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Wound-Healing Technologies: Low-Level Laser and Vacuum-Assisted Closure

Chronic wounds are a major source of morbidity, lead to considerable disability, and are associated with increased mortality; therefore, they have a significant impact on public health and the expenditure of healthcare resources. The incidence of chronic wounds in the United States is approximately 5 to 7 million per year, and the annual cost for management of these wounds is greater than $20 billion. In addition, chronic wounds can lead to complications, such as infections, contractures, depression or limb amputation. These complications are associated with a need for assisted living and with higher mortality. he objective of this report is to systematically review the evidence on the outcomes of two technologies for wound healing: low-level laser therapy and vacuum-assisted closure. This report addresses the following specific questions: 1. In the treatment of chronic nonhealing wounds, what are the outcomes of low-level laser therapy for specific indications and patient types as a substitute for conventional therapy? Or as an adjunct to conventional therapy, compared with conventional therapy alone? 2. In the treatment of acute or chronic wounds, what are the outcomes of vacuum-assisted closure for specific indications and patient types as a substitute for conventional dressings? And as an adjunct to conventional therapy, compared with conventional therapy alone? This report also provides an overview of clinical and methodologic issues relevant to evaluating the evidence on interventions for wound healing. Many variables affect the course of wound healing; so well-controlled, randomized trials are necessary to reach conclusions on treatment efficacy. Skin wounds are a heterogeneous and complex group of disorders with a wide variety of causes. Approximately 70 percent are classified as pressure ulcers, diabetic ulcers, or vascular ulcers. Vascular ulcers are further classified as due to arterial or venous insufficiency. Other less frequent causes include inflammatory conditions, malignancies, burns, and radiation injuries. Often the causes of wounds are multifactorial, such as in the diabetic patient who has both arterial insufficiency and peripheral neuropathy. Each wound type has distinct physiologic characteristics and exists in a unique host environment with varied clinical and psychosocial factors. Wounds are often classified as acute or chronic. Acute wounds are generally less than 8 weeks in duration and have not yet completed the natural healing cycle. Chronic wounds are defined as wounds that have failed to proceed through an orderly and timely process that produces anatomic and functional integrity. Chronic wounds either require a prolonged time to heal, do not heal completely, or recur frequently. A large number of factors can impede wound healing and may predispose a patient to the development of chronic wound(s). These include both systemic factors (poor nutrition, metabolic derangements, and drugs) and local factors (tissue hypoxia, infection, and dry wound bed). Conventional treatment for established wounds incorporates common principles that apply to the management of all wounds, including debridement of necrotic tissue, maintenance of a moist wound bed, and control of infection. These common elements are combined with treatment modalities targeted to each type of wound and the clinical characteristics of the patient. Optimal treatment also entails consideration of the appropriate intensity of treatment. Unfortunately, there are no widely accepted, standardized protocols that define optimal standard treatment or the appropriate intensity of treatment delivery.
RRP $55.99
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PRODUCT DETAILS

  • Title: Wound-Healing Technologies: Low-Level Laser and Vacuum-Assisted Closure
  • Author: U. S. Department Human Services, Agency for and Quality
  • Publisher: CreateSpace Independent Publishing Platform
  • ISBN: 9781499380378
  • Length: 0.23 inch
  • Width: 8.5 inch
  • Languages: English
  • Subtitle: Evidence Report/Technology Assessment Number 111
  • Format: PaperBack
  • Category: Medicine
  • Publication Date: 07/05/2014
  • Pages: 102
  • Height: 11.0 inch

RATINGS & REVIEW

SHIPPING AND RETURNS


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Christmas Order Cut-off Dates

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  In Stock Titles

Next Day Delivery
To Order

Dispatches in 4-5 days
To Order

Dispatches in 5-7 days
To Order

Dispatches in 5-14 days
To Order

Dispatches in 14-21 days
  Shipping - Saver Delivery ORDER BY
7th December
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1st December
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25th November
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14th November
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7th November
  Shipping - Express Delivery ORDER BY
10th December
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3rd December
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30th November
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21st November
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14th November
 

Delivery options: Shipping to an Australian address

 

Service Price per order
Australia wide
Delivery time1
After dispatch
Saver Delivery (Tracked)
via Australia post

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$7.95 2-10 days after all items have arrived in the warehouse
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Items in order will be sent via Express post as soon as they arrive in the warehouse. Order may come in multiple shipments, however you will only be charged a flat fee.
$14.95  1-2 days after each item has arrived in the warehouse
 

1 The expected delivery period after the order has been dispatched via your chosen delivery method.
2 Express is not available on all items.
3 Please note this service does not override the status timeframe "Dispatches in", and that the "Usually Dispatches In" timeframe still applies to all orders.

