Compression Stockings: a Practical Approach to Common Complaints
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Recurrent Leg Cellulitis: Pathogenesis, Tre.Atment, and Prevention
J Am Board Fam Pract: first published as 10.3122/jabfm.5.1.85 on 1 January 1992. Downloaded from Recurrent Leg Cellulitis: Pathogenesis, Tre.atment, And Prevention Roben P. Pierce, M.D., and Allen]. Daugird, M.D. Recurrent cellulitis can develop in a variety of therapy. Subsequently, she developed chronic bi settings. Recurrent febrile episodes associated lateral lower leg edema before her first hospital with arm or leg infections, sometimes described ization at our institution. as erysipelatous, have been noted for years to Upon admission, she denied fever, chills, nau occur in the setting of filarial, postoperative, or sea, vomiting, shortness of breath, or chest pain. idiopathic chronic lymphedema. I More recently, She reported bilateral tubal ligation and ovarian recurrent cellulitis has been described as a late cyst removal more than 20 years ago. Five years complication of coronary artery bypass venec ago she had a radical mastectomy for adenocarci tomy,2-8 pelvic surgery, such as vulvectomy with noma of the breast but had negative lymph nodes lymphadenectomy9 or hysterectomy with lym and underwent no further treatment. There was ph adenectomy, 10 or of pelvic irradiation after hys no history of cellulitis of the right arm after the terectomy.11,12 The cause of recurrent cellulitis mastectomy. She denied any other pelvic surgery, has not been precisely defined but appears to be leg surgery, or abdominal or pelvic irradiation. multifactorial, involving mechanical, infectious, On examination, her temperature was 37.4°C and immune-mediated factors. We present a case (99.32°F), blood pressure 144/84 mmHg, pulse 80 of a woman with recurrent cellulitis of the legs beats per minute, and respirations 24/minute. -
Does Your Apparel Supply Chain Need a Logistics Makeover?
Does Your Apparel Supply Chain Need a Logistics Makeover? ©2018 Purolator International, Inc. Does Your Apparel Supply Chain Need A Logistics Makeover? Introduction When then J.Crew Chief Executive Officer Mickey These changing expectations are driven largely by regions. For most apparel makers, this includes Drexler was asked to describe his apparel the increasing role of eCommerce and, specifically, suppliers located in China as well as Vietnam. company’s typical customer, he responded with: the tremendous impact amazon.com is having on Sprawling supply chains have helped create “She’s loyal as hell until we go wrong. Then she the apparel industry. Financial services firm Cowen long lead times – currently it takes as long as 15 wants it on sale.” and Company expects Amazon to overtake months to bring a new concept to market. Macy’s as the largest U.S. apparel retailer by the Drexler’s simple, albeit blunt, observation would An added concern includes threats of increased end of the 2018, with consumers increasingly seem to describe consumer attitudes across trade restrictions between the United States, turning to Amazon as a “go-to” source for basics the entire apparel and accessories market. China, and other nations. Both China and the including T-shirts, jeans and underwear. In fact, Today’s consumers have heightened expectations United States have proposed new tariffs on goods Amazon’s top-selling apparel items during 2017 about virtually every aspect of their apparel- traveling between the two countries, which could included ASICS men’s running shoes, Levi’s men’s buying experiences: significantly drive up the cost of fabrics and other regular fit jeans, and UGG women’s boots. -
40.2.6 Attachments
