FLORENCE, ITALY WUWHS 2016

27 September 2016 I wuwhs.org

5 Vox populi ... 10 Around 15 South Koreans are in town That means you! Florence Heart full of Seoul You have come to Poison of democracy Founded in 2002, the Florence from all over the Cellini’s beautiful Korean Society for world and our journalists statue of Perseus is an Wound Management are keen to get your allegory of aristocracy (KSWM) is a views, so we can share triumphing over the multidisciplinary them with your fellow evils of democracy. Not society, founded to delegates: don’t be shy relevant today, then ... exchange experiences

ALLEVYN LIFE’s All-singing, flag-f ourishing Mechanical performance in debridement wound care extravaganza opens WUWHS 2016 with Medaxis On Sunday evening at 17.15, an and prevention impressive and moving opening debritom+ ceremony heralded the opening of fi ve days’ intensive work on wound healing, as the 2016 Congress of the World Union of Wound Healing Societies (WUWHS) was offi cially opened. Delegates had already spent their Sunday in numerous meetings, run by WUWHS sister societies. The crowd cheered as the Japanese and Italian delegations together entered Medaxis staff demonstrating mechanical the aptly named Renaissance Hall water jet debridement system, Stand 211 Delegates fl ock to the Smith & Nephew at the historic Fortezza da Basso. It Debridement is the fi rst step of stand to see its latest offerings seemed fi tting that Florence, the city every wound care programme. We Musical welcome from Pisa University Choir (left) and then fl ag-wavers strut their stuff Hundreds of delegates swarmed of the Renaissance, be home to the have known for a long time that through the Smith & Nephew opening of WUWHS 2016. in total had registered for WUWHS Professor Giovanni Abatangelo, before the healing process can begin booth yesterday to watch two Professor Sadanori Akita, retiring 2016. In addition, this year there honorary president, WUWHS in earnest, the wound needs to be demonstrations on the multilayer president of WUWHS, along with are a large number of supporting 2016, spoke of the progress that the cleaned. If it is not, slough will build foam dressing, ALLEVYN LIFE. the Japanese delegation, welcomed societies: 39 sister societies and 32 scientifi c community had made. If up, biofi lms will form, and necrosis In the fi rst one, focused on delegates, before handing over the international societies. There is scientists were able to come together will set in. As wound care profes- wound care, the attendees witnessed reins to professor Marco Romanelli, 4000m2 of exhibition space. and work together for the greater sionals, our ultimate goal is to stop how 20ml of liquid were absorbed incoming president of WUWHS, The new president was delighted good, he said, there was hope the this tissue loss and start the patient by ALLEVYN LIFE and three other and the Italian delegation. Delegates to announce the collaboration be- international community as a whole on the healing process as quickly dressings (Aquacel Foam, Mepilex were introduced to the seven hard- tween WUWHS and the Journal of could do the same. and effi ciently as possible. Border and Biatain Silicone). working Congress ‘ambassadors’, Wound Care (JWC). This collabo- There was a moving tribute to This is why mechanical debride- ALLEVYN LIFE absorbed the liquid before Professor Romanelli spoke ration aims to extend the reach of the late Professor George Cherry— ment is so vital. If we are to start quicker than the other dressings and of the years of hard work that had our scientifi c knowledge of wound Oxford-based scientist and the the healing process in the best locked it inside, minimising leakage. gone into putting this year’s confer- care, bringing the latest research to cofounder of two of the hosting possible way, we need to start with ‘The capacity to keep exudate ence together. as broad an audience as possible. societies, EPUAP and ETRS, who the cleanest wounds. Unfortunately, locked in is what impressed me Romanelli said he was proud and To fi nd out more about JWC, visit died in October 2014. He was an debridement has never been a the most,’ stated vascular surgeon honoured that people had come stand 75 or the WUWHS Daily inspiration and good friend to particularly easy job—particularly Ruggiero Scafarella, who was among from so far afi eld, from 5 continents, press offi ce, next to the reception many. A standing ovation followed a for the patient on the receiving end, the delegates. Lynne Ray, a registered and that more than 4000 delegates desk. video tribute celebrating his life. who is already in pain from the surgical ward nurse in Australia, wound. This is where the gentle but also said she was impressed with the powerful debritom+ micro water jet results: ‘I use one of the competitor Welcoming to Un nuovo membro si View debridement system comes in. dressings at least 10 times a day to Florence è aggiunto alla Precision and control are es- dress elbows, sacrums and heels. the latest member of famiglia sential to effectively debride the ALLEVYN LIFE holds a lot more the ConvaTec Foam di medicazioni in wound surface and reduce tissue exudate than my current dressing dressing family Schiuma ConvaTec 2016 abstract damage. The debritom+ solution and prevents the forming of uses micro water jets that are both pressure ulcers.’ Delegates are invited to Vieni a trovarci allo stand book online! simple to set up and incredibly easy ALLEVYN LIFE has been shown visit the ConvaTec stand 198 at ConvaTec N. 198 e scoprirai molto to control. By adjusting the angle of to last two times longer than WUWHS to fi nd out more about the di più sulla nuova medicazione che the jet, and the distance of the jet to other dressings (Joy et al, 2015). new member of its Foam dressing è entrata a far parte della famiglia di the wound, the user is in full control The masking layer minimises the family. Foam Lite ConvaTec dressing Medicazioni in Schiuma ConvaTec. of the pressure and force on the appearance of exudate strikethrough is thin and fl exible with a breathable La medicazione Foam Lite di wound surface. It is so user-friendly, (Stephen-Haynes et al, 2013), and fi lm and perforated silicone wound ConvaTec è sottile e fl essibile ed è in fact, that Medaxis believes it is the the change indicator provides a contact layer. The ConvaTec team is dotata di una pellicola traspirante only high-pressure jet debridement visual guide of when the dressing on hand to provide hints and tips on e uno strato in silicone perforato http://tinyurl.com/gqr2mjr system on the market that can be needs to be changed. getting the most out of its full range sul lato a contatto con la lesione. used outside of the operating room. The second demonstration of Aquacel dressings, including its I consulenti ConvaTec sono a View/download Whether treating wounds at the focused on the prevention of Aquacel Foam dressings. tua disposizione per consigli e bedside, care home or outpatient pressure ulcers as part of a pressure informazioni su tutta la gamma via app store or view www. clinic, the fully adjustable water ulcer protocol. Using a pressure di medicazioni Aquacel, incluse le pressure allows for powerful, fl ickread.com/edition/ map, pressure redistribution was medicazioni Aquacel Foam. precise, yet gentle debridement, shown on ALLEVYN LIFE and three .com where the wound specialist nurse is other dressings. To show the level in total control. of pressure redistribution, a scale of colours from blue to red was used For more information and a (blue: 20mm/Hg; red: 780mm/Hg). demonstration of debritom+, please visit Stand 211.

Aquacel’s latest Foam Lite dressing being 15 demonstrated on stand 198

WUWHSdaily ● f ickread.com/edition/WUWHS-Daily Tuesday 27 September 2016 ● 1 ● Contents

Contents A great start— 1, 3, 5, 6–7, 12–13, 14–15 News Report on Sunday’s opening ceremony, and the and it gets better latest word from wound societies worldwide Yesterday was a tremendous how to write for JWC, how will all be present, not 2 achievement in wound care. JWC works internationally forgetting the winners A Congress well launched The Italian hosting societies and collaborates with the from each of the 12 Anthony Kerr, publisher of WUWHS Daily and have done a magnifi cent job WUWHS. categories. We have JWC, on the opening days of Congress of delivering an unrivalled been inundated with 5 international event. The Awards ceremony entries, the calibre Vox pop programme is packed with Also at our stand, there will of which has been We’re loving what you’re saying powerful, engaging content be ticket sales for tonight’s exemplary. I look 8-9 aimed at every level of prestigious JWC/WUWHS forward to welcoming Exhibition fl oorplan practice. The number of Awards, which will be held those of you in abstracts and posters is a at the beautiful and historic attendance at the testament to the hard work Sala della Scherma (Fencing JWC World Union and progressive application Hall) in the Fortezza da awards, along with to developing wound care Basso. This is actually here at anyone who comes to of everyone in the world of the congress centre: the stairs visit our stand 75. 10 wound care. at the front of the fortress Look out for the winners’ Around Florence I hope you have really lead up to the area. results and photos in Was Machiavelli truly evil, or just a thoughtful enjoyed the exhibition too. It promises to be tomorrow’s edition of your commentator? Plus, Ponte Vecchio and Duomo The WUWHS Daily/JWC a wonderful night of WUWHS Daily. 16 stand in the Spadolini Hall celebration. The chairpeople Day 2 on the ground fl oor has been of each society affi liated Anthony Kerr Programme summary: your day at a glance very busy. Do come and visit to WUWHS, along with Publishing Director, Enjoying us at Stand 75, where you the board of JWC, faculty, WUWHS Daily will fi nd information on reviewers and advisors and JWC #WUWHS 2016? We want to is a conference supplement of , in association with Twitter round up hear from you! Dr Vincent Maida Barbara Bates- @KopeckiZlatko Tweet us your @vintordoc Jensen Kicking off the Topical medical cannabis @drbbj #WUWHS2016 highlights —a breakthrough Pressure ulcers in conference with an FLORENCE, ITALY @WUWHS WUWHS treatment for pyoderma neonatal ECMO excellent talk on PSiNP 2016 gangrenosum patients, great example delivery of FnAb to Daily #WUWH2016 of PDSA quality diabetic wounds! Editorial team improvement by Dr @AllisonCowin WHF Lee! #WUWHS2016 @UniSAFII #wound Editor Peter Bradley @WoundHealing #woundreach Project manager Julie Smith WHF Rachael Sykes Contributors Fantastic choral Coloplast Wound Activa Nic Bunce; Tracy Cowan; Natasha Devan (social media); performance Care @rachaelsykes100 Lauran Elsden; Camila Fronzo; Sarah Kahn; @WUWHSCONGRESS @Coloplast_WCare Compression therapy Rebecca Linssen; Vicqui Stuart-Jones; Ben Wakefi eld; in beautiful #Florence Come by the Coloplast in everyday life: let the Rachel Webb (journalists) for the #WUWH2016 booth at WUWHS to patients have the fl oor! play the HEAL game and Good to see this on the Design A VeeSun Ho; Kyri Apostolou Alison Hopkins test your wound care ICC agenda #WUWHS @AlisonHopkins01 knowledge against your publication Photography Fab international peers. #WUWHS2016 Naveen Cavale Alex Deverill dinner with the ICC #wuwhs @plasreconsurg To appear in tomorrow’s Sales #WUWHS2016. Note Heading to #Florence Publishing director to self: be ready with UK Lisette Schoonhoven for #WUWHS to Anthony Kerr +44 7979 520 828 song next year. @l_schoonhoven support my ‘Rising call Anthony Kerr +44 7979 520828 Commercial manager @justinewhitaker we Excellent day about Star’ #trainee anthony.kerr@ Fenella Wenham needed you! pediatric wound care Pennylouise—presenting with International an interesting case of markallengroup.com love_ur_journey Society for Pediatric #necrotisingfasciitis View/download and @love_ur_journey Wound Care are published by Such an honour to be #WUWHS2016 TVS UK @TVSUK via app store or view www. MA Healthcare Ltd, part of the Mark Allen Group here in Italy representing We have fantastic fl ickread.com/edition/ dermatology at the Zlatko Kopecki sponsored place #WUWH2016. Huge opportunities available .com thanks to @TVSUK for for 2017! Visit stand selecting me #247 @WUWHSCONGRESS www.markallengroup.com St Jude’s Church, Dulwich Road, London SE24 0PB, UK. Il tempo di oggi Sereno o poco nuvoloso www.magonlinelibrary.com Sunny, cloudy later Printer Stampatello, www.stampatello.net Today’s weather

