Show detailed description Study Design Go to Arms and Interventions Go to Outcome Measures Go to And rewarding careers. (2017). When a wound secretes fluid, the hydrocolloid mixes with it to form a gel. - Donor sites This layer forms a seal that keeps the wound clean and free of infection-causing bacteria. Thin Hydrocolloids. Symptoms of an Achilles tendon rupture are hard to ignore. Hydrocolloid dressings, bandages, and patches - Medical News Today Impermeable to bacteria, gases, water, water vapor and other external contaminants Maggot therapyMaggot therapy requires dressings that are able to prevent the maggots from escaping, provide sufficient oxygen and moisture, require minimal maintenance and be affordable. Michele Farber of Schweiger Dermatology Group in NYC has a bit more optimism. Demarre L, Van Lancker A, Van Hecke A, et al. - Leg ulcers (venous stasis ulcers, arterial ulcers, and leg ulcers of mixed etiology) Tea tree oil gel for mild to moderate acne; a 12 week uncontrolled, open-label phase II pilot study. Hydrocolloid bandages will not stick to wet skin. Search for Similar Articles Managed cares impact after rollout of adalimumab biosimilars, Podcast: Biosimilars and interchangeability, Retail pharmacists optimistic about biosimilars, but have questions, Rheumatology biosimilars: Moving the needle, The importance of healthcare provider education in biosimilar uptake, U.S. has opportunity to lead on ophthalmic biosimilars, Distribution of critical medical inventory, Manufacturing and sourcing of critical medical supply inventory, Global and local operations and customer service, Environmental, Social and Governance (ESG), Controlled Substance Monitoring Program (CSMP), Addressing the Opioid Crisis: Board Engagement and Governance, Terms and Conditions for Cardinal Health website, Registration information for Cardinal Health Market, Cardinal Health Product Documentation (IFU). They create a moist, protective environment for wounds to heal. A bandage can be used to keep the dressing in place and to act as a barrier against dirt. Silva D, Bezerra S, Costa JP, et al. Giusto G, et al. The participants who used the hydrocolloid dressings showed a statistically significant larger reduction in inflammation and acne severity. Other disadvantages include: Generally, hydrocolloid dressings should be used very cautiously on individuals with diabetes, especially on foot wounds. More, DuoDERM Control Gel Formula (CGF) Dressing is a hydrocolloid, moisture-retentive wound dressing used for partial- and full-thickness wounds with exudate. This is when the skin around the wound becomes darker. A6235 Pad size more than 16 in2 but less than or equal to 48 in22 without border Spun (or fibrous) hydrocolloids are available as both flat sheets and ribbon. cDiagnosis and Treatment Center for Chronic Wounds, Hangzhou Geriatric Hospital, Hangzhou, Zhejiang, China. JAMA 2006;296:97484. Holmes SP,et al. Hydrocolloid dressings can be non-permeable or semipermeable. How to apply a hydrocolloid dressing 1 Wash your hands and put on gloves. Therefore, for most patients, long-term use of silver is unnecessary and should be avoided on the basis of minimising the risk of resistance and silver toxicity and reducing cost.Instances of allergic contact dermatitis due to hydrocolloids are reported to be rare. A 2014 review notes that hydrocolloid dressings also: Hydrocolloid dressings provide wound care for the following: Moreover, doctors may use them to protect undamaged skin that is at risk of developing a wound, or skin that is just starting to show damage from friction. Int Wound J 2017;14:103640. Let's look at symptoms and treatments. Connect with neighborhood businesses on Nextdoor. Features of LloydsPharmacy advanced blister treatment large dressings. More, 3M Tegaderm Hydrocolloid Thin Dressing is thin, absorbent, and highly conformable. Gently cleanse the skin. Face serums are skin care products that may help people address specific skin concerns. Others argue that rehydration and desloughing of dead tissue reduces the risk of infection. 