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https://www.readbyqxmd.com/read/27888791/influence-of-genetic-variations-in-platelet-glycoproteins-and-enos-in-the-development-of-arterial-ischaemia-of-lower-limbs-in-type-2-diabetes-mellitus-patients
#1
Virginia Carvalhais, Ema Ruivães, Luis Bernardo Pina-Cabral, Bárbara Mesquita, Flávio Oliveira, Maria Céu Monteiro, Maria Begoña Criado
Endothelial and platelet dysfunction increase the atherothrombotic risk in diabetes mellitus patients. Therefore, arterial ischaemia of lower limbs is an important complication in diabetes mellitus. In the present work, type 2 diabetic patients were classified by a podiatrist into presence or absence of arterial ischaemia of lower limbs. Several polymorphisms in platelet glycoproteins and eNOS genes were evaluated. Our results suggest that the -5CC genotype in Kozak sequence of GPIbα may be associated with a higher risk of developing arterial ischaemia of lower limbs in type 2 diabetes mellitus patients...
October 26, 2016: Foot
https://www.readbyqxmd.com/read/27802849/miliary-tuberculosis-and-acquired-immunodeficiency-syndrome-a-cursed-duet
#2
Atif Tatari, Sahana Ramanujam, Suja Mathai, Nigahus Karabulut, Robert L Moser, Sara L Wallach
Tuberculous osteomyelitis is rare and usually involves the vertebrae but is seldom found in the foot. The uncommon site and ability to mimic other disorders clinically and radiographically leads to diagnostic and therapeutic delays. We report a case of a 40-year-old man who initially presented to his podiatrist with intermittent pain and swelling of his right ankle and foot that lasted for a year. He also started to exhibit significant weight loss and unexplained fevers and was subsequently hospitalized for cellulitis of his right foot...
2016: Journal of Community Hospital Internal Medicine Perspectives
https://www.readbyqxmd.com/read/27758898/the-real-cost-of-training-health-professionals-in-australia-it-costs-as-much-to-build-a-dietician-workforce-as-a-dental-workforce
#3
Leonie Segal, Claire Marsh, Rob Heyes
OBJECTIVES: We explored the real cost of training the workforce in a range of primary health care professions in Australia with a focus on the impact of retention to contribute to the debate on how best to achieve the optimal health workforce mix. METHODS: The cost to train an entry-level health professional across 12 disciplines was derived from university fees, payment for clinical placements and, where relevant, cost of internship, adjusted for student drop-out...
October 6, 2016: Journal of Health Services Research & Policy
https://www.readbyqxmd.com/read/27697131/clinical-management-of-acute-diabetic-charcot-foot-in-denmark
#4
Rasmus Bo Jansen, Ole Lander Svendsen, Klaus Kirketerp-Møller
INTRODUCTION: Charcot foot is a severe complication to diabetes mellitus and treatment involves several different clinical specialities. Our objective was to describe the current awareness, knowledge and treatment practices of Charcot foot among doctors who handle diabetic foot disorders. METHODS: This study is based on a questionnaire survey sent out to healthcare professionals, primarily doctors, working with diabetic foot ulcers and Charcot feet in the public sector of the Danish healthcare system...
October 2016: Danish Medical Journal
https://www.readbyqxmd.com/read/27637412/-congenital-malformations-of-the-forefoot
#5
B Salazard, C Philandrianos, A Gaudeuille
Malformations and deformations of the forefoot are a frequent reason for consultation. The most frequent malformations viewed at birth are syndactylies (second web space), clinodactylies (quintus varus, halllux), polydactylies (hallux, fifth toe). The macrodactylies, hypoplasia, amniotic bands are rare. The management of these defects requires knowledge of surgery adult foot, plastic surgery and especially collaboration with physiotherapists, podiatrists and orthotists. The fast growth of the foot the first year and the development of walking at one year require to start early the treatment of deformations and to anticipate the evolution of malformations...
October 2016: Annales de Chirurgie Plastique et Esthétique
https://www.readbyqxmd.com/read/27623758/ankle-brachial-index-for-the-diagnosis-of-lower-limb-peripheral-arterial-disease
#6
Fay Crawford, Karen Welch, Alina Andras, Francesca M Chappell
BACKGROUND: Peripheral arterial disease (PAD) of the lower limb is common, with prevalence of both symptomatic and asymptomatic disease estimated at 13% in the over 50 age group. Symptomatic PAD affects about 5% of individuals in Western populations between the ages of 55 and 74 years. The most common initial symptom of PAD is muscle pain on exercise that is relieved by rest and is attributed to reduced lower limb blood flow due to atherosclerotic disease (intermittent claudication). The ankle brachial index (ABI) is widely used by a variety of healthcare professionals, including specialist nurses, physicians, surgeons and podiatrists working in primary and secondary care settings, to assess signs and symptoms of PAD...
