Improving pressure ulcer care in intensive care units:Evaluating the impact of bundled care and silver nanoparticle dressings

BACKGROUND Pressure ulcer(PU)are prevalent among critically ill trauma patients,posing substantial risks.Bundled care strategies and silver nanoparticle dressings offer potential solutions,yet their combined effectiveness and impact on patient satisfaction remain insufficiently investigated.AIM To assess the impact of bundled care along with silver nanoparticle dressing on PUs management and family satisfaction in critically ill trauma patients.METHODS A total of 98 critically ill trauma patients with PUs in intensive care unit(ICU)were included in this study.Patients were randomly assigned to either the control group(conventional care with silver nanoparticle dressing,n=49)or the intervention group(bundled care with silver nanoparticle dressing,n=49).The PU Scale for Healing(PUSH)tool was used to monitor changes in status of pressure injuries over time.Assessments were conducted at various time points:Baseline(day 0)and subsequent assessments on day 3,day 6,day 9,and day 12.Family satisfaction was assessed using the Family Satisfaction ICU 24 ques-tionnaire.RESULTS No significant differences in baseline characteristics were observed between the two groups.In the intervention group,there were significant reductions in total PUSH scores over the assessment period.Specifically,surface area,exudate,and tissue type parameters all showed significant improvements compared to the control group.Family satisfaction with care and decision-making was notably higher in the intervention group.Overall family satisfaction was significantly better in the intervention group.CONCLUSION Bundled care in combination with silver nanoparticle dressings effectively alleviated PUs and enhances family satisfaction in critically ill trauma patients.This approach holds promise for improving PUs management in the ICU,benefiting both patients and their families.

Industrial utilization of arsenic-containing gold dressing tailings as pellet prepared by straight grate process

The utilization of arsenic-containing gold dressing tailings is an urgent issue faced by gold production companies worldwide.The thermodynamic analysis results indicate that ferrous arsenate(FeAsO_(4)),pyrite(FeS_(2))and sodium cyanide(NaCN)in the arsenic-containing gold metallurgical tailings can be effectively removed using straight grate process,and the removal of pyrite and sodium cyanide is basically completed during the preheating stage,while the removal of ferrous arsenate requires the roasting stage.The pellets undergo a transformation from magnetite to hematite during the preheating process,and are solidified through micro-crystalline bonding and high-temperature recrystallization of hematite(Fe_(2)O_(3))during the roasting process.Ultimately,pellets with removal rates of 80.77% for arsenic,88.78% for sulfur,and 99.88% for cyanide are obtained,as well as the iron content is 61.1% and the compressive strength is 3071 N,meeting the requirements for blast furnace burden.This study provides an industrially feasible method for treating arsenic-containing gold smelting tailings,benefiting gold production enterprises.

Janus hydrogel/electrospun-membrane dressing enhancing wound healing in rats

Background:Excessive exudate secreted from chronic wounds often leads to overhydration and infection.Although a variety of dressings are currently available in clinical applications,they frequently fail to provide multifunction to promote chronic wound healing.The dressings with a Janus structure,featuring distinct properties on each side,are potential to improve wound healing.Methods:Composite dressings with a Janus structure were fabricated,comprising freeze-dried polycaprolactone(PCL)electrospun membrane and alginate-based hydrogel.The PCL fibrous membrane provided air permeability,while the hydrogel loaded with Deferoxamine,composed of alginate and poly(N-isopropylacrylamide)(PNIPAM),exhibited hygroscopic properties.The inclusion of PNIPAM imparted thermo-responsivity.Results:The hydrogel(thickness of 2.778±0.082 mm)exhibited a robust adhesion to the fiber membrane(thickness of 0.261±0.041 mm).For ANDC(Alginate-PNIPAM hydrogel with Deferoxamine/PCL membrane)samples,the water vapor transmission rate(WVTR)was measured to be 3364.80±23.23 g∙m−2∙day−1 and the swelling ratio at 2 h was determined to be 1179±125%.The thermo-responsivity of ANDC samples manifested in an increased swelling rate,escalating from 797±189%at 37°C to 1132±147%at 4°C.The elastic modulus was assessed for lyophilized and rehydrated ANDC sample.When theωof the rheometer rotor was decreased from 10 rad/s to 0.1 rad/s,the lyophilized dressing exhibited a decrease from 2.65±0.01 MPa to 1.80±0.90 MPa,while the rehydrated dressing demonstrated an increase from 133.65±55.68 Pa to 264.23±141.71 Pa.The pro-healing properties of the dressings were evaluated using full-thickness skin defect model on SD rats,and a circular wound of diameter 10 mm healed completely by day 12.Conclusion:The dressings not only protected the wound and absorbed excess exudate,but also demonstrated nondestructive peelability upon cooling,providing a novel approach for accelerating wound healing and management.