2023 Cardinal Health. Reach out to our team for ordering information. The analysis of all the data are conducted with the software of IBM SPSS Statistics for Windows, version 20 (IBM Corp., Armonk, NY). Indicated for partial- and full-thickness wounds with or without necrotic tissue. As the gel forms, the bandage will soften and conform to your body shape. Reddy M, Gill SS, Rochon PA. Most hydrocolloid dressings can be left in situ for 3-5 days, and removal is usually pain-free.The role of hydrocolloids in treating neuropathic wounds and arterially compromised wounds remains controversial. Hydrocolloid dressings for healing diabetic foot ulcers. Know the symptoms and what to do if you experience them. They can be applied quickly and easily with, A pressure bandage may be used to help control bleeding and allow the blood to clot. More, Procol X-Thin Hydrocolloid Dressing is an extra-thin hydrocolloid wound dressing. An older 2006 clinical trial indicates these patches may offer various benefits for healing acne lesions, reducing inflammation and pigmentation. Malhi HK, et al. (1) hypersensitivity or allergy to the substances in dressings; (2) patients with diabetic foot or venous ulcers; and. . Although hydrocolloids are very effective for promoting granulation, their occlusive nature can sometimes result in overgranulation. The authors have no conflicts of interest to disclose. Healthline Media does not provide medical advice, diagnosis, or treatment. Your message has been successfully sent to your colleague. The major result is rate of PU healing or ulcer epithelialization tissue. Helps maintain a moist wound environment to assist in autolytic More, McKesson Hydrocolloid Dressing, Foam Back is a sterile primary or secondary dressing for wounds with light to moderate exudate that promotes autolytic debridement. Mervis JS, Phillips TJ. Non-adherent to moist wound base McKesson Hydrocolloid Dressing Foam Backing 1889 4'' X 4'' Square How will Semglee interchangeable insulin affect access and affordability? The data obtained are represented through the proper features, for example,. If any irritation occurs, individuals should remove the patch immediately and wash the skin to remove any leftover adhesive. In the last few years, spun hydrocolloid dressings have also appeared on the market. Maintains moist environment. 2023 Cardinal Health. Apply dressing from the center of the wound outward. The term hydrocolloid refers to a group of substances that are soluble in water and can thicken liquids. J Wound Care 2006;15:26975. Note: Comparison function only includes general product description, sizing, Patient Conditions and product features, and may not include all product benefits and attributes. The term "hydrocolloid" refers to a group of substances that are soluble in water and can thicken liquids. Yan Jin finishes the manuscript. Thin edge for better skin adhesion. Wafers are self-adhering and available with or without an adhesive border and in a wide variety of shapes and sizes. Systematic reviews of wound care management:(2) Dressings and topical agents used in the healing of chronic wounds. Cardiovascular health: Insomnia linked to greater risk of heart attack. Can You Be Allergic to Band-Aids and Other Adhesive Bandages? To view a full catalog of products that Cardinal Health offers, please use our ordering website. Details. These bandages are highly effective for creating and supporting an environment conducive to wound healing. Criteria for exclusion: The standardized preventive intervention will be given to all patients for the reduction of pressure and experience a process of PU healing treatment. Manage. standard deviation, and mean, median as well as percentage. For the effective prevention approaches, its fundamental elements involve proper nutrition, the use of appropriate support surfaces, frequent repositioning, and moisture management.[911]. First Aid Dressings | Health & Wellbeing | LloydsPharmacy Alginate hydrocolloid dressing with alginate formulation provides greater absorbency resulting in fewer dressing changes. All rights reserved. Remove the backing from the bandage. Non-permeable bandages do not allow air or moisture inside, while semipermeable ones allow air inside but not moisture. All rights reserved. Criteria for inclusion: patients older than 18 years of age who have been diagnosed with PU. Hydrocolloids have been available for clinical use for over 20 years. Ambulatory Surgery Center Supplies and Solutions, Specialty physician practices and clinics, Community Health Center Pharmacy Services, Contract Manufacturing and Pharmacy Solutions, Technology and practice management solutions, WaveMark Clinical Supply Chain Consulting, Large hospitals and health systems remote pharmacy support, Small-to-midsize hospital remote staffing support, Changes to inventory management approach delivers results, Five steps AlixaRX used to transition to a new inventory management solution, The lean advantage for medication returns, Cardinal Health Pharmacy Marketing Advantage, Cardinal Health Point-of-Care Testing Program, RxID Select Inventory Management Platform, Medically Integrated Dispensing Solutions, Presource clinical support and optimization, Cardinal Health Pharmacy Marketing Advantage Commerce, Pharmacy Audit Assistance & Support Services, The evolution of patient