September 14, 2016: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/27594920/prevalence-of-foot-problems-in-people-with-inflammatory-arthritis-in-singapore
#7
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/27542754/-it-s-complicated-talking-about-gout-medicines-in-primary-care-consultations-a-qualitative-study
#8
Caroline Morris, Lindsay Macdonald, Maria Stubbe, Anthony Dowell
BACKGROUND: Gout is the most common form of inflammatory arthritis. It is associated with substantial co-morbidity and often managed in primary care. A greater understanding of the communication process between patients and healthcare professionals provides one way of improving the management of this condition. This paper describes communication about gout medicines and treatment between patients and primary care health professionals during routine consultations. METHODS: Video-recordings of 31 individual healthcare consultations between patients and a range of primary care practitioners (general practitioners, practice nurses, podiatrists, dietitians) from an archived database were reviewed...
2016: BMC Family Practice
https://www.readbyqxmd.com/read/27487677/-preventive-measures-of-diabetic-foot-complications
#9
Sarah Malacarne, Bernhard Chappuis, Marc Egli, Isabelle Hagon-Traub, Katrin Schimke, Claude Schönenweid, Bettina Peter-Riesch
Diabetic foot complications are a public health challenge and preventive measures although simple are often not enforced, as evidenced by the lack of decrease in the rate of ulcers and amputation in Switzerland. This article proposes a risk score to grade individual risk of the diabetic patient and an individualized prevention measures as this risk. We discuss the importance of collaboration of various specialists. Two areas are important, first the early involvement of specialists in revascularization because the diabetic population with feet at risk of ulcération risk nowadays primarily has neuro-ichemic ulcerations and also the close collaboration with podiatrists and orthopedic shoemakers who are full partners of the multidisciplinary team...
June 1, 2016: Revue Médicale Suisse
https://www.readbyqxmd.com/read/27487488/prevalence-and-awareness-of-functional-and-structural-foot-abnormalities-in-children-and-adolescents-with-type-1-diabetes
#10
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
https://www.readbyqxmd.com/read/27468312/establishing-normative-foot-posture-index-values-for-the-paediatric-population-a-cross-sectional-study
#11
Gabriel Gijon-Nogueron, Jesus Montes-Alguacil, Pilar Alfageme-Garcia, Jose Antonio Cervera-Marin, Jose Miguel Morales-Asencio, Alfonso Martinez-Nova
BACKGROUND: The Foot Posture Index (FPI) is an observational tool designed to measure the position of the foot. Its reliability is well established, and it provides normative reference values for the general population. However, this is not so for the paediatric population. The aim of this study is to determine FPI reference values in childhood, taking into account age and gender. METHODS: This cross-sectional study included 1,762 school children (863 boys and 899 girls) aged 6-11 years, from Málaga, Granada and Plasencia (Spain)...
2016: Journal of Foot and Ankle Research
https://www.readbyqxmd.com/read/27424070/effectiveness-of-non-primary-care-based-smoking-cessation-interventions-for-adults-with-diabetes-a-systematic-literature-review
#12
REVIEW
Shilpa J Register, Kathy F Harrington, April A Agne, Andrea L Cherrington
Diabetes is a chronic disease that affects over 25 million adults, many of whom are smokers. The negative health impact of diabetes and comorbid smoking is significant and requires comprehensive interdisciplinary management. The National Diabetes Education Program has identified specific providers, known as PPOD, who include pharmacists, podiatrists, optometrists, and dentists, as key individuals to improve diabetes-related clinical outcomes. These providers are encouraged to work together through interdisciplinary collaboration and to implement evidence-based strategies as outlined in the PPOD toolkit...
September 2016: Current Diabetes Reports
https://www.readbyqxmd.com/read/27388440/reducing-major-lower-extremity-amputations-after-the-introduction-of-a-multidisciplinary-team-in-patient-with-diabetes-foot-ulcer
#13
Chuan Wang, Lifang Mai, Chuan Yang, Dan Liu, Kan Sun, Weidong Song, Baoming Luo, Yan Li, Mingtong Xu, Shaoling Zhang, Fangping Li, Meng Ren, Li Yan
BACKGROUND: Diabetic foot ulceration is receiving more attention because of its high amputation and mortality rate. It is essential to establish the frequency of amputations in people with diabetes after any change to the management of diabetic foot care. The present study aim to compare the frequency of lower-extremity amputations in patients with diabetes foot ulcer over a ten-year period. METHODS: Six hundred forty eight patients with diabetes foot ulcer were retrospectively studied from 2004 to 2013...
2016: BMC Endocrine Disorders
https://www.readbyqxmd.com/read/27365226/the-feasibility-of-a-randomised-controlled-trial-of-physiotherapy-for-adults-with-joint-hypermobility-syndrome
#14
Shea Palmer, Fiona Cramp, Emma Clark, Rachel Lewis, Sara Brookes, William Hollingworth, Nicky Welton, Howard Thom, Rohini Terry, Katharine A Rimes, Jeremy Horwood
BACKGROUND: Joint hypermobility syndrome (JHS) is a heritable disorder associated with laxity and pain in multiple joints. Physiotherapy is the mainstay of treatment, but there is little research investigating its clinical effectiveness. OBJECTIVES: To develop a comprehensive physiotherapy intervention for adults with JHS; to pilot the intervention; and to conduct a pilot randomised controlled trial (RCT) to determine the feasibility of conducting a future definitive RCT...
