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P Grocott

Publications and source records attributed to P Grocott.

7 recordsLinked to original sources

Evaluation of a tool used to assess the management of fungating wounds.

This study evaluates the use of the Teler system tool in assessing the effectiveness of dressings used in patients with fungating malignant wounds. The Teler system of clinical evaluation was adapted for the study. This system measures outcomes for the key variables of symptom control, dressing performance and impact of the wound on the patient's daily life by tracing change or lack of change. Data are presented from one patient, and summarised data from 16 additional patients, relating to number of dressing changes, control of exudate and dressing fit.

Bandages

Let us extend our knowledge base. Assessment and management of fungating malignant wounds.

Little research has been undertaken on the management of fungating malignant wounds, and current practice relies more upon an exploratory approach than research-based evidence. This article presents a detailed problem-solving framework for the assessment and management of these wounds, and can be used in conjunction with the wallchart outlining the plan enclosed free with this issue.

Bandages

The viscous layer overlying the corneal posterior epithelium of the domestic cat.

The presence, nature, and composition of a layer of transparent mucinous material overlying the posterior epithelium (called here, 'the viscous layer of the posterior epithelium') was investigated in material from domestic cats. A number of different techniques were used. (a) A variety of different fixatives and histochemical stains was used to preserve and visualise the layer of examination by light microscopy. Frozen sections of fresh material were also examined after on-slide fixation. The preservation and appearance of the viscous layer was critically dependent on the type of fixative used and on minimal agitation during tissue processing. It appeared to contain sulphated acid GAGs, the staining of which was histochemically masked around pH 2.5. The use of frozen sections produced the most reliable preservation of the layer. (b) Ruthenium red or cetylpyridinium chloride was used to preserve the viscous layer for examination by transmission electron microscopy. It appeared in a dispersed form after stabilisation by ruthenium red and in a condensed form after stabilisation by cetylpyridinium chloride. (c) Freeze-dried tissue was examined by scanning electron microscopy. The viscous layer usually appeared as a band of coral- or moss-like material which was often many times the thickness of the posterior epithelium. Usually, the areas of the layer adjoining the posterior epithelium and the anterior chamber appeared more condensed when compared to the material between these two regions. The physiological significance of the viscous layer is discussed.

Animals