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Diabetic foot

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https://www.readbyqxmd.com/read/29467829/surgical-offloading-procedures-for-diabetic-foot-ulcers-compared-to-best-non-surgical-treatment-a-study-protocol-for-a-randomized-controlled-trial
#1
Aharon S Finestone, Eran Tamir, Guy Ron, Itay Wiser, Gabriel Agar
Background: Diabetic foot ulcers are frequently related to elevated pressure under a bony prominence. Conservative treatment includes offloading with orthopaedic shoes and custom made orthotics or plaster casts. While casting in plaster is usually effective in achieving primary closure of foot ulcers, recurrence rates are high. Minimally invasive surgical offloading that includes correction of foot deformities has good short and long term results. The surgery alleviates the pressure under the bony prominence, thus enabling prompt ulcer healing, negating the patient's dependence on expensive shoes and orthotics, with a lower chance of recurrence...
2018: Journal of Foot and Ankle Research
https://www.readbyqxmd.com/read/29466575/diabetic-foot-ulcers-heal-with-shock-wave-therapy
#2
Rebecca Voelker
No abstract text is available yet for this article.
February 20, 2018: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/29463665/assessing-health-related-quality-of-life-in-patients-with-diabetic-foot-disease-why-is-it-important-and-how-can-we-improve-the-2017-roger-e-pecoraro-award-lecture
#3
Dane K Wukich, Katherine M Raspovic
Patient-reported outcomes (PROs) have become an important subject in the area of diabetes-related foot complications. Self-reported health-related quality of life (HRQOL) surveys can provide a generic measure of overall health (global) and can be disease specific (i.e., diabetes) or even region specific (i.e., lower-extremity function). Analysis of PRO measures utilizing validated instruments allows health care providers to determine whether medical and surgical treatments are providing patients with the highest level of outcome possible and are actually improving HRQOL...
March 2018: Diabetes Care
https://www.readbyqxmd.com/read/29462715/a-new-model-of-diabetic-nephropathy-in-c57bl-6-mice-challenged-with-advanced-oxidation-protein-products
#4
Xiaoyan Bai, Xiao Li, Jianwei Tian, Liting Xu, Jiao Wan, Youhua Liu
There remains a lack of robust mouse models with key features of advanced human diabetic nephropathy (DN). Few options of murine models of DN require mutations to be superimposed to obtain desired phenotypic characteristics. Most genetically modified mice are on the C57BL/6 background; however, they are notorious for resistance to develop DN. To overcome these conundrums, this study reports a novel DN model by challenging with advanced oxidation protein products (AOPPs) in streptozotocin-induced diabetic C57BL/6 mice...
February 17, 2018: Free Radical Biology & Medicine
https://www.readbyqxmd.com/read/29462347/long-term-quality-of-care-score-predicts-incident-chronic-kidney-disease-in-patients-with-type-2-diabetes
#5
Pi-I Li, Jian-Nan Wang, How-Ran Guo
Background: Chronic kidney disease (CKD) is a common complication of diabetes, and requires long-term medical care. However, besides the blood glucose level, no reliable method is currently available to link the quality of care and the development of CKD. We therefore developed a long-term quality-of-care score for predicting the occurrence of CKD in patients with type 2 diabetes. Methods: In this retrospective cohort study, using Taiwan's Longitudinal Cohort of Diabetes Patients Database and the medical records in a medical center, we identified incident patients with type 2 diabetes during 1999-2003 and followed them until 2011...
February 15, 2018: Nephrology, Dialysis, Transplantation
https://www.readbyqxmd.com/read/29461582/evaluation-of-genotyping-methods-and-costs-for-il1%C3%AE-polymorphisms-in-platelet-rich-plasma-prp-viewpoint-for-therapy-on-the-diabetic-foot-ulcers
#6
G Marotta, A Licito, E Serra, G Benincasa, A Crisci
No abstract text is available yet for this article.
