal by use of a Fourier truncation at 14 Hz. The amplitudes of the acoustic signal at a contraction intensity of 75% MVC remained constant, reflecting force production over time. At 50% MVC, the root-mean-square amplitude decreased from the beginning to the end of the contraction (P less than 0.05). Acoustic amplitudes increased over time at 15 and 25% MVC and were significantly higher at the end of the contractions than at the beginning (P less than 0.05). Alterations in the acoustic amplitude, which reflect changes in the lateral vibrations of the muscle, may be indicative of the different recruitment strategies used to maintain force during sustained isometric contractions.

Acoustics↗