care in retail pharmacy, Medicine Shoppe International, Inc. More, Triad Hydrophilic Wound Dressing is a zinc-oxide based sterile coating designed to manage low to moderate levels of exudate, while promoting a moist wound healing environment to facilitate More, XTRASORB Adhesive HCS (Hydrogel Colloidal Sheet) Dressing uses super absorbent polymer technology to provide four times more absorption than traditional hydrocolloids, while locking harmful fluid More, XTRASORB Non-Adhesive HCS (Hydrogel Colloidal Sheet) Dressing uses super absorbent polymer technology to provide four times more absorption than traditional hydrocolloids, while locking harmful More. [12]. This study will be implemented from February 2021 to February 2022 at Hangzhou Geriatric Hospital. Propriety gelling formulation allows for most of the gel to be removed together with the dressing, resulting in little or no damage to the newly formed tissue; Flexible, low-friction film backing reduces skin friction with clothing and patient bedding 6 recommendations for Lockwood Pharmacy from neighbors in Silver Spring, MD. (2019). [5]. Pressure ulceration is an important problem of healthcare in the world, placing a great burden on the resources of healthcare. Shop. They have a high exudates absorption and a high autolysis debridement capacity, and can prevent the wound bed from drying, leaving no decomposition, and residuals. What is the latest research on the form of cancer Jimmy Carter has? It might be argued that hydrocolloids carry a risk for these groups of patients and should only be used with caution. [3,4] The generation of PU is greatly affected via a variety of risk factors, involving various conditions that result in malnutrition, the lack of sensation, and hypermobility. may email you for journal alerts and information, but is committed Nutritional treatment of pressure ulcers: what is the evidence? Edwards JV, et al. J Wound Care 2016;25:63540. Hydrocolloid - an overview | ScienceDirect Topics [10]. All rights reserved. How will Semglee interchangeable insulin affect access and affordability? over 2000 wound dressings on the market.1 Today we have a plethora of wound dressings, pharmaceuticals and devices from which to choose. What are hydrocolloid dressings, bandages, and patches? Rate of pressure ulcer healing. Alginate formulation provides superior absorptive capacity and maintains More, Leukomed Control is a fully transparent post-op dressing allowing for early detection of wound infection. Delayed healing in these wounds is often associated with biofilm, and antimicrobial dressings can be effective in managing bioburden in chronic wounds. Water-resistant film border adheres firmly. However, this does not mean that the cheapest dressing should automatically be selected. Side effects from hydrocolloid dressings appear unlikely. Overall, more research is necessary to verify whether hydrocolloid bandages are better than other wound dressings for certain conditions. Patient risk factors for pressure ulcer development: systematic review. [11]. A gel is formed when the dressing comes into contact with wound exudate. How to cite this article: Jin Y, Li J, Wu S, Zhou F. Comparison of polyurethane foam dressing and hydrocolloid dressing in patients with pressure ulcers: a randomized controlled trial protocol. Hydrocolloid dressings lasts longer than most types of dressing, so it needs to be applied less frequently. To use hydrocolloid dressings, people can follow the instructions on the product label. Although their forms vary by brand and type, the hydrocolloid dressings have in common that they form a gel on . 2147432, easily searchable symptoms and categories, CPD: Prevention and management of pressure ulcers, Interstitial fluid sampling from skin could be less painful alternative to blood tests, Covid-19 patients have higher mortality rate 18 months after infection, Spring Covid booster campaign to start in April, Psychological self-help reduces anxiety and depression in heart disease patients, NICE guidance updates criteria for diagnosis of UTI in women, Genetic test for newborns to prevent deafness from antibiotic use. [9]. Effect of Evidence-Based Skin Care and Hydrocolloid Dressing in the However, the dressing will become more and more permeable as gelling occurs, allowing the dressing to manage exudate through evaporation. People can help to shrink a cystic pimple at home with basic self-care. All rights reserved. It forms a seal to prevent bacteria and debris from getting into the wound. Nurs Res 2009;58:95104. Take one patch and apply it to the spot, sticky side down. Furthermore, a hydrocolloid dressing can mold around the wound and provide insulation so that the body