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2 ● Tuesday 27 September 2016 WUWHSdaily ● f ickread.com/edition/WUWHS-Daily News ●

ISTAP: highlighting skin tears Welcome from Down Under The International Skin Tear of Skin Tears (available free Advisory Panel (ISTAP), from www.skintears.org/ an interest group of the Resources/); developed and Canadian Association for validated a new classification Enterostomal Therapy system for skin tears; (CAET), was formed to raise established a skin tear toolkit the international awareness to aid in the prevention, of the prediction, assessment, assessment, identification, prevention and management and management of skin of skin tears. ISTAP serves tears; and is publishing the as a thinktank for improved et al, 2014). Prevalence of results of a Delphi study patient outcomes for skin skin tears has been reported to support appropriate tear prediction, assessment, to be greater than that of treatment of skin tears. prevention and management. pressure ulcers in the long- On September 25, 2016

Its purpose is to positively term care setting (LeBlanc during the World Union of Adobe Stock / Javen impact on lives and to and Woo, 2015). Wound Healing Societies Australia will host two wound care events in November 2016 unite professionals working In the recent literature, Conference in Florence collaboratively across a there has been an increase Italy, ISTAP conducted a The Australasian Wound & and Exhibition Centre in While here, you could broad range of disciplines in in the attention given to workshop on skin tears. The Tissue Repair Society the heart of Melbourne, soak up the delights of relation to skin tears. these wounds; however, purpose of this session was (AWTRS) was established in Monday–Wednesday 7–9 this great city, which is full A skin tear is a traumatic skin-tear research remains to bring the plight of skin 2007 to bring together November 2016 (for more of hidden spaces, iconic wound resulting in in its infancy. The financial tears to the global wound scientists, health details, see http://awtrs- laneways, a dynamic arts separation of the skin layers. and quality-of-life impact of care community and to professionals, industry and mepsa2016.com/). It is scene, eclectic nightlife, Complications associated these wounds has not been open dialogue regarding the other individuals that have a joint meeting with the tantalising food and wine. with skin tears include: addressed and the impact research being conducted an interest in wound healing Molecular & Experimental AWTRS members increased pain and suffering; skin tears have on both the and the gaps that are yet to be and tissue repair. Our Pathology Society of attending the WUWHS wound infections; and individual and the healthcare studied. The ultimate goal of members’ interests range Australasia (MEPSA), which include Allison Cowin, increased risk of pressure system is often down played. ISTAP is to initiate a global from understanding how has a focus on skin-related Chris Jackson, Zlatko ulcers. Skin tears on the lower To date, ISTAP has discussion on skin tears and to wounds heal to the design of diseases, photobiology and Kopecki and Sue McLennan, limbs of individuals suffering published State of the have skin tears recognised as biological therapies through skin cancer. so please contact them from chronic oedema and/ Science: Consensus unique, complex wounds. to biomaterial science and If you need another for information about or arterial insufficiency may Statements for the the fabrication of bandages reason to visit Australia, the society, its November lead to the development of Prevention, Prediction, Website: www. and delivery devices to then AWTRS-MEPSA 2016 conference, or the complex leg ulcers (LeBlanc Assessment, and Treatment skintears.org/ improve healing. is being held immediately excellent research Are you thinking of prior to the Wounds being undertaken in visiting Australia? This Australia (formally Australia. Accelerating wound healing and reducing pain year’s AWTRS conference AWMA) Conference, also will be held at the in Melbourne, Wednesday– through the use of light and chromophores Melbourne Convention Saturday 9–12 November. Delegates gathered around the Klox booth yesterday to watch a short film on the actions of LumiHeal, Klox’s BioPhotonic treatment. LumiHeal is a topical gel embedded with light- capturing molecules (chromophores), which, when illuminated, release photons in the form of fluorescence. Surgeon Alessandro Corsi (left) visits the Klox stand The movie illustrated how this treatment works: a 2mm inflammation reduction was past 8 years. He found layer of the photo converter seen after 2–3 weeks. ‘I was LumiHeal’s application gel containing chromophores impressed by how a simple system (a LED lamp and a is applied directly on the process like applying gel and gel) theoretically similar to wound; the chromophores light for 5 minutes could PDT, but saw the outcomes are then illuminated for achieve such substantial varied greatly. ‘The results 5 minutes, using a multi-LED results,’ she said. Wound are fantastic. There is a big lamp positioned 5 cm from closure was achieved in 80% future for this therapy and the wound, and a fluorescent of the cases, and in those I believe it will find a place emission, which breaks cases where the wounds did in the protocol treatment, light into different colours, not heal, pain relief because it accelerates the is created. was reached in 90% of healing process,’ Corsi said. A blue light controls the patients. The main difference between bacterial colonisation by ‘The technology is easy LumiHeal and PDT, he combining micropulsed to use and adds value to added, is that the patients’ photons in the presence those patients with chronic pain is considerably reduced. of an oxidant, which wounds,’ stated Sara ‘In PDT, gels are applied on leads to the breakdown Sandroni, nurse coordinator the wound 4 hours before the of biofilm. It also reduces at Clinical Pathway Wound treatment, making it quite inflammation. At the same Care, Azienda USL Toscana painful. With LumiHeal, time, a green light proliferates Sud Est in Arezzo, Italy, who one can treat patients fibroblasts by reducing carried out a study on 15 immediately after the gel is matrix metalloproteases and patients with different ulcers. applied, so patients feel allowing collagen formation. The results, she highlighted, less or no pain at all,’ Finally, a yellow light allows found that the use of Corsi explained. the growth of blood vessels BioPhotonic technology and helps achieve wound allowed for early healing with If you have missed the short contraction. reduced costs and improved film, visit KLOX on booth Monica Pittarello, nurse quality of care. 136 to find out everything and teacher at Wound Alessandro Corsi, general about LumiHeal™. Care Master, has used this surgeon, certified wound technology on 25 patients. specialist and wound care On average, pain relief consultant, has been using was achieved after three photo dynamic therapy to four applications, and (PDT) on wounds for the

01.pubb_131x189.indd 1 05/09/16 09:22 WUWHSdaily ● fickread.com/edition/WUWHS-Daily Tu e s d ay 27 September 2016 ● 3 Now it’s time to confront the biofilm villain The dressing that gives you the weapons you need to attack the key local barriers to wound healing. AQUACEL® Ag+ Dressing doesn’t just manage exudate and infection*1-5. It helps destroy biofilm too*6-8. Find out more about AQUACEL® Ag+ Dressings at www.convatec.co.uk

N I O T C E F N I I L M O F B I

E X U D A T E

*As demonstrated in vitro

1. Newman GR, Walker M, Hobot JA, Bowler PG, 2006. Visualisation of bacterial sequestration and bacterial activity within hydrating Hydrober™ wound dressings. Biomaterials; 27: 1129-1139. 2. Walker M, Hobot JA, Newman GR, Bowler PG, 2003. Scanning electron microscopic examination of bacterial immobilization in a carboxymethyl cellulose (AQUACEL™) and alginate dressing. Biomaterials; 24: 883-890. 3. Bowler PG, Jones SA, Davies BJ, Coyle E, 1999. Infection control properties of some wound dressings. J. Wound Care; 8: 499-502. 4. Walker M, Bowler PG, Cochrane CA, 2007. In vitro studies to show sequestration of matrix metalloproteinases by silver-containing wound care products. Ostomy/Wound Management. 2007; 53: 18-25. 5. Assessment of the in vitro Physical Properties of AQUACEL EXTRA, AQUACEL Ag EXTRA and AQUACEL Ag+ EXTRA dressings. Scientific background report. WHRIA3817 TA297, 2013, Data on file, ConvaTec Inc. 6. Antimicrobial activity and prevention of biofilm reformation by AQUACEL™ Ag+ EXTRA dressing. Scientific Background Report. WHRI3857 MA236, 2013, Data on file, ConvaTec Inc. 7. Antimicrobial activity against CA-MRSA and prevention of biofilm reformation by AQUACEL™ Ag+ EXTRA dressing. Scientific Background Report. WHRI3875 MA239, 2013, Data on file, ConvaTec Inc. 8. Physical Disruption of Biofilm by AQUACEL™ Ag+ Wound Dressing. Scientific Background Report. WHRI3850 MA232, 2013, Data on file, ConvaTec Inc.

AQUACEL, AQUACEL Extra, ConvaTec, the ConvaTec logo, Hydrofiber and the Hydrofiber logo are trademarks of ConvaTec Inc. All other trademarks are the property of their respective owners. © 2016 ConvaTec Inc. AP-016136-GB The people’s voice ● Vox pops

I am amazed at how well organised the conference is, given the number of people here! Registration was easy, and there is plenty for all to see. Our group (Wounds Australia) is going to spread out and see a bit of everything between us. I’ve been looking forward to being back in Florence, and it’s great just soaking in the atmosphere again! Robin Watts. Perth, Australia

I’ve been in Florence since Saturday. It’s my f rst time here, so I’m really excited about getting out and seeing the city. I really want to try some authentic Italian pizza, too—one with a lot of meat on it! I’m really enjoying WUWHS so far—it’s so big and the atmosphere is great. I can’t wait for the presentations from my friends and colleagues at Tohoku University! Noriko Sato. Tohoku, Japan

T is is our f rst time in Europe, and we’re very excited to be here in Florence. We are looking forward to seeing the presentations, and take part in the courses on leg ulcers and wound pathology. We’re here to learn, but we’re also really looking T is is our f rst WUWHS conference, and we’re very excited to be here. It’s all forward to seeing the sights! very interesting, but for us personally, we Rafael Pinto and Angela Garcia. would like to see more on the nursing Mexico and Chile side of wound care. We will be going to the sessions on guidelines on practice, which should be very useful. It has been a T e show is just beginning, but it has been very long time since we were in Florence, 1982, interesting to see what the rest of the world is working I think? We’re planning on seeing the on, in terms of wound care. I’m really enjoying the Duomo, the Ponte Vecchio and the statue chance to meet my colleagues from dif erent parts of of David. Of course, while we’re here, the world, in person, at last. T is is a bit of a working we’ll also be sampling the local food, and holiday, so while I’m in Florence I want to want see as trying some genuine Italian espresso! much of the city as I can. I’m going to visit the Old Leena Jalonen and Minna Ylonen, Town and just soak in the sights of Tuscany. Finland Joachim Dissemond, Germany Lindsay Leg Club model T is is my f rst time at a WUWHS conference, and I’m very excited to be here. I’m could generate massive looking forward to learning as much about surgery in wound care as I can. I’ve not been to savings for NHS, says research Florence before, and this is my f rst time in Italy, Lindsay Leg Clubs has so I really want to see the sights. T e only problem is that there’s so much to see, it’s been attending to both the dif cult knowing where to start. clinical and social needs Julien Verdier, France of people living with leg ulcers and related conditions for more than 20 years. Our WUWHS daily journalists Now two important pieces of research, intended to and photographer capture measure the clinical and cost- your feelings about the effectiveness of the Lindsay conference Leg Club model, are nearing completion. The fi rst is an analysis of new outcomes data from 10 Leg Clubs over a 6-month period, covering more than 3000 members around the UK. ‘This is part of a massive project for us, which will report on outcomes for 10 000 members when Following 20 years of Lindsay Leg Clubs, research is being carried out completed,’ says Roland to measure their clinical and fi nancial effectiveness Renyi, chair of the Lindsay Leg Club Foundation, the widely implemented. These for treatment within a charity that was set up ranged from £107,000 in an social model of care, plus to support the growing urban area with a younger all the benefi ts of working network of Leg Clubs in population, to £2.3 million with a committed team of the UK and abroad. ‘I’m for a rural population with volunteers, creates delighted to confi rm that a high elderly population. a service that is second to the initial fi ndings are very If Leg Clubs are introduced none in terms of both the encouraging, with an overall across the UK, the total quality of treatment that we leg ulcer recurrence rate of potential savings to the give and the savings that it 15.15% and the majority NHS were estimated at can provide.’ Wound healing is very well established now. of healed ulcers achieving £150 million per year. ‘We For more information about T e last WUWHS meeting I attended was healing within 2 months.’ already know that three- the Lindsay Leg Club Toronto, 8 years ago. It was much younger then, The second is a review just quarters of a million pounds Foundation and model, go and still an upcoming society. It’s fantastic to see how well WUWHS has grown. It’s very well completed by the Swansea were saved in Powys (mid to www.legclub.org or come organised this year, and I’m really enjoying it so Centre for Health Economics, Wales) through savings in and visit the Lindsay Leg far. It’s great to see how everyone else manages which constructed simple district nursing time alone,’ Club stand at WUWHS 16. wounds across the globe, particularly with estimates on savings incurred says Renyi. ‘This confi rms regards to dif erent skin types and tones. I know by the UK National Health what we always suspected, Florence quite well now, but this time, I want to take my time at the Uf zi. System (NHS) if a Leg Club which is that providing Jurgen Bauerschmitz, Germany model of care were to be a regular venue and time

