Dr. Kapp studies the use of specialized therapies to help individuals with difficult-to-heal wounds, including diabetic foot ulcers and pressure injuries. His research investigates new treatments, such as amniotic membrane allografts, which can significantly speed up the healing process for patients who don’t respond to standard treatments. He also examines how regulations around medical products impact patient outcomes, ensuring that all patients, especially older adults and those with disabilities, can access these vital therapies without facing barriers due to payment issues.
Key findings
The amniotic membrane treatment, Membrane Wrap Hydro, successfully closed 55% of hard-to-heal wounds after six applications, particularly benefiting open wounds and pressure injuries.
Analyzing data from over 3 million patient episodes, the study found that advanced wound care products led to lower rates of death and amputations compared to standard care.
A case series reported that wounds treated with amniotic membrane after Mohs surgery closed in an average of 43.7 days, compared to nearly 87 days of poor healing before treatment.
Frequently asked questions
Does Dr. Kapp study wound treatments?
Yes, Dr. Kapp’s research focuses on innovative treatments for hard-to-heal wounds, particularly using advanced methods like amniotic membranes.
What types of patients benefit from Dr. Kapp's research?
Patients with hard-to-heal wounds, such as those with diabetic foot ulcers or pressure injuries, as well as older adults who may struggle to access necessary treatments.
Has Dr. Kapp researched the impact of regulations on wound care?
Yes, he has investigated how FDA regulatory classifications affect treatment outcomes for patients with hard-to-heal leg ulcers.
Publications in plain English
Rethinking regulatory tiers: Medicare real-world evidence shows CAMP outcomes are independent of FDA regulatory classification.
2026
Journal of wound care
Tettelbach WH, Armstrong DG, Tucker T, Davenport TA, Morrison LA +9 more
Plain English This study looked at different types of medical products used to treat hard-to-heal leg ulcers in diabetic patients and whether their effectiveness varies based on how they are regulated by the FDA. Researchers analyzed data from over 3 million patient episodes and found that, regardless of the product's regulatory category, those treated with these products had better outcomes compared to patients receiving standard care alone. Specifically, patients using these advanced therapies experienced lower rates of death and amputations and required fewer hospital resources.
Who this helps: This helps patients with difficult-to-treat leg ulcers and their healthcare providers.
Efficacy of a dual-layer pre-hydrated amniotic membrane allograft in the treatment of hard-to-heal wounds.
2026
Journal of wound care
Kapp D, Ferguson A, Denmark TK, Johnson J, Naqvi S +2 more
Plain English Researchers studied the effectiveness of a new treatment called Membrane Wrap Hydro, which uses a special amniotic membrane to help heal tough wounds that don’t respond well to standard treatments. They found that this treatment successfully closed about 55% of wounds after an average of six applications, with the best results seen in open wounds and pressure injuries. This matters because it offers a valuable new option for patients with difficult-to-treat wounds, potentially reducing healing times significantly.
Who this helps: This helps patients with hard-to-heal wounds, including those with diabetic foot ulcers and pressure injuries.
LMP-GAN: Out-of-Distribution Detection for Non-Control Data Malware Attacks.
2025
IEEE transactions on pattern analysis and machine intelligence
Wood D, Kapp D, Messay-Kebede T, Hirakawa K
Plain English This study developed a new method called LMP-GAN to detect unusual malware attacks (specifically non-control data attacks) that traditional methods often miss. The researchers showed that their method can effectively identify these threats by training the system to recognize signs of attacks that are not typically seen, making it much harder for malicious software to go undetected. The new technique performed better than existing methods, proving important for enhancing the security of systems against sophisticated cyber threats.
Who this helps: This benefits cybersecurity professionals and organizations relying on cyber-physical systems.
Jarrell M, Courtney T, El-Shazly K, Kapp D, Fields A +2 more
Plain English This study focused on what happens when a chemical called (2-chloroethyl)benzene is broken down through a process called pyrolysis, which involves heating it to a very high temperature. Researchers found that when (2-chloroethyl)benzene was heated to 1400 K, it produced several substances, including harmful hydrogen chloride gas and various forms of benzene, which are significant compounds in the recycling of polyvinyl chloride (PVC). Understanding these breakdown products is important because it helps improve recycling methods and manage the potential environmental impacts of PVC waste.
Who this helps: This research benefits environmental scientists and companies involved in recycling PVC.
