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Daniel López López, Paula Torreiro Pazo, Marta E Losa Iglesias, Ricardo Becerro de Bengoa Vallejo
We sought to explore the relationship between the podiatric medical student and the patient as it relates to the act of gift-giving as a sign of gratefulness for the services provided. This article presents the clinical case of a man who visited a podiatric medical student because of pain in his feet and subsequently presented the student with several gifts. Philanthropy, empathy, a positive attitude, treatment instructions, and the time devoted to the patient are some of the reasons why patients offer gifts to podiatric medical students...
September 2, 2016: Journal of the American Podiatric Medical Association
Elena de Planell-Mas, Blanca Martínez-Garriga, Antonio Jesús Zalacain, Teresa Vinuesa, Miguel Viñas
INTRODUCTION: Plantar warts are caused by human papillomaviruses (HPVs) and have been associated with several HPV genotypes. However, there are few studies focused exclusively on plantar warts. In this work, we aim to identify the HPV genotypes of plantar warts and explore their relation to demographic and clinical characteristics of patients. MATERIAL AND METHODS: A total of 72 patients diagnosed with plantar warts were recruited at the Laser unit at Podiatric Hospital, University of Barcelona, Spain...
October 13, 2016: Journal of Medical Virology
Siham Zahi, Laila Mahir, Soumia Meftah, Fatima Lmidmani, Abdellatif El Fatimi
OBJECTIVE: Premature aging syndromes are very rare and most often hereditary. Initially purely descriptive entities, these syndromes are now much better understood genetically and pathophysiologically and can now be classified according to the mechanisms involved. They often manifest as a pigmented skin dry, atrophic and sclerotic. There is no treatment for these conditions apart from that of their complications (frequent ulceration). OBSERVATIONS: Forty-five years of patient follow-up in dermatology for premature aging syndrome, addressed in our service for podiatric care...
September 2016: Annals of Physical and Rehabilitation Medicine
Karima Belhaj, Soumia Meftah, Laila Mahir, Fatima Lmidmani, Abdellatif Elfatimi
OBJECTIVE: Diabetic foot includes all foot abnormalities in diabetics; they are secondary to several pathophysiological mechanisms. Few studies have compared the two types of diabetes for podiatric complications. The objective of this work is to make a comparative study of podiatry profile, clinical, optical and electronic podoscopique between insulin-dependent diabetes (IDDM) and non-insulin dependent (NIDDM). MATERIALS/PATIENTS AND METHODS: This is a prospective study over one year, including diabetic patients who have been made, an optical podocopique review and static and dynamic electronics...
September 2016: Annals of Physical and Rehabilitation Medicine
Mansi Patel, HyunJi Boo, Suganthi Kandasamy, Dhagash Patel, Anthony Iorio
INTRODUCTION AND OBJECTIVES: Melanoma is one of the most common primary malignant tumors arising in the lower extremity. It is crucial to diagnose melanoma as quickly and as efficiently as possible for a better prognosis. The use of dermoscopy is helpful in diagnosing such conditions. Dermoscopy is a non-invasive, in-vivo technique primarily used in the examination of pigmented skin lesions. This procedure allows the visualization of subsurface skin structures in the epidermis, dermoepidermal junction, and upper dermis - structures not visible to the naked eye...
September 2016: Journal of the American Podiatric Medical Association
Laura E Sansosti, Zinnia M Rocha, Matthew W Lawrence, Andrew J Meyr
INTRODUCTION AND OBJECTIVES: Immobilization devices such as surgical shoes and walking boots are commonly prescribed by podiatric physicians in the treatment of a variety of lower extremity pathologies and during the post-operative recovery period, but may have the potential to affect a patient’s ability to maintain a safe level of control over the accelerator and brake pedals while operating an automobile. The objective of this investigation was to assess driving outcomes in a group of healthy participants under variable foot wear conditions...
September 2016: Journal of the American Podiatric Medical Association
Timothy Wu, Rabih A Chaer, Nichol L Salvo
Both vascular surgeons and podiatric physicians care for patients with diabetic foot ulcerations (DFUs), one of today's most challenging health-care populations in the United States. The prevalence of DFUs has steadily increased, along with the rising costs associated with care. Because of the numerous comorbidities affecting these patients, it is necessary to take a multidisciplinary approach in the management of these patients. Such efforts, primarily led by podiatric physicians and vascular surgeons, have been shown to effectively decrease major limb loss...
