Restoration of integrity to traumatized tissue.
Invasion of the site of trauma by pathogenic microorganisms.
Damage inflicted on the body as the direct or indirect result of an external force, with or without disruption of structural continuity.
Wounds caused by objects penetrating the skin.
Infection occurring at the site of a surgical incision.
Pathologic process consisting of a partial or complete disruption of the layers of a surgical wound.
Penetrating wounds caused by a pointed object.
The application of a vacuum across the surface of a wound through a foam dressing cut to fit the wound. This removes wound exudates, reduces build-up of inflammatory mediators, and increases the flow of nutrients to the wound thus promoting healing.
A vascular connective tissue formed on the surface of a healing wound, ulcer, or inflamed tissue. It consists of new capillaries and an infiltrate containing lymphoid cells, macrophages, and plasma cells.
The outer covering of the body that protects it from the environment. It is composed of the DERMIS and the EPIDERMIS.
Material used for wrapping or binding any part of the body.
Maintenance of the hygienic state of the skin under optimal conditions of cleanliness and comfort. Effective in skin care are proper washing, bathing, cleansing, and the use of soaps, detergents, oils, etc. In various disease states, therapeutic and protective solutions and ointments are useful. The care of the skin is particularly important in various occupations, in exposure to sunlight, in neonates, and in PRESSURE ULCER.
Material, usually gauze or absorbent cotton, used to cover and protect wounds, to seal them from contact with air or bacteria. (From Dorland, 27th ed)
Injuries to tissues caused by contact with heat, steam, chemicals (BURNS, CHEMICAL), electricity (BURNS, ELECTRIC), or the like.
The fibrous tissue that replaces normal tissue during the process of WOUND HEALING.
Epidermal cells which synthesize keratin and undergo characteristic changes as they move upward from the basal layers of the epidermis to the cornified (horny) layer of the skin. Successive stages of differentiation of the keratinocytes forming the epidermal layers are basal cell, spinous or prickle cell, and the granular cell.
A skin ulcer is a breakdown of the skin's surface and underlying tissues, often caused by prolonged pressure, infection, or poor circulation, leading to a loss of continuity in the epidermis and dermis, potentially extending into deeper layers such as subcutaneous tissue, muscle, and bone.
The movement of cells from one location to another. Distinguish from CYTOKINESIS which is the process of dividing the CYTOPLASM of a cell.
Materials used in closing a surgical or traumatic wound. (From Dorland, 28th ed)
Ulceration of the skin and underlying structures of the lower extremity. About 90% of the cases are due to venous insufficiency (VARICOSE ULCER), 5% to arterial disease, and the remaining 5% to other causes.
Synthetic material used for the treatment of burns and other conditions involving large-scale loss of skin. It often consists of an outer (epidermal) layer of silicone and an inner (dermal) layer of collagen and chondroitin 6-sulfate. The dermal layer elicits new growth and vascular invasion and the outer layer is later removed and replaced by a graft.
Stratified squamous epithelium that covers the outer surface of the CORNEA. It is smooth and contains many free nerve endings.
Reconstitution of eroded or injured EPITHELIUM by proliferation and migration of EPITHELIAL CELLS from below or adjacent to the damaged site.
The transparent anterior portion of the fibrous coat of the eye consisting of five layers: stratified squamous CORNEAL EPITHELIUM; BOWMAN MEMBRANE; CORNEAL STROMA; DESCEMET MEMBRANE; and mesenchymal CORNEAL ENDOTHELIUM. It serves as the first refracting medium of the eye. It is structurally continuous with the SCLERA, avascular, receiving its nourishment by permeation through spaces between the lamellae, and is innervated by the ophthalmic division of the TRIGEMINAL NERVE via the ciliary nerves and those of the surrounding conjunctiva which together form plexuses. (Cline et al., Dictionary of Visual Science, 4th ed)
The application of drug preparations to the surfaces of the body, especially the skin (ADMINISTRATION, CUTANEOUS) or mucous membranes. This method of treatment is used to avoid systemic side effects when high doses are required at a localized area or as an alternative systemic administration route, to avoid hepatic processing for example.
An ulceration caused by prolonged pressure on the SKIN and TISSUES when one stays in one position for a long period of time, such as lying in bed. The bony areas of the body are the most frequently affected sites which become ischemic (ISCHEMIA) under sustained and constant pressure.
Skin breakdown or ulceration caused by VARICOSE VEINS in which there is too much hydrostatic pressure in the superficial venous system of the leg. Venous hypertension leads to increased pressure in the capillary bed, transudation of fluid and proteins into the interstitial space, altering blood flow and supply of nutrients to the skin and subcutaneous tissues, and eventual ulceration.
Connective tissue cells which secrete an extracellular matrix rich in collagen and other macromolecules.
Dressings comprised of a self-adhesive matrix to which hydrophilic absorbent particles are embedded. The particles consist of CELLULOSE derivatives; calcium ALGINATES; PECTINS; or GELS. The utility is based on providing a moist environment for WOUND HEALING.
The functions of the skin in the human and animal body. It includes the pigmentation of the skin.
The development of new BLOOD VESSELS during the restoration of BLOOD CIRCULATION during the healing process.
A layer of vascularized connective tissue underneath the EPIDERMIS. The surface of the dermis contains innervated papillae. Embedded in or beneath the dermis are SWEAT GLANDS; HAIR FOLLICLES; and SEBACEOUS GLANDS.
A long, narrow, and flat bone commonly known as BREASTBONE occurring in the midsection of the anterior thoracic segment or chest region, which stabilizes the rib cage and serves as the point of origin for several muscles that move the arms, head, and neck.
"Bites and stings refer to tissue damage or toxic reactions caused by the teeth, mouthparts, or venomous secretions of animals such as insects, spiders, snakes, and mammals during predatory or defensive attacks."
Tongues of skin and subcutaneous tissue, sometimes including muscle, cut away from the underlying parts but often still attached at one end. They retain their own microvasculature which is also transferred to the new site. They are often used in plastic surgery for filling a defect in a neighboring region.
A polypeptide substance comprising about one third of the total protein in mammalian organisms. It is the main constituent of SKIN; CONNECTIVE TISSUE; and the organic substance of bones (BONE AND BONES) and teeth (TOOTH).
Techniques for securing together the edges of a wound, with loops of thread or similar materials (SUTURES).
Human or animal tissue used as temporary wound coverings.
The external, nonvascular layer of the skin. It is made up, from within outward, of five layers of EPITHELIUM: (1) basal layer (stratum basale epidermidis); (2) spinous layer (stratum spinosum epidermidis); (3) granular layer (stratum granulosum epidermidis); (4) clear layer (stratum lucidum epidermidis); and (5) horny layer (stratum corneum epidermidis).
Elements of limited time intervals, contributing to particular results or situations.
Exudates are fluids, CELLS, or other cellular substances that are slowly discharged from BLOOD VESSELS usually from inflamed tissues. Transudates are fluids that pass through a membrane or squeeze through tissue or into the EXTRACELLULAR SPACE of TISSUES. Transudates are thin and watery and contain few cells or PROTEINS.
Antibacterial used topically in burn therapy.
Damage or trauma inflicted to the eye by external means. The concept includes both surface injuries and intraocular injuries.
Making an incision in the STERNUM.
Damages to the EMBRYO, MAMMALIAN or the FETUS before BIRTH. Damages can be caused by any factors including biological, chemical, or physical.
A space in which the pressure is far below atmospheric pressure so that the remaining gases do not affect processes being carried on in the space.
Biological activities and functions of the SKIN.
The grafting of skin in humans or animals from one site to another to replace a lost portion of the body surface skin.
A sweet viscous liquid food, produced in the honey sacs of various bees from nectar collected from flowers. The nectar is ripened into honey by inversion of its sucrose sugar into fructose and glucose. It is somewhat acidic and has mild antiseptic properties, being sometimes used in the treatment of burns and lacerations.
The physiological renewal, repair, or replacement of tissue.
Cells propagated in vitro in special media conducive to their growth. Cultured cells are used to study developmental, morphologic, metabolic, physiologic, and genetic processes, among others.
Substances used on humans and other animals that destroy harmful microorganisms or inhibit their activity. They are distinguished from DISINFECTANTS, which are used on inanimate objects.
The therapeutic intermittent administration of oxygen in a chamber at greater than sea-level atmospheric pressures (three atmospheres). It is considered effective treatment for air and gas embolisms, smoke inhalation, acute carbon monoxide poisoning, caisson disease, clostridial gangrene, etc. (From Segen, Dictionary of Modern Medicine, 1992). The list of treatment modalities includes stroke.
Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series.
Semisolid preparations used topically for protective emollient effects or as a vehicle for local administration of medications. Ointment bases are various mixtures of fats, waxes, animal and plant oils and solid and liquid hydrocarbons.
The washing of a body cavity or surface by flowing water or solution for therapy or diagnosis.
General or unspecified injuries involving organs in the abdominal cavity.
Injuries of tissue other than bone. The concept is usually general and does not customarily refer to internal organs or viscera. It is meaningful with reference to regions or organs where soft tissue (muscle, fat, skin) should be differentiated from bones or bone tissue, as "soft tissue injuries of the hand".
Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery.

Expression of alpha2-adrenergic receptors in rat primary afferent neurones after peripheral nerve injury or inflammation. (1/652)

1. Immunocytochemistry with polyclonal antibodies directed against specific fragments of intracellular loops of alpha2A- and alpha2C-adrenergic receptors (alpha2A-AR, alpha2C-AR) was used to explore the possibility that expression of these receptors in dorsal root ganglion (DRG) neurones of rat alters as a result of peripheral nerve injury or localized inflammation. 2. Small numbers of neurones with positive alpha2A-AR immunoreactivity (alpha2A-AR-IR) were detected in DRG from normal animals or contralateral to nerve lesions. In contrast, after complete or partial sciatic nerve transection the numbers of ipsilateral L4 and L5 DRG somata expressing alpha2A-AR-IR sharply increased (>5-fold). There was no discernible change in the number of DRG neurones exhibiting alpha2A-AR-IR innervating a region in association with localized chemically induced inflammation. 3. After nerve injury, double labelling with Fluoro-Gold, a marker of retrograde transport from transected fibres, or by immunoreactivity for c-jun protein, an indicator of injury and regeneration, suggested that many of the neurones expressing alpha2A-AR-IR were uninjured by the sciatic lesions. 4. In general the largest proportionate increase in numbers of neurones labelled by alpha2A-AR-IR after nerve lesions appeared in the medium-large diameter range (31-40 microm), a group principally composed of cell bodies of low threshold mechanoreceptors. The number of small diameter DRG neurones labelled by alpha2A-AR-IR, a category likely to include somata of nociceptors, also increased but proportionately less. 5. Relatively few DRG neurones exhibited alpha2C-AR-IR; this population did not appear to change after either nerve lesions or inflammation. 6. These observations are considered in relation to effects of nerve injury on excitation of primary afferent neurones by sympathetic activity or adrenergic agents, sympathetically related neuropathy and reports of sprouting of sympathetic fibres in DRG.  (+info)

Neurogenic origin of articular hyperemia in early degenerative joint disease. (2/652)

It has been speculated that joint instability resulting from anterior cruciate ligament (ACL) rupture could be exacerbated by changes in vasomotor activity in the remaining supporting structures. In this study, the effect of ACL transection on medial collateral ligament (MCL) basal perfusion and its responsiveness to calcitonin gene-related peptide (CGRP) and sympathetic adrenergic influences was examined. Using urethan-anesthetized rabbits, we tested the effects of CGRP and its antagonist CGRP-(8-37) by topical application of these agents to the exposed knee while sympathetic influences were tested by electrically stimulating the saphenous nerve. It was found that MCL basal perfusion was elevated in ACL-sectioned joints; however, this effect was abrogated by prior resection of the articular nerve supply. At the doses tested, the normal vasodilator response to CGRP was abolished in ACL-sectioned joints, whereas the response to CGRP-(8-37) was attenuated. Even under the influence of increased constrictor tone, MCL and capsule blood vessels still showed substantially reduced responses to exogenous CGRP administration. By contrast, nerve-mediated constrictor responses were mostly unaffected by joint instability. This study suggests that posttraumatic knee joint hyperemia is neurogenically mediated, possibly by increased secretion of CGRP.  (+info)