Attachment 1 STAFF PERSONAL EQUIPMENT GUIDELINES Equipment needs to be packed and carried with you in case you are deployed from work: ENOUGH CLOTHING FOR FIVE DAYS: Uniform Shirts Pillow Uniform Cap Towels Jeans Watch/Alarm Clock Socks Coat Shorts Wind Breaker Underwear Gloves T-shirts (personal) One (1) pair of Tennis Shoes Bras (if needed) Boots Thermal Underwear BDU’s Cold Weather Jumpsuit Additionally, take the following: Sun Screen Insect Repellent Driver’s License State Identification (DOC) Tent Two (2) Laundry Bags Sleeping Bag (we will provide them if needed, however some staff prefer their own) Additional blankets At least a two-week supply of the following: Shampoo Conditioner Soap Toothpaste Toothbrush Lip Balm/Chapstick Lotion Prescription Medication Sun Glasses Hand Lotion Page 1 Policy 40.2.6 Effective 08/15/20 Attachment 2 ADULT IN CUSTODY PROPERTY CONTROL GUIDELINES Ensure the AIC has the following and cover any shortages from Intake or the Warehouse if needed. 2 PAIR OF JEANS 1 PAIR OF RED SHORTS 3 T-SHIRTS 1 SWEATSHIRT 3 BLUE LONG SLEEVE SHIRTS 2 PAIR OF SOCKS 1 PAIR OF SHOES AND I PAIR OF WORK BOOTS (ONE BEING WORN) 2 PAIR OF LONG UNDERWEAR 1 JACKET 1 STOCKING CAP 2 TOWELS 1 LAUNDRY BAG 6 PAIR UNDER WEAR 1 SET OF RAIN GEAR SHAMPOO TOOTHBRUSH TOOTHPASTE PRESCRIPTION MEDICATION - IF NEEDED (TAKE 2 WEEKS SUPPLY) COMB/PICK BASEBALL CAP DEODORANT SUNSCREEN NOTE: Each AIC is responsible to secure all remaining property in their locker and make sure it is locked. Page 1 Policy 40.2.6 Effective 08/15/20 Attachment 3 FIRE CREW CHECKLIST GUIDELINES ADMINISTRATIVE BAGS (#1, #2, #3) will be secured in the Fire Cache until needed. -
SLIP-ON®, SLIP-ON One in Each Hand, and Engage the Hook CATALOG NO
Putting on Panties, Shorts, Pajama ® Bottoms, Slacks, etc. While sitting, hold the two parts of SLIP-ON®, SLIP-ON one in each hand, and engage the hook CATALOG NO. 73839-0000 end with the inside of the waistband of the apparel. Lower the apparel to the floor and MAKES pull it over the feet and up both legs until it can be reached by the hands and pulled DRESSING EASY into the desired position. If the waistband has an opening, as in slacks, close it before beginning and reopen before pulling over the hips. Hook and Loop tabs allow positive catch with easy release. SLIP-ON® helps you put on the following apparel without the aid of another person: Stockings–Socks • Shorts 6 Industrial Road • Pequannock, NJ 07440 Panties–Undershorts tel: 973-628-7600 • fax: 973-305-0841 email: [email protected] • www.maddak.com Pajama Bottoms • Slacks 973839002 0803 Can also be used to remove shoes. INSTRUCTIONS Engage the gear-like teeth to make SLIP-ON® As shown in Figure 3, keep the hook ends operable. As shown in Figure 1, hold engaged with the stocking and separate SLIP-ON® in one hand and insert the two parts of SLIP-ON®, holding one in the hook ends inside the each hand. Pull the stocking over the heel top opening of stocking. and up the leg to the point where it can Hold SLIP-ON® in the be reached by hand and adjusted to the left hand if you are desired position. putting the stocking Caution: When using with sheer stockings on the left foot; in the engage hook ends with reinforced top band right hand for the right to avoid rupturing the sheer knit. -
House of Fraser Is Now Stocking the Brand New Wonderbra by Dita Von Teese Collection Submitted By: Pr-Sending-Enterprises Tuesday, 15 September 2009
House of Fraser is now stocking the brand new Wonderbra by Dita Von Teese collection Submitted by: pr-sending-enterprises Tuesday, 15 September 2009 House of Fraser is now stocking the brand new Wonderbra by Dita Von Teese collection. Based on the success of the last collection the iconic burlesque dancer Dita Von Teese has returned to the drawing board to create a second line for Wonderbra, and House of Fraser was the first online retailer to stock the collection. The designer bras (http://www.houseoffraser.co.uk/Bras/3150,default,sc.html&cgid=315) collection launched at House of Fraser on 11 September and is titled the 'Party Edition'. Speaking about her inspiration for the line, Dita said: "I wanted to re-invent the existing collection for a few reasons, one being that I love it so much myself, and I was so happy with the execution of the new bra shapes Wonderbra (http://www.houseoffraser.co.uk/on/demandware.store/Sites-hof-Site/default/Search-ShowBrand?brand=Wonderbra&fromBrand=Wonderbra) made for me, that I kept fantasizing about having it in other colours and fabrics." The Sparkle Teese lingerie is sure to excite customers, with its combination of sequins, tulle and ruby red tassles. Designed to provide sexy yet sophisticated styling, the Sparkle Teese is available in a cleavage and balcony bra, brief and thong bottoms and matching suspender belt. The Satine Teese lingerie has been created to provide pure silver screen glamour. The line comes in two shades of a fiery red satin and a delicate mauve with a sensual lace trim. -
