Abstract
Chronic wounds are difficult clinical problems that consume a large amount of resources including medical and nursing time as well as cleansing solutions, other topical applications, dressing products, bandages and elastic stockings. Thus, there is a need to develop an accurate and fully objective database application for wound measurement. A software interface written in the VB.NET languages for the measurement of wounds has been developed. The system uses an accurate measurement method capable of detecting small changes in an open wound surface area. This paper further describes the development of a relational database to measure the surface area of a wound, with the intention of improving the efficiency of wound measurement.
Li D. Design and implementation for wound measurement application. Primary Intention 2006; 14(2): 56-58, 60-63, 66.

Abstract
An examination of the organisational uptake of the Australian Wound Management Association’s (AWMA) Guidelines for the Prediction and Prevention of Pressure Ulcers 1 in metropolitan hospitals across Adelaide identified that many were having difficulties implementing the recommendations, resulting in a continued high incidence and prevalence of pressure ulcer rates.
As a result, the South Australian Hospitals Safety and Quality Council funded a project to support organisations implement and evaluate local evidence-based prevention and management frameworks. Two project officers facilitated the process, bringing organisations together at regular intervals to share successes and stories and to learn from experts and from each other in order to identify strategies for each phase of implementation. An evaluation at the completion of the project identified some gains by all organisations and all had developed strategies to continue the work into the future.
Two participants’ stories are described here to demonstrate the outcomes and achievements gained from organisations collaborating and supporting each other to achieve organisational change. Whilst it is too early to demonstrate reductions in prevalence rates, the project was successful in the goals of the collaborative, ensuring that all participants had truly begun the
task of implementing and evaluating robust and comprehensive evidence-based prevention and management frameworks across the continuum of care.
McErlean B, Thomas L, Page T, Simunov K. Collaborating to improve pressure ulcer prevention practices: the South Australian experience. Primary Intention 2006; 14(2): 67-73.

Abstract
Small-vessel vasculitis (SVV) refers to an inflammatory disorder of arterioles, venules and capillaries that leads to obstruction, ischaemia and infarction. The identification and management of SVV is a challenge for health professionals, with an accurate diagnosis requiring comprehensive evaluation of the clinical and pathological findings. Early diagnosis and aggressive management of the inflammatory process facilitate improved patient outcome. However, a lack of clinical trials means that treatment options vary according to the assessment, experts’ advice and clinicians’ experience.
Rayner R. Small-vessel vasculitis. Primary Intention 2006; 14(2): 76, 78-80.

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