Prognosis of perforating eye injury. (3/652)

The assessment of visual function in a series of 130 consecutive patients of perforating eye injuries, revealed that visual acuity of 6/12 or better was regained in 63 per cent, between 6/60 and 6/18 in 9-2 per cent, less than 6/60 in 15-3 per cent, and enucleation was necessary in 9-2 per cent. In 3 per cent, the eyes were retained as blind, symptomfree, and cosmetically satisfactory organs. Two eyes were found to develop complete traumatic aniridia. None in the series was found to have sympathetic ophthalmitis.  (+info)

Gastrointestinal injuries during gynaecological laparoscopy. (4/652)

A retrospective case review study was carried out on gastrointestinal injuries which occur during gynaecological laparoscopy. Fifty-six patients with 62 gastrointestinal injuries were identified. One-third of the complications (32.2%) occurred during the installation phase for laparoscopy. Four of the six complications attributed to electrosurgery were secondary to the use of monopolar coagulation. Diagnosis of these gastrointestinal injuries was made during surgery in only 20 patients (35.7%). The mean time before diagnosis was 4.0 +/- 5.4 (range 0-23) days. Treatment of these complications was performed by laparoscopic surgery in 16.1% of cases. Prevention relies on the surgeon's experience, strict observance of the safety rules, perfect familiarity with the physical properties of the instruments used, systematic use of bowel preparation for patients presenting a risk of bowel complications, systematic supervision of the route taken by the trocars, meticulous inspection on completion of surgery of all areas where bowel adhesiolysis has been used and, in case of any doubt, tests for leakage involving the rectosigmoid. For patients with a risk of bowel complications, the creation of a pneumoperitoneum and performing a mini laparoscopy in the left hypochondrium can be the judicious option.  (+info)

Transorbital-transpetrosal penetrating cerebellar injury--case report. (5/652)

A 4-year-old boy presented with a transorbital-transpetrosal penetrating head injury after a butter knife had penetrated the left orbit. The knife tip reached the posterior fossa after penetrating the petrous bone. Wide craniotomy and the pterional, subtemporal, and lateral suboccipital approaches were performed for safe removal of the object. The patient was discharged with left-sided blindness, complete left ophthalmoplegia, and hypesthesia of the left face. Early angiography is recommended to identify vascular injury which could result in fatal intracranial hemorrhage.  (+info)

Corneal wound healing in tenascin knockout mouse. (6/652)

PURPOSE: Tenascin (TN) is a large hexameric extracellular matrix glycoprotein that is expressed in developing organs and tumors. It has also been reported that TN is expressed in the embryonic cornea and during corneal wound healing. However, the role of TN in the cornea is not fully known. In this study, the role of TN in corneal wound healing was examined using the TN knockout (KO) mouse. METHODS: Two different injuries (a linear perforation wound and two 10-0 nylon suture wounds) were made separately on the corneas of both TNKO and congenic wild-type mice. The corneal wound healing was compared histologically, and the expression of TN and fibronectin (FN) on the injured cornea was examined immunohistochemically and by immunoblot analysis. RESULTS: Based on histologic analysis, there was no significant difference in the wound healing process between wild-type and TNKO mice in the linear incision experiment. However, the corneal stromata of TNKO mice were compressed prominently and devoid of migrating keratocytes in suture injury, which induced a more significant amount of TN than perforation wounds. Although FN expression on the sutured corneas of TNKO mice was upregulated during suture injury, the amount of FN protein was smaller than that of wild-type mice at the same time points after injury. CONCLUSIONS: In suture wounds, TN appears to enhance the amount of FN expression, and a lack of TN may impair stromal cell migration. TN plays a significant role in corneal wound healing, especially for wounds with mechanical stress.  (+info)

Needlestick and sharps injuries among health-care workers in Taiwan. (7/652)

Sharps injuries are a major cause of transmission of hepatitis B and C viruses and human immunodeficiency virus in health-care workers. To determine the yearly incidence and causes of sharps injuries in health-care workers in Taiwan, we conducted a questionnaire survey in a total of 8645 health care workers, including physicians, nurses, laboratory technicians, and cleaners, from teaching hospitals of various sizes. The reported incidence of needlestick and other sharps injuries was 1.30 and 1.21 per person in the past 12 months, respectively. Of most recent episodes of needlestick/sharps injury, 52.0% were caused by ordinary syringe needles, usually in the patient units. The most frequently reported circumstances of needlestick were recapping of needles, and those of sharps injuries were opening of ampoules/vials. Of needles which stuck the health-care workers, 54.8% had been used in patients, 8.2% of whom were known to have hepatitis B or C, syphilis, or human immunodeficiency virus infection. Sharps injuries in health-care workers in Taiwan occur more frequently than generally thought and risks of contracting blood-borne infectious diseases as a result are very high.  (+info)

Recurrent carotid blowout syndrome: diagnostic and therapeutic challenges in a newly recognized subgroup of patients. (8/652)

BACKGROUND AND PURPOSE: To our knowledge, recurrent carotid blowout syndrome (rCBS) has not been well described. Our purpose was to review our institution's recent experience with patients who presented with multiple episodes of carotid blowout syndrome (CBS), and who were referred for emergent diagnostic angiography and endovascular therapy. METHODS: We retrospectively reviewed the last 46 consecutive patients who had a clinical diagnosis of CBS. All patients were examined and treated prospectively according to a standardized protocol. Most patients (43 of 46) had undergone extensive primary and salvage radical surgery with intraoperative brachytherapy or external beam radiation or both. The remaining three patients had either traumatic or iatrogenic CBS. RESULTS: Twelve patients (26%) in our series had more than one episode of CBS in which a total of 32 (20 recurrent) events were observed (average 2.7, range 2-4). Intervals of rCBS ranged from 1 day to 6 years. Thirteen (65%) of 20 recurrent events were attributed to progressive disease (PD), and seven (35%) of 20 to treatment failures (TFs). In the PD group, seven (54%) of 13 had recurrent ipsilateral disease, and six (46%) of 13 had recurrent contralateral disease. Etiologies of rCBS were as follows: seven exposed carotids; seven carotid pseudoaneurysms; eight small-branch pseudoaneurysms; five tumor hemorrhages; three hyperemic/ulcerated wounds; and one aortic arch rupture. Twenty-seven of 32 events were treated with endovascular therapy, which included the following: nine carotid occlusions; 11 small-branch embolizations; three transarterial tumor embolizations; one carotid stent; and two direct-puncture embolizations. Four of six TFs were retreated successfully with endovascular therapy; the remaining two TFs were managed successfully by surgery. In the PD group, hemorrhagic complications of rCBS were managed successfully in all but one patient, who died. No permanent neurologic or ophthalmologic complications occurred. CONCLUSION: Recurrent CBS is a frequently encountered problem in which most cases are caused by PD resulting from both multifocal iatrogenic arteriopathy and occasional wound complications that are characteristic of aggressively managed head and neck surgical patients. Initial TFs are encountered often as well. Despite the diagnostic and therapeutic challenges of rCBS, most cases can be retreated effectively.  (+info)

Wound healing is a complex and dynamic process that occurs after tissue injury, aiming to restore the integrity and functionality of the damaged tissue. It involves a series of overlapping phases: hemostasis, inflammation, proliferation, and remodeling.

1. Hemostasis: This initial phase begins immediately after injury and involves the activation of the coagulation cascade to form a clot, which stabilizes the wound and prevents excessive blood loss.
2. Inflammation: Activated inflammatory cells, such as neutrophils and monocytes/macrophages, infiltrate the wound site to eliminate pathogens, remove debris, and release growth factors that promote healing. This phase typically lasts for 2-5 days post-injury.
3. Proliferation: In this phase, various cell types, including fibroblasts, endothelial cells, and keratinocytes, proliferate and migrate to the wound site to synthesize extracellular matrix (ECM) components, form new blood vessels (angiogenesis), and re-epithelialize the wounded area. This phase can last up to several weeks depending on the size and severity of the wound.
4. Remodeling: The final phase of wound healing involves the maturation and realignment of collagen fibers, leading to the restoration of tensile strength in the healed tissue. This process can continue for months to years after injury, although the tissue may never fully regain its original structure and function.

It is important to note that wound healing can be compromised by several factors, including age, nutrition, comorbidities (e.g., diabetes, vascular disease), and infection, which can result in delayed healing or non-healing chronic wounds.

A wound infection is defined as the invasion and multiplication of microorganisms in a part of the body tissue, which has been damaged by a cut, blow, or other trauma, leading to inflammation, purulent discharge, and sometimes systemic toxicity. The symptoms may include redness, swelling, pain, warmth, and fever. Treatment typically involves the use of antibiotics and proper wound care. It's important to note that not all wounds will become infected, but those that are contaminated with bacteria, dirt, or other foreign substances, or those in which the skin's natural barrier has been significantly compromised, are at a higher risk for infection.

A wound is a type of injury that occurs when the skin or other tissues are cut, pierced, torn, or otherwise broken. Wounds can be caused by a variety of factors, including accidents, violence, surgery, or certain medical conditions. There are several different types of wounds, including:

* Incisions: These are cuts that are made deliberately, often during surgery. They are usually straight and clean.
* Lacerations: These are tears in the skin or other tissues. They can be irregular and jagged.
* Abrasions: These occur when the top layer of skin is scraped off. They may look like a bruise or a scab.
* Punctures: These are wounds that are caused by sharp objects, such as needles or knives. They are usually small and deep.
* Avulsions: These occur when tissue is forcibly torn away from the body. They can be very serious and require immediate medical attention.

Injuries refer to any harm or damage to the body, including wounds. Injuries can range from minor scrapes and bruises to more severe injuries such as fractures, dislocations, and head trauma. It is important to seek medical attention for any injury that is causing significant pain, swelling, or bleeding, or if there is a suspected bone fracture or head injury.

In general, wounds and injuries should be cleaned and covered with a sterile bandage to prevent infection. Depending on the severity of the wound or injury, additional medical treatment may be necessary. This may include stitches for deep cuts, immobilization for broken bones, or surgery for more serious injuries. It is important to follow your healthcare provider's instructions carefully to ensure proper healing and to prevent complications.

Penetrating wounds are a type of traumatic injury that occurs when an object pierces through the skin and underlying tissues, creating a hole or cavity in the body. These wounds can vary in severity, depending on the size and shape of the object, as well as the location and depth of the wound.

Penetrating wounds are typically caused by sharp objects such as knives, bullets, or glass. They can damage internal organs, blood vessels, nerves, and bones, leading to serious complications such as bleeding, infection, organ failure, and even death if not treated promptly and properly.

The management of penetrating wounds involves a thorough assessment of the wound and surrounding tissues, as well as the identification and treatment of any associated injuries or complications. This may include wound cleaning and closure, antibiotics to prevent infection, pain management, and surgery to repair damaged structures. In some cases, hospitalization and close monitoring may be necessary to ensure proper healing and recovery.

A surgical wound infection, also known as a surgical site infection (SSI), is defined by the Centers for Disease Control and Prevention (CDC) as an infection that occurs within 30 days after surgery (or within one year if an implant is left in place) and involves either:

1. Purulent drainage from the incision;
2. Organisms isolated from an aseptically obtained culture of fluid or tissue from the incision;
3. At least one of the following signs or symptoms of infection: pain or tenderness, localized swelling, redness, or heat; and
4. Diagnosis of surgical site infection by the surgeon or attending physician.

SSIs can be classified as superficial incisional, deep incisional, or organ/space infections, depending on the depth and extent of tissue involvement. They are a common healthcare-associated infection and can lead to increased morbidity, mortality, and healthcare costs.

