Day 2 :
Sarajevo University Clinical Center, Bosnia and Herzegovina
Keynote: APPLIANCE OF POLARIZED LIGHT (480-3400NM) IN THE TREATMENT OF CHRONIC WOUND DIFFERENT ETIOLOGY: NEW POSSIBILITIES
Time : 09:15-10:00
Jasmina Begic, a Dermatovenerologyst. She finished Graduated and Post-graduated study at Sarajevo University Medical School. Made Project of clinical research about Bioptron polarized light (480-3400nm) in the treatment of Acne vulgaris, Warts and Ulcus cruris (2004). She is Medical Consultant for Bioptron, Zepter International in Bosnia and Herzegovina. Like volunteer in the area of health care founded the Association for Wound Management in B&H (2008), member of EWMA (2009) she organized Euro-Asian Forum (2011, 2012, 2014, and 2016).
Introduction: Application of polarized light (480-3400nm) on cellular and molecular level stimulates chain of biostimulative effects, also stimulating and modulating reparation, regenerative and processes in defense system of organism. Visible part of spectrum of polarized light (480-3400nm) penetrates the skin, reaching papillary blood plexus and affects the circulating blood cells, but also mastocytes, fibroblasts and macrophages within the issue. Normal blood circulation is very important for not only wound healing but also the vigorous spirit. The number of people with wounds and the demand for health services will continue to increase due to changing demographics and an expected rise in the number of people with chronic diseases. Chronic wounds are a major problem to patients and health care systems. A single chronic wound can cost between €6,650 and €10,000 to treat, and it is estimated that around. 1-1.5% of the EU-population has one or more of such wounds. Aim: Aim of this study was to assess influence of polarized light therapy in healing of chronic wounds different etiology and implement integrative medicine, polarized light and tuina massage, in the post-surgery management, treat post-surgery pain, prevent pressure ulcer especially for the patients of third life age after surgical treatments during hospitalization. Method: We treated patients with chronic wounds different etiology. In the topic treatment we used Sodium carboxy methyl cellulose. Primary Wound Dressing with silver (NaCMCAg). This dressing absorbs and interacts with wound exudate to form a soft, hydrophilic gas-permeable gel. The silver ions are released from the NaCMC to exert a sustained antimicrobial effect Appliance polarized light therapy (480-3400 nm) and tuina, like integrative medicine, we stimulated the body homeostatic adjustment mechanism. Results: With this therapy, we had: 1. Accelerated healing time to ulcer closure 2. The decrease of the wound surface area after the treatment was significant, all patients were without pain when we started treatment with polarized light (480-3400nm) 3. Improve the health care 4. Reduce of time and cost of post-surgery treatment. Conclusion: New possibilities in the therapy chronic wounds with polarized light (480-3400nm) and tuina is: 1. Simple 2. Noninvasive therapy 3. With good results in wound healing for shorter period 4. Important in cases that were resistant on other therapy and lead to healing in cases which were supposed to be treated surgically 5.International cooperation 6. Clinical studies and participate in International Clinical research 7. Integration in the Clinical practice, education, scientific research, Academic groups and individuals 8. Integrative Medicine (polarized light and tuina) increases the chances that patients do not experience unnecessary.
Datta Meghe Institute Of Medical Sciences, India
Keynote: TRANSLATING WOUND MANAGEMENT
Time : 10:00-10:45
Sandeep Shrivastava is from Datta Meghe Institute of Medical Sciences, Wardha, India born in 1968, he took over as DEAN at the age of 42 years. He did his graduation and post-graduation from G. R Medical College, Gwalior, India. He is an Orthopedic Surgeon, with expertise in Limb deformity correction and reconstruction. He have published 2 books, 55 papers, 62 International papers and 6 copyrights /patents on ranging interests from Education to Bio- Informatics. His innovations include a Safety App-Pre-Yell; a research tool - H_COIN; a learning methodology- “Self Assertive Learning”, and an education quality management program-“Academic Appraisal Program”. He is developer for “STARS therapy” for wound healing. He has travelled extensively through all the continents and delivered talk on various aspects of this research project .This is an attempt to fi nd an ideal solution for millions who continue to suffer from complex wounds.
Statement of the Problem: An open injury is associated with loss of skin, exposure of underlying tendons, bones; leading to necrosis and infection. From local applications, antibiotics to medical devices, many intense treatments are in vogue. It takes huge resources in terms of experts, health care setting and fi nances to deal. Th e wound management is a huge challenge. World over billions of US dollars are spent annually on this. It is expected that the recent development of “biologics led therapy” should translate the wound management. In recent times especially aft er 2009, Platelet Rich Plasma (PRP), is been clinically used as an important therapeutic biologic product. Th e purpose of this paper is to evaluate the results pertaining to open wounds treated with PRP including wounds associated with fractures, infections, necrosis and non-healing. An analysis of 125 diff erent wounds is done. Methodology & Th eoretical Orientation: At our center a Biotechnological intervention with PRP is under way. A clinical protocol “STARS therapy” (Sandeep’s Technique for Assisted Regeneration of Skin) has been developed for wound management. It is a “PRP mono-therapy” and does not need any drugs, dressing or surgeries. It’s based on tissue reengineering of wounds and assisted growth of skin by serial PRP infi ltrations. Findings: A complete cure of wound has been established using regenerative medicine product in a standardized manner, including control of infection, tissue regeneration and skin coverage. Th e therapy is developed with intentions to keep it very simple, so that every doctor / nursing personnel can easily impart it. Perhaps for the fi rst time in the clinical care a simple regenerative medicine therapy protocol is developed towards wide applicability, safety, feasibility, easy accessibility and cost eff ectively. Conclusion & Signifi cance: Th is study concludes that this translational clinical research has immense potential for future wound care management in terms of taking out many complexities of current intense wound management.
French PUAP, France
Keynote: PU EPIDEMIOLOGY IN FRANCE
Time : 11:15-12:00
Brigitte Barrois is PMR medical Doctor in a French large hospital in Paris area. She works on PU research: Epidemiology and risk assessments. She is consultant for the French PUAP.
PERSE (French national pressure ulcer advisory panel) repeated the national ten year PU (Pressure Ulcer) prevalence survey in 2014. Two previous identical surveys had been organized in 1994 and 2004. Survey methodology has been refi ned in view of new guidelines of scientifi c societies and technological possibilities. Main Aim: Describe PU prevalence of hospitalized patients (acute care, convalescence stay and nursing home) and analyze prevalence evolution. Secondary Aim: Describe PU overall prevalence and for each type of ward, in diff erent French region. Compare results. - Describe PU characteristics (global and adjusted on type of wards and regions). - Identify homogenous groups among patients with PU (cluster method, Ward model) Results: Hospitals taking part in survey were drawn lots all around French country. Th ey receive an invitation to participate: 1075 wards agreed and more than 700 sent back the questionnaires (66%) Questionnaires listed over than 21600 patients hospitalized in acute, convalescence or nursing home wards. Patient’s characteristics are registered with average and standard deviation for quantitative variables and prevalence and numbers for qualitative variables. 1700 Patients had PU that is 8 % prevalence. Previous prevalence was 8.6% in 2004. Patients with PU are older than mean patients. All forms allow patients and PU injury analyses. In intensive care units (192 patients) prevalence seems to decreased (9% against 20% in 1996), a new national survey is conducted in 2017. PU forms enable describing PU types, locations, stages, sizes, constituted. PU are less serious than previously. Risks factors are registered for PU locations according to age, sex, risk level, mean disease and comorbidities. We can see that PU are more serious when risk level is higher.