Packing List for Climb Kilimanjaro
Packing List For Climb Kilimanjaro This packing list is meant to help you decide what to bring and how to pack for your trip. You may not use all of the items on this list but you must be prepared for a wide variety of conditions. Most people carry a day pack while hiking and send their backpack with a porter. It is helpful if you pack your things in stuff stacks so weight can easily be distributed if necessary. Remember, new airline regulations require that each piece of baggage be 50 lb.. or less. Be sure to label your belongings. Space is limited so pack lightly. We recommend that you wear your hiking boots and bring the following items in your carryon luggage: • Prescription medications • Travel documents such as your passport (make copies and keep in two places) • Camera, or anything you can't replace before the trip • We strongly recommend that you leave expensive or irreplaceable items at home. CLOTHING, OUTERWEAR AND GEAR: __ Waterproof Jacket & Pants - Breathable material like Gortex is best. __ Pants - 1 pair of quick-dry or synthetic work best. __ Insulating Tops - 1 Heavy sweater or fleece jacket, 1 lighter top made of fleece or wool. __ Long Sleeve Shirt - For protection from bugs and sun. __ Long Underwear - Tops and bottoms made of polypropylene or other synthetic. No cotton. __ T-shirts (2-3 shirts, cotton is ok) __ Shorts (1-2 pair) __ Underwear (enough to make you happy) __ Mid-duty hiking boots that provide ankle support. Make sure they are broken in before the trip! . -
Venous Thromboembolism (VTE) Measure Set
Venous Thromboembolism (VTE) Measure Set Kathy Wonderly RN, MSEd, CPHQ Consultant Developed: June, 2012 Most recent update: December 2014 Major philosophy change The Center for Medicare and Medicaid (CMS) is moving away from collecting data on the process of care and focusing more on the outcomes of the care provided. Starting in January 2015, CMS will have five indicators required and one may be voluntarily submitted if your facility wished. Depending on the reporting option that your facility chooses, all 6 measures may be required for The Joint Commission’s Accreditation. Objectives To identify the value of starting VTE prophylaxis on the day of or the first day after admission or surgery end date. To list the 3 of the 4 elements included on the written warfarin discharge instructions. Prevention is the Goal To prevent such complications, the best approach is to assess each patient for VTE risk and administer primary prophylaxis to reduce the chance for developing either a DVT or PE. Introduction Hospitalized patients at high risk for VTE may develop asymptomatic deep vein thrombosis (DVT) or pulmonary embolism which may cause an unexpected death before the diagnosis is even suspected. As with the other measure sets, patients ordered “Comfort Measures only” are excluded from these requirements. The Desired Patient Outcome It is estimated that there are more than 600,000 to 1 million patients who suffer a VTE annually and approximately 50% of these are health care acquired. The goal of the CMS Partnership for Patients program is to reduce the occurrence of these HA events by 40%. -
Compression Therapy for Venous Disease
Compression therapy for venous disease Mauro Vicaretti, Senior Lecturer, Vascular and Endovascular Surgery, Sydney Medical School, University of Sydney Summary n active or healed venous leg ulcers n lymphoedema Compression therapy, by bandaging or stockings, n prevention of deep vein thrombosis and oedema on is routine for thromboprophylaxis and for long-haul flights (more than four hours). chronic venous disease and its complications, Assessing the patient including deep venous thrombosis. The degree Before compression therapy is commenced, thorough vascular of compression is dependent on the condition assessment to exclude significant peripheral arterial disease being treated and underlying patient factors. It is essential. If pedal pulses are weakened or absent, an ankle- is