Physiotherapy Intervention in the Treatment of Venous Ulcers: Results from a Delphi Panel DOI Creative Commons
Sabrina Medeiros, Alexandre Rodrigues, Rui M. Costa

et al.

Journal of Vascular Diseases, Journal Year: 2024, Volume and Issue: 3(4), P. 508 - 519

Published: Dec. 18, 2024

Background/Objectives: Venous ulcers are the most common type of ulcerated wounds in lower limbs and result from chronic venous insufficiency. The treatment is multidisciplinary, with physiotherapy intervention serving as an adjuvant therapy managing these wounds. This study investigated physiotherapeutic interventions for management ulcers. Methods: was exploratory descriptive using Delphi method. panel comprised 12 experts wound care, including 25.0% physicians, 41.7% nurses, 33.3% physiotherapists. Two rounds analysis were conducted. A quantitative performed to assess level agreement responses, while qualitative applied experts’ comments. Results: In first round, consensus varied between 80% 100%, second it ranged 83.3% 100%. all obtained at least consensus. included use compression therapeutic exercise: resistance training (2–3 sets 10–25 repetitions, 3 times/day, weeks), aerobic exercise (at 30 min, times/week, stretching, balance training, a vibrating platform. Conclusions: Physiotherapy may be beneficial alongside specific local treatments Therapeutic commonly utilized that could support overall outcomes.

Language: Английский

Microbial Dysbiosis in the Skin Microbiome and Its Psychological Consequences DOI Creative Commons
Alejandro Borrego-Ruiz, Juan J. Borrego

Microorganisms, Journal Year: 2024, Volume and Issue: 12(9), P. 1908 - 1908

Published: Sept. 19, 2024

The homeostasis of the skin microbiome can be disrupted by both extrinsic and intrinsic factors, leading to a state dysbiosis. This imbalance has been observed at onset persistent diseases that are closely linked mental health conditions like anxiety depression. narrative review explores recent findings on relationship between pathophysiology specific disorders, including acne vulgaris, atopic dermatitis, psoriasis, wound infections. Additionally, it examines psychological impact these emphasizing their effect patients’ quality life association with significant consequences, such as anxiety, depression, stress, suicidal ideation in most severe cases.

Language: Английский

Citations

5
Electrolyte Imbalances and Metabolic Emergencies in Obesity: Mechanisms and Clinical Implications DOI Creative Commons
Iulia Najette Crintea, Alexandru Cristian Cindrea, Ovidiu Alexandru Mederle

et al.

Diseases, Journal Year: 2025, Volume and Issue: 13(3), P. 69 - 69

Published: Feb. 24, 2025

Electrolyte imbalances are a frequently overlooked yet critical component of obesity-related metabolic dysfunction, contributing to an increased risk cardiovascular disease, kidney impairment, and emergencies such as diabetic ketoacidosis (DKA), hyperosmolar hyperglycemic state (HHS), acute injury (AKI). These disturbances arise from insulin resistance, chronic inflammation, hormonal dysregulation, renal leading sodium retention, potassium depletion, deficiencies in calcium magnesium homeostasis. Managing electrolyte is essential obesity management, exacerbate hypertension, acidosis, neuromuscular complications, resistance. This review explores the pathophysiology their impact on fluid balance, acid–base status, health. Effective management strategies include individualized monitoring, dietary restriction, supplementation, vitamin D correction, pharmacologic interventions targeting renin–angiotensin–aldosterone system (RAAS) activity Additionally, lifestyle interventions, including modification, weight loss strategies, hydration optimization, play key role preventing complications. Future research should investigate long-term obesity, emerging therapies, how can optimize homeostasis outcomes. A personalized, multidisciplinary approach integrating endocrinology, nephrology, clinical nutrition improving prevention obese individuals.

Language: Английский

Citations

0
Does Artificial Intelligence Bring New Insights in Diagnosing Phlebological Diseases?—A Systematic Review DOI Creative Commons
Sergiu-Ciprian Matei, Sorin Olariu,

Ana‐Maria Ungureanu

et al.

Biomedicines, Journal Year: 2025, Volume and Issue: 13(4), P. 776 - 776

Published: March 22, 2025

Background/Objectives: Artificial intelligence (AI) is rapidly transforming the landscape of modern medicine, offering advanced tools for diagnosing complex conditions. In realm venous pathologies such as chronic disease (CVD), reflux, and deep thrombosis (DVT), AI has shown tremendous potential to improve diagnostic accuracy, streamline workflows, enhance clinical decision-making. This study aims evaluate efficacy feasibility algorithms in diseases explore their impact on practice. Methods: paper provides a comprehensive review key studies documenting use pathology diagnostics, with different electronic databases being searched, including MEDLINE/Pub Med, Web Science, Scopus, Embase, ResearchGate, Google Scholar. Results: Out 52 reports assessed eligibility, 43 were excluded according preset criteria; therefore, findings from nine major involving more than 1000 patients analyzed. The evaluation shows that utilization diagnosis demonstrated significant improvements. Notably, have achieved an accuracy exceeding 90%, significantly reducing inter-observer variability ensuring consistent interpretation ultrasonographic images across clinicians settings. Additionally, accelerated decreasing time required image analysis by 50%. Furthermore, proven capable detecting subtle abnormalities, minor reflux or early-stage thrombi, which may be overlooked during manual evaluations. Conclusions: represents transformative innovation management diseases. By enhancing streamlining enabling personalized care, address current challenges diagnostics patient outcomes. future promising, several areas development noted, embedding directly into ultrasound devices provide instantaneous insights evaluations; combining AI-processed Doppler data other imaging modalities, computed tomography MRI, assessments; usage order predict progression tailor treatment strategies based individual profiles; constructing large-scale, multicenter datasets robustness generalizability algorithms.