doesn't need to use as much energy to heal the wound. Local Coverage Determination (LCD) Coverage Guidelines by Jurisdiction Sometimes a hydrocolloid dressing starts coming up at the edges earlier. Integrated Oncology EHR, PMS and Billing Services, Kangaroo Adult Nasogastric Feeding Tubes, Kangaroo Feeding Tube with IRIS Technology, Kangaroo Joey Enteral Feeding Pump and Sets, Kangaroo Neonatal & Pediatric Feeding System, Kangaroo ePump Enteral Feeding Pump and Sets, Point of Care (POC) testing & Infectious Diseases, State regulations for biosimilar interchangeability, A-V Impulse Foot Compression System Tubing, A-V Impulse ImPad Rigid Sole Foot Covers, Implementing VTE prevention best practices, Kangaroo Accessories with Safe Enteral Connections, Kangaroo CO Detector for Gastric Tube Placement, Kangaroo Gastrostomy Feeding Tubes w/ Y-Port with Safe Enteral Connections, Kangaroo Skin Level Balloon Gastrostomy Kits, Kangaroo Feeding Tubes with Dobbhoff Tip, Kangaroo Feeding Tubes with Standard Tip, Kangaroo Gravity Sets and Extension Sets, Kangaroo Polyurethane and Argyle PVC Feeding Tubes, Monoject Enteral Syringes and Syringe Accessories, Kangaroo Connect Enteral Feeding Pump videos, Kangaroo Feeding Tube with IRIS Technology videos, Kangaroo Joey Enteral Feeding Pump videos, Kangaroo ePump Enteral Feeding Pump videos, Medi-Vac and Medi-Solid Plus Solidifiers, Chemoplus Preparation and Administration Kits, Clinical Chemistry and Immunology Quality Controls, Automated ESR analyzers and automated slide stainers, Microbiology Identification and Susceptibility, Seasonal respiratory diagnostics resources, Thermoreactively Cured Highly Purified Synthetic Hydrogels, Thermoreactively Cured Natural Polysaccharide Karaya, Argyle Specimen Containers and Luki Tubes, Argyle Suction Catheter Kits and Mini-Trays, Closed Urinary Drainage Systems & Foley Trays, Pediatric Catheters and Urine Collection Devices, Filac Electronic Thermometers and Accessories, Bladder control pads & undergarment guards, Kendall Abdominal Binders with 2-way stretch, Kendall Intrauterine Pressure Catheter System, Toco Labor and Abdominal Transducer Belts, Postpartum Pads and Maternity Care Products, Argyle Umbilical Catheter Insertion Trays, Neonatal Peripherally Inserted Central Catheters, Webinar: Set up your biosimilar for regulatory success, 5 keys to regulatory efficiency and adoption, Biosimilars: What we can learn from early adopters, Concerns around efficacy of biosimilars is primary reason for hesitancy in treatment adoption, How pharmacists can help promote biosimilars. Hydrocolloids can usefully fulfil this function. Equipped with the right knowledge pharmacists can help with the selection of appropriate dressings and identify factors that might impair healing. What is a Hydrocolloid Dressing for Wounds? | WoundSource Mervis JS, Phillips TJ. You can pat down the edges as needed. [8] Despite PUs are generally caused by the poor condition of health and some other diseases, in many cases it can be avoided. Hydrocolloids absorb fluids slowly. Vendor landscape 3.4. Absorption capability depends on thickness and composition. Alternatively, a person can ask a healthcare professional for guidance. MUSGROVE PHARMACY is a pharmacy in Silver Spring, Maryland and is open 5 days per week. Cost comparison of pressure ulcer preventive dressings: hydrocolloid dressing versus transparent polyurethane film. (2012). These products may contain active ingredients not found in bandages used to heal wounds. Is the ketogenic diet right for autoimmune conditions? You can learn more about how we ensure our content is accurate and current by reading our. Last medically reviewed on March 29, 2022, An open wound leaves internal tissue exposed. Some also use hydrocolloid patches to treat acne. More, Gentell Dermatell hydrocolloid dressings consist of a soft, pliable hydrocolloid wafer that enhances patient comfort and protection. Call for service information and wait times. Its possible to be allergic to the adhesive used in bandages, but there are alternative ways to bandage injuries as you recover. Because they keep the wound moist and protected, the wound does not need to be cleaned daily. However, severe cystic acne often requires medical treatment. Rev Esc Enferm USP 2017;51:e3231. Butterfly stitches are narrow adhesive bandages that may be used to close small, shallow cuts. [6]. Moldable The wound bed should be moist and the edges of the wound should be clean and dry. Serious wounds, including third-degree burns and chronic wounds, should be assessed by a healthcare professional. - Surgical wounds (post-operative left to heal by secondary intent) In this article, learn more about hydrocolloid dressings, including