July 2016: Journal of the American Podiatric Medical Association
Xavier Lalande, Bruno Vie, Jean Paul Weber, Yves Jammes
BACKGROUND: Podiatric physicians are increasingly using pedobarographs to measure plantar pressure. However, normal values of static pedobarographic variables for healthy men and women are lacking, which makes it difficult to evaluate abnormal foot positioning in standing patients with low- or high-arched feet or painful feet. METHODS: During upright standing, a computerized pedobarograph measured the maximal (Pmax) and mean (Pmean) plantar pressures, total foot area, and forefoot and rearfoot areas in 84 healthy women and 84 healthy men, aged 18 to 83 years...
July 2016: Journal of the American Podiatric Medical Association
A Wever, B G Schickenberg-Werrij, J Willems, N C Schaper, D A Schott
BACKGROUND: The ISPAD guideline 2011/2014 advises annual podiatric screening to detect foot complications and identify other possible risk factors such as functional and structural foot abnormalities. The aim of this study was to assess the prevalence and awareness of neurovascular, functional and structural foot abnormalities in children and adolescents with type 1 diabetes mellitus (T1DM). METHODS: All patients aged 0-18 years with T1DM were invited for a foot examination and structured questionnaire by a certified podiatrist...
September 1, 2016: Journal of Pediatric Endocrinology & Metabolism: JPEM
Rosario Morales-Lozano, Julia Martínez-Barrio, María Luz González-Fernández, Francisco Javier López-Longo, Juan Gabriel Ovalles-Bonilla, Lara Valor, Iustina Janta, Juan Carlos Nieto, Diana Hernández-Flórez, Carlos M González, Indalecio Monteagudo, Jesús Garrido, Luis Carreño, Esperanza Naredo
OBJECTIVES: To evaluate biomechanical and ultrasound (US) abnormalities in SLE patients as compared with controls and to assess the relationship between these abnormalities and SLE activity. METHODS: Fifty-four consecutive female patients with SLE with and without foot pain and 60 female controls (30 with foot pain and 30 without foot pain) were recruited. SLE activity was assessed by the Systemic Lupus Erythematosus Disease Activity Index (SLEDAI). SLE patients and controls blindly underwent a comprehensive podiatric, biomechanical and US evaluation of the feet...
July 2016: Clinical and Experimental Rheumatology
A M Mahon
This report documents an unusual case of distal symmetrical peripheral neuropathy (DSPN) in an otherwise healthy patient without diabetes mellitus (DM) presenting to a podiatric wound care clinic. The development of gas gangrene coupled with Charcot neuroarthropathic changes ultimately resulted in a potentially life-saving transmetatarsal (TMT) amputation. Causation of, or at least a contributor to, the DSPN was likely phenytoin usage for epileptic seizures. Long-term use of phenytoin can lead to axonal shrinkage and random clusters of nerve demyelination [1]...
June 24, 2016: Journal of Tissue Viability
Garry Shtofmakher, Roger L Kilfoil, Adam Rozenstrauch, Michael Rothstein, Matthew Weintraub
The primary aim of this study was to determine if HbA1c is a positive predictor of the lower extremity complications commonly manifested in diabetes. A secondary objective was to investigate if the progression of diabetes-related complications had any affect on the fear of falling. This was a study of 38 patients enrolled at the Foot Center of New York. Prospective subjects were recruited if they reported an International Classification of Diseases (ICD) code consistent with diabetes using electronic medical records, expressed a desire to participate, conformed with the inclusion and exclusion criteria for the study (they were over 18 years of age and considered alert and thereby able to consent to the study), and provided informed consent...
June 16, 2016: Diabetes & Metabolic Syndrome
Robert M Yoho, Vassilios Vardaxis, Kelsey Millonig
BACKGROUND: Student self-assessment is viewed as an important tool in medical education. We sought to identify the relationship between student academic performance and third-year clinical performance self-assessment. No such study exists in podiatric medical education. METHODS: Third-year podiatric medical students from the classes of 2012 through 2014 completed a self-assessment of their performance for each of five broad clinical podiatric medical domains (Professionalism, Medicine, Radiology, Surgery, and Biomechanics/Orthopedics)...
May 2016: Journal of the American Podiatric Medical Association
Jonathan M Labovitz, Gerald F Kominski
BACKGROUND: Because value-based care is critical to the Affordable Care Act success, we forecasted inpatient costs and the potential impact of podiatric medical care on savings in the diabetic population through improved care quality and decreased resource use during implementation of the health reform initiatives in California. METHODS: We forecasted enrollment of diabetic adults into Medicaid and subsidized health benefit exchange programs using the California Simulation of Insurance Markets (CalSIM) base model...