WUWHSdaily ● f ickread.com/edition/WUWHS-Daily Tuesday 27 September 2016 ● 5 ● News

What do mattresses, logistics, nurses and Italy have in common? Service Med is an Italian company offering a unique end-to-end service, provid- ing automatic mattresses designed for the prevention and treatment of skin lesions in hospitals and care homes. Silvio Gherardi, CEO at Service Med, explains what The Italian makes its products unique. What do your Service Med products do? ‘We have two mattresses excellence in we’re shouting about—the UpAir Line and the Eco Line, depending on the risk-level of the patient. Easy to use: a spokesperson for Service Med shows a delegate how The UpAir Line is our the PREVENTION to adjust the mattress at WUWHS 2016 fl agship product; it’s a fully automatic mattress, doing aftermarket support. Quality What’s next for everything the patient needs of service is of paramount Service Med? and TREATMENT without the need for nurses importance to us. We don’t ‘We’re now proud owners to come and push any just deliver mattresses—we of two regional bids in buttons. We’re expecting the collect and sanitise them Italy—something that results of a major clinical too, on a daily, weekly or no other company in this of SKIN LESIONS trial on these mattresses monthly basis, depending industry can claim! We’re imminently, so watch on the patient’s risk and here at WUWHS 2016 this space!’ severity of their condition. to reaffi rm our market We then take care of the leadership in Italy, and break What is Service Med maintenance, logistics, and into the wider European known for? returning the mattresses for market. We want our name ‘In a word, “quality”. use. We even offer a unique to be synonymous with Tel +39 045 6717441 [email protected] The company produces nursing service, monitoring prevention and treatment as Fax +39 045 7156992 www.servicemed.it/ its products at a site patients and selecting the we develop our 360° service, near Verona, which not right mattress for them. supporting care givers in only focuses on making We take great pride in managing their patients.’ mattresses, but takes care completely tailoring our of the delivery, logistics and service to the patient.’ Lasers and energy devices for the skin: Wound surgical, clinical and cosmetological aspects Healing Laser technology represents on lasers and lights in an important advance in wound healing on Tuesday Foundation dermatology. Physical, from 15:45–17:45 in Hall Founded in 1999, The Wound technological and clinical Leonardo. He teaches and Healing Foundation (WHF) research is underway to practises in both Italy and is a public 501(c)(3) non- Warrior Care Kits are pro- optimise laser-skin interaction the UK, and is affi liated at profi t organisation dedicated vided free of charge to help and laser effi cacy-safety the Department of Health to improving wound healing promote optimal skin and profi les. This novel form of Sciences, University of worldwide through fund- wound care during travel. therapy uses laser and light- Catanzaro, Italy. He is also ing research, education, and based technologies to treat the coordinator of the outreach. The Foundation Contact Information a range of skin disorders, masters degree, ‘Lasers was formed by dedicated http://www. including the management of in Dermatology’, at the professionals committed to woundhealing acne scars, which represents a University of Rome Tor wound care and to provid- foundation.org major problem, especially in Severe acne scarring before and after fractional CO2 laser Vergata. ing patients, researchers, info@woundhealing the younger population. and health professionals the foundation.org The various dermatological disorders, as well as for various Other applications of References resources to make signifi cant The Wound Healing implications of this therapy infl ammatory diseases (Nisticò near-, medium- and far-IR Cannarozzo G, Sannino contributions in the critical Foundation can be summarised by different et al, 2009). Recently, a study lasers include treating deeper M, Tamburi F et al (2014) and underappreciated area of 235 Plain Street, Suite 501 spectral features of the laser on the effectiveness of a 355 blood vessels, shrinking Deep pulse fractional CO2 wound healing. Providence, RI 02905 sources used. For example, UVA1 laser on stable plaque collagen and ablating laser combined with a The WHF offers research Board of Directors UV laser and light sources have and palmoplantar psoriasis warts, respectively. Modern radiofrequency system: results grants, travel scholarships, Facebook: search been used primarily for the has been carried out with fractional CO2 lasers can of a case series. Photomed guidelines and innovative ‘wound healing treatment of infl ammatory promising results (Zerbinati et now guarantee a very precise Laser Surg 32(7): 409–12. doi: lectures for professionals. For foundation’ skin diseases, vitiligo and al, 2013). epidermal and dermal 10.1089/pho.2014.3733 patients and caregivers, the Twitter striae. Other UV non-laser These laser treatments are ablation, making it ideal Nisticò S, Saraceno R, WHF offers free online mod- @WoundHealingWHF sources have also been used for not just skin deep, however. for facial skin resurfacing Schipani C et al (2009) erated support forums and vitiligo and hypopigmentation Near-IR(A) (595, 755 and (fi ne or moderate wrinkles, Different applications of educational brochures. For 810nm) light has been hyperpigmentation, acne monochromatic excimer light wounded military personnel, used to treat blood vessels scarring). Newer devices in skin diseases. Photomed and hyperpigmented combine laser with other Laser Surg 27(4): 647–54 Go to http://www.woundhealingfoundation.org for lesions. Lights are energy sources, such as Zerbinati N, Portale S, more information about our programmes including our: positioned in the radiofrequency, in order Palmieri B et al (2012) A ● Online support ● Wounded Warrior absorption spectrum to optimise antiaging preliminary study to assess community Athlete Initiative for blood and melanin, dermatological procedures the effi cacy of a new UVA1 ● Funded clinical practice ● WHF-3M Fellowship and will penetrate deeply (Cannarozzo et al, 2014). laser for treatment of psoriasis. guidelines Award enough for blood to Steven Paul Nisticò, Photomed Laser Surg ● coagulate in vessels up to an associate professor in 30(10): 610–4. doi: 10.1089/ ● WHF-Thomas K Hunt Research grants and endowed lecture travel scholarships Steven Nistico, professor of dermatology 2 mm. dermatology, will be speaking pho.2012.3281

6 ● Tuesday 27 September 2016 WUWHSdaily ● f ickread.com/edition/WUWHS-Daily News/Down memory lane ● The road to WUWHS 2016 It has been 4 years since the World Union of Wound Heal- ing Societies (WUWHS) con- gress last met, in Yokohama, Previous venues: Melbourne, Paris, Toronto, Yokohama Japan. This 2016 event, which highlights the developments engineering and regenerative propriate long-term plan for in wound care since then, medicine in wound heal- collaboration between wound opened the doors to its fifth ing. One of its key symposia, care societies in order to share incarnation on Sunday. ‘Adopting new technology in effective prevention and treat- Let’s go back in time to the wound care: where are the ment goals. first WUWHS congress to un- plenary sessions, symposia limits?’, highlighted the status Innovation and cost- derstand how the main topics and oral presentations gave of wound care technologies effectiveness will be the of discussion have shifted in delegates key insights on the available and how these were core themes. Global wound the past 16 years–and how the latest clinical and research in- evaluated and reimbursed in problems, such as diabetic world has changed since then. novations, and wound-man- the global standards. This year foot, ischaemic, venous leg The year was 2000. There agement challenges. Negative also marked the 60th anni- and pressure ulcers, will were no smartphones, tablets, pressure wound therapy versary of Queen Elizabeth II also be part of the agenda. social media platforms or (NPWT) and dressings such becoming British monarch, The main objective will be Wi-Fi networks. Apocalyptic as silver were at the top of the the world’s first stem cell-as- ‘to strengthen the central theories about the new mil- discussion, as well as growth sisted vein transplant; and the role of the WUWHS, which lennium were in full swing, factors. That year, Facebook first time that a music video, needs to become more of a and the fourth book of the and Gmail were born; Lionel ‘Gangnam style’, reached worldwide scientific point of Harry Potter series, Harry Messi made his league debut objective of pulling together consequences are still all too 1 billion views on YouTube. reference and a standard for Potter and the Goblet of Fire, in FC Barcelona; and the a single wound care database. visible today. Fast forward to 2016. innovation and translational had just been published. construction of the tallest This led to the launch of In 2012, WUWHS moved Under the motto, ‘One vision, research into the management In this context, WUWHS structure in the world, Burj WoundPedia (WoundPedia. to Asia. Under the slogan, one mission’, four goals have of skin wounds; in order to launched its first congress in Khalifa, began in Dubai. com), a web-based, evidence- ‘Better care, better life’, the been defined for this year’s improve the quality of life of Melbourne, Australia, which The third WUWHS supported tool that collects Japanese city of Yokohama congress: to update advanced afflicted patients and their focused essentially on leg ul- congress came to Toronto, and evaluates clinical research welcomed some 3000 reg- research and clinical skill in families’, in the words of cers. The organisation also in- Canada, in 2008. Under the in the prevention, diagnosis istrants from 52 countries. wound healing; to compare Marco Romanelli, president of troduced its original mission: theme, ‘One problem, one and management of wounds. The discussion focused on cost-effectiveness of wound WUWHS 2016 congress and to promote interdisciplinary voice’, the event aimed at That was also the year in topics such as pressure ulcers; care among different coun- president elect of WUWHS. discussions on wound care providing evidence while which the US elected its first diabetic foot/critical limb tries, and optimise a global and build friendly relations promoting participation and African-American president, ischemia (CLI); infection concept of reimbursement; For more information on among specialists worldwide. teamwork. It collected and Barack Obama, while at the control and biofilm; wound to strengthen collabora- what the key topics at this Four years later, in 2004, reviewed evidence for wound Beijing Olympics, Usain Bolt care in Asian and developing tion among international year’s congress will be, Paris hosted the second and care, which was international- won his first triple-triple gold. countries; development of representatives and identify check out the programme most-attended WUWHS ly evaluated both during and Oh, and the world entered a skin substitute and wound cultural differences in wound on the back page of the congress ever. More than 250 after the congress, with the global financial crisis whose dressing materials; and tissue care; and to design an ap- WUWHS Daily.