Antibacterial and angiogenic dual-functional fibrous membrane dressing for infected wound healing

Background:Skin,being a vital organ that regulates physiological responses in the human body,is prone to injury from external environmental factors.Healing full-thickness skin defects becomes especially challenging when infections and vascular injuries are involved.Traditional wound dressings with single functions,such as antibacterial or angiogenic properties,fall short in achieving rapid wound healing.To address this,there is a need to develop wound dressing materials that possess both effective antibacterial and angiogenic properties.Methods:In this study,we utilized electrospinning technology to fabricate hyaluronic acid-cellulose acetate fibrous membrane dressings,incorporating poly(ionic liquid)as an antibacterial polymer and deferoxamine as an angiogenic agent.Results:The resulting fibrous membrane dressing contained poly(ionic liquid)and deferoxamin showcased a microporous structure,drug-releasing capabilities,and excellent air permeability.It not only demonstrated highly effective antibacterial properties but also exhibited remarkable angiogenesis,thereby promoting the healing of full-thickness skin defect wounds in both in vitro and in vivo assays.Conclusion:These findings highlight the immense potential of this wound dressing material for future clinical applications.

Electrospun antibacterial nanofibers for wound dressings and tissue medicinal fields:A Review

Bacterial infections are a major cause of chronic infections.Thus,antibacterial material is an urgent need in clinics.Antibacterial nanofibers,with expansive surface area,enable efficient incorporation of antibacterial agents.Meanwhile,structure similar to the extracellular matrix can accelerate cell growth.Electrospinning,the most widely used technique to fabricate nanofiber,is often used in many biomedical applications including drug delivery,regenerative medicine,wound healing and so on.Thus,this review provides an overview of all recently published studies on the development of electrospun antibacterial nanofibers in wound dressings and tissue me-dicinal fields.This reviewer begins with a brief introduction of electrospinning process and then discusses electrospun fibers by incorporating various types of antimicrobial agents used as in wound dressings and tissue.Finally,we finish with conclusions and further perspectives on electrospun antibacterial nanofibers as 2D biomedicine materials.

以DRESS综合征就诊的血管免疫母细胞性T细胞淋巴瘤一例

血管免疫母细胞性T细胞淋巴瘤(angioimmunoblastic T-cell lymphoma, AITL)是外周T细胞淋巴瘤(peripheral T cell lymphoma, PTCL)的亚型之一,占所有非霍奇金淋巴瘤(non-Hodgkin lymphoma, NHL)病例的1%~2%。某些情况下,该疾病与DRESS综合征难以鉴别,在本文中,我们报道皮损表现似DRESS综合征的老年女性AITL患者一例。

Effect of vacuum sealing drainage combined with biological dressings on the angiogenesis and inflammatory response after diabetic foot ulcer wound grafting

Objective: To study the effect of vacuum sealing drainage combined with biological dressings on the angiogenesis and inflammatory response after diabetic foot ulcer wound grafting. Methods: Patients with diabetic foot who were treated in Sichuan Provincial People's Hospital between May 2014 and February 2017 were selected and randomly divided into vacuum drainage group and normal control group who received vacuum sealing drainage combined with biological dressings as well as conventional debridement and dressing change to deal with the wound respectively. Before treatment as well as 1 d, 3 d and 5 d after treatment, the wound tissue was collected to determine the expression of angiogenesis molecules, angiogenesis signaling pathway molecules and inflammatory response molecules. Results: 1 d, 3 d and 5 d after treatment, VEGF, VEGFR, CD105, MMP9, PI3K, AKT, cyclinD1, p38MAPK and NF-kB protein expression in wound tissue of vacuum drainage group were significantly higher than those of normal control group while COX-2, iNOS, TNF-α and IL-6 mRNA expression were significantly lower than those of normal control group. Conclusion: Vacuum sealing drainage combined with biological dressings promotes the angiogenesis and inhibits the inflammatory response after diabetic foot ulcer wound grafting.

