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clinics in podiatry

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https://www.readbyqxmd.com/read/28734103/levels-of-wound-calprotectin-and-other-inflammatory-biomarkers-aid-in-deciding-which-patients-with-a-diabetic-foot-ulcer-need-antibiotic-therapy-induce-study
#1
J R Ingram, S Cawley, E Coulman, C Gregory, E Thomas-Jones, T Pickles, R Cannings-John, N A Francis, K Harding, K Hood, V Piguet
AIMS: Deciding if a diabetic foot ulcer is infected in a community setting is challenging without validated point-of-care tests. Four inflammatory biomarkers were investigated to develop a composite algorithm for mildly infected diabetic foot ulcers: venous white cell count, C-reactive protein (CRP) and procalcitonin, and a novel wound exudate calprotectin assay. Calprotectin is a marker of neutrophilic inflammation. METHODS: In a prospective study, people with uninfected or mildly infected diabetic foot ulcers who had not received oral antibiotics in the preceding 2 weeks were recruited from community podiatry clinics for measurement of inflammatory biomarkers...
July 22, 2017: Diabetic Medicine: a Journal of the British Diabetic Association
https://www.readbyqxmd.com/read/28682298/wound-care-centers-critical-thinking-and-treatment-strategies-for-wounds
#2
Jean de Leon, Gregory A Bohn, Lawrence DiDomenico, Regina Fearmonti, H David Gottlieb, Katherine Lincoln, Jayesh B Shah, Mark Shaw, Horatio S Taveau Iv, Kerry Thibodeaux, John D Thomas, Terry A Treadwell
Many wound care centers (WCCs) provide a specialized level of care using various wound care therapies and are managed by quali ed healthcare professionals (QHPs) from di erent specialty backgrounds such as family medicine, podiatry, and plastic surgery. However, these QHPs are sometimes challenged by reimbursement issues, limited therapy and dressing options, reduced access to multidisciplinary team members, and cost-driven factors unique to WCCs. To help address these issues, a meeting was convened by an expert panel of WCC physicians to discuss best practices for treating complex patients in a WCC...
October 2016: Wounds: a Compendium of Clinical Research and Practice
https://www.readbyqxmd.com/read/28621259/clinical-effectiveness-and-cost-effectiveness-of-a-multifaceted-podiatry-intervention-for-falls-prevention-in-older-people-a-multicentre-cohort-randomised-controlled-trial-the-reducing-falls-with-orthoses-and-a-multifaceted-podiatry-intervention-trial
#3
Sarah Cockayne, Sara Rodgers, Lorraine Green, Caroline Fairhurst, Joy Adamson, Arabella Scantlebury, Belen Corbacho, Catherine E Hewitt, Kate Hicks, Robin Hull, Anne-Maree Keenan, Sarah E Lamb, Caroline McIntosh, Hylton B Menz, Anthony Redmond, Zoe Richardson, Wesley Vernon, Judith Watson, David J Torgerson
BACKGROUND: Falls are a serious cause of morbidity and cost to individuals and society. Evidence suggests that foot problems and inappropriate footwear may increase the risk of falling. Podiatric interventions could help reduce falls; however, there is limited evidence regarding their clinical effectiveness and cost-effectiveness. OBJECTIVES: To determine the clinical effectiveness and cost-effectiveness of a multifaceted podiatry intervention for preventing falls in community-dwelling older people at risk of falling, relative to usual care...
April 2017: Health Technology Assessment: HTA
https://www.readbyqxmd.com/read/28469709/a-qualitative-evaluation-of-scalpel-skill-teaching-of-podiatry-students
#4
Ryan S Causby, Michelle N McDonnell, Lloyd Reed, Caroline E Fryer, Susan L Hillier
BACKGROUND: Degrees in health disciplines need a balance of theoretical knowledge and sufficient clinical practice to meet registration requirements, in particular those requiring specialist skills such as the use of scalpels and other small instruments, such as podiatry. However, despite this requirement there is a scarcity of literature and research to inform teaching of these particular manual clinical skills. Therefore, the aims of this study were to determine the current approaches being used to teach manual skills, in particular scalpel skills, in university podiatry programs in Australia and New Zealand, and to explore what issues, challenges and innovations exist...