Surgical wound dehiscence is a medical condition that refers to the partial or complete separation of layers of a surgical incision after a surgical procedure, leading to the disruption of the wound closure. This can occur due to various factors such as infection, poor nutrition, increased tension on the sutures, hematoma or seroma formation, and patient's underlying health conditions like diabetes or immunodeficiency. Dehiscence may result in the exposure of internal tissues and organs, potentially causing severe complications such as infection, bleeding, or organ dysfunction. Immediate medical attention is required to manage this condition and prevent further complications.

A stab wound is a type of penetrating trauma to the body caused by a sharp object such as a knife or screwdriver. The injury may be classified as either a stabbing or a puncture wound, depending on the nature of the object and the manner in which it was inflicted. Stab wounds typically involve a forceful thrusting motion, which can result in damage to internal organs, blood vessels, and other structures.

The depth and severity of a stab wound depend on several factors, including the type and length of the weapon used, the angle and force of the strike, and the location of the wound on the body. Stab wounds to vital areas such as the chest or abdomen can be particularly dangerous due to the risk of internal bleeding and infection.

Immediate medical attention is required for stab wounds, even if they appear minor at first glance. Treatment may involve wound cleaning, suturing, antibiotics, and in some cases, surgery to repair damaged tissues or organs. In severe cases, stab wounds can lead to shock, organ failure, and even death if left untreated.

Negative-Pressure Wound Therapy (NPWT) is a medical treatment used to promote wound healing and prevent infection in acute or chronic wounds. It involves the application of controlled sub-atmospheric pressure to the surface of the wound, usually through the use of a vacuum-assisted device.

The negative pressure helps to remove excess fluid and infectious materials from the wound, while also promoting the growth of new tissue by increasing blood flow and stimulating cell proliferation. NPWT can be used in various types of wounds, including diabetic foot ulcers, pressure ulcers, surgical wounds, and traumatic injuries.

The therapy is typically administered through a sealed dressing that covers the wound and is connected to a vacuum pump. The negative pressure is applied continuously or intermittently, depending on the specific needs of the patient and the type of wound being treated. NPWT has been shown to be effective in reducing wound size, promoting healing, and improving overall clinical outcomes in many patients with complex wounds.

Granulation tissue is the pinkish, bumpy material that forms on the surface of a healing wound. It's composed of tiny blood vessels (capillaries), white blood cells, and fibroblasts - cells that produce collagen, which is a protein that helps to strengthen and support the tissue.

Granulation tissue plays a crucial role in the wound healing process by filling in the wound space, contracting the wound, and providing a foundation for the growth of new skin cells (epithelialization). It's typically formed within 3-5 days after an injury and continues to develop until the wound is fully healed.

It's important to note that while granulation tissue is a normal part of the healing process, excessive or overgrowth of granulation tissue can lead to complications such as delayed healing, infection, or the formation of hypertrophic scars or keloids. In these cases, medical intervention may be necessary to manage the excess tissue and promote proper healing.

In medical terms, the skin is the largest organ of the human body. It consists of two main layers: the epidermis (outer layer) and dermis (inner layer), as well as accessory structures like hair follicles, sweat glands, and oil glands. The skin plays a crucial role in protecting us from external factors such as bacteria, viruses, and environmental hazards, while also regulating body temperature and enabling the sense of touch.

A bandage is a medical dressing or covering applied to a wound, injury, or sore with the intention of promoting healing or preventing infection. Bandages can be made of a variety of materials such as gauze, cotton, elastic, or adhesive tape and come in different sizes and shapes to accommodate various body parts. They can also have additional features like fasteners, non-slip surfaces, or transparent windows for monitoring the condition of the wound.

Bandages serve several purposes, including:

1. Absorbing drainage or exudate from the wound
2. Protecting the wound from external contaminants and bacteria
3. Securing other medical devices such as catheters or splints in place
4. Reducing swelling or promoting immobilization of the affected area
5. Providing compression to control bleeding or prevent fluid accumulation
6. Relieving pain by reducing pressure on sensitive nerves or structures.

Proper application and care of bandages are essential for effective wound healing and prevention of complications such as infection or delayed recovery.

Skin care, in a medical context, refers to the practice of maintaining healthy skin through various hygienic, cosmetic, and therapeutic measures. This can include:

1. Cleansing: Using appropriate cleansers to remove dirt, sweat, and other impurities without stripping the skin of its natural oils.
2. Moisturizing: Applying creams or lotions to keep the skin hydrated and prevent dryness.
3. Sun Protection: Using sunscreens, hats, and protective clothing to shield the skin from harmful ultraviolet (UV) rays which can cause sunburn, premature aging, and skin cancer.
4. Skin Care Products: Using over-the-counter or prescription products to manage specific skin conditions like acne, eczema, psoriasis, or rosacea.
5. Regular Check-ups: Regularly examining the skin for any changes, growths, or abnormalities that may indicate a skin condition or disease.
6. Lifestyle Factors: Maintaining a healthy lifestyle, including a balanced diet, regular exercise, adequate sleep, and avoiding habits like smoking and excessive alcohol consumption, which can negatively impact skin health.

It's important to note that while some general skincare advice applies to most people, individual skincare needs can vary greatly depending on factors like age, skin type (oily, dry, combination, sensitive), and specific skin conditions or concerns. Therefore, it's often beneficial to seek personalized advice from a dermatologist or other healthcare provider.

Occlusive dressings are specialized bandages or coverings that form a barrier over the skin, preventing air and moisture from passing through. They are designed to create a moist environment that promotes healing by increasing local blood flow, reducing wound desiccation, and encouraging the growth of new tissue. Occlusive dressings can also help to minimize pain, scarring, and the risk of infection in wounds. These dressings are often used for dry, necrotic, or hard-to-heal wounds, such as pressure ulcers, diabetic foot ulcers, and burns. It is important to monitor the wound closely while using occlusive dressings, as they can sometimes lead to skin irritation or maceration if left in place for too long.

Burns are injuries to tissues caused by heat, electricity, chemicals, friction, or radiation. They are classified based on their severity:

1. First-degree burns (superficial burns) affect only the outer layer of skin (epidermis), causing redness, pain, and swelling.
2. Second-degree burns (partial-thickness burns) damage both the epidermis and the underlying layer of skin (dermis). They result in redness, pain, swelling, and blistering.
3. Third-degree burns (full-thickness burns) destroy the entire depth of the skin and can also damage underlying muscles, tendons, and bones. These burns appear white or blackened and charred, and they may be painless due to destroyed nerve endings.

Immediate medical attention is required for second-degree and third-degree burns, as well as for large area first-degree burns, to prevent infection, manage pain, and ensure proper healing. Treatment options include wound care, antibiotics, pain management, and possibly skin grafting or surgery in severe cases.

A cicatrix is a medical term that refers to a scar or the process of scar formation. It is the result of the healing process following damage to body tissues, such as from an injury, wound, or surgery. During the healing process, specialized cells called fibroblasts produce collagen, which helps to reconnect and strengthen the damaged tissue. The resulting scar tissue may have a different texture, color, or appearance compared to the surrounding healthy tissue.

Cicatrix formation is a natural part of the body's healing response, but excessive scarring can sometimes cause functional impairment, pain, or cosmetic concerns. In such cases, various treatments may be used to minimize or improve the appearance of scars, including topical creams, steroid injections, laser therapy, and surgical revision.

Keratinocytes are the predominant type of cells found in the epidermis, which is the outermost layer of the skin. These cells are responsible for producing keratin, a tough protein that provides structural support and protection to the skin. Keratinocytes undergo constant turnover, with new cells produced in the basal layer of the epidermis and older cells moving upward and eventually becoming flattened and filled with keratin as they reach the surface of the skin, where they are then shed. They also play a role in the immune response and can release cytokines and other signaling molecules to help protect the body from infection and injury.

A skin ulcer is a defined as a loss of continuity or disruption of the skin surface, often accompanied by inflammation and/or infection. These lesions can result from various causes including pressure, venous or arterial insufficiency, diabetes, and chronic dermatological conditions. Skin ulcers are typically characterized by their appearance, depth, location, and underlying cause. Common types of skin ulcers include pressure ulcers (also known as bedsores), venous leg ulcers, arterial ulcers, and diabetic foot ulcers. Proper evaluation, wound care, management of underlying conditions, and prevention strategies are crucial in the treatment of skin ulcers to promote healing and prevent complications.

Cell movement, also known as cell motility, refers to the ability of cells to move independently and change their location within tissue or inside the body. This process is essential for various biological functions, including embryonic development, wound healing, immune responses, and cancer metastasis.

There are several types of cell movement, including:

1. **Crawling or mesenchymal migration:** Cells move by extending and retracting protrusions called pseudopodia or filopodia, which contain actin filaments. This type of movement is common in fibroblasts, immune cells, and cancer cells during tissue invasion and metastasis.
2. **Amoeboid migration:** Cells move by changing their shape and squeezing through tight spaces without forming protrusions. This type of movement is often observed in white blood cells (leukocytes) as they migrate through the body to fight infections.
3. **Pseudopodial extension:** Cells extend pseudopodia, which are temporary cytoplasmic projections containing actin filaments. These protrusions help the cell explore its environment and move forward.
4. **Bacterial flagellar motion:** Bacteria use a whip-like structure called a flagellum to propel themselves through their environment. The rotation of the flagellum is driven by a molecular motor in the bacterial cell membrane.
5. **Ciliary and ependymal movement:** Ciliated cells, such as those lining the respiratory tract and fallopian tubes, have hair-like structures called cilia that beat in coordinated waves to move fluids or mucus across the cell surface.

Cell movement is regulated by a complex interplay of signaling pathways, cytoskeletal rearrangements, and adhesion molecules, which enable cells to respond to environmental cues and navigate through tissues.

In medical terms, sutures are specialized surgical threads made from various materials such as absorbable synthetic or natural fibers, or non-absorbable materials like nylon or silk. They are used to approximate and hold together the edges of a wound or incision in the skin or other tissues during the healing process. Sutures come in different sizes, types, and shapes, each designed for specific uses and techniques depending on the location and type of tissue being sutured. Properly placed sutures help to promote optimal healing, minimize scarring, and reduce the risk of infection or other complications.

A leg ulcer is a chronic wound that occurs on the lower extremities, typically on the inner or outer ankle. It's often caused by poor circulation, venous insufficiency, or diabetes. Leg ulcers can also result from injury, infection, or inflammatory diseases such as rheumatoid arthritis or lupus. These ulcers can be painful, and they may take a long time to heal, making them prone to infection. Proper diagnosis, treatment, and wound care are essential for healing leg ulcers and preventing complications.

Artificial Skin is a synthetic substitute or equivalent that is used to replace, support, or enhance the function of damaged or absent skin. It can be made from various materials such as biopolymers, composites, or biosynthetic materials. The main purpose of artificial skin is to provide a temporary or permanent covering for wounds, burns, or ulcers that cannot be healed with conventional treatments. Additionally, it may serve as a platform for the delivery of medications or as a matrix for the growth of cells and tissues during skin grafting procedures. Artificial skin must possess properties such as biocompatibility, durability, flexibility, and permeability to air and water vapor in order to promote optimal healing and minimize scarring.

The corneal epithelium is the outermost layer of the cornea, which is the clear, dome-shaped surface at the front of the eye. It is a stratified squamous epithelium, consisting of several layers of flat, scale-like cells that are tightly packed together. The corneal epithelium serves as a barrier to protect the eye from microorganisms, dust, and other foreign particles. It also provides a smooth surface for the refraction of light, contributes to the maintenance of corneal transparency, and plays a role in the eye's sensitivity to touch and pain. The corneal epithelium is constantly being renewed through the process of cell division and shedding, with new cells produced by stem cells located at the limbus, the border between the cornea and the conjunctiva.

Re-epithelialization is a medical term that refers to the process of healing and restoration of the epithelium, which is the tissue that lines the outer surface of the body and the inner surfaces of organs and cavities. This tissue is made up of cells called epithelial cells, which form a protective barrier against the external environment.

