PubMed · 6484396
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J Landmann. 1984-07-31. [The wound without a dressing].. https://pubmed.ncbi.nlm.nih.gov/6484396/
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OBJECTIVES: To determine whether patches obscuring half the visual field affect eye movement in subjects with unilateral spatial neglect and whether there is consequent improvement in the subject's everyday life, and to interpret the potential changes observed with the aid of a theoretical model. DESIGN: Prospective and randomized study. SETTING: Rehabilitation medicine department in an urban general hospital. PATIENTS: Twenty-two subjects with left unilateral neglect. INTERVENTION: Two eye-patching procedures-right half-field patches (n = 7) and right mononuclar patch (n = 7)-and control group (n = 8). MAIN OUTCOME MEASURES: Functional tests (FIM) and analytical tests (measurement of right eye movements by photo-oculography) at admission and after 3 months. RESULTS: Results of the paired comparison tests showed (1) significant differences between the control group and the group with the half-eye patches for total FIM score (p = .01) and the displacements of the right eye in the left field (p = .02), and (2) no significant differences between the control group and the group with the right monocular patch. CONCLUSION: Patching the right half-field helped subjects initially regain voluntary control over the deficit. The actual interpretation is based on physiologic and psychophysiologic models.
A significant number of patients with chronic venous insufficiency, venous hypertension, and venous ulceration are cared for by WOC nurses and other health care practitioners in the hospital, at home, or in an office setting. Although chronic and complicated in nature, all 3 of these disease processes may be successfully treated with gradient compression therapy. Many practitioners, however, are unaware that compression is the treatment of choice for venous ulceration, venous insufficiency, and venous hypertension. Instead, they rely primarily or exclusively on topical treatments to promote ulcer healing, and frequently become frustrated when such treatments fail or when ulceration recurs. The purpose of this article is to present an evidence-based rationale for the use of gradient compression therapy as the mainstay of venous ulcer treatment.
Differentiated local therapy of chronic wounds with modern wound dressings. The therapy of chronic wounds comprises besides treating the underlying disease, for instance compression therapy and phlebosurgery with venous ulcus cruris modern differentiated local therapy. Conventional wound therapy comprises primarily of colour solutions, various ointments, local antimicrobial agents, and sterile pressure bandages. Although it has been proven that conventional methods impede wound healing compared with modern wound dressings they are still widely used. In comparison the principle of moist wound healing is the basis of modern differentiated wound therapy. Therefore a vast number of modern wound dressings has been established in the last years. As not every wound dressing is suitable for every type of wound the knowledge of available modern wound dressings is essential in order to choose the wound dressing which is most suitable for the individual case. In the exudation/cleaning phase polyurethane foams, alginates and dressings containing activated charcoal are indicated. They can also be used in the granulation phase. The granulation phase is main indication for hydrokolloids and hydrogels. They are also used beside non-adhesive dressings and alginates in the epithelialisation phase. Besides the above synthetic wound dressings cytokines and biological skin equivalents are increasingly used in modern wound therapy. Biological skin equivalents comprise of epidermis equivalents, dermis substitutes and combined epidermis-dermis equivalents which are being developed at present. These will possibly be more effective on wound closure. Phase adapted use of modern wound dressings enables acute and chronic wounds to heal quickly and without complications. Present clinical studies are evaluating the importance of cytokines and new vital skin substitutes, which might offer interesting possibilities for further improvement in wound treatment.