Application Experience of Moist Wound Healing Theory Combined with Modern New Dressings in the Treatment of Pressure Ulcers

Objective:Research on the effect of moist wound healing theory in a combination with modern new dressing treatment in patients diagnosed with pressure ulcers.Method:Selected 30 patients with pressure ulcers from our hospital,which is Shandong Tai an Municipal Hospital,from January 2019 to January 2021 were divided into experimental group(15 cases,treated with moist wound healing theory combined with modern new dressings)and control group(15 cases,applied conventional treatments).The treatment effect,time of wound edema subsidence,wound healing time,number of dressing changes,granulation tissue growth time,and diameter reduction time were compared between the two groups.Results:The total effective rate of the experimental group(93.33%,14/15)was higher than that of the control group(53.33%,8/15),P<0.05;the time to subsidence of wound edema in the experimental group was(3.11±0.22),and the time for wound healing was(12.78±0.45),the number of dressing changes(7.13±0.34)times,the growth time of granulation tissue(5.43±2.22),the diameter reduction time(6.25±3.75),compared with the control group,P<0.05.Conclusion:In the clinical treatment of patients diagnosed with pressure ulcers,the effective combination of moist healing theory and modern new dressing therapy has significant effects,whereby it speeds up the healing process of the pressure ulcers,and it is proven to be worthy to be promoted for usage.

四环素类药物致DRESS综合征的文献分析

目的分析四环素类药物致伴嗜酸性粒细胞增多和系统症状的药疹综合征(DRESS综合征)的发生情况及特点,为临床安全合理用药提供参考。方法通过检索中国知网(CNKI)、万方(WanFang)、维普(VIP)、PubMed、The Cochrane Library、Embase等数据库,查找自建库至2022年11月30日期间四环素类药物导致DRESS综合征的文献,筛选出符合标准的病例进行统计和分析。结果共收集到有效文献29篇,涉及患者32例,男性9例(28.13%),女性23例(71.87%);30岁以下20例;原发疾病主要为痤疮(19例);致敏药物29例为米诺环素(90.63%),3例为多西环素(9.37%);四环素类药物致DRESS综合征的潜伏期均值为(27.35±13.76)d,24例患者在用药14 d之后出现不良反应;临床症状主要表现为皮疹、发热、面部水肿、淋巴结肿大、嗜酸性粒细胞增高及内脏受累,最常见受累的器官为肝脏(23例),其次是心脏(12例)。32例患者中21例在予以皮质内固醇等药物治疗后好转;1例好转后复发,1例好转后皮质内固醇戒断失败;6例患者死亡,其中4例死于DRESS综合征导致的心脏受累,2例死于多器官衰竭;3例患者治愈后出现自身免疫性后遗症,其中2例同时出现甲状腺功能障碍和1型糖尿病,1例出现1型糖尿病。结论四环素类药物致DRESS综合征的病死率较高,尤其是米诺环素诱发的心脏受累对患者危害极大,临床上应加强用药监测,此外DRESS综合征引发的自身免疫性疾病也需要引起关注。

Stability of Bitter Orange Juice-Olive Oil Salad Dressings Stabilized with Polysaccharides

Emulsifying properties of bitter orange （Citrus aurantium） juice-olive oil salad dressings stabilized with different polysaccharides were investigated. Oil-in-water emulsions （50：50, v/v） were prepared with bitter orange juice-olive oil in the presence of various concentrations （0.1%-1.0%, w/v） of pectin or guar gum or iota-（t-）carrageenan and then these emulsions were homogenized. Emulsion activity index （EAI） and emulsion stability index （ESI） were determined spectrophotometrically by measuring time-dependent changes in turbidity. Creaming stability of emulsions was followed by visual observation of serum layer with respect to time. Microstructures of emulsions were examined by using polarized light microscopy. The addition of polysaccharides improved emulsion stability and emulsions containing higher amounts of polysaccharide were more stable against creaming. Microscopic observations showed that emulsions containing polysaccharides had small droplets as compared to that of emulsions without polysaccharides and emulsions were flocculated due to the presence of polysaccharides. Larger droplets and creaming were observed when the polysaccharide concentration was not sufficient for coverage.

超真实与内爆:拟像理论下DRESS X虚拟时尚平台的虚实关系探析

近年来,元宇宙概念的兴起带动了DRESSX虚拟时尚平台的发展,DRESSX虚拟时尚平台现已成为世界上最大的数字化服装零售平台。基于让·鲍德里亚的拟像理论,以DRESSX虚拟时尚平台为研究对象,从虚拟服装物质性消失、虚拟场景突破现实枷锁、虚拟化身仿真现实人三个维度映射超真实的现实世界。网络技术的全面渗透促使整个虚拟时尚平台发生内爆,以意义的内爆、媒介的内爆、社会的内爆三个方面消解虚实边界。最后,DRESS X虚拟时尚平台作为新兴平台,目前存在法律不健全、用户非理性消费等问题。

Functionalization of carbopol with NVP for designing antibiotic drug loaded hydrogel dressings for better wound management

