Latest Updates

Scar Management: Scar Revision and Scar Resurfacing

    • Improvements in transdermal drug delivery with use of fractional lasers/radiofrequency ablation combined with ultrasound therapy. Advances in nanotechnology will further improve the ability to deliver targeted therapies
    • Improved understanding of signaling pathways in wound healing states will allow for future target-specific therapeutics. Some candidate drugs are being tested in animal models
    • Tissue engineering and use of polysaccharide and protein scaffolds may eventually improve wound healing via delivery of growth factors, favorable cytokines, and improvement in tissue oxygenation

Management of the Geriatric Patient

    • Emphasis on the importance of exercise in interventions to prevent falls

    • Increasing research on interventions to improve frailty with promising work on interventions that include an exercise component as well as nutritional measures

    • Recommendation against vitamin D to prevent falls in patients without osteoporosis or vitamin D deficiency

    • New and emerging therapies for pressure ulcers stress the importance of microclimate control, prophylactic dressings, and attention to reducing shear and friction in addition to pressure.

Management of the Geriatric Patient

    • Emphasis on the importance of exercise in interventions to prevent falls

    • Increasing research on interventions to improve frailty with promising work on interventions that include an exercise component as well as nutritional measures

    • Recommendation against vitamin D to prevent falls in patients without osteoporosis or vitamin D deficiency

    • New and emerging therapies for pressure ulcers stress the importance of microclimate control, prophylactic dressings, and attention to reducing shear and friction in addition to pressure.

Management of the Geriatric Patient

    • Emphasis on the importance of exercise in interventions to prevent falls

    • Increasing research on interventions to improve frailty with promising work on interventions that include an exercise component as well as nutritional measures

    • Recommendation against vitamin D to prevent falls in patients without osteoporosis or vitamin D deficiency

    • New and emerging therapies for pressure ulcers stress the importance of microclimate control, prophylactic dressings, and attention to reducing shear and friction in addition to pressure.

Early Pregnancy Loss

    • Ultrasonography criteria for the diagnosis of early pregnancy loss have recently been redefined.
    • Medical and surgical management are safe and effective, and should be influenced largely by patient preference.
    • Recommendations regarding interval to next conception have recently shifted away from the traditional 3 months.

Approach to the Geriatric Patient

    • 2016 EAST practice management guideline on prevention of fall-related injuries in the elderly
    • 2016 CTF on Preventive Health Care recommendations on screening for cognitive impairment in older adults
    • 2016 USPSTF recommendation statement on screening for depression in adults
    • 2015 AGS Beers criteria for potentially inappropriate medication use in older adults
    • 2016 AAO preferred practice guideline on comprehensive adult medical eye evaluation

Aortic Dissection

    • Surgical treatment of uncomplicated type B aortic dissection
    • Endovascular techniques for malperfusion syndrome
    • Standard practice of intravascular ultrasonography
    • Importance of false lumen thrombosis
    • Maneuvers to decrease the risk of spinal cord ischemia in open aortic surgery

Approach to the Geriatric Patient

    • 2016 EAST practice management guideline on prevention of fall-related injuries in the elderly
    • 2016 CTF on Preventive Health Care recommendations on screening for cognitive impairment in older adults
    • 2016 USPSTF recommendation statement on screening for depression in adults
    • 2015 AGS Beers criteria for potentially inappropriate medication use in older adults
    • 2016 AAO preferred practice guideline on comprehensive adult medical eye evaluation
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