Safeguarding access, fiscal responsibility and innovation: a comprehensive reimbursement framework for CAMPs to preserve the Medicare Trust Fund.
2025
Journal of wound care
Tettelbach W, Armstrong DG, Driver V, Oropallo A, Rogers LC +6 more
Plain English This study looks at the payment model for skin substitutes used in treating difficult wounds, especially for older and underserved patients. Researchers found that the current flat-fee reimbursement plan proposed by the government could restrict access to these important treatments, resulting in worse patient outcomes. This matters because if patients cannot get the necessary care, it can lead to serious health complications and increased costs for everyone.
Who this helps: Patients, especially older adults and those with disabilities.
Management of post-Mohs surgical wounds with a hypothermically stored amniotic membrane: a case series.
2024
Journal of wound care
Kapp D, Pfendler L
Plain English This research looked at treating wounds from Mohs surgery using a special type of amniotic membrane stored in cool conditions. Seven patients, mostly elderly, had hard-to-heal wounds that closed on average in 43.7 days after receiving the treatment multiple times. Notably, wounds that were particularly difficult to heal closed in about 35.5 days after starting treatment, even though they had struggled with healing for nearly 87 days before that.
Who this helps: This helps patients recovering from Mohs surgery, especially those with challenging wounds.
Bilateral Optic Disk Swelling and Peripheral Visual Field Defects as a Rare Initial Presentation of Primary Chiari I Malformation.
2023
Cureus
Ganguli MP, Robinson E, Kile MR, Kapp D
Plain English In this study, researchers looked at a rare case of a 55-year-old man who developed swelling of the optic nerves and vision problems due to a condition called Chiari malformation type 1 (CM1). The MRI showed that his brain was herniating at 4.87 mm, but surprisingly, he had normal pressure in the brain. This is important because it raises questions about how CM1 can cause vision issues without high pressure in the skull.
Who this helps: This information can assist doctors in understanding CM1 and its effects on vision, potentially aiding in the diagnosis and treatment of similar cases.
Revealing hidden patterns in deep neural network feature space continuum via manifold learning.
2023
Nature communications
Islam MT, Zhou Z, Ren H, Khuzani MB, Kapp D +4 more
Plain English This study looked at how to better visualize the features that deep neural networks (DNNs) learn during their training, especially for regression tasks, which are important for many applications. Researchers developed a new method called Manifold Discovery and Analysis (MDA) that helps make sense of these complex features, showing that it provides clearer and more reliable visualizations than previous methods. This improvement is important because it can help enhance the performance and reliability of DNNs in real-world situations.
Who this helps: This benefits computer scientists and engineers working with deep learning models, helping them create more effective and understandable AI systems.
Early clinical performance of an adaptive self-assembling barrier scaffold in nonhealing chronic wounds: a review of six cases.
2022
Wounds : a compendium of clinical research and practice
Kapp D, Pfendler L, D'Oro L, Wolcott R
Plain English This study looked at a new wound treatment called the adaptive self-assembling barrier scaffold (aSABS) in six patients with chronic wounds that had not healed for 8 weeks to over 20 years. After just 3 to 6 applications, the patients showed significant healing, with less inflammation and infection, and better tissue growth. Using aSABS not only improved wound care but also made it easier for patients and caregivers by reducing the need for complicated home treatments and eliminating the need for more intensive hospital procedures.
Who this helps: This helps patients with chronic wounds, healthcare providers, and caregivers.
Bio-informatic analysis of CRISPR protospacer adjacent motifs (PAMs) in T4 genome.
2022
BMC genomic data
Rawashdeh O, Rawashdeh RY, Kebede T, Kapp D, Ralescu A
Plain English This study looked at specific DNA sequences called PAMs in T4 bacteriophages, which are important for the CRISPR gene-editing system to work properly. The researchers found that PAMs like 'NGG' and 'TATA' are commonly located in key areas of the phage's DNA where gene activity is regulated, particularly near their promoters. This is important because understanding these sequences can improve how we use CRISPR technology in genetic research and medicine.
Who this helps: This benefits researchers and scientists working on gene editing and bacteriophage therapies.
Gene Therapy for Spinal Muscular Atrophy: An Emerging Treatment Option for a Devastating Disease.