Coloplast: Let’s make every day count—Perché per noi ogni giorno è importante

Camilla, 76, Brazil Living with a leg ulcer

Let’s make every day count Learning at the Coloplast stand. Prizewinner Margarita Simón (right, first picture) Would you like to fly over Marina Paganini, quiz on Sunday. She says Biatain® Silicone combines superior Florence or take a roadtrip marketing manager, the quiz covered everything absorption and a gentle & secure fit in the 1950s, or maybe you’d Italy, adds: ‘It is the from general wound care rather be part of Botticelli’s most important event in knowledge, to the Triangle In the uncertain process of healing wounds, we all want to know we make every day count. At Coloplast Wound Care, we listen and La Nascita de Venere (the Italy this year and is an of Wound Assessment and respond to what you experience when caring for wounds. That is Birth of Venus) or travel into honour for Italy to host more, and that it was why we designed Biatain Silicone in collaboration with Health Care the future? Plus, you may this international event. good fun. Professionals.1 want to test your knowledge Coloplast is delighted to Biatain Silicone has the unique Biatain 3D polymer foam, which with a quiz and treat present its new product For your chance to end the absorbs exudate vertically, locks away fluid even under pressure, yourself to some gelato. Well, range of Biatain Silicone day on the leaderboard, and conforms to the wound bed, ensuring superior absorption.2,3,4 you can with Coloplast. sizes and shapes. It is also a win a prize and learn more As part of its ‘Let’s make great opportunity to meet about Coloplast products, The perforated, soft silicone adhesive wound contact layer ensures Biatain® Silicone a gentle fixation to wound and body, for a comfortable and secure -Superior absorption every day count’ theme, our customers and find visit stand 62 and speak to with soft adhesion for fit with minimal pain upon removal of dressing.3,5,6 Coloplast is emphasising the out how Coloplast products a Coloplast representative. general purposes need to live in the moment help patients.’ You can also find more and work together. Mette Delegates queued to information at: http:// Follow us at facebook.com/ColoplastWoundCare Fredsted, senior global brand take part in the range of www.coloplast.com/ manager, says: ‘The ultimate activities on the stand. products/wound/ References: 1. Data on file, 2012 2. Data on file, 2013 3. Chadwick P et al. Biatain Silicone Dressings: A case series evaluation, Wounds International 2014;5(1). 4. Marburger M, Andersen MB. In vitro test of eight wound dressings with silicone adhesive: Fluid handling capacity and absorption under compression, Presented at Wounds UK 2013. 5. Klode J et al. Investigation of adhesion of modern wound dressings: a comparative analysis of 56 goal of Coloplast Wound Care Margarita Simón, an biatain-silicone--fewer- different wound dressings. J Eur Acad Dermatol Venereol. (2011) 25(8):933-9 6. Data on file, 2013. is to help people live fewer independent consultant at days-with-wounds/ days with wounds. At the end Simón Wound Consulting

of the day, nobody should in Virginia Beach, US, came The Coloplast logo is a registered trademark of Coloplast A/S. © have to suffer from a wound.’ in the top ten in the HEAL 2016-04. All rights reserved Coloplast A/S, 3050 Humlebaek, Denmark.

CPWSC_EWMA_Biatain Silicone_Ad_03_131x189.indd 1 28/04/16 14.57 WUWHSdaily ● fickread.com/edition/WUWHS-Daily Tu e s d ay 27 September 2016 ● 7 ● Exhibition

Exhibition Floorplan

244 Republic 238240242 of China 3M (PRC) Healthcare 2020 Bid

251 249 247 198 235 190 227 221 Genadyne Crawford Covaleo TVS Convatec Biotechnologies Healthcare International Bfactory Health Products 212 210 208 196 188 182 Errekappa Elsevier Thereson Euroterapici Service Med

195 193 191 150 144 181 BSN ISPEW Misonix Medical Mimedx Group Söring 152 156 154 Limbo 148 142 Waterproof Integra Life L-Mesitran Protectors Mitsubishi Sciences

155 153 112 102 Wounds International Salvatelli Mölnlycke Health Care To first & 114 116 Lindsay lower floor Leg Club Foundation

62 115 113 72 Coloplast Lohmann & ETRS Rauscher 76 74

AISLEC

Press Office Storage Cloakroom 75 73 71 30 67 65 63 61 JWC Anatomi Longterm Andover Perimed EPUAP Metrix Medical US Healthcare Italia Euroresearch Covalon Registration 36 34 32 28 22 Sechrist Fujiflm Acraf Angelini AIUC Industries Visualsonics APR Applied Pharma Research

35 33 31 27 21 MHP- Lifenet Verlag Health UAE 2020 Bid Milanpharma

WUWHS Exhibitors B Braun Medical 50 Enzysurge 41 Klox Technologies 136 Mölnlycke Health Care 102 Söring 181 Alphabetical Brazil 2020 Bid 226 EPUAP 73 Multimed 172 Thailand 2020 Bid 228 3M Healthcare 244 BSN Medical 150 Errekappa Euroterapici 188 Neoplas Tools 213 Thereson 196 13 Frems Life Abbvie 173 Centro Iperbarico 11 ETRS 113 Laboratori Prevor 91 NPUAP 224 TVS 247 17 Medi Abigo Medical 178 Chemviron Carbon 6 Euroresearch 63 Lifenet Health 31 Nutricia 168 UAE 2020 Bid 27 21 Milanpharma Acelity 82 Chinese Journal of Limbo Waterproof Perimed Italia 65 Urgo 96 22 Acraf Angelini Acraf Angelini 22 Traumatology 234 Eurosets 7 Protectors 152 Pharmaday 215 Woundcheck 171 22 APR Applied Pharma Adtec Europe 94 CNAI 236 Farmaceutici Damor 135 Lindsay Leg Club Plurogen Therapeutics 133 Wounds International 153 Research Foundation 114 Advancis Medical 219 CNRS 164 Ferris 162 Quantifcare 166 Xsensor Technology 87 L-Mesitran 154 Coloplast 62 Fidia Farmaceutici 8 Republic of China (PRC) Lohmann & Rauscher 72 27 UAE 2020 Bid Frems Life 13 2020 Bid 242 AISLEC 74 Longterm Medical US 30 28 Fujiflm Visualsonics Frontier 47 Saluber 48 WUWHS Exhibitors AIUC 34 Convatec Mastelli 93 198 Fujiflm Visualsonics 28 Salvatelli 112 Numerical AMA 137 Medaxis 211 Sechrist Industries 32 1 ASA Anatomi Metrix 71 30 Longterm Medical US Service Med 182 2 Aranz Medical 31 Lifenet Health Andover Healthcare 67 Corios 134 Genadyne Medi 17 4 Genesi 32 Sechrist Industries APR Applied Pharma Covaleo International 227 Biotechnologies 235 Medskin Solutions 100 6 Chemviron Carbon Research 22 34 AIUC Covalon 61 Genesi 4 Mesi 54 Siare Engineering 11 7 Eurosets 35 MHP-Verlag Crawford Healthcare 190 Inotec AMD 43 MHP-Verlag 35 Sini-Medik Niederreiter 93 8 Fidia Farmaceutici 41 Enzysurge Curasonix 203 Integra Life Sciences 142 Milanpharma 21 Aranz Medical 2 Sirtes 174 9 DTF Medical 42 Deka Mela Daewoong Bio 52 ISPEW 193 Mimedx Group 144 Argentum Medica 207 Smith & Nephew 12 11 Centro Iperbarico 43 Inotec AMD Deka Mela 42 JWC 75 Misonix 191 ASA 1 11 Siare Engineering 47 Frontier DTF Medical 9 Mitsubishi 148 Bfactory Health 12 Smith & Nephew 48 Saluber Products 221 Elsevier 208 Moleculight 132 Sofar 58

8 ● Tuesday 27 September 2016 WUWHSdaily ● fickread.com/edition/WUWHS-Daily Exhibition ●

Exhibition Floorplan Venue Floorplan

228232234236 226 224 222 220 218 Brazil CNAI Thailand 2020 Bid 2020 Bid NPUAP Chinese Journal of Traumatology Venue

219 215 213 211 209 207 203 162 Advancis Neoplas Argentum Medical Pharmaday Tools Medaxis Medica Curasonix Ferris 178 174 172 168 166 164

Abigo Medical Sirtes Multimed Nutricia Quantif care CNRS

136 173 171 82 Entry Klox Technologies Abbvie Woundcheck Acelity 134 132

Corios Moleculight

100 137 135 133 92 Medskin Farmaceutici Plurogen Solutions AMA Damor Therapeutics 96 94 Adtec Save the date URGO Europe

58 93 91 50 87 42 Mastelli Laboratori B Braun Xsensor Sofar Sini-Medik Niederreiter Prevor Medical Technology Deka Mela 56 54 52 48 Daewoong Mesi Bio Saluber

12 47 43 41

Smith & Nephew Frontier Inotec AMD Enzysurge 8 642 3 March 2017 London Chemviron Aranz Fidia Farmaceutici Carbon Genesi Medical

Siare Engineering 17 13 11 97531 Centro DTF Medi Frems Life Iperbarico Medical Eurosets ASA

50 B Braun Medical 93 Sini-Medik Niederreiter 154 L-Mesitran 208 Elsevier 52 Daewoong Bio 94 Adtec Europe 162 Ferris 211 Medaxis 54 Mesi 96 Urgo 164 CNRS 58 Sofar 100 Medskin Solutions 166 Quantif care 213 Neoplas Tools 61 Covalon 102 Mölnlycke Health Care 168 Nutricia 215 Pharmaday 62 Coloplast 112 Salvatelli 171 Woundcheck 219 Advancis Medical 113 ETRS 172 Multimed Categories include: 114 Lindsay Leg Club 173 Abbvie 63 Euroresearch Foundation 174 Sirtes 221 Bfactory Health Products Innovation Best Clinical Research 132 Moleculight 178 Abigo Medical 224 NPUAP Patient Wellbeing Professional Education 65 Perimed Italia 133 Plurogen Therapeutics 181 Söring 226 Brazil 2020 Bid 67 Andover Healthcare 134 Corios 182 Service Med 227 Covaleo International Veteran and Military Wound Care Wound Assessment and Diagnostics 135 Farmaceutici Damor 228 Thailand 2020 Bid 71 Anatomi Metrix Effective Wound Bed Preparation, Compression Therapy for Venous and 72 Lohmann & Rauscher 136 Klox Technologies 234 Chinese Journal of Traumatology Infection and Biof lms Lymphatic Disorders 73 EPUAP 188 Errekappa Euroterapici 235 Genadyne Biotechnologies 74 AISLEC 190 Crawford Healthcare Cost-effective Wound Management Best Laboratory/Preclinical Research 137 AMA 191 Misonix 236 CNAI 75 JWC Pressure Care Best Research from a Developing Country 142 Integra Life Sciences 193 ISPEW 242 Republic of China (PRC) 2020 Bid 144 Mimedx Group 196 Thereson 244 3M Healthcare 148 Mitsubishi 198 Convatec 82 Acelity 247 TVS For more information about the UK’s most prestigious 87 Xsensor Technology 150 BSN Medical 91 Laboratori Prevor 152 Limbo Waterproof wound care awards visit www.jwcawards.com Protectors 93 Mastelli 203 Curasonix 153 Wounds International 207 Argentum Medical