Re-epithelialization occurs when the epithelium is damaged or injured, such as during wound healing. During this process, specialized epithelial cells called keratinocytes migrate to the site of injury and proliferate, eventually covering the wounded area and forming a new layer of epithelium. This helps to restore the protective barrier and prevent infection and other complications.

Re-epithelialization is an important part of the healing process and is necessary for the proper functioning of many organs and systems in the body. It is a complex process that involves the coordinated interaction of various cells, signaling molecules, and other factors.

The cornea is the clear, dome-shaped surface at the front of the eye. It plays a crucial role in focusing vision. The cornea protects the eye from harmful particles and microorganisms, and it also serves as a barrier against UV light. Its transparency allows light to pass through and get focused onto the retina. The cornea does not contain blood vessels, so it relies on tears and the fluid inside the eye (aqueous humor) for nutrition and oxygen. Any damage or disease that affects its clarity and shape can significantly impact vision and potentially lead to blindness if left untreated.

Topical administration refers to a route of administering a medication or treatment directly to a specific area of the body, such as the skin, mucous membranes, or eyes. This method allows the drug to be applied directly to the site where it is needed, which can increase its effectiveness and reduce potential side effects compared to systemic administration (taking the medication by mouth or injecting it into a vein or muscle).

Topical medications come in various forms, including creams, ointments, gels, lotions, solutions, sprays, and patches. They may be used to treat localized conditions such as skin infections, rashes, inflammation, or pain, or to deliver medication to the eyes or mucous membranes for local or systemic effects.

When applying topical medications, it is important to follow the instructions carefully to ensure proper absorption and avoid irritation or other adverse reactions. This may include cleaning the area before application, covering the treated area with a dressing, or avoiding exposure to sunlight or water after application, depending on the specific medication and its intended use.

A pressure ulcer, also known as a pressure injury or bedsore, is defined by the National Pressure Injury Advisory Panel (NPIAP) as "localized damage to the skin and/or underlying soft tissue usually over a bony prominence or related to a medical or other device." The damage can be caused by intense and/or prolonged pressure or shear forces, or a combination of both. Pressure ulcers are staged based on their severity, ranging from an initial reddening of the skin (Stage 1) to full-thickness tissue loss that extends down to muscle and bone (Stage 4). Unstageable pressure ulcers are those in which the base of the wound is covered by yellow, tan, green or brown tissue and the extent of tissue damage is not visible. Suspected deep tissue injury (Suspected DTI) describes intact skin or non-blanchable redness of a localized area usually over a bony prominence due to pressure and/or shear. The area may be preceded by tissue that is painful, firm, mushy, boggy, warmer or cooler as compared to adjacent tissue.

A varicose ulcer is a type of chronic wound that typically occurs on the lower leg, often as a result of poor circulation and venous insufficiency. These ulcers form when there is increased pressure in the veins, leading to damage and leakage of fluids into the surrounding tissues. Over time, this can cause the skin to break down and form an open sore or ulcer.

Varicose ulcers are often associated with varicose veins, which are swollen and twisted veins that are visible just beneath the surface of the skin. These veins have weakened walls and valves, which can lead to the pooling of blood and fluid in the lower legs. This increased pressure can cause damage to the surrounding tissues, leading to the formation of an ulcer.

Varicose ulcers are typically slow to heal and may require extensive treatment, including compression therapy, wound care, and sometimes surgery. Risk factors for developing varicose ulcers include obesity, smoking, sedentary lifestyle, and a history of deep vein thrombosis or other circulatory problems.

Fibroblasts are specialized cells that play a critical role in the body's immune response and wound healing process. They are responsible for producing and maintaining the extracellular matrix (ECM), which is the non-cellular component present within all tissues and organs, providing structural support and biochemical signals for surrounding cells.

Fibroblasts produce various ECM proteins such as collagens, elastin, fibronectin, and laminins, forming a complex network of fibers that give tissues their strength and flexibility. They also help in the regulation of tissue homeostasis by controlling the turnover of ECM components through the process of remodeling.

In response to injury or infection, fibroblasts become activated and start to proliferate rapidly, migrating towards the site of damage. Here, they participate in the inflammatory response, releasing cytokines and chemokines that attract immune cells to the area. Additionally, they deposit new ECM components to help repair the damaged tissue and restore its functionality.

Dysregulation of fibroblast activity has been implicated in several pathological conditions, including fibrosis (excessive scarring), cancer (where they can contribute to tumor growth and progression), and autoimmune diseases (such as rheumatoid arthritis).

Hydrocolloid bandages are a type of dressing used in wound care. They consist of an outer waterproof layer and an inner hydrophilic layer made of materials such as gelatin, pectin, or carboxymethylcellulose. When the bandage comes into contact with moisture from the wound, it forms a gel that helps to maintain a moist environment, which can promote healing.

Hydrocolloid bandages are useful for managing a variety of wound types, including partial-thickness burns, pressure ulcers, and diabetic foot ulcers. They can help to protect the wound from external contaminants, reduce pain and discomfort, and provide sustained release of medications such as analgesics or antibiotics.

One advantage of hydrocolloid bandages is that they can be left in place for several days at a time, which can reduce the frequency of dressing changes and minimize trauma to the wound bed. However, it's important to monitor the wound regularly to ensure that it is healing properly and to check for signs of infection or other complications.

"Skin physiological phenomena" is not a standard medical term with a specific definition. However, I can provide some information about the general concepts that might be encompassed by this term.

Physiological phenomena refer to the functions and processes that occur in living organisms. When it comes to the skin, there are many different physiological phenomena that take place, including:

1. Barrier function: The skin acts as a barrier to protect the body from external elements such as bacteria, viruses, chemicals, and UV radiation.
2. Temperature regulation: The skin helps regulate body temperature through sweat production and blood flow.
3. Sensation: The skin contains nerve endings that allow us to feel touch, pressure, pain, and temperature.
4. Vitamin D synthesis: The skin can produce vitamin D when exposed to sunlight.
5. Moisture regulation: The skin helps maintain the body's moisture balance by producing sweat and preventing water loss.
6. Immunological function: The skin plays a role in the immune system by providing a physical barrier and containing immune cells that help fight off infections.
7. Excretion: The skin eliminates waste products through sweat.
8. Wound healing: The skin has the ability to repair itself after injury, through a complex process involving inflammation, tissue regeneration, and remodeling.

Therefore, "skin physiological phenomena" could refer to any or all of these functions and processes that take place in the skin.

Physiologic neovascularization is the natural and controlled formation of new blood vessels in the body, which occurs as a part of normal growth and development, as well as in response to tissue repair and wound healing. This process involves the activation of endothelial cells, which line the interior surface of blood vessels, and their migration, proliferation, and tube formation to create new capillaries. Physiologic neovascularization is tightly regulated by a balance of pro-angiogenic and anti-angiogenic factors, ensuring that it occurs only when and where it is needed. It plays crucial roles in various physiological processes, such as embryonic development, tissue regeneration, and wound healing.

The dermis is the layer of skin located beneath the epidermis, which is the outermost layer of the skin. It is composed of connective tissue and provides structure and support to the skin. The dermis contains blood vessels, nerves, hair follicles, sweat glands, and oil glands. It is also responsible for the production of collagen and elastin, which give the skin its strength and flexibility. The dermis can be further divided into two layers: the papillary dermis, which is the upper layer and contains finger-like projections called papillae that extend upwards into the epidermis, and the reticular dermis, which is the lower layer and contains thicker collagen bundles. Together, the epidermis and dermis make up the true skin.

The sternum, also known as the breastbone, is a long, flat bone located in the central part of the chest. It serves as the attachment point for several muscles and tendons, including those involved in breathing. The sternum has three main parts: the manubrium at the top, the body in the middle, and the xiphoid process at the bottom. The upper seven pairs of ribs connect to the sternum via costal cartilages.

"Bites and stings" is a general term used to describe injuries resulting from the teeth or venomous secretions of animals. These can include:

1. Insect bites: The bite marks are usually small, punctate, and may be accompanied by symptoms such as redness, swelling, itching, and pain. Examples include mosquito, flea, bedbug, and tick bites.

2. Spider bites: Some spiders possess venomous fangs that can cause localized pain, redness, and swelling. In severe cases, systemic symptoms like muscle cramps, nausea, vomiting, and difficulty breathing may occur. The black widow and brown recluse spiders are notorious for their venomous bites.

3. Snake bites: Venomous snakes deliver toxic saliva through their fangs, which can lead to local tissue damage, swelling, pain, and potentially life-threatening systemic effects such as paralysis, bleeding disorders, and respiratory failure.

4. Mammal bites: Animal bites from mammals like dogs, cats, and wild animals can cause puncture wounds, lacerations, and crush injuries. They may also transmit infectious diseases, such as rabies.

5. Marine animal stings: Stings from jellyfish, sea urchins, stingrays, and other marine creatures can result in localized pain, redness, swelling, and systemic symptoms like difficulty breathing, muscle cramps, and altered heart rhythms. Some marine animals' venoms can cause severe allergic reactions or even death.

Treatment for bites and stings varies depending on the type and severity of the injury. It may include wound care, pain management, antibiotics to prevent infection, and in some cases, antivenom therapy to counteract the effects of venom. Seeking immediate medical attention is crucial in severe cases or when systemic symptoms are present.

A surgical flap is a specialized type of surgical procedure where a section of living tissue (including skin, fat, muscle, and/or blood vessels) is lifted from its original site and moved to another location, while still maintaining a blood supply through its attached pedicle. This technique allows the surgeon to cover and reconstruct defects or wounds that cannot be closed easily with simple suturing or stapling.

Surgical flaps can be classified based on their vascularity, type of tissue involved, or method of transfer. The choice of using a specific type of surgical flap depends on the location and size of the defect, the patient's overall health, and the surgeon's expertise. Some common types of surgical flaps include:

1. Random-pattern flaps: These flaps are based on random blood vessels within the tissue and are typically used for smaller defects in areas with good vascularity, such as the face or scalp.
2. Axial pattern flaps: These flaps are designed based on a known major blood vessel and its branches, allowing them to cover larger defects or reach distant sites. Examples include the radial forearm flap and the anterolateral thigh flap.
3. Local flaps: These flaps involve tissue adjacent to the wound and can be further classified into advancement, rotation, transposition, and interpolation flaps based on their movement and orientation.
4. Distant flaps: These flaps are harvested from a distant site and then transferred to the defect after being tunneled beneath the skin or through a separate incision. Examples include the groin flap and the latissimus dorsi flap.
5. Free flaps: In these flaps, the tissue is completely detached from its original blood supply and then reattached at the new site using microvascular surgical techniques. This allows for greater flexibility in terms of reach and placement but requires specialized expertise and equipment.

Surgical flaps play a crucial role in reconstructive surgery, helping to restore form and function after trauma, tumor removal, or other conditions that result in tissue loss.

Collagen is the most abundant protein in the human body, and it is a major component of connective tissues such as tendons, ligaments, skin, and bones. Collagen provides structure and strength to these tissues and helps them to withstand stretching and tension. It is made up of long chains of amino acids, primarily glycine, proline, and hydroxyproline, which are arranged in a triple helix structure. There are at least 16 different types of collagen found in the body, each with slightly different structures and functions. Collagen is important for maintaining the integrity and health of tissues throughout the body, and it has been studied for its potential therapeutic uses in various medical conditions.

Suture techniques refer to the various methods used by surgeons to sew or stitch together tissues in the body after an injury, trauma, or surgical incision. The main goal of suturing is to approximate and hold the edges of the wound together, allowing for proper healing and minimizing scar formation.