February 2018: European Review for Medical and Pharmacological Sciences
https://www.readbyqxmd.com/read/29458435/long-term-effects-on-the-progress-of-neuropathy-after-diabetic-charcot-foot-an-8-5-year-prospective-case-control-study
#7
Rasmus Bo Jansen, Tomas Møller Christensen, Jens Bülow, Lene Rørdam, Per E Holstein, Ole Lander Svendsen
OBJECTIVE: Charcot foot is a severe complication to diabetes mellitus, associated with diabetic neuropathy. Any long-term effects of a Charcot foot on the progress of neuropathy are still largely unexplored. The objective was to investigate whether a previous Charcot foot had any long-term effects on the progress of neuropathy. RESULTS: An 8.5-year follow-up case-control study of 49 individuals with diabetes mellitus, 24 of whom also had Charcot foot at baseline visit in 2005-2007...
February 20, 2018: BMC Research Notes
https://www.readbyqxmd.com/read/29458291/local-antibiotic-delivery-systems-current-and-future-applications-for-diabetic-foot-infections
#8
Konstantinos Markakis, Alan Robert Faris, Hamed Sharaf, Barzo Faris, Sharon Rees, Frank L Bowling
Foot infections are common among diabetic patients with peripheral neuropathy and/or peripheral arterial disease, and it can be the pivotal event leading to a minor or major amputation of the lower extremity. Treatment of diabetic foot infections, especially deep-seated ones, remains challenging, in part because impaired blood perfusion and the presence of biofilms can impair the effectiveness of systemic antibiotics. The local application of antibiotics is an emerging field in the treatment of diabetic foot infections, with demonstrable advantages...
February 1, 2018: International Journal of Lower Extremity Wounds
https://www.readbyqxmd.com/read/29455014/cilostazol-improves-wound-healing-in-patients-undergoing-open-bypass-for-ischemic-tissue-loss-a-propensity-score-matching-analysis
#9
Shinsuke Mii, Atsushi Guntani, Eisuke Kawakubo, Kiyoshi Tanaka, Ryoichi Kyuragi
BACKGROUND: Few reports have described the effects of medication on the wound healing of ischemic ulcers after revascularization. This study was conducted to investigate the effects of cilostazol on wound healing in patients who underwent infrainguinal bypass for ischemic tissue loss. METHODS: Two hundred and sixty-three limbs undergoing de novo infrainguinal bypass for tissue loss from January 2004 to December 2015 were divided into two groups based on whether or not cilostazol was administered after surgery...
February 15, 2018: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/29443819/chronic-osteomyelitis-with-staphylococcus-aureus-deformation-in-submicron-canaliculi-of-osteocytes-a-case-report
#10
Karen L de Mesy Bentley, Ashlee MacDonald, Edward M Schwarz, Irvin Oh
CASE: A patient presenting with an infected diabetic foot ulcer and Staphylococcus aureus chronic osteomyelitis was studied to validate the clinical importance of bacterial colonization of osteocytic-canalicular networks, as we recently reported in a mouse model. We utilized transmission electron microscopy to describe the deformation of S. aureus, from round cocci to rod-shaped bacteria, in the submicron osteocytic-canalicular networks of amputated bone tissue. CONCLUSION: To our knowledge, this is the first evidence of S...
February 14, 2018: JBJS Case Connector
https://www.readbyqxmd.com/read/29440456/specific-pkc-%C3%AE-ii-inhibitor-one-stone-two-birds-in-the-treatment-of-diabetic-foot-ulcers
#11
Sushant Kumar Das, Yi Feng Yuan, Mao Quan Li
Purpose: To explore whether or not inhibition of protein kinase C beta II (PKC βII) stimulates angiogenesis as well as prevents excessive NETosis in diabetics thus accelerating wound healing. Material and methods: Streptozotocin (STZ, 60 mg/kg/d × 5 d, i.p.) was injected to induce Type I Diabetes in male ICR mice. Mice were treated with Ruboxistaurin (30 mg/kg/d, orally) for 14 consecutive days. Wound closure was evaluated by wound area and number of CD31 stained capillaries. Flow cytometry was done to evaluate number of circulating endothelial progenitor cells (EPCs)...
