Cervical cancer morbidity and mortality is an important public health problem around the world. Some of the barriers to cervical cancer screening include the embar-rassment, discomfort, lack of privacy and time and co...Cervical cancer morbidity and mortality is an important public health problem around the world. Some of the barriers to cervical cancer screening include the embar-rassment, discomfort, lack of privacy and time and cost associated with clinician-collected, clinic-based screen-ing with cytology or human papillomavirus tests. Self-collection of a human papillomavirus （HPV） test has been found to be generally more acceptable, less em-barrassing, more comfortable, more private and easy to do and preferred to pelvic examination for cervical cy-tology by many women worldwide. The most common-ly reported limitation to self-collection is a woman’s lack of confdence in her ability to perform it correctly. Self-collected human papillomavirus tests have been shown to be as or more sensitive than cytology or clinician-collected HPV tests. With confidence-building educa-tion about self-collection, it is likely a viable method to extend the reach of screening in high and low-resource areas around the world.展开更多
Utilization of negative pressure wound therapy with instillation (NPWTi) for sternal dehiscence wounds secondary to sternal wound infection after surgery has become an accepted therapy. NPWTi accelerates wound healing...Utilization of negative pressure wound therapy with instillation (NPWTi) for sternal dehiscence wounds secondary to sternal wound infection after surgery has become an accepted therapy. NPWTi accelerates wound healing through macrostrain, microstrain, and cyclic fluid instillation. Wounds benefit from additional superficial infection control with the removal of microorganisms, the release of proinflammatory mediators, stimulation of angiogenesis, as well as mechanical debridement. However, very few cases of utilizing NPWTi in the treatment of sternal wound infections have been reported in the literature. This case study describes the use of NPWTi with hypochlorous acid for the treatment of a sternal wound infection.展开更多
文摘Cervical cancer morbidity and mortality is an important public health problem around the world. Some of the barriers to cervical cancer screening include the embar-rassment, discomfort, lack of privacy and time and cost associated with clinician-collected, clinic-based screen-ing with cytology or human papillomavirus tests. Self-collection of a human papillomavirus （HPV） test has been found to be generally more acceptable, less em-barrassing, more comfortable, more private and easy to do and preferred to pelvic examination for cervical cy-tology by many women worldwide. The most common-ly reported limitation to self-collection is a woman’s lack of confdence in her ability to perform it correctly. Self-collected human papillomavirus tests have been shown to be as or more sensitive than cytology or clinician-collected HPV tests. With confidence-building educa-tion about self-collection, it is likely a viable method to extend the reach of screening in high and low-resource areas around the world.
文摘Utilization of negative pressure wound therapy with instillation (NPWTi) for sternal dehiscence wounds secondary to sternal wound infection after surgery has become an accepted therapy. NPWTi accelerates wound healing through macrostrain, microstrain, and cyclic fluid instillation. Wounds benefit from additional superficial infection control with the removal of microorganisms, the release of proinflammatory mediators, stimulation of angiogenesis, as well as mechanical debridement. However, very few cases of utilizing NPWTi in the treatment of sternal wound infections have been reported in the literature. This case study describes the use of NPWTi with hypochlorous acid for the treatment of a sternal wound infection.