There are several types of suture techniques, including:

1. Simple Interrupted Suture: This is one of the most basic suture techniques where the needle is passed through the tissue at a right angle, creating a loop that is then tightened to approximate the wound edges. Multiple stitches are placed along the length of the incision or wound.
2. Continuous Locking Suture: In this technique, the needle is passed continuously through the tissue in a zigzag pattern, with each stitch locking into the previous one. This creates a continuous line of sutures that provides strong tension and support to the wound edges.
3. Running Suture: Similar to the continuous locking suture, this technique involves passing the needle continuously through the tissue in a straight line. However, instead of locking each stitch, the needle is simply passed through the previous loop before being tightened. This creates a smooth and uninterrupted line of sutures that can be easily removed after healing.
4. Horizontal Mattress Suture: In this technique, two parallel stitches are placed horizontally across the wound edges, creating a "mattress" effect that provides additional support and tension to the wound. This is particularly useful in deep or irregularly shaped wounds.
5. Vertical Mattress Suture: Similar to the horizontal mattress suture, this technique involves placing two parallel stitches vertically across the wound edges. This creates a more pronounced "mattress" effect that can help reduce tension and minimize scarring.
6. Subcuticular Suture: In this technique, the needle is passed just below the surface of the skin, creating a smooth and barely visible line of sutures. This is particularly useful in cosmetic surgery or areas where minimizing scarring is important.

The choice of suture technique depends on various factors such as the location and size of the wound, the type of tissue involved, and the patient's individual needs and preferences. Proper suture placement and tension are crucial for optimal healing and aesthetic outcomes.

"Biological dressings" refer to materials used in wound healing that are derived from biological sources, such as living cells, tissues, or extracellular matrix components. These dressings can be used to promote the regeneration and repair of damaged or injured tissues by providing a supportive environment for cell growth, differentiation, and tissue formation.

Biological dressings may be derived from various sources, including:

1. Autografts: Tissue harvested from the same individual who will receive the graft.
2. Allografts: Tissue harvested from a donor of the same species.
3. Xenografts: Tissue harvested from a donor of a different species.
4. Decellularized tissue matrices: Tissues that have had their cellular components removed, leaving behind an intact extracellular matrix scaffold.
5. Engineered tissues: Tissues created in the lab through the cultivation and assembly of cells on biocompatible scaffolds or hydrogels.

Examples of biological dressings include skin substitutes, amniotic membranes, and platelet-rich plasma (PRP) preparations. These dressings can help to reduce inflammation, prevent infection, and enhance the healing process in various types of wounds, including chronic wounds, burns, and surgical incisions.

It is important to note that while biological dressings offer several advantages over traditional wound dressings, they may also carry risks such as immune rejection or disease transmission, depending on their source and preparation. Therefore, careful consideration should be given to the selection of appropriate biological dressing materials for each individual patient and application.

The epidermis is the outermost layer of the skin, composed mainly of stratified squamous epithelium. It forms a protective barrier that prevents water loss and inhibits the entry of microorganisms. The epidermis contains no blood vessels, and its cells are nourished by diffusion from the underlying dermis. The bottom-most layer of the epidermis, called the stratum basale, is responsible for generating new skin cells that eventually move up to replace dead cells on the surface. This process of cell turnover takes about 28 days in adults.

The most superficial part of the epidermis consists of dead cells called squames, which are constantly shed and replaced. The exact rate at which this happens varies depending on location; for example, it's faster on the palms and soles than elsewhere. Melanocytes, the pigment-producing cells, are also located in the epidermis, specifically within the stratum basale layer.

In summary, the epidermis is a vital part of our integumentary system, providing not only physical protection but also playing a crucial role in immunity and sensory perception through touch receptors called Pacinian corpuscles.

In the field of medicine, "time factors" refer to the duration of symptoms or time elapsed since the onset of a medical condition, which can have significant implications for diagnosis and treatment. Understanding time factors is crucial in determining the progression of a disease, evaluating the effectiveness of treatments, and making critical decisions regarding patient care.

For example, in stroke management, "time is brain," meaning that rapid intervention within a specific time frame (usually within 4.5 hours) is essential to administering tissue plasminogen activator (tPA), a clot-busting drug that can minimize brain damage and improve patient outcomes. Similarly, in trauma care, the "golden hour" concept emphasizes the importance of providing definitive care within the first 60 minutes after injury to increase survival rates and reduce morbidity.

Time factors also play a role in monitoring the progression of chronic conditions like diabetes or heart disease, where regular follow-ups and assessments help determine appropriate treatment adjustments and prevent complications. In infectious diseases, time factors are crucial for initiating antibiotic therapy and identifying potential outbreaks to control their spread.

Overall, "time factors" encompass the significance of recognizing and acting promptly in various medical scenarios to optimize patient outcomes and provide effective care.

Exudates and transudates are two types of bodily fluids that can accumulate in various body cavities or tissues as a result of injury, inflammation, or other medical conditions. Here are the medical definitions:

1. Exudates: These are fluids that accumulate due to an active inflammatory process. Exudates contain high levels of protein, white blood cells (such as neutrophils and macrophages), and sometimes other cells like red blood cells or cellular debris. They can be yellow, green, or brown in color and may have a foul odor due to the presence of dead cells and bacteria. Exudates are often seen in conditions such as abscesses, pneumonia, pleurisy, or wound infections.

Examples of exudative fluids include pus, purulent discharge, or inflammatory effusions.

2. Transudates: These are fluids that accumulate due to increased hydrostatic pressure or decreased oncotic pressure within the blood vessels. Transudates contain low levels of protein and cells compared to exudates. They are typically clear and pale yellow in color, with no odor. Transudates can be found in conditions such as congestive heart failure, liver cirrhosis, or nephrotic syndrome.

Examples of transudative fluids include ascites, pleural effusions, or pericardial effusions.

It is essential to differentiate between exudates and transudates because their underlying causes and treatment approaches may differ significantly. Medical professionals often use various tests, such as fluid analysis, to determine whether a fluid sample is an exudate or transudate.

Silver Sulfadiazine is a topical antimicrobial cream, primarily used for the prevention and treatment of burn wounds' infections. It has broad-spectrum activity against various bacteria, including gram-positive and gram-negative organisms, as well as some fungi. The cream creates a physical barrier that helps minimize bacterial growth and contains silver, which has antimicrobial properties. Silver Sulfadiazine is often used in combination with other burn wound care treatments to optimize healing and reduce the risk of complications such as sepsis.

The medical definition of Silver Sulfadiazine can be stated as:

A topical antimicrobial agent, chemically described as silver(I) 1-(4-amino-2-sulfonylphenyl)-2-(N-pyrimidin-2-ylsulfamoyl)ethanone dihydrate. It is primarily used for the prevention and treatment of infections associated with burn wounds due to its broad-spectrum antibacterial and antifungal properties. The compound is available as a white cream, which forms a protective layer on the wound, releasing silver ions that inhibit bacterial growth and promote healing.

Eye injuries refer to any damage or trauma caused to the eye or its surrounding structures. These injuries can vary in severity and may include:

1. Corneal abrasions: A scratch or scrape on the clear surface of the eye (cornea).
2. Chemical burns: Occurs when chemicals come into contact with the eye, causing damage to the cornea and other structures.
3. Eyelid lacerations: Cuts or tears to the eyelid.
4. Subconjunctival hemorrhage: Bleeding under the conjunctiva, the clear membrane that covers the white part of the eye.
5. Hyphema: Accumulation of blood in the anterior chamber of the eye, which is the space between the cornea and iris.
6. Orbital fractures: Breaks in the bones surrounding the eye.
7. Retinal detachment: Separation of the retina from its underlying tissue, which can lead to vision loss if not treated promptly.
8. Traumatic uveitis: Inflammation of the uvea, the middle layer of the eye, caused by trauma.
9. Optic nerve damage: Damage to the optic nerve, which transmits visual information from the eye to the brain.

Eye injuries can result from a variety of causes, including accidents, sports-related injuries, violence, and chemical exposure. It is important to seek medical attention promptly for any suspected eye injury to prevent further damage and potential vision loss.

A sternotomy is a surgical procedure that involves making an incision through the sternum, also known as the breastbone. This type of incision allows surgeons to access the thoracic cavity, which contains the heart and lungs. Sternotomies are often performed during open-heart surgery or other procedures that require access to the heart or major blood vessels. After the procedure, the sternum is typically wired or stapled back together to allow for proper healing.

Prenatal injuries, also known as antenatal injuries, refer to damages or harm that occur to a fetus during pregnancy. These injuries can result from various factors such as maternal infections, exposure to toxic substances, genetic disorders, or physical trauma. Some common examples of prenatal injuries include cerebral palsy, intellectual disabilities, blindness, deafness, and limb deformities. It is essential to monitor and manage the health of both the mother and fetus during pregnancy to reduce the risk of prenatal injuries.

In the context of medical terminology, "vacuum" is not typically used as a standalone term with a specific medical definition. However, it can be used in certain medical procedures or conditions in relation to creating a partial vacuum or absence of pressure. For example:

1. In surgical procedures, such as a vacuum-assisted closure, a vacuum is applied to help promote wound healing by removing fluids and infectious materials from the wound site.
2. In some cases, a therapeutic vacuum may be used to treat soft tissue injuries or conditions like lymphedema, where controlled negative pressure is applied to improve circulation, reduce swelling, and promote healing.
3. A rare medical condition called "spontaneous intracranial hypotension" can occur when there is a leak in the dura mater (the protective membrane surrounding the brain and spinal cord), causing cerebrospinal fluid to escape and creating a negative pressure or vacuum-like effect within the skull, which may result in headaches, neck pain, or other neurological symptoms.

In general, "vacuum" is not a commonly used medical term with a specific definition but can be found in relation to certain procedures or conditions where a partial vacuum or absence of pressure is involved.

Skin physiological processes refer to the functions and changes that occur in the skin, which are necessary for its maintenance, repair, and regulation of body homeostasis. These processes include:

1. Barrier Function: The skin forms a physical barrier that protects the body from external factors such as microorganisms, chemicals, and UV radiation. It also helps to prevent water loss from the body.
2. Temperature Regulation: The skin plays a crucial role in regulating body temperature through sweat production and blood flow.
3. Immunological Function: The skin contains immune cells that help to protect the body against infection and disease.
4. Vitamin D Synthesis: The skin is able to synthesize vitamin D when exposed to sunlight.
5. Sensory Perception: The skin contains nerve endings that allow for the perception of touch, pressure, temperature, and pain.
6. Wound Healing: When the skin is injured, a complex series of physiological processes are initiated to repair the damage and restore the barrier function.
7. Excretion: The skin helps to eliminate waste products through sweat.
8. Hydration: The skin maintains hydration by regulating water loss and absorbing moisture from the environment.
9. Pigmentation: The production of melanin in the skin provides protection against UV radiation and determines skin color.
10. Growth and Differentiation: The skin constantly renews itself through a process of cell growth and differentiation, where stem cells in the basal layer divide and differentiate into mature skin cells that migrate to the surface and are eventually shed.

Skin transplantation, also known as skin grafting, is a surgical procedure that involves the removal of healthy skin from one part of the body (donor site) and its transfer to another site (recipient site) that has been damaged or lost due to various reasons such as burns, injuries, infections, or diseases. The transplanted skin can help in healing wounds, restoring functionality, and improving the cosmetic appearance of the affected area. There are different types of skin grafts, including split-thickness grafts, full-thickness grafts, and composite grafts, which vary in the depth and size of the skin removed and transplanted. The success of skin transplantation depends on various factors, including the size and location of the wound, the patient's overall health, and the availability of suitable donor sites.

I'm sorry for any confusion, but "honey" is not typically considered a medical term. It is a natural sweet substance produced by honeybees from the nectar of flowers. Honey is composed primarily of fructose and glucose, with small amounts of other sugars, water, proteins, amino acids, vitamins, minerals, enzymes, and various organic compounds.

While honey does have some potential health benefits, such as its antimicrobial properties and its use in wound healing, it is not a medical treatment or intervention. If you have any questions about the medicinal uses of honey or its role in health, I would recommend consulting with a healthcare professional.

Regeneration in a medical context refers to the process of renewal, restoration, and growth that replaces damaged or missing cells, tissues, organs, or even whole limbs in some organisms. This complex biological process involves various cellular and molecular mechanisms, such as cell proliferation, differentiation, and migration, which work together to restore the structural and functional integrity of the affected area.