2017: Journal of Foot and Ankle Research
https://www.readbyqxmd.com/read/28459176/knowledge-and-practices-of-diabetes-foot-care-and-risk-of-developing-foot-ulcers-in-m%C3%A3-xico-may-have-implications-for-patients-of-m%C3%A3-xican-heritage-living-in-the-us
#5
Rosa Bohorquez Robles, Lidia G Compeán Ortiz, Nora H González Quirarte, Diane C Berry, Paulina Aguilera Pérez, Socorro Piñones Martínez
Purpose The purpose of the study was to examine the relationship between knowledge and foot care practices among adults with type 2 diabetes. Methods A descriptive correlational study examined 200 patients with type 2 diabetes in México. Data collected included the Knowledge and Practices Self-Care Questionnaire and a Podiatry Examination Questionnaire. Data analysis included Pearson's correlations and chi-square tests. Results More than half of the participants had poor knowledge and poor foot care practices...
June 2017: Diabetes Educator
https://www.readbyqxmd.com/read/28371686/investigating-the-management-of-diabetes-in-nursing-homes-using-a-mixed-methods-approach
#6
L Hurley, M O'Donnell, R O'Caoimh, S F Dinneen
AIMS: As populations age there is an increased demand for nursing home (NH) care and a parallel increase in the prevalence of diabetes. Despite this, there is growing evidence that the management of diabetes in NHs is suboptimal. The reasons for this are complex and poorly understood. This study aimed to identify the current level of diabetes care in NHs using a mixed methods approach. METHODS: The nursing managers at all 44 NHs in County Galway in the West of Ireland were invited to participate...
March 21, 2017: Diabetes Research and Clinical Practice
https://www.readbyqxmd.com/read/28236614/treatment-of-athlete-s-plantar-warts-using-a-botanical-blend-a-case-report
#7
Erik O Nelson, Adam F Kozin, Guillermo Ruiz, Arben Lasku, Jeffrey O Langland
Context • Viral plantar warts, or verruca plantaris, are a benign epithelial tumor caused by various strains of the human papilloma virus (HPV). Current treatments have had mixed degrees of success, are moderately invasive, and are often incompatible with participation in sports. Objective • The study intended to examine the benefits of treating plantar warts with a topical, botanical blend that has had clinical success treating herpes simplex virus cold sores. Methods • A synergistic botanical blend was applied topically...
May 2017: Alternative Therapies in Health and Medicine
https://www.readbyqxmd.com/read/28229556/identification-of-clusters-of-foot-pain-location-in-a-community-sample
#8
Tiffany K Gill, Hylton B Menz, Karl B Landorf, John B Arnold, Anne W Taylor, Catherine L Hill
OBJECTIVE: To identify foot pain clusters according to pain location in a community based sample of the general population. METHODS: This study analysed data from the North West Adelaide Health Study. Data were obtained between 2004-2006, using Computer Assisted Telephone Interviewing, clinical assessment and self-completed questionnaire. The location of foot pain was assessed using a diagram during the clinical assessment. Hierarchical cluster analysis was undertaken to identify foot pain location clusters, which were then compared in relation to demographics, comorbidities and podiatry utilisation...
February 23, 2017: Arthritis Care & Research
https://www.readbyqxmd.com/read/28211107/a-randomized-comparative-evaluation-of-clinical-and-home-application-to-investigate-the-effectiveness-of-silver-nitrate-agno3-95-for-the-treatment-of-verruca-pedis
#9
Michael Concannon, Lisa Keogh, John Stephenson, Grace Parfitt, James Forrest
OBJECTIVE: To investigate the clinical effectiveness of silver nitrate (95%) for the treatment of verruca pedis comparing professional and self-application treatments. METHODS: A single-centre, two-armed randomized evaluation was conducted at a University podiatry clinic. A total of 113 participants (101 analysed) with verruca pedis were included. Participants were randomized to either a clinical group, where silver nitrate was applied by a healthcare professional or a home group, where silver nitrate was self-applied...