In the present work an attempt has been made to design the antibiotic drug loaded carbopolpoly( NVP) based hydrogel wound dressings for better wound care. The polymer films were characterized by SEM-EDX, AFM, FTIR, 13CNMR, TGA/DTA/DTG, DSC, and swelling studies. Besides drug release, various biomedical properties (viz. blood compatibility, mucoadhesion, oxygen permeability, water vapour transmission rate, microbial penetration, tensile strength, bursting strength, resilience, stress relaxation, and folding endurance) have also been studied. The polymer films have been observed to be biocompatible, permeable to oxygen and water vapour and have absorbed simulated wound fluid 11.37±0.31g/g of polymer film. The drug release profile followed the Case-II diffusion mechanism and release profile best fitted in Hixson-Crowell’s kinetic models. Mechanical properties results showed that the polymer film had 0.65±0.12 Nmm??2 tensile strength, 119.38±14.26% elongationand 25.49±0.72% resilience.

树突状细胞经cross-dressing递呈抗原在肿瘤免疫中的应用

cross-dressing是树突状细胞(DC)区别于交叉递呈和直接递呈的第三种抗原递呈方式,其优势在于DC捕获细胞抗原肽-MHCⅠ类分子复合物后,无须经过加工处理而直接递呈给效应T细胞。近十年来,cross-dressing在肿瘤免疫领域的研究取得了一些成果,学者们利用小鼠和人源性细胞模型证实cross-dressing存在于不同肿瘤抗原识别和免疫应答过程,初步阐明了cross-dressing的具体途径和DC分子表型,并研究了cross-dressing与交叉递呈的关系。本文就上述问题进行了综述。

Design of Novel Wound Dressing Composed of Collagen and Hyaluronic Acid Containing Epidermal Growth Factor

This research aims to develop a wound dressing composed of collagen (Col) and hyaluronic acid (HA) containing epidermal growth factor (EGF). First important issue is to contain EGF in the wound dressing in a stable state. The sheet-shaped sponge was manufactured by freeze-vacuum drying an aqueous solution of Col. Both sides of sponge were treated with ultraviolet (UV) irradiation to introduce intermolecular cross links between collagen molecules. This sponge was named Sponge-Col. Another sheet-shaped sponge was manufactured by freeze-vacuum drying an aqueous solution of HA containing EGF. This sponge was named Sponge-HA/EGF. The wound dressing was manufactured by laminating Sponge-Col on the top, Sponge-HA/EGF in the middle, and Sponge-Col on the bottom to create a sandwich structure. This method can prevent the reducing of EGF activity due to UV irradiation for intermolecular cross-linking. Second important issue is to enable gradual release of EGF from the wound dressing. The elution behavior of this wound dressing was investigated by measuring the weight change after immersion in water for a predetermined time. This wound dressing showed initially fast elution and subsequent very slow elution properties. The upper layer and lower layer Sponge-Col enabled gradual release of the middle layer Sponge-HA/EGF. This result suggests that EGF contained in the wound dressing is gradually released together with HA from the wound dressing. Third important issue is to provide moist wound-healing environment. The upper layer and lower layer Sponge-Col can provide the wound dressing with high water absorption and long-term water retention properties.

Is it possible to get fruits and dresses from a plant?

Would you eat a vitamin-rich black strawberry from a plant that has also produced your little black dress?The research comes from a project that Carole Collet,a professor of the Textile Futures Research Centre at Central Saint Martins College in London,has been working on Biolace,a research that connects textiles,food production and sustainability since years.Her research targets the year 2050 and beyond.By anticipating future key socio-economic factors and technological timelines,she aims at impacting today’s design directions so as to enable a more resilient and sustainable future.

《朝元图》人物服饰图案在现代女包设计中的创新应用

《朝元图》是六百多年前的壁画作品,是中国绘画史上的旷世之作。文章从壁画中的人物服饰图案切入,深入挖掘服饰图案的文化内涵与艺术价值。从现代设计学角度分析服饰图案的历史背景、艺术特征和传承价值,并详细阐述服饰图案的提取方法。在服饰图案的创新设计过程中,结合当代审美意识,将带有创新基因的服饰图案成功应用到现代皮革女包的设计中。文章深入剖析了现代女包设计中的实践环节,将产生的设计方案与设计思路进行分析与汇总,以期为现代设计师们提供可借鉴的应用经验。

Problem-Based Learning(PBL)Teaching Design in Enhancing College Students’Innovation Ability:Taking the Traditional Dress Design Course as An Example

This paper combines the cultivation of innovation ability with the content of problem-based learning(PBL),analyzes the current situation of the traditional dress design course,discusses the problems existing in the cultivation of innovation ability of college and university traditional dress design,and searches for the strategies to improve students’innovation ability based on PBL.This paper argues that PBL can provide assistance to the teaching design of traditional dress design courses,which is conducive to improving students’innovation ability in traditional dress design and realizing the desired teaching effect.