In human medicine, regeneration has attracted significant interest due to its potential therapeutic applications in treating various conditions, including degenerative diseases, trauma, and congenital disorders. Researchers are actively studying the underlying mechanisms of regeneration in various model organisms to develop novel strategies for promoting tissue repair and regeneration in humans.

Examples of regeneration in human medicine include liver regeneration after partial hepatectomy, where the remaining liver lobes can grow back to their original size within weeks, and skin wound healing, where keratinocytes migrate and proliferate to close the wound and restore the epidermal layer. However, the regenerative capacity of humans is limited compared to some other organisms, such as planarians and axolotls, which can regenerate entire body parts or even their central nervous system.

"Cells, cultured" is a medical term that refers to cells that have been removed from an organism and grown in controlled laboratory conditions outside of the body. This process is called cell culture and it allows scientists to study cells in a more controlled and accessible environment than they would have inside the body. Cultured cells can be derived from a variety of sources, including tissues, organs, or fluids from humans, animals, or cell lines that have been previously established in the laboratory.

Cell culture involves several steps, including isolation of the cells from the tissue, purification and characterization of the cells, and maintenance of the cells in appropriate growth conditions. The cells are typically grown in specialized media that contain nutrients, growth factors, and other components necessary for their survival and proliferation. Cultured cells can be used for a variety of purposes, including basic research, drug development and testing, and production of biological products such as vaccines and gene therapies.

It is important to note that cultured cells may behave differently than they do in the body, and results obtained from cell culture studies may not always translate directly to human physiology or disease. Therefore, it is essential to validate findings from cell culture experiments using additional models and ultimately in clinical trials involving human subjects.

Anti-infective agents, local, are medications that are applied directly to a specific area of the body to prevent or treat infections caused by bacteria, fungi, viruses, or parasites. These agents include topical antibiotics, antifungals, antivirals, and anti-parasitic drugs. They work by killing or inhibiting the growth of the infectious organisms, thereby preventing their spread and reducing the risk of infection. Local anti-infective agents are often used to treat skin infections, eye infections, and other localized infections, and can be administered as creams, ointments, gels, solutions, or drops.

Hyperbaric oxygenation is a medical treatment in which a patient breathes pure oxygen in a pressurized chamber, typically at greater than one atmosphere absolute (ATA). This process results in increased levels of oxygen being dissolved in the blood and delivered to body tissues, thereby promoting healing, reducing inflammation, and combating infection. Hyperbaric oxygen therapy is used to treat various medical conditions, including carbon monoxide poisoning, decompression sickness, gangrene, and wounds that are slow to heal due to diabetes or radiation injury.

Treatment outcome is a term used to describe the result or effect of medical treatment on a patient's health status. It can be measured in various ways, such as through symptoms improvement, disease remission, reduced disability, improved quality of life, or survival rates. The treatment outcome helps healthcare providers evaluate the effectiveness of a particular treatment plan and make informed decisions about future care. It is also used in clinical research to compare the efficacy of different treatments and improve patient care.

An ointment is a semi-solid preparation, typically composed of a mixture of medicinal substance with a base, which is usually greasy or oily. The purpose of the base is to act as a vehicle for the active ingredient and allow it to be applied smoothly and evenly to the skin or mucous membranes.

Ointments are commonly used in dermatology to treat various skin conditions such as eczema, psoriasis, rashes, burns, and wounds. They can also be used to deliver medication for localized pain relief, muscle relaxation, and anti-inflammatory or antibiotic effects.

The base of an ointment may consist of various ingredients, including petrolatum, lanolin, mineral oil, beeswax, or a combination of these. The choice of the base depends on the desired properties such as consistency, spreadability, and stability, as well as the intended route of administration and the specific therapeutic goals.

Therapeutic irrigation, also known as lavage, is a medical procedure that involves the introduction of fluids or other agents into a body cavity or natural passageway for therapeutic purposes. This technique is used to cleanse, flush out, or introduce medication into various parts of the body, such as the bladder, lungs, stomach, or colon.

The fluid used in therapeutic irrigation can be sterile saline solution, distilled water, or a medicated solution, depending on the specific purpose of the procedure. The flow and pressure of the fluid are carefully controlled to ensure that it reaches the desired area without causing damage to surrounding tissues.

Therapeutic irrigation is used to treat a variety of medical conditions, including infections, inflammation, obstructions, and toxic exposures. It can also be used as a diagnostic tool to help identify abnormalities or lesions within body cavities.

Overall, therapeutic irrigation is a valuable technique in modern medicine that allows healthcare providers to deliver targeted treatment directly to specific areas of the body, improving patient outcomes and quality of life.

Abdominal injuries refer to damages or traumas that occur in the abdomen, an area of the body that is located between the chest and the pelvis. This region contains several vital organs such as the stomach, liver, spleen, pancreas, small intestine, large intestine, kidneys, and reproductive organs. Abdominal injuries can range from minor bruises and cuts to severe internal bleeding and organ damage, depending on the cause and severity of the trauma.

Common causes of abdominal injuries include:

* Blunt force trauma, such as that caused by car accidents, falls, or physical assaults
* Penetrating trauma, such as that caused by gunshot wounds or stabbing
* Deceleration injuries, which occur when the body is moving at a high speed and suddenly stops, causing internal organs to continue moving and collide with each other or the abdominal wall

Symptoms of abdominal injuries may include:

* Pain or tenderness in the abdomen
* Swelling or bruising in the abdomen
* Nausea or vomiting
* Dizziness or lightheadedness
* Blood in the urine or stool
* Difficulty breathing or shortness of breath
* Rapid heartbeat or low blood pressure

Abdominal injuries can be life-threatening if left untreated, and immediate medical attention is necessary to prevent complications such as infection, internal bleeding, organ failure, or even death. Treatment may include surgery, medication, or other interventions depending on the severity and location of the injury.

Soft tissue injuries refer to damages that occur in the body's connective tissues, such as ligaments, tendons, and muscles. These injuries can be caused by various events, including accidents, falls, or sports-related impacts. Common soft tissue injuries include sprains, strains, and contusions (bruises).

Sprains occur when the ligaments, which connect bones to each other, are stretched or torn. This usually happens in the joints like ankles, knees, or wrists. Strains, on the other hand, involve injuries to the muscles or tendons, often resulting from overuse or sudden excessive force. Contusions occur when blood vessels within the soft tissues get damaged due to a direct blow or impact, causing bleeding and subsequent bruising in the affected area.

Soft tissue injuries can cause pain, swelling, stiffness, and limited mobility. In some cases, these injuries may require medical treatment, including physical therapy, medication, or even surgery, depending on their severity and location. It is essential to seek proper medical attention for soft tissue injuries to ensure appropriate healing and prevent long-term complications or chronic pain.

Postoperative complications refer to any unfavorable condition or event that occurs during the recovery period after a surgical procedure. These complications can vary in severity and may include, but are not limited to:

1. Infection: This can occur at the site of the incision or inside the body, such as pneumonia or urinary tract infection.
2. Bleeding: Excessive bleeding (hemorrhage) can lead to a drop in blood pressure and may require further surgical intervention.
3. Blood clots: These can form in the deep veins of the legs (deep vein thrombosis) and can potentially travel to the lungs (pulmonary embolism).
4. Wound dehiscence: This is when the surgical wound opens up, which can lead to infection and further complications.
5. Pulmonary issues: These include atelectasis (collapsed lung), pneumonia, or respiratory failure.
6. Cardiovascular problems: These include abnormal heart rhythms (arrhythmias), heart attack, or stroke.
7. Renal failure: This can occur due to various reasons such as dehydration, blood loss, or the use of certain medications.
8. Pain management issues: Inadequate pain control can lead to increased stress, anxiety, and decreased mobility.
9. Nausea and vomiting: These can be caused by anesthesia, opioid pain medication, or other factors.
10. Delirium: This is a state of confusion and disorientation that can occur in the elderly or those with certain medical conditions.

Prompt identification and management of these complications are crucial to ensure the best possible outcome for the patient.