February 17, 2017: International Journal of Pharmacy Practice
https://www.readbyqxmd.com/read/28181844/randomised-controlled-trial-of-a-transprofessional-healthcare-role-intervention-in-an-acute-medical-setting
#10
Melissa Kaltner, Doug Murtagh, Marguerite Bennetts, Alison Pighills, Julie James, Annette Scott
As demand for health services increases, attention has turned to the development of alternate models of service delivery that maximise efficiency. These include skill sharing models, in which cross-professional skills are delivered by appropriately trained professionals. The usage of skill sharing models is increasing in some professions, but little evidence on efficacy currently exists. This article reports on an intervention of the use of a transprofessional role, which involved delivery of services from a range of health providers, including physiotherapy, occupational therapy, dietetics, speech pathology, podiatry, social work, and psychology, by a trained professional, developed and trialled in the acute medical setting in Toowoomba Hospital, Queensland, Australia...
March 2017: Journal of Interprofessional Care
https://www.readbyqxmd.com/read/27919251/a-randomised-controlled-trial-of-sensory-awareness-training-and-additional-motor-practice-for-learning-scalpel-skills-in-podiatry-students
#11
RANDOMIZED CONTROLLED TRIAL
Ryan S Causby, Michelle N McDonnell, Lloyd Reed, Susan L Hillier
BACKGROUND: The process of using a scalpel, like all other motor activities, is dependent upon the successful integration of afferent (sensory), cognitive and efferent (motor) processes. During learning of these skills, even if motor practice is carefully monitored there is still an inherent risk involved. It is also possible that this strategy could reinforce high levels of anxiety experienced by the student and affect student self-efficacy, causing detrimental effects on motor learning...
December 5, 2016: BMC Medical Education
https://www.readbyqxmd.com/read/27875018/the-process-and-challenges-of-obtaining-and-sustaining-clinical-placements-for-nursing-and-allied-health-students
#12
Christine Taylor, Liz Angel, Lucy Nyanga, Cathy Dickson
AIMS AND OBJECTIVES: To describe the process and challenges from a project that aimed to develop processes, source new placements and place students primarily in the discipline of nursing, but also occupational therapy, physiotherapy, podiatry, social work, and speech therapy. BACKGROUND: Clinical experience in health facilities is an essential element of health professional education, yet globally, there is a lack of clinical placements to meet demands. Educational providers are seeking placements in nontraditional facilities, yet little has been reported on the challenges in the process of procuring clinical placements...
November 22, 2016: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/27837053/radiographic-analysis-of-feet-with-and-without-morton-s-neuroma
#13
Reza Naraghi, Alexandra Bremner, Linda Slack-Smith, Alan Bryant
BACKGROUND: The aim of this research was to investigate the association of various structural measurements of the forefoot with Morton's neuroma (MN). METHODS: Weightbearing anteroposterior and lateral foot radiographs of subjects attending the University of Western Australia (UWA) Podiatry Clinic and the first author's private practice were included in this study. A single assessor measured the following angles: lateral intermetatarsal angle (LIMA), intermetatarsal angle (IMA), hallux valgus angle (HVA), digital divergence between the second and third digits (DD23), digital divergence between the third and fourth digits (DD34) and relative metatarsal lengths of the first to fifth metatarsals (Met1-5), and the effect of MN size as measured by ultrasonograph on digital divergence...
March 2017: Foot & Ankle International
https://www.readbyqxmd.com/read/27835963/flip-flop-footwear-with-a-moulded-foot-bed-for-the-treatment-of-foot-pain-a-randomised-controlled-trial
#14
Vivienne Helaine Chuter, Angela Searle, Martin J Spink
BACKGROUND: Foot pain is a common problem affecting up to 1 in 5 adults and is known to adversely affect activities of daily living and health related quality of life. Orthopaedic footwear interventions are used as a conservative treatment for foot pain, although adherence is known to be low, in part due to the perception of poor comfort and unattractiveness of the footwear. The objective of this trial was to assess the efficacy of flip-flop style footwear (Foot Bio-Tec©) with a moulded foot-bed in reducing foot pain compared to participant's usual footwear...