Language: Английский

Citations

0
The Impact of Inflammatory Markers and Obesity in Chronic Venous Disease DOI Creative Commons
Flavia Medana Anghel, Sergiu-Ciprian Matei, Mădălin-Marius Margan

et al.

Biomedicines, Journal Year: 2024, Volume and Issue: 12(11), P. 2524 - 2524

Published: Nov. 4, 2024

Chronic venous disease (CVD) represents a significant health challenge, particularly in obese individuals. This study focuses on the interplay between inflammation, obesity, and CVD, by analyzing role of inflammatory markers progression.

Language: Английский

Citations

3
Bacterial Infections, Trends, and Resistance Patterns in the Time of the COVID-19 Pandemic in Romania—A Systematic Review DOI Creative Commons
Dan Dumitru Vulcănescu, Iulia Cristina Bagiu,

Cecilia Roberta Avram

et al.

Antibiotics, Journal Year: 2024, Volume and Issue: 13(12), P. 1219 - 1219

Published: Dec. 14, 2024

Background: The COVID-19 pandemic has intensified concerns over bacterial infections and antimicrobial resistance, particularly in Romania. This systematic review explores infection patterns resistance during the to address critical gaps knowledge. Methods: A review, following PRISMA guidelines, was conducted using databases such as PubMed Scopus, focusing on studies of from 2020 2022. Articles Romanian patients were analyzed for demographic data, trends, profiles. Results: total 87 included, detailing 20,000 cases infections. found that Gram-negative bacteria, Escherichia coli Klebsiella pneumoniae, most frequently identified pathogens, alongside Gram-positive Staphylococcus aureus Enterococcus spp. Multidrug (MDR) noted 24% reported strains, with common carbapenems cephalosporins. Conclusions: amplified complexity managing infections, critically ill patients. rise MDR bacteria underscores need stringent stewardship control measures. Continuous monitoring trends profiles will be essential improve treatment strategies post-pandemic healthcare settings.

Language: Английский

Citations

2
The Great Saphenous Vein Proximal Part: Branches, Anatomical Variations, and Their Implications for Clinical Practice and Venous Reflux Surgery DOI Creative Commons

Krisztina Munteanu,

Ovidiu Ghirlea,

Daniel Breban-Schwarzkopf

et al.

Journal of Cardiovascular Development and Disease, Journal Year: 2024, Volume and Issue: 11(8), P. 242 - 242

Published: Aug. 7, 2024

The anatomical variations in the lower limb veins play a critical role venous reflux surgeries. This study presents an analysis of great saphenous vein (GSV) proximal part's peculiarities, with 257 patients included, who were operated for reflux. highlighted progressive increase GSV diameter conjunction complexity variations, ranging from no tributaries to more than five tributaries, anterior accessory GSV, or aneurysms. Statistical evidenced this expansion be significantly correlated variations. Additionally, progression chronic disease (CVD) stages was notably prevalent complex suggesting nuanced interplay between anatomy and CVD severity. Conclusively, our research articulates paramount importance recognizing optimizing surgical outcomes patients. These insights not only pave way enhanced diagnostic accuracy but also support strategic framework within which interventional treatments are devised, advocating personalized approaches surgery.

Language: Английский

Citations

0
Could cryosurgery harvested veins be used as grafts? An immunohistochemical analysis of the morphology and viability of venous samples obtained by cryostripping DOI

Andrei Florin Parau,

Raluca Amalia Ceauşu,

Pușa Nela Gaje

et al.

Acta Phlebologica, Journal Year: 2024, Volume and Issue: 25(3)

Published: Dec. 1, 2024

Language: Английский

Citations

0
Salmonella Paratyphi B wound infection in a diabetic foot a rare case presentation DOI Open Access
Atit Shah, Kruthika Patel,

Hiral Shah

et al.

Indian Journal of Microbiology Research, Journal Year: 2024, Volume and Issue: 11(4), P. 358 - 360

Published: Dec. 9, 2024

This case study presents a rare instance of diabetic foot wound infection caused by Paratyphi B in 44-year-old male with type 1 diabetes mellitus. Though species are typically associated enteric fever and gastrointestinal manifestations, some like can rarely cause as presented this case. The patient underwent antibiotic treatment eventually required surgical amputation the affected toe due to infection's chronic nature. underscores importance unusual pathogens infections highlights B's potential an agent such cases.

Language: Английский

Citations

0
Physiotherapy Intervention in the Treatment of Venous Ulcers: Results from a Delphi Panel DOI Creative Commons
Sabrina Medeiros, Alexandre Rodrigues, Rui M. Costa

et al.

Journal of Vascular Diseases, Journal Year: 2024, Volume and Issue: 3(4), P. 508 - 519

Published: Dec. 18, 2024

Background/Objectives: Venous ulcers are the most common type of ulcerated wounds in lower limbs and result from chronic venous insufficiency. The treatment is multidisciplinary, with physiotherapy intervention serving as an adjuvant therapy managing these wounds. This study investigated physiotherapeutic interventions for management ulcers. Methods: was exploratory descriptive using Delphi method. panel comprised 12 experts wound care, including 25.0% physicians, 41.7% nurses, 33.3% physiotherapists. Two rounds analysis were conducted. A quantitative performed to assess level agreement responses, while qualitative applied experts’ comments. Results: In first round, consensus varied between 80% 100%, second it ranged 83.3% 100%. all obtained at least consensus. included use compression therapeutic exercise: resistance training (2–3 sets 10–25 repetitions, 3 times/day, weeks), aerobic exercise (at 30 min, times/week, stretching, balance training, a vibrating platform. Conclusions: Physiotherapy may be beneficial alongside specific local treatments Therapeutic commonly utilized that could support overall outcomes.

Language: Английский

Citations

0