May 2016: Journal of the American Podiatric Medical Association
Nathaniel J Jellinek, Nicole F Vélez
Nail surgery is a fundamental component of podiatric surgery. Nail disorders are common and may cause significant morbidity and occasionally mortality. Diagnosis of inflammatory and infectious conditions, and of benign or malignant tumors, often requires a biopsy of the nail unit. Excisional surgery may also be curative for certain tumors. This article reviews key elements of nail anatomy, surgical preparation, local anesthesia, and methods to achieve and maintain a bloodless field. A familiarity with these concepts should allow clinicians to develop a surgical plan and approach when patients present with a nail disorder requiring biopsy or surgical treatment...
July 2016: Clinics in Podiatric Medicine and Surgery
Tracey C Vlahovic
Onychomycosis is the most common nail disease seen in podiatric practice. Effective long-term management remains problematic. We need to treat onychomycosis effectively to prevent its progression into a severe, debilitating, and painful condition, and to manage recurrence. With new agents now available and greater discussion on management strategies, this article reviews the appropriate evaluation of the disease, treatment options, and optimal patient outcomes.
July 2016: Clinics in Podiatric Medicine and Surgery
Montserrat Dòria, Verónica Rosado, Linda Roxana Pacheco, Marta Hernández, Àngels Betriu, Joan Valls, Josep Franch-Nadal, Elvira Fernández, Dídac Mauricio
Aim. To assess the prevalence of diabetic foot and other associated conditions in patients with diabetes mellitus under renal replacement in the region of Lleida, Spain. Methods. This was an observational, cross-sectional study of 92 dialysis-treated diabetic patients. Besides a podiatric examination, we explored the presence of cardiovascular risk factors, late diabetes complications, including peripheral neuropathy, atherosclerotic disease, and peripheral artery disease. We assessed risk factors for foot ulceration and amputation by logistic regression...
2016: BioMed Research International
Bahle Nteleki, Heidi Abrahamse, Nicolette N Houreld
Contemporary podiatry care involves a dynamic management plan to treat type 2 diabetes mellitus lower-limb ulcerations. Phototherapy is a noninvasive form of light therapy that has been shown to accelerate the healing rate of diabetic ulcers. This study aimed to establish whether the application of phototherapy combined with podiatric treatment improved the rate of wound healing of chronic diabetes mellitus foot ulcers. Patients with type 2 diabetes mellitus presenting with chronic lower-limb ulcers were divided into three groups: group 1 were treated with podiatric management and placebo phototherapy; group 2 were treated similarly, but with the addition of phototherapy on the ulcer(s); and group 3 were treated similarly but phototherapy was applied to the regional lymphatic nodes and ulcer(s)...
September 2015: Seminars in Vascular Surgery
María Luz González-Fernández, Lara Valor, Rosario Morales-Lozano, Diana Hernández-Flórez, Francisco Javier López-Longo, David Martínez, Carlos Manuel González, Indalecio Monteagudo, Julia Martínez-Barrio, Jesús Garrido, Esperanza Naredo
OBJECTIVES: To investigate the presence of biomechanical abnormalities and ultrasound (US)-detected inflammation and damage in low disease or remission status rheumatoid arthritis (RA) patients with foot complaints. METHODS: We recruited 136 subjects with foot complaints. Sixty-two were biologic disease-modifying antirheumatic drug-treated RA patients presenting Disease Activity Score-determined remission or low disease activity while the remaining 74 were gender matched controls without rheumatic or musculoskeletal disorders...
May 2016: Clinical and Experimental Rheumatology
Marlin W Causey, Ayman Ahmed, Bian Wu, Warren J Gasper, Alex Reyzelman, Shant M Vartanian, Jade S Hiramoto, Michael S Conte
OBJECTIVE: Clinical decision making and accurate outcomes comparisons in advanced limb ischemia require improved staging systems. The Society for Vascular Surgery Lower Extremity Threatened Limb Classification System (Wound extent, Ischemia, and foot Infection [WIfI]) was designed to stratify limb outcomes based on three major factors-wound extent, ischemia, and foot infection. The Project or Ex-Vivo vein graft Engineering via Transfection III (PREVENT) III (PIII) risk score was developed to stratify patients by expected amputation-free survival (AFS) after surgical revascularization...
June 2016: Journal of Vascular Surgery
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