Comparing the hydrosurgery system to conventional debridement techniques for the treatment of delayed healing wounds: a prospective, randomised clinical trial to investigate clinical efficacy and cost-effectiveness.

In these uncertain times of high health care costs, clinicians are looking for cost-effective devices to employ in their everyday practices. In an effort to promote cost-effective and proper wound repair, the hydrosurgical device allows accurate debridement of only unwanted tissue while precisely conserving viable structures for eventual repair. This prospective, randomised study compared procedures using the hydrosurgery system (VERSAJET™) with conventional debridement in order to assess clinical efficacy and cost-effectiveness when treating subjects with chronic wounds. A total of 40 subjects were recruited. There was no difference in time to achieve stable wound closure between the treatment groups (P = 0·77). There were no significant differences between the two groups in terms of cost of the first operative procedure (P = 0·28), cost of surgical procedures during the study (P = 0·51), cost of study treatment (P = 0·29) or cost to achieve stable wound closure (P = 0·85). There were no differences in quantitative bacterial counts after debridement with either methods (P = 0·376). However, the time taken for the first excision procedure was significantly faster using the hydrosurgery system (VERSAJET) when compared with conventional debridement (P < 0·001). The total excision time for all procedures was significantly less for the Hydrosurgery group than for the conventional group (P = 0·005). Also, the Hydrosurgery group demonstrated significantly less intraoperative blood loss than conventional group for all procedures (P = 0·003). In this study, although there were no differences in time to stable wound closure or bacterial reduction between the two groups, the hydrosurgery system (VERSAJET) did offer advantages in terms of operative times and intraoperative blood loss and was cost-neutral, despite the handpiece cost.

Assessment of media reportage of monkeypox in southern Nigeria.

Monkeypox is a zoonotic viral disease. Media campaigns are planned to create awareness about the disease. This is because mass media is often the leading source of information and mobilization during important health issues or crisis. The main objective of this study was to assess the media coverage of monkeypox outbreak in Nigeria.The study adopted a cross-sectional survey of residents in Southern Nigeria. A total of 600 respondents were sampled for this study through a multi-stage cluster random sampling technique. Research assistants helped in collecting data from respondents through structured questionnaire. The data collected was analyzed using percentages, mean score, and univariate analysis of variance (ANOVA).Respondents had little or no knowledge of monkeypox virus, its nature, mode of transmission, and prevention mechanism (2.30 ±â€Š.918, P = .000). Respondents stated that they learnt about the virus through friends and social institutions instead of media (4.44 ±â€Š.945, P = .006). Media failed to create effective and comprehensive awareness campaigns to mobilize the public (1.86 ±â€Š1.196, P = .001), while inappropriate and insufficient media programs and lack of funds were blamed for media ineffectiveness (4.18 ±â€Š1.352, P = .004).The outbreak of monkeypox virus is a public health concern in Nigeria. Media campaigns are planned to raise awareness about the disease; however, these campaigns have not demonstrated effectiveness in changing people's health behavior toward monkeypox. Media, health professionals, and government should synergize to promote a consistent health policy for the control and prevention of monkeypox virus.

Communicating health risk in Southeast Nigeria: The case of media campaign against viral hepatitis and its implication for health communication.

The purpose of this study is to investigate the media coverage of viral hepatitis in Southeast Nigeria and the implication it has on health communication. This study was conducted with the aim of determining the level of awareness of viral hepatitis disease in Southeast Nigeria; and the extent of media coverage of hepatitis disease.Cross-sectional survey study was carried out in the 5 states of Southeast Nigeria while structured questionnaire was used to generate data. A representative sample of 500 respondents was selected from the capital cities of the 5 states in the Southeast zone of Nigeria. The data generated were analyzed using mean, percentage (%), and analysis of variance tests of between-subjects effects in SPSS, version 20. Results were considered significant at P ≤ .05.Even though majority of the people are consumers of media products, only a few of the respondents were aware of viral hepatitis, its symptoms, mode of transmission, and curative measures. Inappropriate timing and scanty or limited scheduling of media health programs were significant hindrances to media campaign against viral hepatitis in Southeast Nigeria.Regular media campaign programs against the disease are required to build more awareness as well as appropriate timing of media programs such as Sunday evenings and news hours, and media interactive forum with phone-in programs. Further research on the nature and impact of funding, support, and policy on media campaigns on this health risk are also recommended.

A Pilot Assessment of Ethnic Differences in Cosmetic Outcomes following Breast Conservation Therapy.

BACKGROUND: One of the primary benefits of breast conserving therapy (BCT) is the potential ability to preserve the aesthetic appearance of the breast. However, current literature and clinical experience suggest that the aesthetic benefits of BCT may not be equally shared among ethnic groups. This is a pilot study that uses novel techniques to evaluate the cosmetic outcomes of African American and white women following BCT. METHODS: A total of 21 participants (10 African American and 11 white) completed the study. Cosmetic outcomes following BCT were evaluated by a multidisciplinary team using both quantitative and qualitative measures, including 3-dimensional photographic analysis and a pilot questionnaire. Preliminary measures were taken to evaluate the validity of the questionnaire. RESULTS: There were no statistically significant differences in objective measures of breast symmetry between African American patients and white patients (P > 0.05 in all cases). However, all raters reported the African American patients to have worse breast symmetry and appearance when compared with white patients. Interrater reliability was found to be fair with regard to the nipple complex questions [intraclass correlation (ICC), 0.56], good with regard to the breast mound questions (ICC, 0.66), and poor with regard to the scar appearance questions (ICC = 0.32). CONCLUSIONS: Although generalizing the results of this study is limited by the small sample size, it seems that there is a difference in the perception of cosmetic outcomes between white and African American patients. The novel techniques of cosmetic evaluation used in this study show promise toward identifying variables that can affect cosmetic outcome following BCT.