载中药聚乳酸多孔纳米纤维医用敷料

为构筑人体可吸收、抗菌消炎且轻薄柔软的可用于伤口愈合的医用敷料,以聚乳酸为原料,掺杂板蓝根(RI)、柴胡(BC)和茶多酚(GTP)等中药成分,采用氯仿与丙酮二溶剂体系,借助静电纺技术制备聚乳酸(PLA)多孔纳米纤维载中药敷料。通过扫描电镜、红外光谱仪、X射线衍射仪(XRD)和接触角测试仪等手段分析了载中药敷料的微观结构、润湿性能、保水吸液性、抗菌性以及体外降解性能等。结果表明:采用氯仿和丙酮二溶剂体系制备的载中药敷料其纤维具有多孔特征,纤维直径为747~1 550 nm。敷料中所载板蓝根、柴胡、茶多酚与聚乳酸间并未发生负面改性的化学反应。载板蓝根、柴胡、茶多酚的敷料在载药量为3%时对金黄色葡萄球菌抑菌率分别为79.2%、82.5%、75.7%,对大肠杆菌抑菌率分别为79.1%、80.2%、73.9%。同时,较纯聚乳酸敷料,载中药敷料具有较好的透气性和体外降解性,其保水吸液性均提高20%以上,适合用作伤口敷料。

Curative Effect of 30% Supramolecular Salicylic Acid Combined with Yufa Spray Dressing on Moderate to Severe Scalp Seborrheic Dermatitis

Objective:To observe the clinical efficacy of 30%supramolecular salicylic acid combined with Yufa spray dressing in the treatment of moderate to severe seborrheic dermatitis(seborrheic dermatitis of the scalp,SDS).Methods:From January 2020 to December 2021,150 patients with SDS,who were treated in the Dermatology Clinic of the First Affiliated Hospital of Xi’an Medical University,were randomly divided into two groups,a treatment group and a control group,with 75 cases in each group.The treatment group was given 30%supramolecular salicylic acid combined with Yufa spray dressing on the basis of external medicine given to the control group,while the control group was given oral medicine combined with external medicine.Results:The difference in scores of erythema,scales,pruritus,and folliculitis of the treatment group before and after treatment was significant(P<0.01),indicating that supramolecular salicylic acid combined with Yufa spray dressing can relieve the symptoms of SDS.The difference in scores of erythema of the control group before and after treatment was significant as well(P<0.05),indicating that traditional antibiotics are also effective in treating SDS;however,there was no significant difference(P>0.05)in the scores of other signs and symptoms,such as scales,pruritus,and folliculitis,before and after treatment,indicating that traditional antibiotics have no obvious curative effect on SDS.After 12 weeks of treatment,the improvement in erythema,scaling,and folliculitis was significantly greater in the treatment group compared with the control group(P<0.05).Curative effect comparison showed that the total effective rate of the treatment group was 80.00%,compared with 25.67%of the control group,and the difference was statistically significant(P<0.05).Conclusion:30%supramolecular salicylic acid combined with Yufa spray dressing can significantly improve the therapeutic effect in moderate to severe SDS;the recurrence rate is lower,the course of treatment is shorted,and patients generally feel better;thus,it is a new option for the treatment of dermatitis.

基于改进YOLOv5s的着装不规范检测算法研究

针对餐饮后厨工作人员着装不规范,在复杂背景下采用现有算法检测精度低且易出现误检、漏检等问题,提出一种基于YOLOv5s的着装规范检测改进算法YOLOv5s-ESW。首先,在主干网络引入新型多尺度注意力机制改进C3模块,增强网络的特征提取能力;其次,在颈部网络中采用空间和通道重建卷积模块(SCConv)替换原始网络中的卷积模块(Conv),减少模型参数冗余,同时提升模型的精度;最后,在预测部分引入WIoU损失函数更换CIoU损失函数,提高模型泛化能力,加快收敛速度。将改进算法应用到自建餐饮后厨工作人员着装数据集中进行实验,实验表明,改进后的模型检测平均精度提升了4.1%,参数量减少了11.4%。该模型在提高了检测精度的同时降低了网络复杂度,能够满足餐饮后厨工作人员的着装规范检测的要求。