The Foot in Diabetes - part 1 ppsx

... 11 4 of health care providers and carers 11 3 15 of health carers 11 5 limitations of studies 12 2 patient 11 1 18 of primary care physicians 11 3 14 programme construction 11 5 18 curriculum 11 5, 11 6 educational ... 283±6 mild cellulitis 14 5±6, 14 6 limb-threatening soft-tissue 14 7±9, 14 8 osteomyelitis 14 9 pre-operative assessment 223±4 insulin receptor substrate -1...

Ngày tải lên: 10/08/2014, 18:21

... studies 17 (UK) 811 2 41. 6 17 18 (Finland) 13 3 2 8.3 a 41. 9 b 18 Clinic-based studies 19 (UK) 6487 1, 2 28.5 19 20 (Europe) 3250 1 28.0 20 21 (Spain) 2644 1, 2 22.7 21 a At diagnosis. b After 10 years. Although ... with loss of pain there is also diminished motivation in the healing of and the prevention of injury. REFERENCES 1. Boulton AJM. The diabetic foot. M...

Ngày tải lên: 10/08/2014, 18:21

... 18 0. 13 . Gadsby R, McInnes A. The at-risk foot: the role of the primary care team in achieving St Vincent targets for reducing amputation. Diabet Med 19 98; 15 : Supplement S 61 4. 14 . Young M, Matthews ... training. Residences vary in duration from 1 to 3 years, with those receiving shorter training typically concentrating on non-surgical therapy. Beyond this residency t...

Ngày tải lên: 10/08/2014, 18:21

... accept their diagnosis; (b) minimize the 12 4 The Foot in Diabetes room in the toe area and over the instep'' 4 . This chapter will describe the evidence-base for the use of diabetic footwear ... Barefoot walking 50% 9 Ordinary shoes, from leather or rubber H Barefoot walking 50% 10 Running shoes, leather-soled Oxford shoes H, D Barefoot walking 510 % (Oxford s...

Ngày tải lên: 10/08/2014, 18:21

... GMCSF=granulocyte- macrophage colony-stimulating factor; HGH=human growth hormone; IL -1 = interleukin -1 ; IGF -1 = insulin growth factor -1 ; PDGF=platelet-derived growth factor; TGF-b=transforming growth factor-b. self-produced ... (OR 11 .44; 95% CI 3.28±39.92). Glycyl- L-histidine-L-lysine±Copper (GHK±Cu) Gel The peptide complex glycyl- L-histidine-L-lysine±copper (Iamin Gel) is thoug...

Ngày tải lên: 10/08/2014, 18:21

... completes the dressing system. The adhesive substrate, which may consist of a hydrocolloid dressing, a 18 8 The Foot in Diabetes 210 The Foot in Diabetes Figure 15 .13 (a) Angiogram showing popliteal ... bacteria in the alimentary tract of surgical maggots implanted in infected wounds. J Lab Clin Med 19 34 ;19 : 5 81 6. 19 0 The Foot in Diabetes cleanse w...

Ngày tải lên: 10/08/2014, 18:21

... Table 2 in Frykberg RG, Kozak GP: Neuropathic Arthopathy in the diabetic foot. Am Fam Physician 19 78; 17 : 10 5 11 3. 252 The Foot in Diabetes Figure 17 .13 Pattern IV neuro-arthropathy developed in same ... for the treatment of the neuro-arthropathic foot are outlined in Table 17 .5. Acute Stage Prevention of further trauma is the primary goal in treating...

Ngày tải lên: 10/08/2014, 18:21

... stiffness, but some ¯attening will occur. The insole in Figure 18 .9 shows the position of the weight-relieving window and the actual position of the metatarsal head. 270 The Foot in Diabetes accomplished ... as that in Figure 18 .12 in the hindfoot, may warrant surgery to stabilize the foot in a plantigrade Prophylactic Orthopaedic Surgery 273 Figure 18 .11...

Ngày tải lên: 10/08/2014, 18:21

... International Working Group on the Diabetic Foot. THE INTERNATIONAL WORKING GROUP ON THE DIABETIC FOOT The 15 members of the Working Group met in January 19 97 to discuss the feasibility of creating a consensus ... surgeons; internists; and neurol- ogists. The Full Working Party met in January 19 98 in Heemskerk, The Netherlands, to discuss, adjust and improve the...

Ngày tải lên: 10/08/2014, 18:21

... Saunders, 19 98. 10 . Tovey FI. Care of the diabetic foot. Pract Diabet 19 86; 13 0±4. 11 . Harris JR, Browne SG. The management of dry skin in leprosy patients. Lancet 19 66; i: 10 11 12 . The Foot in LeprosyÐLessons ... 355 342 The Foot in Diabetes 340 The Foot in Diabetes International Consensus and Practical Guidelines 343 In Chapter 1, Ward reminds...

Ngày tải lên: 10/08/2014, 18:21