WUWHSdaily ● f ickread.com/edition/WUWHS-Daily Tuesday 27 September 2016 ● 9 ● Around Florence Safer to be feared than loved: Machiavelli and the Medici In the 1949 British film noir of art. In this world, culture classic, The Third Man, was inseparable from power. Orson Welles’s character The greatest patrons quips that in fifteenth- of art and science of the century Italy ‘they had Italian Renaissance, perhaps warfare, terror, murder and in European history, were bloodshed, but they produced the Medici. The Medici Michelangelo, Leonardo da were a banking family who Vinci and the Renaissance’, rose to power in Florence while ‘In Switzerland they by undermining the city’s had brotherly love—they proud republican traditions. had 500 years of democracy Through lurid acts of and peace, and what did intimidation, treachery and that produce? The cuckoo murder, the Medici silenced clock.’ This encapsulates their rivals and made sure the enduring idea that that their own children the great scientific and would become queens and artistic achievements of popes. It was Medici money the Renaissance cannot be that built Florence’s Uffizi separated from a sordid (now a gallery, but originally backdrop of swaggering their ‘offices’—‘uffizi’ in mercenaries, scheming Italian), Boboli Gardens cardinals and unscrupulous and many iconic merchant bankers. churches and palaces, the Medici to a self-help guide for rulers, The Italy of the time was as well as funding the symbolise the arguing that their job is to divided between countless work of Donatello, lone hero defeating stay in power by any means competing city states. The Leonardo da Vinci and the dangerous chaos of necessary, and they should wealthiest families of these Fra Angelico. Cellini’s democracy, represented by be prepared to use bribery, cities would vie with one beautiful statue of the snake-haired Medusa. cruelty and deception to another to be seen to fund the Perseus in the Piazza No book captures this do so. The book gives such

most magnificent cathedrals, della Signoria was atmosphere like Niccolò notorious pieces of advice iStockphotos: alxpin / photooiasson alessandrostech universities and public works commissioned by Machiavelli’s 1532 as: it is only important to From left: Cellini’s statue of Perseus with the head of Medusa; a walk in work, The Prince. Often pretend to be a good person; the Boboli Gardens; Macchiavelli’s tomb in Santa Croce considered the father it is much safer to be feared Church of Palazzo Pitti and of modern political than loved; if you have to Alhough Machiavelli never would be a match for such a Santa Croce Boboli Gardens Piazza thought, Machiavelli hurt people, you should hurt was offered another job in great name.’ Piazza Santa Croce 16 de’ Pitti 1 was an out-of- them so badly that they government, to this day the You can walk the same Open 09.30–17.00 Open 08.15–18.50 work Florentine can never take revenge; word ‘Machiavellian’ is still corridors of power and soak (14.00–17.00 Sunday) (closed Monday) diplomat. He wrote and a ruler should know used to describe ruthless up some of the atmosphere Tickets €6 (full); €4 Tickets €8.50 (€4.25 The Prince as a kind when to play the lion, and political ambition. and history of Florence’s (reduced) reduced) of job application, when the fox. Machiavelli died in notorious golden age in Palazzo Medici Palazzo Vecchio in the hope that it The book was scandalous. 1527, aged 58. He is buried, the city’s Medici palaces, Riccardi Via Camillo Piazza della Signoria, would persuade one It was officially banned across alongside Michelangelo including the Palazzo Pitti, Cavour 3 50122 Firenze of Renaissance Italy’s Europe, yet wicked characters and Galileo, in the Church the Palazzo Vecchio and the Open 09.00–19.00 Open 09.00–21.00 many squabbling based on Machiavelli began of Santa Croce in Florence. Palazzo Medici Riccardi. (closed Wednesday) (09.00–14.00 Thursday) princes to employ him. appearing on the English A Latin epitaph on his Tickets €7 (€4 reduced) Tickets €10 (€8 reduced) The Prince reads like stage in Shakespeare’s time. monument reads: ‘No eulogy BEN WAKEFIELD

‘banco’ (the table from which padlocks and fixing them Bridge of ties: the Ponte Vecchio they traded) ‘rotto’ (broken) to monuments. This is by the local soldiers. Whether done with the notion that or not this is the true origin the lovers whose names are of the word has been lost written on the lock will, once to the annals of history, but the key is thrown into the it remains an interesting river, become bonded by the point—if nothing else, act, and these can be seen it is something to ponder across the world, from Paris while browsing the jewellers to Tokyo. Unfortunately, the and souvenir stands above weight of these padlocks the river. often has an adverse effect on There has been a bridge over The bridge also carries the architecture, and littering the Arno since Roman times, but Vasari’s elevated corridor is heavily discouraged; don’t add a lock: it could cost linking the Uffizi Palace anyone caught participating to the Medici residence in in this act will be subject to a One of the Ponte Vecchio’s Palazzo Pitti. 160 euro fine from the local

Gary Ashley / iStockphotos: majaiva most striking features is the As with many famous authorities. fact that, unlike many other landmarks, the Ponte Vecchio The best time to visit the Bridges have always been a recognised worldwide; in San the narrowest point of the famous bridges around the is steeped in recent history. Ponte Vecchio is around dusk. big part of the human story, Francisco, the Golden Gate River Arno in the city as far world, this one comes lined Fans of sculpture should keep The bridge is open 24/7 (with and have exerted a fascination Bridge is a source of local back as Roman times. While with a row of shops and an eye out for Benvenuto shops on the bridge usually throughout history. While pride and an amazing photo the modern bridge is not merchants. While this is less Cellini’s bust as they cross the open until late), but during at first glance a bridge may opportunity for anyone so part of the original structure common in the modern era, bridge. Florentine sculptor, this time of day, visitors can seem like a simple means to inclined. The Ponte Vecchio (it was last rebuilt in 1345, it was a normal sight during Raffaello Romanelli, was enjoy an evening passeggiata an end—crossing a body of is the focus for anyone who after being swept away the bridge’s earlier years. commissioned to produce (stroll), or practise their water—anyone who stops loves seeing what happens multiple times), it certainly These shops, supported by this bronze portrait in 1900 photography at one of and pays attention will see when a feat of engineering is a window into the city’s the three arches spanning to honour the memory of the the most picturesque parts that, in major cities at least, meets a work of art. past. The Ponte Vecchio is the the width of the Arno, are great Florentine sculptor and of the city. a bridge goes far beyond the Given that ‘Ponte Vecchio’ only bridge in Florence not said to be where our concept master goldsmith. NIC BUNCE banks of the river it straddles. translates as ‘old bridge’, it is destroyed during the Second of bankruptcy came from, One modern phenomenon In London, Tower Bridge is little surprise to learn that World War, allegedly because in that traders who could seen at Ponte Vecchio is Address: Via Por Santa an iconic piece of architecture there has been a bridge at Hitler liked it. not pay their way had their the custom of writing on Maria/Via Guicciardini

10 ● Tuesday 27 September 2016 fickread.com/edition/WUWHS-Daily ● WUWHSdaily Around Florence ● Florence’s foremost attraction: Cattedrale di Santa Maria del Fiore You’re spoilt for choice when it comes to places to visit in Florence, particularly if you’re interested in beautiful, historic buildings. Perhaps one of the most iconic landmarks in the city is the Cattedrale di Santa Maria del Fiore (Cathedral of Saint Mary of the Flowers), a vast gothic structure, built on the site of the 7th century church of Santa Reparata, the remains of which can be seen iStockphotos: JannHuizenga in the crypt. When the Cathedral’s famous dome was being built, architect Brunelleschi wouldn’t let the workers go down Italian sculptor and for their lunch break, saying the return trip would exhaust them, so he had food and wine brought up to them architect Arnolfo di Cambio started building peninsula. There is also the notable for its 44 stained ‘the Gates of Paradise’. the cathedral (‘duomo’ in Equestrian Monument of glass windows, depicting The Cattedrale di Santa Italian) at the end of the Niccolò da Tolentino by saints from both the bible’s Maria del Fiore is one of 13th century. The ornate an amazing view of Florence, of Florence, the work depicts early-Italian Renaissance New and Old Testament. The Florence’s most popular dome, which dominates the but you will also pass Giorgio Hell, Mount Purgatory, the master Andrea del Castagno. windows are work of some tourist attractions and no stay exterior, was added in the Vasari’s famous fresco, The earthly Paradise and the In addition to the of the greatest Florentine in the city would be complete 15th century, designed by Last Judgment, up close. celestial spheres. extensive collection of art, artists of their time, such as without a visit! one of the founding fathers The Cattedrale di Santa Interestingly, the painting other points of interest are Donatello, Lorenzo Ghiberti, Entrance to the Duomo of the Renaissance, Filippo Maria del Fiore is home to is referenced by Dan Brown’s the huge, one-handed clock Paolo Uccello and Andrea del itself is free, which may Brunelleschi. Statues of these many works of arts, including protagonist, Robert Langdon, above the entrance on the Castagno. explain the long queue key Italian architects can be Domenico di Michelino’s ‘La in his novel, Inferno. inside of the church. This was Outside the Duomo is its for entry. Admission to all found outside the cathedral. commedia illumine Firenze’ Other frescoes of interest designed in 1443 by Paolo Baptistry, built between 1059 5 monuments in Piazza The dome (‘cupola’ in (‘Comedy illuminating are the Funerary Monument Uccello in accordance with and 1128. It is renowned for Duomo (cupola, bell tower, Italian) itself is spectacular. Florence’). The painting to Sir John Hawkwood the ora italica, where the its three sets of artistically baptistry, crypt, and Duomo Once you’ve viewed it from shows the greatest Italian by Paolo Uccello, which 24th hour of the day ends at important bronze doors with museum) is 15 euro. outside, you can then climb writer, Dante Alighieri, and features soldier-for-hire sunset. The clock still works relief sculptures. The east LAURAN ELSDEN the 463 steps to the top of the his masterpiece, The Divine (‘condottiere’) Hawkwood, today. doors by Lorenzo Ghiberti cupola. Not only will you get Comedy. Along with the city who fought in the Italian The cathedral is also were dubbed by Michelangelo Address: Piazza del Duomo

Vevo MD: why seeing more matters Fujifi lm VisualSonics has designed Vevo MD, the world’s fi rst ultra high- frequency ultrasound imaging system that uses cutting edge technology to allow health professionals to visualise tiny anatomy that is not visible using conventional ultrasound. It is useful for imaging neonatal patients, using on tiny lesions or looking at subtle changes in blood fl ow. The system can be used for neonatology To know more join our Satellite Symposium, and paediatrics, vascular TODAY, Giotto Hall @12.15 (lunch offered) assessment, visualising anatomy such as nerves, thyroids and lymph nodes, musculoskeletal imaging and dermatology. Valentina Dini, assistant professor at the department of dermatology, University Valentina Dini: quality of the images is very innovative of Pisa, says the ultrasound system they usually use the wound bed. This can diagnoses between benign has a lower frequency of allow health professionals to lesions and melanoma. 20 MHz. In contrast, the Vevo ‘differentiate more clearly ‘The quality of the images MD has higher frequency between granulation tissue produced by Vevo MD is and therefore can analyse and devitalised tissue’, very innovative in its fi eld,’ the epidermis, dermis and she says. concluded Dini. structure of the skin, in Dini explained that: ‘The particular follicles and small device can be used across To fi nd out more about vessels in the dermis. several dermatological fi elds Vevo MD, visit the According to Dr Dini, including infl ammatory skin Fujifi lm VisualSonics one application for this diseases such as psoriasis and team at stand 28 and new product is for wounds atopic dermatitis, and the www.visualsonics.com and tissue repair. Using this images produced allow health device, health professionals professionals to monitor skin are able to look at the wound alteration. The device could edges and the structure of also be useful for differential

WUWHSdaily ● f ickread.com/edition/WUWHS-Daily Tuesday 27 September 2016 ● 11 ● News

