User talk:66.129.84.100

Welcome!

Hello, 66.129.84.100, and welcome to Wikipedia! Thank you for your contributions. I hope you like the place and decide to stay. Here are some pages that you might find helpful: I hope you enjoy editing here and being a Wikipedian! Please sign your messages on discussion pages using four tildes ( ~ ); this will automatically insert your username and the date. If you need help, check out Questions, ask me on my talk page, or ask your question on this page and then place  before the question. Again, welcome!
 * The five pillars of Wikipedia
 * Tutorial
 * How to edit a page and How to develop articles
 * How to create your first article (using the Article Wizard if you wish)
 * Manual of Style

Referencing
Here is a useful tool for referencing. All you need is the pubmed number and it formats for you. Doc James (talk · contribs · email) 15:34, 24 February 2010 (UTC)

Advertising
Unfortunately many of your additions appear to be advertising. Please Wikipedia is not the place for this. Doc James (talk · contribs · email) 15:40, 24 February 2010 (UTC)

Advanced, Specialized Wound Care Through Outpatient Wound Care Centers
Specialized wound care is offered nationwide. Many wound care centers are run by specialized wound care management companies, such as Diversified Clinical Services, Inc (DCS). DCS, headquartered in Jacksonville, Florida, is the world’s largest wound care management company with over 300 hospital partners delivering excellent evidence-based care to patients with chronic wounds. DCS has been the leader in wound care for over 20 years, offering the most advanced modalities–including adjunctive hyperbaric oxygen therapy. Providing outstanding wound care is DCS’ entire focus. Their leaders are internationally recognized experts in wound care, who research, teach, and guide quality-improvement initiatives such as DCS’ Clinical Practice Guidelines. Based on our experience of treating more than two million wounds, DCS Centers achieve excellent outcomes as measured by the i-heal® clinical management system, including a high rate of limb salvage, an 88% heal rate, median days-to-heal of 31, and over 95% patient satisfaction.

Specialized Wound Care
Diversified Clinical Services' Wound Care Centers® employ the most technologically advanced wound care therapy, including debridement, hyperbaric oxygen treatments (HBOT), dressing selection, special shoes, and patient education. When wounds persist, a specialized approach is required for healing. Additionally, DCS Wound Care Centers® use an interdisciplinary model of care, including infectious-disease management, physical therapy, occupational therapy, laboratory evaluation, nutritional management, pain management, diabetic education, nuclear medicine, radiology, and debridement. Patients are mostly referred by their primary care physician, and the program operates by appointment.

Using Hyperbaric Medicine as Part of the Approach
DCS-managed Wound Care Centers® effectively utilize HBOT therapy to heal more than 35,000 diabetic wounds each year, providing more HBOT therapy than any other wound care provider in the world. Systemic HBOT therapy has been used to assist wound healing for more than 40 years, and is used as an adjunctive treatment for problematic, non-healing wounds that meet specific criteria. It is expected that 20% of the wound care cases will meet those criteria. .

HBO therapy involves the systemic delivery of oxygen through pressurized chambers. Best known as an antidote for the “bends,” or decompression illness, HBOT therapy is a safe and evidence-based treatment proven to speed the healing process in certain types of wounds. During the treatments, the patient breathes 100 percent oxygen inside a pressurized chamber, quickly increasing the concentration of oxygen in the bloodstream, where it is delivered to a patient's wound site for faster healing. Essentially, HBOT therapy helps heal the wound from the inside out. This therapy can help reduce swelling, fight infection, and build new blood vessels, ultimately producing healthy tissue. It is also effective in fighting certain types of infections, improving circulation, in stimulating growth of new blood vessels, and in treating crush injuries, osteomyelitis, compromised skin grafts and flaps, brown recluse spider bites, and diabetic wounds of the lower extremities.

Diversified Clinical Services Case Study Results:
"Venous and arterial ulcers are chronic wounds that typically occur on the lower leg. While sometimes difficult to differentiate the two types of ulcers, management pathways are distinctly different.

“It is vitally important to distinguish between venous and arterial ulcers,” states Dr. Robert Warriner, Diversified Clinical Services' chief medical officer, and recipient of The World Union Healing Society’s Lifetime Achievement Award. The venous ulcer will respond to compression therapy, which is the primary treatment intervention, while the arterial ulcer may actually be worsened by compression therapy. Unfortunately, mixed etiology ulcers do occur. As a result, some 20% of patients with a venous ulcer will have underlying arterial disease. “The key from a management perspective is to evaluate all lower extremity ulcer patients for arterial disease by appropriate vascular screening to ensure that any component of underlying arterial disease can be addressed,” notes Warriner.

Venous stasis ulcers commonly occur in patients who have a history of varicose veins, blood clots or leg swelling. Many venous ulcers are painful, so appropriate pain relief and advice should be given. Ninety-five percent of venous ulcers occur below the knee and on the inner part of the leg.

Arterial ulceration is due to a reduced arterial blood supply to the lower limb. The most common cause is atherosclerotic disease of the medium and large arteries. In addition, concurrent hypertension may damage the intimal layer of the artery. The reduction in arterial blood supply results in tissue hypoxia and tissue damage. Thrombolytic and anthroembolic episodes may contribute to tissue damage and ulcer formation.

Arterial ulceration typically occurs over the toes, heels, and bony prominences of the foot. The ulcer appears “punched out,” with well-demarcated edges and a pale, non-granulating, often necrotic base. The surrounding skin may exhibit dusky erythema and may be cool to touch, hairless, thin, and brittle, with a shiny texture. The toenails thicken and become opaque, and may be lost. Gangrene of the extremities may also occur. Examination of the arterial system may show a decreased or absent pulse in the dorsalis pedis and posterior tibial arteries. There may be bruits in the proximal leg arteries, indicating the presence of atherosclerosis."


 * I might be helpful to take some time looking around Wikipedia to figure out the preferred formatting and structure. You can work on topics here and than ask one of use at WP:MED to look at it before putting it into the main space. Doc James  (talk · contribs · email) 15:55, 24 February 2010 (UTC)