... deep penetrating wound; fracture; deep cuts/lacerations; other head injury; crushing; burns (excluding friction burns); ...
In gunshot wounds, perforating trauma is associated with an entrance wound and an often larger exit wound. Penetrating trauma ... Most penetrating injuries are chest wounds and have a mortality rate (death rate) of under 10%. Penetrating chest trauma can ... A penetrating injury in which an object enters the body or a structure and passes all the way through an exit wound is called a ... Penetrating trauma is an open wound injury that occurs when an object pierces the skin and enters a tissue of the body, ...
"Penetrating thoracic wounds caused by plastic bullets" (pdf). Journal of Thoracic and Cardiovascular Surgery. 103 (2): 381-385 ... Even if the wound caused by the plastic is less severe than that caused by conventional bullets, it is still a very severe ... Following a visit to a Nablus Hospital a group of four Israeli doctors reported: "The plastic bullet can penetrate all tissue. ... The bullets are claimed to penetrate 20mm into human targets. 21,000 rounds of plastic bullets were sent to Kashmir in 2018 for ...
Both wounds severed axillary arteries before penetrating a lung. Lawrence lost all feeling in his right arm and his breathing ...
She had been stabbed six times in the back; three stab wounds penetrated her lungs. Her right wrist had a deep defensive wound ... The autopsy revealed that Keckler had died as a result of asphyxia from ligature strangulation and multiple stab wounds. ...
Any penetrating injury that breaks the skin barrier including; burns, injections, intravenous catheterization, and surgical ... wounds creates risk for developing mucormycosis. These types of situations, in combination with exposure to contaminated ...
Puncture Wound - Caused by an object that penetrated the skin and underlying layers, such as a nail, needle or knife. Contusion ... Wounds are often not straight and unbroken skin may hide significant injury. Penetrating trauma follows the course of the ... This may include two external wounds (entry and exit) and a contiguous wound between the two. The pattern of injury, evaluation ... Laceration - Irregular wound caused by blunt impact to soft tissue overlying hard tissue or tearing such as in childbirth. In ...
Penetrating injuries can introduce pathogenic microorganisms into the wound. Examples include Clostridium tetani and ... Most cacti possess spines, some large enough to cause serious wounds. Glochids however, though smaller, commonly induce more ... Though minute, glochids commonly are barbed and once they have penetrated the skin barbed glochids are practically impossible ... and subsequently soaking the wound in an antibacterial solution. Wikimedia Commons has media related to Glochids. Shanon, Jacob ...
A transmediastinal gunshot wound (TMGSW) is a penetrating injury to a person's thorax in which a bullet enters the mediastinum ... Transmediastnal gunshot wounds: a prospective study. J Trauma 2000; 48:416 -422. Richardson JD, Flint LM, Snow NJ, et al. ... In a study by Van Waes et al., (which included all thoracic-penetrating injuries, not just transmediastinal) survival after ... Additionally the work of Burack et al., whose evaluation of stable patients with penetrating injuries to the mediastinum - this ...
Gray published work on penetrating wounds of the knee joint. He was an authority on infected gunshot wounds. He was experienced ... Wound excision saved limbs and lives by reducing the incidence of major wound infections, including gas gangrene. Gray was also ... Gray, H.M.W., Treatment of Gunshot wounds of the knee Joint. British Medical Journal; 1915; 2: pp. 41-43. Gray, H.M.W., Gunshot ... Gray, H.M.W., Gunshot Wounds of the Head. British Medical Journal 1916; 1: pp. 261-265. Gray, H.M.W., Early Treatment of ...
"Role of Thrombospondin-1 in Repair of Penetrating Corneal Wounds". Investigative Ophthalmology & Visual Science. 54 (9): 6262- ... Keratocytes surrounding the wounded area proliferate and become fibroblasts that migrate to fill the wounded area. This creates ... This application can also be used in wound healing, where increased numbers of fibroblasts and keratinocytes aid in wound re- ... Haptotaxis plays a major role in the efficient healing of wounds. For example, when corneal integrity is compromised, ...
McIlwaine received a severe cut throat injury, seven penetrating wounds to the chest and penetrating wounds to the face and to ... Robb had sustained a severe cut throat injury to the neck and a penetrating wound to the abdomen with three penetrating wounds ... When he noticed that McIlwaine appeared to be looking up at him, Brown stabbed him deeply in his left eye; the wound penetrated ... Both teenagers sustained penetrating, multiple knife wounds inflicted with a butcher's knife which nearly decapitated them. ...
He fired his gun and shot Jack Dunlap despite the fact that he himself was wounded with a bullet on his left arm between the ... One had torn through his breast and exited his shoulder; the other two had penetrated his skull. The coroner's jury found that ... James A. Ketcherside treated the old wound. The doctor suggested that the leg be amputated, but Downing refused to accept the ... He died immediately of the wounds which he received. Arizona Ranger Captain Wheeler made the following remark in regard to the ...
The enemy fire killed or wounded those already in the trucks as well as the drivers who viewed the job as a form of suicide. In ... Chinese infantry assaults grew bolder, penetrating closer to the convoy. RCT-31 began to disintegrate. Almost all of its ... As Faith led an assault on the roadblock, he was hit by an enemy grenade and badly wounded. At this point, darkness closed in, ... Lieutenant-Colonel Faith, hit again by rifle fire, died of his wounds (he was posthumously awarded the Medal of Honor). Major ...
Penetrating injuries result in a single, full-thickness entry wound. In contrast, perforating injuries produce two full- ... thickness wounds at the entry and exit sites of the projectile. A penetrating globe injury with a retained foreign object, ... Penetrating eye lacerations due to pellet-gun, sport, motor vehicle, or fight-related injuries are more common in adolescent ... Fluorescein dye is applied to the eye's surface to detect leakage of clear fluid originating from the wound using a Wood's lamp ...
It can occur after a ballistic injury or stab wound. If penetrating trauma occurs in blood vessels close to the heart, it can ... There are two types of trauma: penetrating trauma and blunt trauma. Penetrating trauma is the most common cause of vascular ... It is important to examine the person for visible signs that may suggest internal bleeding: a wound bruising [ecchymosis] blood ... Abdominal aortic tourniquet controlsjunctional hemorrhage from a gunshot wound of the axilla.J Spec Oper Med.2013;13(3):1-4. ...
In previous eras, without anesthesia, penetrating abdominal wounds were considered inoperable. Gedroits was the first to ... Abade, J. (1918). "Wounds of the Abdomen". In Keogh, Alfred (ed.). Medical and Surgical Therapy. Vol. 3: Wounds. New York, New ... including over 100 patients with head wounds and 61 patients with abdominal wounds. Initially treatment was provided in tents ... Wounded, she was evacuated to Kiev, where she resumed her work as a physician and academic. In 1921, she was hired to teach ...
Direct, penetrating injuries, for example, stab or gunshot wounds are rare.[citation needed] Non-traumatic causes are less ...
Guiron uses his shurikens to penetrate Gamera's cheeks. Gamera tries to heal his wounds by grabbing ice-like boulders. Guiron ...
One of the chest wounds penetrated his lung. A University of Hong Kong academic who has studied crime believes the attack was ... Lau suffered stab wounds to his back and legs. He was rushed to a hospital, where he underwent emergency surgery. The police ... An assailant armed with a meat cleaver hacked at Lau as soon as Lau got out of his car, leading to three knife wounds. The ... "Thousands in Hong Kong Support Wounded Editor". The New York Times Steger, Isabella (2 March 2014). "Thousands Take to the ...
They can originate from a surgical trauma or a penetrating wound. An invasion of conjunctival or corneal epithelial cells ... FNA is used as a last diagnosis method because it is the most invasive method since the eye has to be penetrated with a needle ... The purpose of the needle is to penetrate the membrane of the cyst, so that the cyst will deflate. This method has proven to be ... The alcohol gets injected in the cyst through a needle which is penetrating the eye from outside into the cyst. The injection ...
2014 Mar;20(3):270-7. "Bizhan Aarabi, MD". Aarabi, B. (1989). "Causes of infections in penetrating head wounds in the Iran-Iraq ... In 1999, he co-edited a 2 volume book, entitled Missile Wounds of the Head and Neck, with Howard H. Kaufman. While he was at ... ". "Missile Wounds of the Head and Neck, Volume I". "Missile Wounds of the Head and Neck, Volume II". Walters, B. C.; Hadley, M ... Predictors of outcome in civilian gunshot wounds to the head. J Neurosurg, 120:1138-46. 2014. Aarabi B, Mirvis S, ...
Gunshot wounds are associated with a higher death rates compared to stab wounds. In cases of penetrating trauma involving the ... Penetrating trauma is significantly less common, and has a much higher death rate, with up to 90% dying before arriving at the ... Hemothorax is most often caused by blunt or penetrating trauma to the chest. In blunt traumatic cases, hemothorax typically ... occurs when rib fracture damages the intercostal vessels or the intraparenchymal pulmonary vessel, while in penetrating trauma ...
Maas died of blunt-force trauma to the head and penetrating wounds. She had a hole in her shoulder blade, a broken jaw and ...
Gunshot wounds are the commonest form of penetrating trauma that cause TBI. Less commonly, knife wounds and shrapnel from motor ... If there is a penetrating injury to the neck through which air is escaping, the trachea may be intubated through the wound. ... Injuries to the tracheobronchial tree within the chest may occur due to penetrating forces such as gunshot wounds, but are more ... Also, the sutured wound can tear again, as occurs when there is excessive pressure in the airways from ventilation. However, ...
They penetrate bark, but lesions on roots are shallow. These wounds may, however, provide easy entry for pathogenic fungi and ...
Next the ascospores penetrate through the leaf cuticle. Stems may be infected by D. bryoniae ascospores through stem wounds or ... Fruits are penetrated through wounds and pollination flower scars. Conidia are produced on the lesion sites of leaves and stems ... water-soaked lesions Stem lesions/cankers Vine lesions Vine Necrosis Reddish gummy ooze exuding from the lesions/wounds Wilt ...
"The Importance of Prompt Transport in Salvage of Patients with Penetrating Heart Wounds". Journal of Trauma-Injury Infection & ... Other studies have improved the diagnosis and management of gunshot wounds, rectal and genitourinary injuries, as well as " ... 1981) reported the value of immediate emergency department thoracotomy in a patient group of fatally penetrating trauma. ... Franko, Edward R.; Ivatury, Rao R.; Schwalb, David M. (1993). "Combined Penetrating Rectal and Genitourinary Injuries: A ...
Frequent exposure to penetrating wounds by thorns or splinters is a risk factor. This risk can be reduced by disinfecting ... or through a pre-existing wound. The first visible symptom of mycetoma is a typically painless swelling beneath the skin; over ... wounds and wearing shoes. Mycetoma is caused by common saprotrophs found in the soil and on thorny shrubs in semi-desert ...
Particularly in the chest and neck, air may become trapped as a result of penetrating trauma (e.g., gunshot wounds or stab ... When the pleural membranes are punctured, as occurs in penetrating trauma of the chest, air may travel from the lung to the ... Conditions that cause subcutaneous emphysema may result from both blunt and penetrating trauma; SCE is often the result of a ... wounds) or blunt trauma. Infection (e.g., gas gangrene) can cause gas to be trapped in the subcutaneous tissues. Subcutaneous ...
  • Gunshot wounds are usually more serious than stab wounds because they cause more severe lacerations and rapid blood loss and because ricochet commonly damages large areas and multiple organs. (doctor-clinic.org)
  • Stab wounds from a knife or an ice pick and gunshot wounds are the most common penetrating chest wounds. (doctor-clinic.org)
  • Penetrating trauma, such as gunshot or stab wounds. (medlineplus.gov)
  • Navsaria PH, Berli JU, Edu S, Nicol AJ, Non-operative management of abdominal stab wounds: an analysis of 186 patients. (scirp.org)
  • Van Brussel M, Van Hee R. Abdominal stab wounds: a five year patient review. (scirp.org)
  • Gunshots, stab wounds and other invasive injuries can damage the brachial plexus. (ohsu.edu)
  • Penetrating trauma, particularly HE injuries, are likely to increase in the future as military assault weapons are increasingly penetrating the civilian sector via the illegal narcotics trade, and terrorist bombings are becoming more commonplace. (medscape.com)
  • In summary, large advances in morbidity and mortality have been achieved by coupling antimicrobial therapy with aggressive surgical management following penetrating traumatic injury, however, many exciting opportunities exist for providers in the field to improve care and outcomes for patients suffering these terrible injuries. (medscape.com)
  • Inci I, Ozçelik C, Taçyildiz I, Nizam O, Eren N, Ozgen G. Penetrating chest injuries: unusually high incidence of high-velocity gunshot wounds in civilian practice. (medscape.com)
  • Osime C, Kpolugbo J. Penetrating injuries in Irrua. (scirp.org)
  • But with four of the girls still hanging on last night, surgeons who treat penetrating head injuries said several factors help determine whether a victim lives or dies. (chicagotribune.com)
  • In 2000, Maryland recorded 235 penetrating brain injuries - 208 of them lethal. (chicagotribune.com)
  • CONCLUSION: In this group of small scale, independent fishers, the most common reported injuries were penetrating wounds to the hand/wrist/digits from marine animals and strains/sprains to the back while moving heavy objects. (cdc.gov)
  • Low-velocity injuries include impalement (eg, knife wounds), which disrupts only the structures penetrated. (medscape.com)
  • Medium-velocity injuries include bullet wounds from most types of handguns and air-powered pellet guns and are characterized by much less primary tissue destruction than wounds caused by high-velocity forces. (medscape.com)
  • Bladder Trauma External bladder injuries are caused by either blunt or penetrating trauma to the lower abdomen, pelvis, or perineum. (msdmanuals.com)
  • Although nonoperative intervention is increasingly used in selected patients, surgical therapy for penetrating abdominal trauma remains an essential part of overall management. (medscape.com)
  • Penetrating abdominal trauma. (medscape.com)
  • Occasionally, patients with penetrating abdominal trauma develop such significant metabolic acidosis and coagulopathy that proceeding with the reconstruction phase of the laparotomy is not possible. (medscape.com)
  • The actual cause of infection in penetrating trauma injury remains unclear but is likely multifactorial, to include impaired host immune response, the environment of the injury, mechanism of injury and anatomic location. (medscape.com)