Ostomy wound and TVS: focused on tissue viability continence care in Brazil

Sociedade (JWOCN Editorial Brasileira de Board); National Pressure Estomaterapia or Ulcer Advisory Panel SOBEST, the (NPUAP) (SOBEST Brazilian representative) and Latin Association of American Association Enterostomal of Pelvic Floor (ALAPP) Therapy, was (Executive Board). founded in 1992. Besides national It is a scientifi c conferences, SOBEST also multidisciplinary Visit the SOBEST website: http://www.sobest.org.br/ promotes and supports association which local meetings and aims to contribute to the with WCET has been symposia. technical and scientifi c active since SOBEST’s The association has development of its members foundation through launched the ET/WOC and health professionals, sending an international Nursing Week (October based on the best scientifi c delegate to WCET since 25-31) and the National ET/ evidence, in the care of 1992 and by its active WOC Research. One of the patients with stoma wound membership in WCET most important SOBEST The annual conference is the Tissue Viability Society’s largest single are of activity and continence care needs. committees (education, legacies is the Brazilian During its 24 years of Norma N Gill Foundation Journal of Enterostomal The Tissue Viability Society allow members to attend underpins the core values existence, SOBEST has (NNGF), publications and Therapy; Estima Journal, (TVS) is a UK-based charity national/international by promoting membership been promoting national/ communication), and the the fi rst and only scientifi c dedicated to all issues of conferences engagement, excellent international biennial WCET Journal editorial journal related to the tissue viability. ● Implemented new projects education, scientifi c content congresses, jointly with board. three areas of ET/WOC The TVS aims to specifi cally to address and much more! Next year’s other Latin American In 2011, SOBEST was nursing in Latin America improve outcomes for areas of membership conference is being held 5-6 countries in 1994, 1997 and certifi ed by WCET to obtain (CINAHL/ EBSCO/ people with wounds by concern April 2017, at Edgbaston 2001, and with Portugal automatic recognition of CUIDEN/ LATINDEX/ sharing information, ● Supported the Wounds Stadium, Birmingham, (2007). Other conference its Brazilian Enterostomal ULRICHSWEB/ REHIC/ promoting research and Research Network England. partners include: Brazilian Therapy Nursing Education CLASE). increasing the awareness of (WReN) – an initiative The TVS also Nursing Association – Programs (ETNEPs), which SOBEST has been all aspects of good clinical to bring together those communicates effectively ABEN; Brazilian Nursing numbered 16 around the participating in health practice in wound care. involved in wounds with non-members through Council – COFEn; Brazilian country by 2016. policies at municipal, state As a membership society, research sharing information via Dermatology Nursing SOBEST has also been and federal levels. At the we speak on behalf of our ● Published its own journal, website and social media, Association – SOBENDE; working together with other moment, SOBEST focuses members in order to raise Journal of Tissue Viability hosting regional study days Brazilian Coloproctology international organisations, mainly on support to ET/ the profi le of tissue viability (JTV), which members as well as attending other Society – SBCP; Brazilian such as WUWHS (as WOCN education and within the UK and the receive free wound-care conferences, Burns Association – Supporting Society since research in Latin-American Department of Health (DH). ● Arranged workshops on both in the UK and SBQ; Brazilian Urology 2008); International countries. To this end, the society has: writing for publication, to internationally. Association – SBU). Continence Society (ICS) ● Worked with NHS encourage members to get For the fi rst time in a (international educational Professor Vera Lucia England and the their work published and Website: http://tvs. Latin-American country, courses in 2013 and Conceição de Gouveia DH to improve their support the JTV. org.uk/ SOBEST hosted the 2015; supporting society Santos, understanding of the The TVS’s largest single 15th World Council of during ICS 2014; Nursing CETN Director, impact of their policies area of activity is its annual Enterostomal Therapists Committee); Wound SOBEST International ● Collaborated with other conference. Each year it aims (WCET) biennial congress, Ostomy and Continence Relationships organisations to link the conference with in 2004. Its partnership Nursing Society (WOCN) Department ● Awarded sponsorships to themes that have arisen and

WUWHS clinical report: Innovations in Hard-to-Heal Wounds Hard-to-heal or stalled Along with These TNuovo Report che includono valutazione, sempre maggiori diffi coltà wounds remain a signifi cant ConvaTec changes Clinico del diagnosi e trattamento. con cui si confrontano i problem for clinicians and scientists Phillip can in turn WUWHS sulle Il report presenta anche sistemi sanitari per pagare i healthcare systems around Bowler and promote gli ultimi sviluppi nella bisogni di una popolazione the world. Numerous factors Daniel Metcalf, improved innovazioni nella Tecnologia Hydrofi ber, che tende sempre più may impact on the complex Jennifer Hurlow, symptom cura delle lesioni in particolar modo la più all’invecchiamento, le and multifaceted process of certifi ed wound management diff cili da guarire recente combinazione con strategie innovative wound healing. Recently, specialised nurse and better Le lesioni cutanee i componenti sinergici che contribuiscono alla the role of biofi lm has practitioner healing diffi cili da guarire, o che non antibiofi lm delle medicazioni valutazione e alla gestione gained recognition, due to and board outcomes, progrediscono, continuano AQUACEL Ag+, e le evidenze delle lesioni diventano the infl uence it can have on director of the which will give a porre sfi de considerevoli ai cliniche a supporto. essenziali. Questo documento wound-healing outcomes. Association rise to reduced professionisti della salute e Fra gli autori del mette in luce i recenti In this recently published for the cost of care and ai sistemi sanitari in tutto il documento c’è Jennifer sviluppi che possono ispirare report, authors Roberto Advancement better quality of mondo. Sono molti i fattori Hurlow, Infermiera cambiamenti nel nostro Brambillo, Jennifer Hurlow, of Wound Care, has been life for our patients.’ che infl uenzano il complesso Professionale, Specialista approccio alla cura delle Stephen Landis and Randall shortlisted for the inaugural To pick up a copy in English e poliedrico processo di di Riparazione Tessutale lesioni. Questi cambiamenti Walcott help the reader JWC/WUWHS awards or Italian, come and visit guarigione delle lesioni e, e membro del Board of possono a loro volta understand how to recognise tonight, for their work ConvaTec at stand 198. recentemente, al biofi lm è Directors per la Association promuovere una migliore hard-to-heal wounds and on wound biofi lm. She stato riconosciuto un ruolo Advancement of Wound gestione dei sintomi e then discuss some innovative commented, ‘As wound Brambillo R, Hurlow J, signifi cativo come elemento Care. Jennifer - che insieme migliori esiti di guarigione, strategies, including prevalence increases and Landis S, Walcott R (2016) che può impattare sull’esito agli scienziati ConvaTec da cui dipenderanno la assessment, diagnostics and as systems struggle to pay Innovations in hard-to-heal della guarigione delle lesioni. Phillip Bowler MPhil riduzione dei costi di management. Their review for the healthcare needs wounds. WUWHS. Final In questo documento e Daniel Metcalf PhD, trattamento e l’aumento della includes developments in of ageing populations, Stages. recentemente pubblicato, gli è stata selezionata fra i qualità di vita dei pazienti.’ Hydrofi ber technology, innovative strategies to autori Roberto Brambillo, vincitori del premio JWC Presso lo stand ConvaTec especially its recent aid wound assessment and Jennifer Hurlow, Stephen WUWHS nell’odierna serata N. 198 sono disponibili combination with synergistic management are critical. Landis e Randall Walcott inaugurale, per il suo lavoro copie del documento in antibiofi lm components This report highlights aiutano i lettori a capire come sul biofi lm delle lesioni, italiano e in inglese. in Aquacel Ag+ dressings, recent developments that riconoscere le lesioni diffi cili - ha commentato: ‘Con and the supporting clinical can inspire changes in our da guarire e descrivono alcuni l’aumento della prevalenza evidence. approach to wound care. innovativi approcci strategici di lesioni cutanee e le

12 ● Tuesday 27 September 2016 f ickread.com/edition/WUWHS-Daily ● WUWHSdaily Game plan and News ● Name that fl ag! Wound Healing Society’s The fl ags below represent a selection of nationalities present international outreach at WUWHS 2016. Can you identify each fl ag? Tweet a photo the WUWHS, including the present and many past of your answers to @WUWHSDaily or bring a paper version to presidents and members JWC Stand 75, to enter the prize draw for a bottle of bubbly! of the board. More than 20 WHS members will either speak and/or co-chair sessions here in Florence and will share their expertise in the innovative basic and translational research in the management of skin wounds Adobe Stock / SeanPavonePhoto The 2017 WHS annual meeting will take place in San Diego in 18 different sessions. The WHS has a long- The Wound Healing Society foster the development of standing tradition not (WHS) is a non-profi t future leaders in wound- only for supporting the organisation composed of healing research, network WUWHS organisation, basic researchers, clinical with colleagues, establish new but also for engaging the scientists and wound-care collaborations, reconnect international community in specialists and its mission is with old friends, and its organisation. WHS has to improve wound healing hopefully, make new ones! a dedicated international outcomes through science, Our next annual meeting is to relations committee, which professional education, and be held 5-9 April 2017, in San focuses on expanding and communication. Established Diego, California. building relationships with in 1989, WHS has since The WHS promotes wound healing communities become known both interactions among scientists, worldwide. During each nationally and internationally clinicians, wound-care WHS annual meeting, one as a premier scientifi c practitioners, industrial plenary session is dedicated organisation focused on representatives and to feature a society or an wound-healing research government agencies and is organisation from a different and education. The society’s open to individuals who have country (or a continent) journals, Wound Repair and a broad interest in advancing in the WHS international Regeneration and Advances the fi eld of wound healing. session. We are excited in Wound Care are leading The WHS presently has close to announce that for the journals in their discipline. to 600 active members in WHS 2017 programme this The WHS Annual Meeting the US and other countries, international session will is held jointly with the including many of the leaders feature WUWHS. This will Symposium on Advanced in basic and clinical wound- provide an opportunity Wound Care (SAWC). It aims healing research and future for the WHS membership to share the latest in wound- leaders in the fi eld. to learn more about the healing research, discuss As always, WHS will WUWHS organisation innovative technologies, have a strong presence at and get updated about the develop new initiatives, the 5th World Congress of WUWHS 2016 meeting.

Spot the logo solution Is it time to reappraise working practices and Answer 9 Advancis medical equipment provision within emergency departments? 1 Smith and Nephew 10 Limbo With an ever-increasing that underpin the published 2 Medaxis 11 BSN Medical and changing worldwide Essence of Care Benchmarks, 3 Molnlycke 12 Lohmann & Rauscher population, both in terms of which include Pressure Ulcer 4 APR 13 Service Med numbers and demographics, Prevention, within the UK, 5 Convatec 14 MiMedx it could be argued that all for example (Department 6 Klox Technologies 15 Chemviron Carbon practitioners working in of Health, 2010), but also in 7 Coloplast emergency departments Italy and the US. Strategies need to reappraise some of to improve relevant patient 8 JWC their working practices and outcomes that include And the equipment provision, in educational and clinical WUWHS order to take account of the initiatives will be discussed Daily prize changing needs of an ever- and questions from the of a bottle of ageing population. While it is audience will be encouraged. bubbly for the f rst correct accepted that the main focus Mark Collier solution of emergency healthcare Adobe Stock / Spotmatik goes to: practitioners is to investigate References Ria Betteridge the reason why a patient within generalist healthcare of visits to x-ray departments Danby A, Rowlands A has arrived and to ‘keep the settings (Defl oor and Clark, as part of the diagnostic (2010) Stop them at the patient alive’ while in the 2005). Furthermore, it has process—and that as many as front door: should a pressure Crossword solution emergency department, it also been acknowledged that 92% of patients who go on to ulcer prevention protocol be ACROSS DOWN could also be argued that the a pressure ulcer can start develop an HAPU have had a implemented in the emergency 5 Biofi lm 1 Wound patient’s changing needs for to develop within 2 hours stay of more than 2 hours in department? J Wound 6 Debride 2 Heal greater skin protection—and, if the patient is immobile, the emergency department. Ostomy Continence Nurs 8 Maggot 3 Patient in particular, pressure ulcer for example, further to a An interesting workshop 37(1): 35–8. doi: 10.1097/ prevention—also have to be fractured neck of femur, that is taking place in the WON.0b013e3181c68b4b 10 Pressure 4 Compassion properly addressed. and/or if they are being Botticelli Hall on Tuesday Defl oor T, Clark M, 13 6 Necrosis Dressing It has been reported nursed on a mattress with no 27 September (14.00-15.30) Witherow A et al (2005) 15 Infect 7 Bleed that 1 in 20 patients who pressure-reducing properties entitled ‘Dilemmas from the EPUAP Statement on 9 Tissue are admitted to hospital (Danby and Rowlands, 2010). Emergency area’ will report prevalence and incidence 11 Exudate with an acute illness will This information should be on a number of dilemmas monitoring of pressure ulcer 12 Ulcer develop a pressure ulcer particularly of relevance in that face emergency occurrence. J Tissue Viability 14 Chronic (Royal College of Emergency view of the fact that local practitioners today and the 15(3): 20–7 Medicine (RCEM), 2012) UK data would suggest that balances that need to be Department of Health And the WUWHS Daily and that prevalence rates for patient stays within the considered when planning (2010) Essence of Care: prize of a bottle of hospital-acquired pressure emergency department are care in light of advanced Benchmarks For Prevention bubbly for the f rst ulceration (HAPU) can range usually up to 4 hours prior to trauma life support (ATLS) and Management of Pressure correct solution goes to: from between 12% and 22% admission—taking account principles and the principles Ulcers. DH, London Daniëlle Declercq