NB All our estimates are based on business days and assume that shipping and delivery don't occur on holidays and weekends.

 

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Once we receive your order we verify it, complete invoicing and prepare your item(s) before we dispatch them from our Sydney warehouse.

You will notice that each product page on the Web site includes an estimated delivery date range for Saver Delivery, as well as for Express Delivery if it is available for that product.

This Estimated Delivery date range is a combination of:

  • the time to dispatch your order from our warehouse, and
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In addition to the estimated delivery date range, on the product page you will find how long an item will take to be dispatched.

  Dispatch time
The time it takes to verify the order, complete invoicing, prepare your item(s) and dispatch.  
Explanation
The dispatch time will depend on the status of your item(s) at our warehouse.  
 
Immediate download

Immediate download

Digital downloads only

Dispatches next business day

Usually dispatches next business day+

In stock at our warehouse.

Dispatches in 4-5 business days

Usually dispatches in 4-5 business days+

Order placed with supplier, estimated arrival time to warehouse is 4-5 business days. 

Dispatches in 5-14 business days

Usually dispatches in 5-14 business days+

Order placed with supplier, estimated arrival time to warehouse is 5-14 business days.


+ All our estimates are based on business days and assume that shipping and delivery don't occur on holidays and weekends.

 

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All our estimates are based on business days and assume that shipping and delivery don't occur on holidays and weekends.

 

Tracking delivery

Saver Delivery: Australia post

Australia Post deliveries can be tracked on route with eParcel. You can track your delivery by going to AusPost tracking and entering your tracking number - your Order Shipped email will contain this information for each parcel.

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Express Delivery via StarTrack Express

You can track your delivery by going to StartTrack tracking using your consignment number. The consignment number is emailed to you along with the invoice at the time of shipment.

  • Please be aware that the delivery time frame may vary according to the area of delivery - the approximate delivery time is usually between 1-2 business days.
  • For enquiries regarding the delivery of your order, contact Star Track Customer Service on 13 23 45 - and quote the above consignment number.
  • If you have not received any information after contact with Star Track, please contact us to confirm that the address for delivery logged with us are correct. We will then contact you with the appropriate action.

International delivery

To track orders sent by DHL, go to DHL tracking

 

International orders

Deliveries to destinations outside Australia are made by DHL courier, and cannot be made to post office boxes. Charges for international delivery destinations are available below. For international deliveries we will hold your order until we can send you all your items at once.

Parcel Weight New Zealand Hong Kong US & Canada United Kingdom
Up to 1kg $30 $35 $40 $45
1.5kgs $35 $45 $50 $60
2kgs $40 $50 $60 $70
2.5kgs $45 $60 $70 $80
3kgs $50 $65 $75 $90
3.5kgs $55 $75 $85 $100
4kgs $60 $80 $95 $105
4.5kgs $65 $85 $100 $115
5kgs $70 $95 $110 $125

 

If your order weighs more than 1.0kg (2.2lb, roughly equivalent to 1 or 2 paperbacks), we'll let you know what your delivery charge will be, and seek your approval before sending your order.

Please note that some countries may charge the recipient duties on the 'import' of parcels from time-to-time. As these charges are the responsibility of the recipient, please check the customs service in your destination country to see if charges are applicable.

To track orders sent by DHL, go to DHL tracking

 

Delivery restrictions

Remote areas: Please note that there may be a surcharge if shipping international orders to a remote area. You can check if the delivery address is in a remote area at DHL Remote Area Services.

Reshipping: If your order is returned to us by the delivery company due to incorrect or insufficient delivery details, you will be charged the cost of reshipping the order. Please note that if the delivery address is incorrect and the order has been shipped, depending on the delivery option selected we may not be able to change the delivery address until the order has been returned.

 

Problems with your delivery

In the event that the courier company fails to deliver your order due to invalid address information, they will return the order back to Dymocks Online.

Dymocks Online will do their best to ensure the information you have input is accurate. We cannot guarantee that your order will arrive at its destination if you have not provided correct address details and as much information as possible to assist the couriers when delivering e.g. company name, level, suite etc.

If your order has not yet been shipped you will need to send Dymocks Online an email advising the error and requesting a change in details. If your order has a status of "packed" or "shipped" we will not be able to guarantee any change in shipping details.

Unfortunately, you will be liable for any costs incurred in return to sender parcels if the information you provided was inaccurate.