November 11, 2016: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/27730333/characterization-of-patients-with-diabetic-foot-disease-presenting-to-an-irish-podiatry-centre-profiling-suitability-for-entry-to-a-clinical-trial-of-advanced-wound-therapeutics
#15
A M Mahon, C MacGilchrist, C McIntosh, T O'Brien
BACKGROUND: Diabetes mellitus, coined the 'Black Death of the Twenty-First Century', is associated with complications, including foot ulceration with potential loss of limb. There is a need for development of new wound therapies through completion of robust clinical trials. AIMS: To profile demographics and wound characteristics of an Irish cohort with diabetes, forecast eligibility for entry to a clinical trial of advanced wound therapeutics, and adjust criteria to optimize eligibility for enrolment...
October 11, 2016: Irish Journal of Medical Science
https://www.readbyqxmd.com/read/27714504/diabetic-charcot-neuroarthropathy-prevalence-demographics-and-outcome-in-a-regional-referral-centre
#16
A O'Loughlin, E Kellegher, C McCusker, R Canavan
BACKGROUND: Diabetic Charcot neuroarthropathy (DCN) is a devastating complication for people with diabetes mellitus. The failure to diagnose DCN and institute treatment in the acute phase leads to permanent deformity and significant morbidity. There is a paucity of data on the prevalence and characteristics of patients who have developed this complication of diabetes. AIMS: To determine the prevalence, clinical characteristics and outcomes of patients with DCN from 2006 to 2012...
February 2017: Irish Journal of Medical Science
https://www.readbyqxmd.com/read/27676850/podological-aspects-in-diabetes-a-comparative-study-between-insulin-dependent-diabetes-and-non-insulin-dependent-diabetes-through-a-series-of-154-cases
#17
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
https://www.readbyqxmd.com/read/27594920/prevalence-of-foot-problems-in-people-with-inflammatory-arthritis-in-singapore
#18
K Carter, M Lahiri, P P Cheung, A Santosa, K Rome
BACKGROUND: Foot problems are highly prevalent in people with inflammatory arthritis reported from studies in the UK, Europe and New Zealand, but there is limited evidence from Southeast Asia. The study aim was to evaluate the prevalence of foot problems in people with inflammatory arthritis in Singapore. METHODS: People with inflammatory arthritis were recruited from the rheumatology outpatient clinic of a tertiary hospital in Singapore. Disease and clinical characteristics included age, sex, disease duration, current blood tests and medications...
2016: Journal of Foot and Ankle Research
https://www.readbyqxmd.com/read/27367218/shared-medical-appointments-impact-on-clinical-and-quality-outcomes-in-veterans-with-diabetes
#19
Marianne D Harris, Susan Kirsh, Patricia A Higgins
Managing diabetes poses substantial challenges to the over 29.1 million Americans afflicted, and is financially overwhelming to the US health care system. One potential strategy is utilizing a group approach to care delivery or shared medical appointment (SMA). The purpose of this 3-year retrospective VA study was to investigate differences in clinical and quality outcome measures in veterans with type 2 diabetes who used SMAs and those who received only usual care (UC) one-on-one with their doctor. This observational, 2-group cohort study used abstracted medical records from a large Midwestern Veterans Administration hospital...
July 2016: Quality Management in Health Care
https://www.readbyqxmd.com/read/27345769/patient-involvement-in-rheumatology-outpatient-service-design-and-delivery-a-case-study
#20
Savia de Souza, James Galloway, Carol Simpson, Radka Chura, Joanne Dobson, Nicola J Gullick, Sophia Steer, Heidi Lempp
BACKGROUND: Patient involvement is increasingly recognized as important within the UK National Health Service to ensure that services delivered are relevant to users' needs. Organizations are encouraged to work with service users to achieve excellence in care. Patient education can improve health outcomes and reduce health-care costs. Mobile technologies could play a vital role in this. AIM: Patient-centred development of innovative strategies to improve the experience of rheumatology outpatients...
June 2017: Health Expectations: An International Journal of Public Participation in Health Care and Health Policy
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