Dr Thusitha Kahaduwa

02/10/2025

දියවැඩියාව නිසා පාද වල ඇති වන තුවාල හොද නොවීමට එක හේතුවක් වන්නේ , තුවාලය මත ඇවිදීමයි!!❌❌
තුවාලය බර වැටීම නතර නොකලොත් තුවාලය වසර ගානකටත් වඩා පවතිනු ඇත‼️


#දියවැඩියාව #තුවාල #පාද
0777911418

01/10/2025

Interesting research find


Abstract
Formation of new vessels in granulation tissue during wound healing has been assumed to occur solely through sprouting angiogenesis. In contrast, we show here that neovascularization can be accomplished by nonangiogenic expansion of preexisting vessels. Using neovascularization models based on the chick chorioallantoic membrane and the healing mouse cornea, we found that tissue tension generated by activated fibroblasts or myofibroblasts during wound contraction mediated and directed translocation of the vasculature. These mechanical forces pulled vessels from the preexisting vascular bed as vascular loops with functional circulation that expanded as an integral part of the growing granulation tissue through vessel enlargement and elongation. Blockade of vascular endothelial growth factor receptor-2 confirmed that biomechanical forces were sufficient to mediate the initial vascular growth independently of endothelial sprouting or proliferation. The neovascular network was further remodeled by splitting, sprouting and regression of individual vessels. This model explains the rapid appearance of large functional vessels in granulation tissue during wound healing.

https://pubmed.ncbi.nlm.nih.gov/19483693/

28/09/2025

Chronic wounds affect more than just the skin. They impact physical function, emotional health, social identity, and overall quality of life.

The latest article explores how wound care clinicians can improve outcomes by promoting resilience and addressing the psychosocial burden of chronic wounds: https://ow.ly/Pxiz50X2nJJ

physicians, physician assistants, nurse practitioners, and registered nurses with an interest in skin and wound care. LEARNING OBJECTIVES/OUTCOMES: After participating in this educational activity, the participant will:Explain the impact of psychological stressors on wound healing.Identify intervent...

28/09/2025

This 81year old lady with a history of heart disease was having recurrent chest pain since today morning yet came for wound dressings and mentioned the chest pains casually as she got another attack on the table !

Patients with chronic wounds are ill ‼️
We must look at not only❌ the wound but the patient as a whole ‼️otherwise the outcome may be dire ‼️

25/09/2025

25/09/2025

Interesting research find ‼️

Abstract

Callus has been identified as a risk factor leading to severe diabetic foot ulcer; thus, it is necessary to prevent its formation. Callus formation under the first, second, and fifth metatarsal heads (MTHs) is associated with external forces (pressure and shear stress) during walking. However, the gait factors increasing the external forces remain undetermined. Thus, this study aims to identify the factors increasing the external forces to prevent callus formation. In 59 patients with diabetic neuropathy wearing their usual shoes, the external forces, and the lower extremity joint angles were measured using MEMS force sensors and motion sensors. The external forces and their relationship with the lower extremity joint angles and footwear size were determined. Risk factors causing high external forces on the first MTH included small flexion of the knee joint (p = 0.015) and large ankle pronation motion (p = 0.034) to obtain propulsion. For the second MTH, wearing excessively long footwear was identified (p = 0.026). For the fifth MTH, high external force was related to tight width footwear (p = 0.005). An effective intervention for preventing callus formation for the first MTH would involve assisting the push-off foot motion using rocker-sole footwear or gait training. For the second and fifth MTHs, wearing appropriate size footwear would be effective.

24/09/2025

Happening now ….

https://us02web.zoom.us/j/87852479870?pwd=ivf4ADNiLQm1J6vLirBGbJinmwRT6X.1

20/09/2025

Won 2 at a row ….
‼️Best oral presentation 🎊
‼️Best poster presentation 🎊

20/09/2025

15/09/2025

Thanks Suneth for the opportunity !! https://www.facebook.com/share/v/19ppKjzHgY/?mibextid=wwXIfrs

27/08/2025

Download: The World Union of Wound Healing Society Position Statement on The Diabetic Foot- Healing and Remission https://diabeticfootonline.com/2016/09/28/download-the-world-union-of-wound-healing-society-position-statement-on-the-diabetic-foot-healing-and-remission/?utm_source=Facebook&utm_medium=social&utm_campaign=David+G.+Armstrong&utm_content=Facts1