WUWHSdaily ● f ickread.com/edition/WUWHS-Daily Tuesday 27 September 2016 ● 13 ● News

European Pressure Ulcer AIUC: an association in motion Advisory Panel: together At the stand of AIUC Associazione cutanee presso il proprio (Associazione Italiana Ulcere Italiana Ulcere domicilio. for pressure ulcer Cutanee), the Italian Skin Tutti i report sono Ulcers Association, you will Cutanee: contenuti in un’unica prevention and treatment be able to pick up four im- Un’Associazione pubblicazione edita da AIUC. portant scientifi c contribu- in movimento Inoltre troverete tutte le tions to the fi eld of research Presso lo stand informazioni riguardanti in wound care, promoted by dell’Associazione Italiana le iniziative di AIUC per AIUC, a Hosting Society of Ulcere cutanee (Hosting l’ingresso del wound care nei WUWHS 2016: information regarding AIUC Societes di WUWHS 2016), è livelli essenziali di Assistenza ● Report on our ISU initiatives for introducing possibile ritirare 4 importanti del Sistema Sanitario (Italian skin ulcer) project wound care at the key levels contributi scientifi ci Nazionale Italiano. (SIUC—Studio Italiano of the Italian National Health nell’ambito dei progetti di Uno dei principali obiettivi Ulcere Cutanee), the most Care System. ricerca promossi da AIUC. per i prossimi anni di important epidemiological One of AIUC’s main ● Report sullo progetto AIUC è quello di riuscire study conducted in Italy objectives for the coming SIUC (Studio Italiano ad estendere il progetto on wound care years is to be able to extend Ulcere Cutanee) . Il più SIUC in altri Paesi ● The project, Quality the SIUC project to other importante studio di tipo appartenenti all’Unione of Life in Wound Care, European Union (EU) epidemiologico condotti Europea, con il preciso scopo

Adobe Stock / surangaw which evaluates the countries, with the express in Italia sul Wound Care di sensibilizzare i livelli EPUAP 2017 will take place in Belfast socioeconomic condition purpose of raising awareness ● Il Progetto Quality of istituzionali comunitari, of the patient suffering in the EU institutional Life in Wound care che per il pieno riconoscimento Our 20th Anniversary in particular through from skin ulcers—the establishment, for full EU- ha valutato lo stato socio in tutta EU dei diritti dei The European Pressure Ulcer research and the education fi rst study of its kind wide recognition of the rights economico e culturale del pazienti affetti da ulcere Advisory Panel (EPUAP) of the public and by conducted in Italy of patients suffering from paziente affetto da ulcere cutanee. Per questo presso lo was established in London infl uencing pressure ulcer ● Report on Surgery, skin ulcers. Those interested cutanee. Il primo studio stand troverete una scheda in December 1996, to lead policy in all European conducted among our in joining this project will nel suo genere condotti in adesioni. La successiva tappa and support all European countries towards an associates, to assess the fi nd an enrolment form at Italia sarà la costituzione di un countries in the efforts to adequate patient-centred level of knowledge of our stand. The next step will ● Report sulla Surgey, board internazionale per la prevent and treat pressure and cost-effective pressure procedures and drugs used be the establishment of an condotta tra i soci gestione di tutto le fasi del ulcers. At its inaugural ulcer care. for the treatment of pain international board for the nostri soci, per valutare progetto. meeting in London, which Since its establishment, ● Report on Surgery, management of all phases il livello di conoscenza Inoltre il progetto può essere included experts from EPUAP has developed and conducted among our of the project. Furthermore, su procedure e farmaci esteso ad altri Paesi (extra many European countries, sustained a wide range of associates, on the use the project may be extended utilizzati per la terapia del EU) nell’ambito di progetti the group of 20+ agreed activities, with a focus on of e-Health systems for to other countries (outside dolore di collaborazione scientifi ca. its mission statement and pressure ulcer education, patients with skin ulcers in the EU) in the context of ● Report sulla Surgey, Vi Aspetto elected the initial executive research and awareness home care. collaboration projects. condotta tra i soci nostri presso lo stand board and trustees. campaigns. All four reports are con- I look forward to meeting soci sull’utilizzo di AIUC. The EPUAP mission tained in a single publication, you at the AIUC stand. metodiche telematiche statement is: In 2017, the EPUAP issued by AIUC and available riconducibili a sistemi di Francesco ● To provide the relief of Annual Meeting is due to at WUWHS 2016. Francesco Petrella, e- Health, nella gestioni di Petrella MD persons suffering from, or be held in Belfast, Northern You will also fi nd all the President, AIUC pazienti affetti da ulcere Presidente, AIUC at risk of, pressure ulcers, Ireland.

Expanding about compression Management of extravasation The International injuries for neonates Compression Club (ICC) is Visit the a scientifi c society whose ICC website Dr. Timothy King from 2pm, he will members, particularly for more is a NIH- and NSF- discuss the management experts in compression information funded paediatric of extravasation in the therapy, come from the including past plastic surgeon at the neonatal intensive care unit medical fi eld and the and future University of Alabama (NICU). IV extravasations industries producing activities and at Birmingham and are a common problem in materials and medical education the Children’s of hospitalised neonates and devices dealing with tools Alabama Hospital children, with an incidence of compression therapy (CT). (the third largest between 11 and 28% and up The goal of ICC is well knowledgeable about the in the ICC website (see children’s hospital in to 50% of the extravasation defi ned: to increase merits of good compression. below). In addition to its the USA). His clinical injuries occurring in the awareness on compression This is diffi cult, because own activity, ICC organises practice concentrates NICU. Therefore, it is therapy, which is an the arguments in favour joint scientifi c sessions on plastic and important for practitioners extremely effective treatment of CT are more based on or workshops together reconstructive to be able to recognise, treat, modality but whose effi cacy experience than on science, with other societies, when surgery in infants, and ideally, prevent these is frequently underestimated and universally accepted requested, trying to spread children, and adults. injuries from occurring. or neglected. There are standards are vague or non- the knowledge of CT. He developed an As the tissue toxicity of the important areas in medicine existent. In order to reach its This year’s meeting, on interest in pediatric extravasated fl uid varies in which CT could be goal, ICC is an open society Sunday September 25, is wound care through his therapy that based upon the offending benefi cial to patients, and everybody interested organised as part of the clinical practice. King says: could be very benefi cial to agent, a singular approach but is not used because in CT, from the clinical conference of the World ‘Seeing infants and children an adult could harm, or even to the management of these of lack of knowledge of fi eld or from industry, Union of Wound Healing with complex wounds, and, kill a neonate. Unfortunately, wounds is not effective. the prescribers. There may become a member. Societies in Florence, and in some cases, having no little research has focused Rather, the treatment should are areas in which CT ICC has organised annual will focus on innovations in simple solution to their specifi cally on pediatric be customised to counteract has no tradition and is scientifi c meetings since compression therapy. At the problem, inspired me to wounds.’ His NIH-funded the effects of the extravasated unknown to patients who 2006 whose outcomes are end of the meeting, the new focus my research efforts lab is working to develop fl uid/medication. The could profi t from it. Only published in well-known ICC board and advisory on regenerative therapies a ‘smart’ dressing that session will give delegates a few medical indications international journals. The board will be elected. that could help these will stimulate wounds to an understanding of the risk for CT are endorsed by published ICC consensus More information about patients heal faster, with less heal faster. This bioactive factors, signs and symptoms evidence-based medicine. papers—on topics ranging the ICC and its activities is surgical intervention and hydrogel-based therapy could and treatment guidelines Therefore, it is necessary to from indications for available on our website: less scarring. Children and improve the lives of millions for extravasation injuries. In convince the vast group of compression therapy to www.icc- infants respond to many of patients across the world. addition, methods to reduce medical people who are not compression trials for arm compressionclub.com therapies differently to As part of the workshop and prevent these injuries specifi cally interested in or lymphedema—can be found adults. Since their physiology on neonatal wounds, taking from occurring will also be is different from adults, a place in the Hall Caravaggio discussed.

14 ● Tuesday 27 September 2016 f ickread.com/edition/WUWHS-Daily ● WUWHSdaily News/continued from cover ●

News continued from cover Wound management in Korea: ALLEVYN LIFE’s performance in wound care and prevention connecting with others to improve care In most dressings, a red to prove the outcomes,’ find out more about spot appeared in the screen explained Gisele Chicone and this dressing. whenever pressure was Michele Neves Brajao Roche, applied. The colours in two nurses from Brazil. References: ALLEVYN LIFE’s screen were ALLEVYN LIFE has a Joy H, Bielby A, Searle R always around the blue scale, five-layer construction and (2015) A collaborative project which showed the dressing’s redistributes pressure (in to enhance efficiency through capacity for redistribution vitro). ALLEVYN LIFE can dressing change practice. J of pressure. contribute to a pressure ulcer Wound Care 24(7): 312–7. ‘I use Mepilex Border, but prevention protocol and Stephen-Haynes J, Bielby didn’t know the difference reduce the risk of pressure A, Searle R (2013) The clinical in pressure distribution was ulcer formation. A study by performance of a silicone Members of KSWM lok forward to meeting fellow wound care professionals from around the world at WUWHS so big when comparing it to Swafford et al (2016) showed foam in an NHS community other dressings. I was very the number of hospital- trust. Journal of Community The Korean Society for and interchange. Scientific A special relationship has impressed by what I saw and acquired pressure ulcers Nursing 27(5): 50–59 Wound Management meetings are held every year developed between the would consider switching to decreased by 69% in an adult Swafford K, Culpepper (KSWM) is a in March. Wound academies community service members ALLEVYN LIFE,’ said Ana ICU when a prevention R, Dunn C (2016) Use of multidisciplinary society, that are aimed at training and the ‘Eunpyung Village’, Villegas Castillo, a specialist programme that included a comprehensive program which was founded to of the members are offered a shelter for homeless and nurse in Spain. ALLEVYN LIFE to reduce the incidence of exchange experiences and for three different levels disabled people in Seoul, ‘It was very interesting was implemented. hospital-acquired pressure ideas from experts with (beginner, intermediate, after years of regular visits to see how pressure is If you have missed ulcers in an Intensive Care different experimental or and advanced) each year and wound care. distributed in different the demonstrations on Unit. Am J Crit Care 25(2): clinical backgrounds, with a in the summer. Education KSWM has an earnest dressings. We would like ALLEVYN LIFE, visit Smith 152–5 common interest in wound symposia are held in the interest in exchange to see more clinical studies & Nephew on booth 12 to healing. Members include winter. The society issues with other national and physicians and surgeons, a journal, the Journal of international wound nurses, and researchers. The Korean Wound Management societies. The KSWM society started in 2002 as a Society, twice a year. It is board members have been research association. On 1 a peer-reviewed journal participating actively in the March 2005 the association and it accepts papers both WUWHS and the EWMA members founded The in Korean and English. meetings both in the form of Korean Society for Wound An electronic submission a Korean Session within the Management. Since then system is currently under conferences and individually the society has earned a construction, which is with their scientific works for nationwide reputation as the scheduled to accept papers many years. KSWM is very leading body of competence for the November issue soon. much looking forward to in wound care. The five Members of the community connecting to more people pillars of the society are service committee are very around the world on the scientific meetings, education, active in providing wound WUWHS 2016 meeting research, voluntary work, care for patients in need. in Florence!