important that a thorough clinical vascular brachial pressure index should be calculated. Divide the ankle examination with or without non-invasive systolic pressure of the dorsalis pedis or posterior tibial artery vascular investigations be performed to (the greater value taken as the ankle pressure) by the brachial rule out significant arterial disease that may systolic pressure (Figs. 1A–C). contraindicate the use of compression therapy. If the patient has arteriosclerosis or diabetes, it is imperative that a great toe pressure index (photoplethysmography) also Key words: chronic venous disease, compression, deep vein be performed. This is measured using a photoelectric cell thrombosis, leg ulcer. that consists of a light emitting diode and a photosensor that (Aust Prescr 2010;33:186–90) transduces changes in dermal arterial flow. A toe cuff is inflated then deflated (Fig. 1D). A waveform appears when the toe Introduction systolic pressure is reached. This pressure is divided by the Compression therapy has been used to treat chronic venous brachial pressure to give the toe brachial pressure index. -
Compression Stockings and Garments Policy
Manual: IU Health Plans Department: Utilization Management Policy # UMDET014.1 Effective Date: 08/27/2020 Supersedes Policy # UMDET014.0/or Last update or issue date: 08/23/2019 Page(s) Including attachments: 8 Medicare Advantage X Commercial Compression Stockings and Garments Policy I. Purpose Indiana University Health Plans (IU Health Plans) considers clinical indications when making a medical necessity determination for Compression Stockings and Garments. II. Scope All Utilization Management (UM) staff conducting physical and behavioral health UM review. III. Exceptions A. Gradient Compression Garments/Stockings for a member are not covered for any of the following: 1. Any over-the-counter garment/elastic stocking or compression bandage roll, even if prescribed by a provider. 2. Any garment/stocking that is supplied without a written physician’s order. 3. Gradient compression garments/stockings are not covered and not considered medically necessary for one of the following conditions with or without a written physician’s order: a. Osteoarthrosis b. Fibromitosis c. Chronic airway obstruction d. Carpal tunnel syndrome e. Urine retention f. Cellulitis g. Neurogenic bladder h. Paralysis agitans i. Sprained and or strained joints or ligaments j. Tendinitis k. Sleep apnea l. Hammer toe m. Lupus Erythematous n. Hyperlipidemia o. Dermatitis (other than stasis dermatitis from venous insufficiency) p. Asthma q. Esophageal reflux r. Cystocele s. Osteomyelitis t. Backache u. Chest pain v. Spider veins Note: Gradient Compression Garments are limited to four pairs per benefit period. IV. Definitions None V. Policy Statements A. IU Health Plans considers Compression Stockings and Garments medically necessary for the following indications: 1. Gradient Compression Garments/Stockings are covered when all of the following criteria are met: a. -
Dov Charney's American Dream Audio Part 3: Photos Https
Dov Charney’s American Dream Audio Part 3: Photos https://gimletmedia.com/episode/part-3-photos-season-4-episode-6/ Part 4: Boundaries https://gimletmedia.com/episode/part-4-boundaries-season-4-episode-7/ Part 5: Suits https://gimletmedia.com/episode/part-5-suits-season-4-episode-8/ Part 6: Anger https://gimletmedia.com/episode/part-6-anger-season-4-episode-9/ Part 7: MAGIC https://gimletmedia.com/episode/part-7-magic-season-4-episode-10/ Host: Lisa Chow Senior Producer: Kaitlin Roberts Producers: Bruce Wallace, Luke Malone, Molly Messick Associate Producer: Simone Polanen Editors: Alex Blumberg, Alexandra Johnes, Caitlin Kenney Audio Engineers: Andrew Dunn, David Herman, Martin Peralta, Dara Hersch 2 Episode Transcripts Part 3: Photos DOV: Look how cool that is, that metro thing. C’mon that is cool. Isn’t it? LISA: Oh yeah! There’s a metro stop right on a highway? DOV: Yeah, this is LA, dude. Get with the program. LISA: Hello. From Gimlet Media, this is StartUp. I'm Lisa Chow. And once again, I’m sitting in the car with the ex-CEO of American Apparel Dov Charney. And just a quick warning, there’s some swearing in this episode … and some sexual content. DOV: This is an interesting mural that I’m going to shoot now since we’re in traffic. That’s a good one. LISA: Dov’s taking photographs while driving. This happens all the time. Something catches his eye — a mural or an old sign or a storefront — and he has to get the shot. So he rolls down the window, grabs his phone, and stretches out both hands…and totally forgets about the steering wheel. -