February 12, 2018: Bioscience Reports
https://www.readbyqxmd.com/read/29439130/limb-and-person-level-risk-factors-for-lower-limb-amputation-in-the-prospective-seattle-diabetic-foot-study
#12
Edward J Boyko, Amber D Seelig, Jessie H Ahroni
OBJECTIVE: Diabetes is the leading cause of nontraumatic lower-limb amputations in the U.S., but no research has prospectively examined associations between limb-specific measurements and amputation risk among patients without foot ulcer. We investigated amputation risk by limb in relation to the same limb- and person-level factors. RESEARCH DESIGN AND METHODS: We conducted a 22-year prospective study among 1,461 male patients with diabetes without foot ulcer (mean age 62...
February 8, 2018: Diabetes Care
https://www.readbyqxmd.com/read/29438146/the-characterization-of-plantar-skin-across-environmental-condition-and-time
#13
Deborah M Wendland, Stephen H Sprigle
OBJECTIVE: In the presence of pathologic conditions such as diabetes or neuropathy and activity-related forces, the plantar surface of the foot is a common place for skin breakdown. With this risk, foundational knowledge of typical plantar skin behavior is needed. The purpose of this study was to characterize the plantar skin properties (tangential stiffness, normal compliance, and thickness) across environmental condition and time. DESIGN AND SETTING: Nonexperimental laboratory design...
March 2018: Advances in Skin & Wound Care
https://www.readbyqxmd.com/read/29436863/proinsulin-expressing-dendritic-cells-in-type-2-neuropathic-diabetic-patients-with-and-without-foot-lesions
#14
Maria Sambataro, Luisa Sambado, Enrica Trevisiol, Matilde Cacciatore, Anna Furlan, Piero Maria Stefani, Elena Seganfreddo, Elisabetta Durante, Stefania Conte, Silvia Della Bella, Agostino Paccagnella, Angelo Paolo Dei Tos
Diabetic neuropathy is the most common complication of diabetes and is frequently associated with foot ischemia and infection, but its pathogenesis is controversial. We hypothesized that proinsulin expression in peripheral blood mononuclear cells is a process relevant to this condition and could represent a link among hyperglycemia, nerve susceptibility, and diabetic foot lesions. We assessed proinsulin expression by using flow cytometry in dendritic cells from control participants and patients with type 2 diabetic with or without peripheral neuropathy or accompanied by diabetic foot...
February 12, 2018: FASEB Journal: Official Publication of the Federation of American Societies for Experimental Biology
https://www.readbyqxmd.com/read/29435274/topical-5-potassium-permanganate-solution-accelerates-the-healing-process-in-chronic-diabetic-foot-ulcers
#15
Iván Delgado-Enciso, Violeta M Madrigal-Perez, Agustin Lara-Esqueda, Martha G Diaz-Sanchez, Jose Guzman-Esquivel, Luis E Rosas-Vizcaino, Oscar O Virgen-Jimenez, Juleny Kleiman-Trujillo, Maria R Lagarda-Canales, Gabriel Ceja-Espiritu, Viridiana Rangel-Salgado, Uriel A Lopez-Lemus, Josuel Delgado-Enciso, Agustin D Lara-Basulto, Alejandro D Soriano Hernández
Potassium permanganate has been reported to be an effective treatment for certain types of wounds. The aim of the present study was to evaluate the use of potassium permanganate in the treatment of diabetic foot ulcers. A single-blind, randomized, controlled clinical trial was conducted on patients with type 2 diabetes mellitus that presented with a foot ulcer persisting for >3 months. The control group (n=10) was treated with the current standard treatment, which comprises of measures for reducing pressure in the ulcerated area, daily cleansing of the ulcer with potable water and antiseptic wash solution, and the application of a disinfectant solution on the entire surface area of the ulcer; while the intervention group (n=15) received the standard treatment plus 5% topical potassium permanganate solution applied once a day for 21 days...