SEE YOU AT All-singing, fag-throwing extravaganza opens WUWHS 2016 THE ABSTRACT Wound care societies from all over the throwers, who led everyone out into the PAVILION TODAY world, from Buenos Aires to Rome, Cardiff warm Florentine evening to watch a cultural AT 6PM FOR THE to Miami sent their congratulations and display of flag-throwing. RISING STAR best wishes to Professor Romanelli before CEREMONY! the audience was treated to a spectacular With WUWHS 2016, ushered in with performance from the choir of the University Italian style, let us know what you think of Pisa. Then in came the Italian flag- @WUWHS Daily BIO SPRAY / PAD Equine collagen Caring for Wounds

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EuroResearch_WUWHS_A3_day2.inddUntitled-2 1 1 26/09/2016 12:5426/09/2016 12:54 WUWHSdaily ● fickread.com/edition/WUWHS-Daily Tu e s d ay 27 September 2016 ● 15 2016 DAY 2 Programme: Tuesday, 27 September fickread.com/edition/WUWHS-Daily

HALL RENAISSANCE HALL HALL HALL HALL HALL HALL HALL HALL HALL Time (PLENARY HALL) MICHELANGELO BRUNELLESCHI BOTTICELLI CARAVAGGIO LEONARDO GIOTTO DONATELLO MASACCIO RAFFAELLO 07.00– REGISTRATION 03.30

08.00– Oral Associazione Italiana Focus session Quality of life Wound biopsy Management Role and indication of HBOT in Fractional epidermal skin WUWHS General Assembly Oral 08.45 communications Ulcere Cutanee (AIUC) TBD in pressure ulcers Speaker: Piero Fanti (Italy) of open abdomen Speaker: the management of non-healing grafting Speaker: Agata I communications (session 2A) Italian Association Speaker: Christina Lindholm Francesco di Marzo (Italy) wounds Speaker: Daniel Janowska (Italy) 07.30–09.00 (session 2B) of Skin Ulcers (NPO (Sweden) Mathieu (France) Annual Meeting) 08.45– Challenges of the 09.00 expanded chronic care model in the 09.00– wound care in Biologics in wound healing Health economy in wound Ischemic diabetic foot & limb Pediatric wounds Chair: Extracellular matrices: Wound healing Compression therapy for 11.00 Italy Chairs: GV Chair: Paolo Romanelli (USA) management Chair: Matthias salvage: matter of timing, Guido Ciprandi (Italy) Co- treatment strategies Chair: in the lab leg ulcers–basic session Corona, P Fanin, A Co-Chairs: Jerry Bagel Augustin (Germany) Co-Chairs: revascularization and foot care Chairs: Sundeep G Keswani Gerit Mulder (USA) Co-Chairs: Co-Chairs: Giulio Gabbiani (principles and practical Frasca, F Giacinto, P (USA), Valentina Dini (Italy) Giuseppe Turchetti (Italy), Kathryn Chair: Giacomo Clerici (Italy) Co- (USA), Giorgio La Scala Magnus Ågren (Denmark), Thomas (Switzerland), Dimitris Kletsas session) Co-Chairs: Longobardi, S Remafedi Speakers: Asfaneh Alavi Vowden (UK) Speakers: José Chairs: Robert Frykberg (USA), Luigi (Switzerland) Speakers: E Serena (USA) Speakers: (Greece) Speakers: Giovanni Giovanni Mosti (Italy), Hugo Speakers: F (Canada), Angelo V Marzano Contreras-Ruiz (Mexico), Robert J Uccioli (Italy) Speakers: Christopher Sadanori Akita (Japan), Robert Michele Fimiani (Italy), Cristina Abatangelo (Italy), Ardeshir Partsch (Austria) Speakers: Campitiello, C Falasconi, (Italy) Rising star: Andrea Snyder (USA), Matondo Georges Attinger (USA), Joseph Mills (USA) S Kirsner (USA) Rising star: Magnoni (Italy) Rising star: Bayat (UK), Stephen C Davis Joseph Caprini (USA), C Favaro, M Fornaciari, Chiricozzi (Italy) Balenda (South Africa) Rising star: Paolo Cortese (Italy) Serena Crucianelli (Italy) Penny Louise Hever (UK) (USA), Robert Diegelman (USA), Josefin Damm (Sweden), A Greco, I Lo Castro, M Elof Eriksson (USA) Keith Harding (UK), Susan 11.00– Masina, G Nebbioso, Nørregaard (Denmark) 11.15 F Petrella, S Pillon, P Secreto, ML Veneziano 11.15– Pyoderma gangrenosum and 12.00 the inflammasome Speaker: Lars French (Switzerland)

12.00– 12.15

12.15– Position document session Parallel sponsored Parallel sponsored Parallel sponsored symposium Parallel sponsored symposium (Mimedx) Parallel sponsored symposium Parallel sponsored symposium Parallel sponsored 13.00 (Abbvie) Hidradenitis symposium (Molnlycke symposium (Smith & (Integra Life Sciences) Recent The dynamic impact of (Fidia Farmaceutici) The (Aplied Phrama Research) symposium suppurativa: a position Healthcare) The need Nephew) Driving to zero: regenerative medicine Epifix® amniotic membrane Hyalo4 project in wound Revisiting wound cleansing: (Deka M.E.L.A.) document on wound for consensus. reducing the incidence perspectives in the allografts Chair: Severin Läuchli care Co-Chairs: Carlo modulation of wound Laser-assisted management Chair: Marco Doing everything of avoidable pressure treatment of hard-to- (Switzerland) Speakers: Thomas Caravaggi (Italy), Cornelia microenvironment wound Romanelli (Italy) Speakers: possible to prevent ulcers Chair: Mark Collier heal wounds Speakers: E Serena (USA), Matthew Garoufalis Erfurt-Berge (Germany) Chair: Elia Ricci (Italy) treatment Chair: Afsaneh Alavi (Canada), Valentina pressure injuries: (UK) Speakers: Molly Salmon Ferdinando Campitiello (Italy), (USA) Speakers: Carlo Soranzo Speakers: Jacqui Fletcher (UK), Nicola Zerbinati (Italy) Dini (Italy), Robert S Kirsner (USA), Check, Detect, Act (USA), Jeanine Frumenti (USA) Giacomo Clerici (Italy), John C (Italy), Stefano Gasperini (Italy), Sebastian Probst (Switzerland), Speakers: Thomas Wild (Germany) Chair: Keith Harding Lantis II (USA) Luciano Messina (Italy), Angela Thomas E Serena (USA) Damiano Fortuna (UK) Speakers Joyce M Della Corte (Italy) (Italy), Gaston 13.00– Black (UK), Amit Gefen Parallel sponsored symposium Parallel sponsored symposium Galimberti 13.15 (Israel), Nick Santamaria (3M Healthcare) Improving (SOFAR) (Argentina), Leonardo (Australia) patient care: newest Pain and infection: Masotti (Italy), Carlo EXHIBIT AND AREA POSTER VISIT recommendations in leg effective management Mirabella (Italy), 13.15– ulcers and incontinence is available Chairs: Marco Romanelli 13.45 associated dermatitis Francesco Stagno d’Alcontres (Italy), Matteo Chair: Hugo Partsch (Austria) (Italy), Antonino Grasso (Italy) Monami (Italy) 13.45– Speakers: Giovanni Mosti Speakers: Orazio D’Antoni 14.00 (Italy), Dimitri Beeckman (Italy), Martina Pangos (Italy), (Belgium) Luca Spazzapan (Italy)

14.00– ETRS–European Parallel sponsored symposium Dilemmas from Neonatal wounds Co-Chairs: Palliative wound healing Televulnology Co-Chairs: The role of podiatrist in Wound pathology Co- Oral 15.30 Tissue (ACELITY Achieving complete the emergency area Co- Sundeep G Keswani (USA), Amulya Co-Chairs: Oscar M Alvarez Sergio Pillon (Italy), Luc Téot wound management Co- Chairs: Helmut Kerl communications Repair Society wound closure with advanced Chairs: Saxena (UK) Speakers: Timothy (USA), Isabelle Fromantin (France) Speakers: Mark Chairs: Ivan Bristow (UK), (Austria), Paolo Romanelli (session 2C) SPECIAL SESSION modalities Chairs: Keith Battistino Paggi (Italy), Terry W King (USA), Anna-Barbara Schlüer (France) Speakers: Sebastian S Granick (USA), Jean-Paul Guglielmo Carlo Pranteda (Italy) (USA) Speakers: Katrin Speakers: Magnus Harding (UK) Speakers: Keith Treadwell (USA) Speakers: (Switzerland) Probst (Switzerland), Sara Lembelembe (France) Speakers: Vickie R Driver Kerl (Switzerland), Cosimo Ågren (Denmark), Harding (UK), Rosemary Hill Marino Ciliberti (Italy), Mark Rowan (Italy) (USA), Gerit Mulder (USA) Misciali (Italy), Mariya I Sabine Eming (Canada), Robert S Kirsner (USA), Collier (UK) Miteva (USA), Mehrdad Nadji (Germany), Boris Hinz Marco Warbout (Netherlands) (USA), Valentina Dini (Italy) (Canada), Dimitris 15.30– Kletsas (Greece), Ursula 15.45 Mirastschijski (Germany), Phil Stephens 15.45– (UK), Magda Ulrich New frontiers in hyperbaric Burns Chair: Esther Cell therapy: an emerging Lasers and lights in wound Nutrition in wound healing: Negative pressure wound 17.45 (Netherlands) oxygen therapy Chair: Middelkoop (Netherlands) opportunity Chair: Robert S Kirsner healingChair: Nicola Zerbinati special focus on pressure therapy: classic and Thomas E Serena (USA) Co- Co-Chairs: Young-Chul Jang (USA) Co-Chairs: Franco Bassetto (Italy) Co-Chairs: Marcello ulcers Chair: Jos MGA Schols emerging Chairs: Jacek Kot (Poland), (Korea), Maurizio Stella (Italy) (Italy), Ourania Castana (Greece Monti (Italy), Matteo Tretti (Netherlands) Co-Chairs: Chair: Elia Ricci (Italy) Co- Pasquale Longobardi (Italy) Speakers: Eduardo Camacho Speakers: Bernard Coulomb Clementoni (Italy) Speakers: Emanuele Cereda (Italy), Lubos Chairs: Luc Téot (France), Speakers: Michael Bennett (Mexico), Jun Wu (China) (France), Jean-Jacques Lataillade Steven Paul Nisticò (Italy), Sobotka (Czech Republic) Jagdeep Nanchahal (UK) (Australia), Folke Lind (Sweden), Rising star: Sara Sandroni (Francia), Laura Mazzucco (Italy) Marco Romanelli (Italy), Carlo Speakers: Mary Ellen Posthauer Speakers: Marie Muller Stephen R Thom (USA), David (Italy) Mirabella (Italy) Rising star: (USA), Ruud JG Halfens) Rising (France), Christian Willy Mathieu (France), Windy Cole Stefania Zannoni (Italy) star: Jacques Neyens (Netherlands) (Germany), Nick Kairinos (USA) (South Africa) Rising star: Silvio Abatangelo (Italy)

05.45– 06.00pm