Compression Stockings PRESCRIPTION FORM Vascular &Interventional Radiology Clinic
Patient Label ! ! ! Compression Stockings PRESCRIPTION FORM Vascular &Interventional Radiology Clinic 701 E. EL CAMINO REAL 3RD FLOOR, MOUNTAIN VIEW, CA, 94040 | P: 650.404.8445 | F: 650.404.8447 ! DIAGNOSIS : ______________________________________________ ICD9 : ___________________ DATE: ____________________ ! Number of Pairs Number of Refills ! COMPRESSION: ⎕ 15-20 mmHg ⎕ 40-50 mmHg ! ⎕ 20-30 mmHg ⎕ 50-60 mmHg ! ⎕ 30-40 mmHg STYLE: ⎕ calf ⎕ thigh ⎕ pantyhose ⎕ thigh w/ waist ⎕ plus size !PHYSICIAN SIGNATURE: ____________________________ DATE: _______________________ ⎕ Fabio Komlos, MD ⎕ Bart Dolmatch, MD ! It is the patient’s responsibility to contact their insurance company for benefit information. Please call the number in the back of your insurance card to find out if compression garments are a benefit of membership. Thank you. ! Compression Stocking Instructions ! A prescription is needed for a stocking with compression pressure >15 mmHg. A fit measurement is usually done at the medical supply stores where you purchase your stockings. It is recommended to take your measurements in the morning before swelling builds in the legs to avoid choosing a stocking size that is too large. If compression stocking is covered by the insurance, you usually pay ahead and the medical supply store will give you a receipt, which you can mail to your insurance for reimbursement. The stockings can be knee-high or thigh-high. The correctly fitted stockings will not cut off your circulation. They help with the discoloration condition called postphlebitic syndrome and they help to prevent clot formation in your legs, especially if you have a long air flight or are not able ambulate for long periods of time. The durability of the stockings varies from manufacture to manufacture. -
Compression Stockings for Preventing the Postthrombotic Syndrome In
CLINICAL RESEARCH STUDY Compression Stockings for Preventing the Postthrombotic Syndrome in Patients with Deep Vein Thrombosis Christopher Friis Berntsen, MD,a,b Annette Kristiansen, MD,a,b Elie A. Akl, MD, MPH, PhD,c Per Morten Sandset, MD, PhD,d,e Eva-Marie Jacobsen, MD, PhD,d,e Gordon Guyatt, MD, MSc,f Per Olav Vandvik, MD, PhDa,b aDepartment of Internal Medicine, Sykehuset Innlandet Hospital Trust, Gjøvik, Norway; bInstitute of Health and Society, Faculty of Medicine, University of Oslo, Norway; cDepartment of Internal Medicine, American University of Beirut, Lebanon; dDepartment of Haematology, Oslo University Hospital, Norway; eInstitute of Clinical Medicine, Faculty of Medicine, University of Oslo, Norway; fDepartment of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Ontario, Canada. ABSTRACT OBJECTIVE: We conducted a systematic review and meta-analysis to address benefits and harms of using elastic compression stockings after lower-extremity deep vein thrombosis. METHODS: We searched 7 electronic databases through January 15, 2015, including randomized controlled trials (RCTs)/quasi-randomized trials reporting on elastic compression stocking efficacy on postthrombotic syndrome incidence, recurrent venous thromboembolism, mortality, and acute pain after deep vein thrombosis. Two reviewers independently screened records, extracted data, assessed risk of bias, and assessed confidence in effect estimates using Grading of Recommendations Assessment, Development, and Evaluation methodology. We applied random-effects meta-analysis models. RESULTS: We included 5 RCTs (n ¼ 1418) reporting on postthrombotic syndrome. The hazard ratio (HR) for postthrombotic syndrome with elastic compression stockings was 0.69 (95% confidence interval [CI], 0.47-1.02). We have very low confidence in this estimate due to heterogeneity and inclusion of unblinded studies at high risk of bias.