how they work, how to apply them, and how people can use them for acne. Absorption capability depends on thickness and composition. The NICE guideline on debriding agents acknowledges that modern dressings, such as hydrocolloids, may reduce pain and be more acceptable to patients. This study can develop an evidence-based protocol to identify optimal dressings for patients with PUs. In addition, manufacturers are continuing to develop new variations that harness the useful properties offered by hydrocolloids and incorporate new wound care technologies to increase the range of use for these products. Meaume S, Colin D, Barrois B, et al. The gel-forming agent will vary between products but is likely to include ingredients such as sodium carboxymethyl cellulose or gelatine. The Content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Any serious or chronic wound should be assessed by a healthcare professional. Hydrocolloid dressing versus conventional wound care after dermatologic surgery. Available with water-resistant adhesive border that is More, Kendall Alginate Hydrocolloid Dressings are designed to create and maintain an optimal moist wound healing environment. Hydrocolloid dressings: This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Am Fam Physician 2008;78:118694. Gently place the bandage over the wound. Do not scrub or rub the acne. Clear, discreet dressing; Washproof; Protects from dirt and bacteria Remove and discard any previous dressing, noting the date applied. Some are designed specifically for bedsores near the rectum. [13]. Hydrocolloids Dressings| Cardinal Health Hydrocolloid - an overview | ScienceDirect Topics Wound care: fact and fiction about hydrocolloid dressings May cause maceration of periwound skin. Pat dry with a clean towel or face cloth. For wounds, it is best to follow the instructions on the packet. The aseptic techniques should be utilized wherever possible, involving utilizing the clean gloves. These look very similar to alginates and share similar absorption and exudate management properties. Hydrocolloid dressing comes in the form of paste . Hydrocolloids | Cardinal Health Improve your skin integrity program. You may search for similar articles that contain these same keywords or you may Cohesive gel is produced More, PrimaCol Bordered Hydrocolloid Dressing has tapered extremely thin edges to reduce bunching and rolling up. NICE Technology Appraisal No 24. A 2021 study on wound care following dermatologic surgery found that hydrocolloid bandages were effective in improving the appearance of scars. These dressings are unique because they don't have to be changed as often as some other wound dressings and are easy to apply. Looking for other medical products we carry? Severe pain from shingles: a hydrocolloid dressing helps Can be used on non-infected wounds such as ulcers. Additionally, covering acne with patches or dressings prevents a person from popping or picking it, which may protect the skin from further damage. Data is temporarily unavailable. Health Technol Assessment 1999;3(17Pt 2):135. (1) Every time the research dressing is changed, wound needs to be washed. A hydrocolloid dressing will provide some degree of absorption of exudate but is unlikely to cope with copious exudate when maceration of the surrounding tissue may occur. Hydrocolloid bandages come in a variety of different types, sizes, and shapes. Han HH, Ko JG, Rhie JW. Behra JS, et al. Sasseville D, Tennstedt D, Lachapelle JM. For low to moderate draining wounds. The major result is rate of PU healing or ulcer epithelialization tissue. Sequentially numbered sealed opaque envelopes are used for the concealment of random numbers. Hold hydrocolloid dressing between hands to warm it so that it adheres better. Hydrocolloid dressings feature the following general performance properties and attributes: Our Company. The purpose of the hydrocolloid bandage is to give the wound a moisture-filled healing environment. A new, easy-to-make pectin-honey hydrogel enhances wound healing in rats. Maintain moisture by gelling on contact with exudate Manages up to light exudate. MUSGROVE PHARMACY - Silver Spring, Maryland | Healthgrades How to select a wound dressing - The Pharmaceutical Journal Sernekos LA. [18]. hydrocolloid dressing; polyurethane foam dressing; pressure ulcer; protocol. Balance of adhesion and elasticity promotes excellent adherence over joints. Keyword Highlighting Pressure ulceration and palliative care: prevention, treatment, policy and outcomes. Hydrocolloid dressings with a thin profile design. This situation can often be resolved through the use of a dressing that is nonocclusive, which will moderate the hydration state of