June 2016: Health Technology Assessment: HTA
https://www.readbyqxmd.com/read/27342767/health-related-quality-of-life-of-children-with-calcaneal-apophysitis-child-parent-perceptions
#15
Alicia M James, Cylie M Williams, Terry P Haines
BACKGROUND: Children with a clinical diagnosis of calcaneal apophysitis reportedly experience impaired physical ability. Patient reported outcome assessments measure the level of conditional specific interference in everyday life. The aim of this study was to assess and compare the child and parent perceptions of health related quality of life (QOL) associated with calcaneal apophysitis. METHODS: This is a longitudinal repeated measure study nested within a randomized comparative effectiveness trial...
2016: Health and Quality of Life Outcomes
https://www.readbyqxmd.com/read/27334976/a-cross-sectional-observational-study-comparing-foot-and-ankle-characteristics-in-people-with-stroke-and-healthy-controls
#16
Dorit Kunkel, Julia Potter, Louis Mamode
PURPOSE: The purpose of this study was to explore and compare foot and ankle characteristics in people with stroke and healthy controls; and between stroke fallers and non-fallers. METHODS: Participants were recruited from community groups and completed standardized tests assessing sensation, foot posture, foot function, ankle dorsiflexion and first metatarsal phalangeal joint range of motion (1st MPJ ROM), hallux valgus presence and severity. RESULTS: Twenty-three stroke participants (mean age 75...
June 23, 2016: Disability and Rehabilitation
https://www.readbyqxmd.com/read/27274358/if-the-shoe-fits-development-of-an-on-line-tool-to-aid-practitioner-patient-discussions-about-healthy-footwear
#17
Lisa Farndon, Victoria Robinson, Emily Nicholls, Wesley Vernon
BACKGROUND: A previous study highlighted the importance of footwear to individuals' sense of their identity, demonstrating that shoes must 'fit' someone socially, as well as functionally. However, unhealthy shoes can have a detrimental effect on both foot health and mobility. This project utilises qualitative social science methods to enable podiatrists to understand the broader contribution of footwear to patients' sense of themselves and from this an online toolkit was developed to aid footwear education...
2016: Journal of Foot and Ankle Research
https://www.readbyqxmd.com/read/27264548/an-investigation-into-the-scale-and-impact-of-self-reported-foot-problems-associated-with-systemic-lupus-erythematosus-a-study-protocol-and-survey-questionnaire-development
#18
Anita Ellen Williams, Lindsey Cherry, Alison Blake, Begonya Alcacer-Pitarch, Christopher Edwards, Neil Hopkinson, Edward Vital, Lee-Suan Teh
BACKGROUND: Systemic lupus erythematosus (SLE) can manifest with arthralgia and myalgia, and, in severe cases, disorganization of the joints and tendon rupture. Further, Raynaud's phenomenon and other circulatory problems such as vasculitis have been reported, and may be associated with loss of sensation and ulcers. Associated with impaired peripheral neurovascular function there is the potential for changes in tissue viability leading to thinning of the skin or callus formation. In addition, resistance to infections may be reduced, such as fungal infection of the skin and nails, bacterial infection associated with wounds and viral infections such as verruca...
June 2016: Musculoskeletal Care
https://www.readbyqxmd.com/read/27262469/effectiveness-of-clinical-supervision-of-allied-health-professionals-a-survey
#19
David A Snowdon, Geraldine Millard, Nicholas F Taylor
UNLABELLED: The practice of clinical supervision (CS) is recommended for allied health professionals. Preliminary evidence suggests that CS can be effective, but it is unknown for which allied health professions it is most effective. METHOD: The effectiveness of CS was measured using the allied health-specific modified Manchester Clinical Supervision Scale (MCSS-26). Subscales of the MCSS-26 were summed for three domain scores (normative, restorative and formative)...
2016: Journal of Allied Health
https://www.readbyqxmd.com/read/27231149/use-of-primary-care-services-care-specialized-and-drug-use-by-population-65-years-and-more-in-the-community-of-madrid-spain
#20
María Dolores Cano Pérez, María Victoria Castell Alcalá, Rocío Queipo Matas, Sagrario Martín Martín, Carmen Mateo Pascual, Ángel Otero Puime
BACKGROUND: Ageing of the Spanish population results in an increase in health services required. Therefore, determine the frequency of the health services utilization in this age group and analyze their determinants has a great interest.The aim was to analyze the utilization of health services among older people living in two urban neighborhoods of northern Madrid. METHODS: A cross-sectional population-based study. It is studied a cohort of 1327 individuals ≥ 65 years, stratified by age and sex...
2016: Revista Española de Salud Pública
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