  • Gram-positive organisms, for example, Streptococcus pyogenes and S. aureus , historically were major causes of morbidity and mortality following penetrating trauma in the pre-antibiotic era and remain initial pathogens for many infection types. (medscape.com)
  • As a result, prophylactic antibiotic regimens are mandatory during penetrating trauma surgical management and must prevent these organisms. (medscape.com)
  • Prospective randomized trials to find the best prophylactic agent and duration to reduce penetrating injury infections of all the areas we examined (CNS, maxillofacial, thorax, abdomen and orthopedic) are desperately needed and could easily be performed at large trauma centers. (medscape.com)
  • Injury from blunt or penetrating trauma to the esophagus is relatively rare. (nih.gov)
  • Onat S, Ulku R, Avci A, Ates G, Ozcelik C. Urgent thoracotomy for penetrating chest trauma: analysis of 158 patients of a single center. (medscape.com)
  • Initial chest CT obviates the need for repeat chest radiograph after penetrating thoracic trauma. (medscape.com)
  • Introduction Among the factors related to survival among individuals with gun shot wounds (GSW) is distance to trauma care. (bmj.com)
  • The goal of wound irrigation is to clean the wound and decontaminate it, reducing the risk of infection or worsening infection, without creating anymore trauma to the wound. (medicinenet.com)
  • Background: Penetrating abdominal trauma (PAT) typically involves the violation of the abdominal cavity by a gun-shot wound (GSW) or stab wound Recently several studies have favored a more conservative approach as opposed to mandatory exploratory laparotomy. (scirp.org)
  • Asuquo ME, Bassey OO, Etiuma AU, Ugare G, Ogbu N. A prospective study of penetrating abdominal trauma at the University of Calabar Teaching Hospital, Calabar, Southern Nigeria. (scirp.org)
  • Non-operative management in penetrating abdominal trauma: Is it feasible at a level 11 trauma centre? (scirp.org)
  • Abdominal gunshot wounds: an urban trauma centre experience with 300 consecutive patients Ann Surg, Vol 208, 1988, pp 362-370. (scirp.org)
  • I have to say it would be location, location, location" of the wound, said Dr. Michael Nance, director of the pediatric trauma program at Children's Hospital of Philadelphia, where three of the girls are being treated. (chicagotribune.com)
  • Blunt trauma can be related to car accidents, fall from a height or high rise syndrome, kicks or "human beings" interaction, penetrating trauma, bites or fight, specially small--large animal interactions, projectiles, stabbing. (vin.com)
  • Today I'm talking with Dr. David Tribble about his article on fungal wounds after combat trauma in Afghanistan. (cdc.gov)
  • The increased prevalence of penetrating chest injury (associated with the "drug war" in the United States) and improved prehospital and perioperative care have resulted in an increasing number of critically injured but potentially salvageable patients presenting to trauma centers. (medscape.com)
  • Penetrating trauma to the thoracic vessels was not extensively reported until the 20th century because of the absence of survivors. (medscape.com)
  • Additional experience in the treatment of penetrating trauma to the thorax was gained in later military experiences, including the conflicts in Korea and Vietnam, and, to a lesser degree, in US actions in Grenada, Panama, the Balkans, Somalia, and the Persian Gulf. (medscape.com)
  • and Denver, Colo, have been particularly productive in their treatments of thoracic penetrating trauma. (medscape.com)
  • Penetrating urethral trauma is less common, occurring mainly as a result of gunshot wounds, or alternatively. (msdmanuals.com)
  • Foreign bodies inside the maxillary sinus are rare and its etiology can result from different factors such as penetrating trauma or iatrogenic. (bvsalud.org)
  • The image below depicts a tangential gunshot wound to the liver. (medscape.com)
  • Tangential gunshot wound to the liver. (medscape.com)
  • Andrew Brown, Jr., a 42-year old unarmed Black man shot to death by police in Elizabeth City, North Carolina, died from a "penetrating gunshot wound of the head," according to his death certificate, CNN reports . (thenewcivilrightsmovement.com)
  • A copy of Andrew Brown's death certificate obtained by CNN says Brown died as a result of a "penetrating gunshot wound of the head" and died within "minutes" of being shot. (thenewcivilrightsmovement.com)
  • Gunshot wound (GSW) 11 (38%) patients, stab wound 8 (27.6%) patients and machete cut 4 (13.8%) patients ranked first, second and third respectively as causes of PAT. (scirp.org)
  • As a result of advances in body armor and the establishment of excellent medical care at the battlefield, mortal thoracic wounds seem to have decreased, allowing patients who would have previously died to live long enough to receive treatment. (medscape.com)
  • The use of antibiotics was a milestone in the effort to prevent wound infection. (medscape.com)
  • Antibiotics for dirty wounds are part of the treatment because infection is established already. (medscape.com)
  • Qualities of prophylactic antibiotics include efficacy against predicted bacterial microorganisms most likely to cause infection (see Table 3 below), good tissue penetration to reach wound involved, cost effectiveness, and minimal disturbance to intrinsic body flora (eg, gut). (medscape.com)
  • Open wounds and surgical entry points could be covered with the membrane, preventing infection while the doctor's hands move through and do their work. (thedailybeast.com)
  • Cite this: Prophylaxis and Treatment of Infections Associated with Penetrating Traumatic Injury - Medscape - Jan 01, 2011. (medscape.com)
  • If too much force is applied, the solution could get pushed into the pockets of the wound, causing complications. (medicinenet.com)
  • What are the complications of wound irrigation? (medicinenet.com)
  • The patient's wound needs surgical repair. (doctor-clinic.org)
  • Aggressive resuscitation, nutritional support, thorough surgical excision of infected wounds, early wound closure, grafting and the development of effective topical and systemic chemotherapy have largely improved morbidity and mortality rates of burn patients. (who.int)
  • Trials optimizing timing of antibiotic administration with regard to known antimicrobial pharmacokinetic/pharmacodynamic properties (e.g., prolonging infusion times of β-lactams to reduce bacterial resistance) should also assist in improving outcomes in penetrating traumatic infections, which are increasingly antibiotic resistant. (medscape.com)
  • Most patients with wound infections are managed in the community. (medscape.com)
  • Sarah Gregory] During the recent war in Afghanistan, invasive fungal wound infections, or IFIs, among U.S. combat casualties were associated with risk factors related to the mechanism and pattern of injury. (cdc.gov)
  • These infections develop after a traumatic penetrating injury and, in this case, with combat casualties, this is usually an explosive blast injury. (cdc.gov)
  • Any entry wound below the nipples (front) and the inferior scapular angles (dorsum) should be considered an entry point for a course that may have carried the missile into the abdominal cavity. (medscape.com)
  • Penetrating abdominal injury cases admitted in University of Benin Teaching Hospital. (scirp.org)
  • Experimental posterior penetrating eye injury in the rabbit. (bmj.com)
  • When you look at it on an individual injury site level, so the grid coordinates for that--where that injury occurred in order to directly associate that with mold wound contamination. (cdc.gov)
  • It is effective against most organisms found in open wounds and reduces foul odor from an infected wound. (medicinenet.com)
  • The plants in this family are noted for their penetrating, pungent odor. (madsci.org)
  • Depending on its size, a penetrating chest wound may cause varying degrees of damage to bones, soft tissue, blood vessels, and nerves. (doctor-clinic.org)
  • Wound debridement is the process of removing necrotic (dead) tissue from the wound. (medicinenet.com)
  • one hole located low and to the right of the ideal stunning location (there was bruising of the surrounding tissue, and the hole did not appear to penetrate as deep as the second hole) and a second hole located in the correct position for stunning. (peta.org)
  • Explosions or firearms fired at close range are the usual source of large, gaping wounds. (doctor-clinic.org)
  • Wound debridement may be combined with wound irrigation. (medicinenet.com)
  • Wound debridement may be performed after wound irrigation. (medicinenet.com)
  • Wound irrigation, with or without debridement, can aid in wound healing and prevent premature surface healing over an abscess or a foreign body, reducing the recurrence. (medicinenet.com)
  • During World War 1, the Russian army used garlic to treat wounds incurred by soldiers on the Front Line. (madsci.org)
  • Lee and McClellan agreed to a truce so that wounded soldiers could be recovered. (militaryhistoryonline.com)
  • The wounding of four Israeli soldiers at the border on November 10 was therefore already part of a chain of events where Gazan civilians had been killed, and not the triggering event. (irishantiwar.org)
  • This model enables us to define animal welfare outcomes for shooting and wounding of game mammals. (nature.com)
  • Normal saline is the most commonly used solution for wound irrigation. (medicinenet.com)
  • This is most commonly needed with penetrating chest wounds or bleeding tumors. (petplace.com)
  • It is also commonly as- technique of dermabrasion of the upper la- sumed that hospitalized patients for burn yers of the wound, which is performed using treatment will experience some level of a small rotating carbon-steel disc of defined depression. (who.int)
  • It will also penetrate deeper and create a larger wound channel. (articlecity.com)
  • It may be used on simple wounds with minimal contamination. (medicinenet.com)
  • It is generally agreed that prophylactic antibiotics are indicated for clean-contaminated and contaminated wounds (see Table 2 in Overview ). (medscape.com)
  • Imagine a dressing that releases antibiotics on demand and absorbs excessive wound exudate at the same time. (tue.nl)
  • This paucity of information is an impediment to developing tools to reduce suffering and wounding in one of the most common and important interactions between man and individuals of hunted wildlife species. (nature.com)
  • A: 2015 it was concluded [Naess, 2015] that none of the existing studies on skin penetration of nano titanium dioxide and nano zinc oxide (both common components of sunscreen, especially nano titanium dioxide) reported any evidence of skin penetration - except for one case, in which the person studied had dermal wounds. (lu.se)
  • Missiles from gunshot wounds (GSWs) can penetrate all body regions regardless of the point of entry. (medscape.com)
  • Clostridium tetani ( C. tetani ) spores usually enter the body through a wound or breach in the skin. (cdc.gov)
  • These factors include body mass, allometric and isometric scaling, comparative physiology, wound ballistics and linear kinematics. (nature.com)
  • It cannot penetrate the body, and therefore it is completely safe to touch. (tue.nl)
  • With prompt, aggressive treatment, up to 90% of patients with penetrating chest wounds recover. (doctor-clinic.org)
  • In a penetrating chest wound, treatment involves maintaining a patent airway and providing ventilatory support as needed. (doctor-clinic.org)
  • The surface tension keeps it from penetrating. (thedailybeast.com)
  • various species of organisms from the It is important to ascertain the cause surface burn wounds were roughly pro- of the burn because this may be helpful portional to those from blood specimens or in determining burn depth. (who.int)
  • A Seidel test can be helpful in postoperatively assessing wound integrity, particularly in patients with low intraocular pressure (IOP) and a normal or shallow anterior chamber. (aao.org)
  • Minimize the risk of tetanus among your patients who are disaster survivors and emergency responders by following routine vaccination recommendations and providing proper wound care . (cdc.gov)
  • La réanimation agressive, la prise en charge nutritionnelle, l'excision chirur- gicale complète des plaies infectées, la fermeture rapide des plaies, les greffes et la mise au point d'une chimiothérapie locale et systémique efficace ont permis d'améliorer grandement le taux de morbidité et de mortalité chez les patients brûlés. (who.int)
  • Il s'agit d'une étude rétrospective descriptive et analytique, multicentrique portant sur des patients de moins de 5ans pris en charge pour une affection neurochirurgicale de Janvier 2019 à Décembre 2021 à Libreville. (bvsalud.org)
  • Hill performed the first cardiorrhaphy in the United States in 1902 and initiated the modern treatment of the wounded heart. (medscape.com)
  • Section 3, Penetrating Keratoplasty: Postoperative Management. (aao.org)
  • Small wound leaks or suture track leaks without iris incarceration often close spontaneously. (aao.org)
  • If the IOP is low and there is a flat chamber or iris incarceration in the wound, the clinician should return the patient to surgery to reposit the iris, re-form the anterior chamber, and suture the wound. (aao.org)
  • A large, wide-bore syringe is held just above the edge of the wound, and the solution is instilled into the wound, slowly and continuously with a minimal force that is just enough to flush out the entire wound. (medicinenet.com)
  • The head wound was not "penetrating. (radaronline.com)
  • The nine Amish girls shot in the head Monday by a deranged milk truck driver faced long odds: National statistics show that only 5 percent of people who sustain such gunshot wounds survive them. (chicagotribune.com)
  • According to Aarabi, 20,000 people in the United States die each year from gunshot wounds to the head. (chicagotribune.com)
  • Inspectors documented that a metal bolt was lodged in one conscious cow's skull, another animal who had been ineffectively shot in the head was hanging upside down while conscious and lifting her head, and a third suffered from a head wound after being shot until a worker shot the animal a second time. (peta.org)
  • The risk of death and disease from a chest wound depends on the size and severity of the wound. (doctor-clinic.org)
  • For information on treating penetrating abdominal wounds, see the article Abdominal Stab Wound Exploration. (medscape.com)
  • 62-year-old Bryan McCarty was found dead in his home on Saturday, September 25 with multiple gunshot wounds after deputies were dispatched there for a welfare check, according to the Laurel County Sheriff's Office. (lex18.com)
  • Palestinian artists penetrated the heavily fortified heart of West Jerusalem overnight and painted graffiti bearing political messages on walls, doors, construction sites and other surfaces. (electronicintifada.net)
  • The second Google search being 'will a 22 penetrate the heart. (lex18.com)
  • The irrigation procedure may be repeated until the wound is completely clear. (medicinenet.com)
  • skin health center / skin a-z list / how do you irrigate a wound? (medicinenet.com)
  • Can the nanoparticles penetrate our skin? (lu.se)

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