the wound bed. (1) However, irritant contact dermatitis and maceration following inappropriate use is not unusual and may be mistaken for allergic contact dermatitis. However, if the foot ulcers are not infected, you can use hydrocolloid bandages as a stopgap healing measure on these types of wounds while youre waiting to be seen by a doctor. McInnes E, Bell-Syer SE, Dumville JC, et al. They consist of a material such as a film or foam that has an adhesive on one side. Usual dressing change for hydrocolloid wound covers or hydrocolloid wound fillers is up to 3 times per week. Features a wide outer border that does not require additional taping. Is the Ophthalmology market ready for biosimilars? The following general warnings apply to hydrocolloid dressings. [16,17] PUs have a significant negative influence on the patients, and they continues to lead to the cost burden on the hospital providers, driven mainly by resources devoted to treating the complications. Lets go over how hydrocolloid bandages work and how to use them for wound and acne care. Wolters Kluwer Health Effectiveness of Hydrocolloid Dressings for Treating Pressure Ulcers in Adult Patients: A Systematic Review and Meta-Analysis The aim of this study was to assess the effectiveness of hydrocolloid dressings in the treatment of grade I, II, III, and IV pressure ulcers in adult patients. Product characteristics will include its ability to conform to the contours of the body, handle fluid and odour, ease of application and removal with the attendant risks of pain and trauma, risk of causing sensitivity reactions and the frequency of dressing changes.The needs of the patient may include the ability to self-care, shower or bathe, continence issues and sensitivity reactions. your express consent. Compression wrapping is primarily used to help alleviate swelling and offer support for a sprain, strain, or other injury. Available from:http://www.nice.org.uk/page.aspx?o=16583. Other articles also recommended to prevent PUs by using a hydrocolloid dressing, including ulcers caused by noninvasive ventilation. Sequence of random numbers is generated by a computer. Visit Nursing in Practice Reference for details on 140 symptoms, including easily searchable symptoms and categories, offering you a free platform to check symptoms or search by category during a consultation to look for guidance on next steps. 20 best face serums for different skin types, facilitate the bodys breakdown of damaged tissue, encourage the formation of connective tissue and, maintain an acidic pH level in the wound, which reduces bacterial growth, provide a barrier against bacteria from the environment, reducing the risk of. Wound care: Fact and fiction about hydrocolloid dressings [Abstract]. Polyurethane foam dressings have been developed for many years and have been utilized to treat the wounds with mild to moderate exudate. Extremely More, Procol is a sterile hydrocolloid dressing that promotes a moist wound environment conducive to local wound healing. Instead, people can apply acne treatment, such as benzoyl peroxide or retinoids, after they remove the hydrocolloid patch. It is important for nurses to strive toward excellence. These dressings are covered with a layer of polyurethane to make them semi occlusive or occlusive properties. If a new dressing is required, reapply using the steps above. The same rationale applies for patients with infected wounds. Should You Treat Acne Like a Wound? We Asked the Experts [12] It is easy to utilize and then remove and is beneficial to the process of healing. Hydrocolloid dressings, bandages, and patches create a moist yet protective environment that fosters skin healing. They are useful on areas that require contouring, such as the heels and sacrum. If you are immunocompromised, speak with your doctor before using these bandages. Medicine. Get to know Medicine Shoppe International, Inc. We conduct this randomized controlled trial protocol for the comparison of the influence of the hydrocolloid dressing and polyurethane foam dressing in the treatment of pressure ulcers (PUs) patients. 3M Hydrocolloid Dressings | 3M United States Although a hydrocolloid dressing may encourage autolysis on a sloughy wound with minimal exudate, sloughy wounds often produce too much exudate for a hydrocolloid to handle without resulting in maceration of the surrounding skin. The application of a thin hydrocolloid to the wound bed can gently rehydrate and lift the scab, leaving intact epithelialisation tissue covering the wound bed.To conclude, hydrocolloids were probably the first available modern dressings for many nurses.

Forest Hill Cemetery Find A Grave, 2009 Northern Iowa Football Roster, Articles H