An 11-member expert panel and 115 wound care researchers have identified 19 research principles aimed at developers and users of new or existing products, devices, or interventions, such as wound assessment techniques, mobility/exercise, nutrition, treatment "bundles," or prevention regimens that are being used or will be used in the treatment of acute or chronic wounds. APTA is a member of the Alliance of Wound Care Stakeholders, which created the expert panel from its participating organizations.
For this study, the Delphi approach was used to reach consensus, using a web-based survey for survey participants and face-to-face conferences for expert panel members. Principles were rated for validity using 5-point Likert scales and comments. A 66% response rate was achieved in the first Delphi round from the 173 invited survey participants. The response rate for the second Delphi round was 46%.
"While some principles seemed obvious to respondents," say the authors," other principles elicited considerable controversy," such as the principle related to new products and devices entering the wound care market that are derivations of previously marketed products.
Of the 19 final principles, 3 include detailed numbered lists:
With the wide variation in design, conduct, and reporting of wound care research studies, the authors hope that the principles will improve the standard and practice of care in this field.
Free full-text of the article is available in the May-June issue of Wound Repair and Regeneration.
This October during National Physical Therapy Month (NPTM), APTA will be launching "Fit After 50," a multi-faceted public relations campaign aimed at helping people keep mobile as they age. In the coming weeks and months APTA members will hear much more about this campaign. In the meantime, APTA needs members' help in identifying tips to help Baby Boomers remain mobile and prevent injury after age 50. What advice do you give your patients? APTA is looking for unique ideas and tips, which could possibly be featured during the campaign in its social and traditional media relations efforts. E-mail firstname.lastname@example.org with your tips as soon as possible.
Women who participate in moderate recreational physical activity exercise may reduce their risk of breast cancer by as much as 30%, says a HealthDay News article based on a study published in the June 25 online edition of Cancer.
Researchers collected data on more than 1,500 women with breast cancer and a similar number of women without the disease. All the women had taken part in the Long Island Breast Cancer Study Project.
The results show that women who exercised before or after menopause had a reduced risk of breast cancer. Women who exercised 10 to 19 hours a week had the largest benefit—about a 30% reduced risk.
The risk of breast cancer was cut with any amount of exercise. The risk reduction was seen mostly for hormone receptor-positive breast cancer, which is the most commonly diagnosed type among American women.
However, weight gain may undermine the benefit of exercise, the article says. Even among active women, gaining a significant amount of weight, particularly after menopause, increased the risk of breast cancer, negating the beneficial effect of exercise.
Lead researcher Lauren McCullough, MSPH, said the reasons that exercise is linked with a reduced risk of breast cancer aren't known. Yet it is known that maintaining a normal body weight is associated with reduced breast cancer risk.
"It is thought that a reduction in body fat results in less exposure to circulating hormones, growth factors, and proinflammatory markers, all of which have been shown to be related to breast cancer risk," McCullough told HealthDay News.
"Other mechanisms include enhanced immune response, antioxidant capacity, and DNA repair," she added.
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