2018
Journal of managed care & specialty pharmacy
Rao VK, Kapp D, Schroth M
Plain English This study looks at spinal muscular atrophy (SMA), a serious genetic disease that affects muscle control and can be deadly for infants, especially those with the severe form known as type 1 SMA. Researchers found that new treatments, including a gene therapy called AVXS-101 and another drug called nusinersen, can significantly improve the lives and survival rates of patients when started early. This matters because advanced treatment options are changing the outlook for SMA, which previously had very few options and high mortality rates.
Who this helps: This helps patients with spinal muscular atrophy and their families.
Hyaluronan oligomers-HPMA copolymer conjugates for targeting paclitaxel to CD44-overexpressing ovarian carcinoma.
2012
Pharmaceutical research
Journo-Gershfeld G, Kapp D, Shamay Y, Kopeček J, David A
Plain English This study looked at how different sizes of a substance called hyaluronan can improve the delivery of the cancer drug Paclitaxel to ovarian cancer cells that express a protein called CD44. Researchers found that hyaluronan units made of 10 or more sugar links were much better at targeting these cancer cells, resulting in a drug that was 50 times more effective in killing them compared to a standard version of the drug. This matters because more effective drug delivery could lead to better treatment outcomes for patients with this type of ovarian cancer.
Who this helps: Patients with CD44-overexpressing ovarian cancer.
Optimal suturing techniques for superior results: hints from a plastic surgeon and a dermatologic surgeon.
2011
Giornale italiano di dermatologia e venereologia : organo ufficiale, Societa italiana di dermatologia e sifilografia
Beer K, Pietrangelo J, Kapp D
Plain English This study looked at different ways to stitch the skin closed, focusing on the various materials and techniques available. It found that there are over 100 types of suturing materials and many methods for applying them, each one suited for different situations. This is important because using the right type of suture can lead to better healing and fewer complications for patients.
Who this helps: Patients undergoing surgical procedures that require stitching the skin.
Establishment of a high content assay for the identification and characterisation of bioactivities in crude bacterial extracts that interfere with the eukaryotic cell cycle.
2009
Journal of biotechnology
Jensen NA, Gerth K, Grotjohann T, Kapp D, Keck M +1 more
Plain English This study focused on creating a new method to screen natural substances from Myxobacteria that could affect how human cells grow and divide. Researchers found that extracts from one type of Myxobacterium increased certain problematic cells (polyploid cells) while decreasing the overall number of cells, similar to the effects of known drugs like cytochalasin D. The results showed that among ten different Myxobacteria extracts tested, three had strong harmful effects on cells, which is important for potentially discovering new treatments for diseases like cancer.
Who this helps: Patients, especially those undergoing cancer treatment or with conditions related to cell growth.
The treatment and outcomes of early-stage epithelial ovarian cancer: have we made any progress?
2008
British journal of cancer
Chan J, Fuh K, Shin J, Cheung M, Powell C +3 more
Plain English This study looked at how treatment and survival rates for early-stage epithelial ovarian cancer have changed between 1988 and 2001. It found that while the three-year survival rate improved slightly from 86.1% to 88.8%, the use of lymphadenectomy (a surgical procedure to remove lymph nodes) more than doubled during this period, from 26.2% to 54.2%. However, this surgery did not lead to better survival rates for patients who had it.
Who this helps: This benefits women diagnosed with early-stage ovarian cancer and their doctors.
Endocytosis of Xanthomonas campestris pathovar campestris lipopolysaccharides in non-host plant cells of Nicotiana tabacum.
2005
The New phytologist
Gross A, Kapp D, Nielsen T, Niehaus K
Plain English This study looked at how a specific type of molecule from a harmful bacteria, called lipopolysaccharides (LPS), gets taken up by tobacco plant cells that usually don't host this bacteria. The researchers found that these LPS quickly attach to the plant's outer layer and then move inside the cells, a process that requires energy and is influenced by temperature. They discovered that this uptake can be blocked by certain substances, suggesting that the plant cells have a specific way of recognizing and absorbing these molecules.
Who this helps: This research benefits plant scientists and farmers by improving our understanding of plant responses to bacterial infections.
The nodulin vfENOD18 is an ATP-binding protein in infected cells of Vicia faba L. nodules.
2001
Plant molecular biology
Becker JD, Moreira LM, Kapp D, Frosch SC, Pühler A +1 more
Plain English This study focused on a protein called VfENOD18 found in the nodules of broad beans, which help with nitrogen fixation. Researchers discovered that VfENOD18 can bind to ATP, a key energy molecule in cells, and is present in specific infected cells within these nodules. This discovery helps us understand how plants fix nitrogen, which is crucial for their growth and agriculture.
