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Contents


monkeypox just as the Covid pandemic began to recede has done little to disprove the theory. But beyond the superficial similarities between the two illnesses, and some of the more dramatic media attention it’s enjoyed, how much do monkeypox and Covid really have in common? Andrea Valentino talks to Professor Wafaa El-Sadr of Columbia University, and Professor David Heymann of the London School of Hygiene and Tropical Medicine, to learn more.


39 The role of nurses in reducing UTIs Hartmann


Wound care 40 Pressure point


Pressure ulcers are among the most serious dangers to bedbound hospital and care home patients, which makes sense if you understand how they form. Developing from the pressure caused by lying on vulnerable areas, or else from friction between body and bed, millions of people suffer from the condition each year. That’s doubly frustrating given how preventable many pressure ulcers actually are – in an ideal medical world anyway. Andrea Valentino talks to Dr Marissa Carter, founder at Strategic Solutions, to learn more.


43 Europe’s largest wound care conference Europe Wound Management Association (EWMA) 2023 event preview


40 Operating room technology


44 The positives of a negative margin


Surgical resection of cancerous tissue tends to include a “safety margin” of healthy tissue as a precaution against recurrence. This is due to the possibility for small cancer cells to break away from the primary cancer site and replicate among nearby healthy tissue. But surgeons must balance the need to resect healthy


47 Practical Patient Care / www.practical-patient-care.com Practical Patient Care / www.practical-patient-care.com


tissue against the potential harm of removing too much, which means a method to differentiate tissue during resection is a necessity. Monica Karpinski speaks to Dr Anees Chagpar, professor of Oncological Surgery at Yale School of Medicine and Dr Sarah Blair, surgical oncologist and professor of Surgery at the University of California San Diego, to learn how methods to identify cancerous tissue and cut away the optimal amount of healthy tissue have developed.


Critical care 47 The aftershock


Septic shock is the most severe result of sepsis – an overreaction from the immune system to bacterial, fungal or viral infection. As with other acute conditions, time is of the essence when it comes to treatment. But if a patient goes into septic shock, their chances of survival are slashed dramatically. It’s for this reason researchers still seek novel treatment options to improve mortality. Kim Thomas speaks to Neill Adhikari, an intensivist at Sunnybrook Sciences Centre at the University of Toronto, and Anders Perner, senior staff specialist and professor in intensive care at Rigshospitalet, University of Copenhagen, to explore some of the latest potential treatments and discover how septic shock is currently managed.


50 The power of sleep Fontona


7


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