February 2018: Biomedical Reports
https://www.readbyqxmd.com/read/29434753/smoking-increases-the-risk-of-diabetic-foot-amputation-a-meta-analysis
#16
Min Liu, Wei Zhang, Zhaoli Yan, Xiangzhen Yuan
Accumulating evidence suggests that smoking is associated with diabetic foot amputation. However, the currently available results are inconsistent and controversial. Therefore, the present study performed a meta-analysis to systematically review the association between smoking and diabetic foot amputation and to investigate the risk factors of diabetic foot amputation. Public databases, including PubMed and Embase, were searched prior to 29th February 2016. The heterogeneity was assessed using the Cochran's Q statistic and the I 2 statistic, and odds ratio (OR) and 95% confidence interval (CI) were calculated and pooled appropriately...
February 2018: Experimental and Therapeutic Medicine
https://www.readbyqxmd.com/read/29433381/collateral-circulation-between-angiosomes-in-the-feet-of-diabetic-patients
#17
Erkan Orhan, Ömer Özçağlayan
Objectives The main factor in the healing of foot ulcers in diabetic patients is adequate perfusion. There is no consensus on whether direct or indirect revascularization is more effective in leg revascularization. At the centre of that debate, there is a disagreement about whether collateral circulation is sufficient or not. Our aim is to evaluate collateral circulation activity between angiosomes in the feet of diabetic patients by evaluating the level of occlusion in leg arteries and comparing the angiosome regions that have necrosis...
January 1, 2018: Vascular
https://www.readbyqxmd.com/read/29430981/the-diabetic-foot-attack-tis-too-late-to-retreat
#18
Prashanth R J Vas, Michael Edmonds, Venu Kavarthapu, Hisham Rashid, Raju Ahluwalia, Christian Pankhurst, Nikolaos Papanas
The "diabetic foot attack" is one of the most devastating presentations of diabetic foot disease, typically presenting as an acutely inflamed foot with rapidly progressive skin and tissue necrosis, at times associated with significant systemic symptoms. Without intervention, it may escalate over hours to limb-threatening proportions and poses a high amputation risk. There are only best practice approaches but no international protocols to guide management. Immediate recognition of a typical infected diabetic foot attack, predominated by severe infection, with prompt surgical intervention to debride all infected tissue alongside broad-spectrum antibiotic therapy is vital to ensure both limb and patient survival...
February 1, 2018: International Journal of Lower Extremity Wounds
https://www.readbyqxmd.com/read/29428535/diabetic-foot-limb-salvage-a-series-of-809-attempts-and-predictors-for-endovascular-limb-salvage-failure
#19
Zhiwen Joseph Lo, Zhimin Lin, Uei Pua, Lawrence Han Hwee Quek, Bien Ping Tan, Sundeep Punamiya, Glenn Wei Leong Tan, Sriram Narayanan, Sadhana Chandrasekar
BACKGROUND: To review patient characteristics and outcomes of inpatient diabetic foot limb salvage and identify risk factors predicting for endovascular limb salvage failure. METHODOLOGY: Retrospective study of limb salvage attempts in 809 patients between August 2013 and July 2015. RESULTS: 68% of our study population were male with mean age at 65 years-old and 73% presented with Rutherford grade 6 critical limb ischaemia, with the remaining 27% Rutherford grade 5...
February 8, 2018: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/29425655/could-essential-oils-enhance-biopolymers-performance-for-wound-healing-a-systematic-review
#20
REVIEW
Mercedes Pérez-Recalde, Ignacio E Ruiz Arias, Élida B Hermida
BACKGROUND: Millions of people in the world suffer from chronic wounds of different etiologies such as diabetic foot and leg ulcers, without solutions nowadays. Molecules obtained from plants offer an alternative to aid wound healing. Strong evidence about essential oils (EO) anti-inflammatory and antimicrobial properties is thoroughly described in literature and their chemical compositions are well characterized. More recently, EO effects in experimental wounds have begun to be analyzed...
January 1, 2018: Phytomedicine: International Journal of Phytotherapy and Phytopharmacology
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