Who this helps: This benefits farmers and agriculture by improving legume crop performance.
Regional hyperthermia in patients with recurrent genitourinary cancer.
1991
American journal of clinical oncology
Petrovich Z, Emami B, Kapp D, Sapozink MD, Langholz B +3 more
Plain English This study looked at the effects of a treatment called deep regional hyperthermia combined with radiation or chemotherapy in 53 patients who had advanced cancers of the bladder, prostate, kidney, and other parts of the urinary system. The results showed that after 1 year, 60% of patients were still alive, with some specific groups, like those with prostate cancer, having even higher survival rates of 82%. This study is important because it highlights a promising treatment option for patients who have not responded to other therapies, with a manageable safety profile.
Who this helps: Patients with recurrent genitourinary cancers.
Cooperative Action of Rhizobium meliloti Nodulation and Infection Mutants during the Process of Forming Mixed Infected Alfalfa Nodules.
1990
The Plant cell
Kapp D, Niehaus K, Quandt J, Muller P, Puhler A
Plain English This study looked at how two types of bacteria, Rhizobium meliloti, work together to help alfalfa plants grow by fixing nitrogen, which is crucial for plant health. The researchers found that when they combined a non-nodulating mutant with an infection-deficient mutant, the plants still formed effective nodules capable of fixing nitrogen. Specifically, even without direct contact between the two bacteria, they could still play a role in nitrogen fixation, showing that different mutations didn't stop them from working together effectively.
Who this helps: This research benefits farmers and agricultural scientists working with alfalfa and other legumes.
Identification and sequence analysis of the Rhizobium meliloti dctA gene encoding the C4-dicarboxylate carrier.
1989
Journal of bacteriology
Engelke T, Jording D, Kapp D, Pühler A
Plain English This study focused on a specific gene called dctA in the bacteria Rhizobium meliloti, which is important for its ability to transport certain compounds and fix nitrogen. Researchers found that mutations in this gene led to two types of transport issues; Class I mutants had severely impaired transport and nitrogen-fixing abilities, while Class II mutants had reduced function but were not critically affected. Specifically, the Class I mutants were completely unable to fix nitrogen, which is essential for plant health, and their nodules showed significant signs of aging.
Who this helps: This research benefits farmers and agricultural scientists looking to improve crop yields through better plant-bacteria symbiosis.
Characterization of a Rhizobium meliloti fixation gene (fixF) located near the common nodulation region.
1985
Journal of bacteriology
Aguilar OM, Kapp D, Pühler A
Plain English This study investigated a gene called fixF in a bacteria known as Rhizobium meliloti, which is important for helping plants like alfalfa in growing by fixing nitrogen from the atmosphere. Researchers found that while the fixF gene is crucial for forming effective nodules on the plant roots, the nodules formed by mutant strains without this gene still accumulate a protein called leghemoglobin but at lower amounts than normal nodules. Understanding the role of this gene is important because it can help improve crop yields and sustainability in farming.
Who this helps: This benefits farmers and agricultural scientists working to enhance crop production.
Radiation-induced alterations of fracture healing biomechanics.
1984
Journal of orthopaedic research : official publication of the Orthopaedic Research Society
Pelker RR, Friedlaender GE, Panjabi MM, Kapp D, Doganis A
Plain English This study looked at how radiation affects the healing of broken bones by comparing the healing process in rats with fractures. The rats that were exposed to radiation had slower and weaker healing compared to those that were not irradiated; specifically, the strength of the healing bones was reduced, meaning that their ability to withstand twisting forces was impaired. This matters because it shows that radiation treatments might interfere with the recovery of bone fractures, which is important for understanding how to manage patient care after radiation therapy.
Who this helps: Patients who receive radiation therapy and may face issues with bone healing.
The use of cisplatinum for treatment of malignant glioma.
1982
Medical hypotheses
Witman G, Cadman E, Kapp D, Wagner F
Plain English This study examined the use of a drug called cisplatin to treat malignant gliomas, a type of aggressive brain tumor. It found that cisplatin tends to collect more in brain tumors than in normal brain tissue, leading to a positive response in a patient who had not improved with other treatments. This is significant because it suggests that cisplatin could be a promising option for treating these difficult-to-treat brain tumors.
Who this helps: This helps patients with malignant gliomas who have not responded to traditional therapies.