carpal tunnel

Assessment of foot disease in the home environment of diabetic patients using a new photographic foot imaging device

The objective of this study was to compare live and photographic assessments of clinical signs of diabetic foot disease using a new photographic foot imaging device. High quality colour photographs of the plantar foot surface were collected in 20 diabetic feet using a prototype device and in 19 diabetic feet using a definitive version of the device with optimized illumination settings. All photographs were assessed independently by four observers for presence of ulceration, abundant callus, or absence of signs and compared with live and repeated photographic assessments of the feet by the same observers. Agreement between assessments was moderate to good for all outcomes using the prototype device (56–92%) and improved using the definitive version of the device (74–100%). The data seem to suggest that important signs of diabetic foot disease can be diagnosed from high quality photographs using the photographic foot imaging device. Intended for use as telemedical monitoring device in the patients’ home, frequent remote assessments may potentially contribute to the early recognition and treatment of foot disease, which may prevent further complications.

Lower-Extremity Amputation Risk After Charcot Arthropathy and Diabetic Foot Ulcer

Min-Woong Sohn, PHD1,2,
Rodney M. Stuck, DPM3,4,
Michael Pinzur, MD4,
Todd A. Lee, PHARMD, PHD1,5 and
Elly Budiman-Mak, MD, MPH1,6

+ Author Affiliations

1Center for Management of Complex Chronic Care, Hines Veterans Affairs Hospital, Hines, Illinois;

2Institute for Healthcare Studies, Feinberg School of Medicine, Northwestern University, Chicago, Illinois;

3Surgical Service, Hines Veterans Affairs Hospital, Hines, Illinois;

4Department of Orthopedic Surgery, Loyola [...]

Plastic Surgery Challenges in War Wounded

Anand R. Kumar,1,2,* Raymond Harshbarger,1,3 and Barry Martin1,3
1Department of Surgery (Plastic Surgery), Uniformed Services University of the Health Sciences (USUHS), Bethesda, Maryland.
2Department of Plastic and Reconstructive Surgery, National Naval Medical Center (NNMC), Bethesda, Maryland.
3Department of Plastic and Reconstructive Surgery, Walter Reed Army Medical Center (WRAMC), Washington, District of Columbia.
Background: Military treatment facilities continue to treat [...]

Anti-Biofilm Strategies and the Need for Innovations in Wound Care

Author: Ammons, Mary C.B.
Source: Recent Patents on Anti-Infective Drug Discovery, Volume 5, Number 1, January 2010 , pp. 10-17(8)
Publisher: Bentham Science Publishers

Abstract:
With an aging and obese population, chronic wounds such as diabetic ulcers, pressure ulcers, and venous leg ulcers are of an increasingly relevant medical concern in the developed world. Identification of bacterial biofilm contamination as [...]

Sequential expression of macrophage anti-microbial/inflammatory and wound healing markers following innate, alternative and classical activation

F. M. Menzies,* ‡ F. L. Henriquez, † J. Alexander* and C. W. Roberts*
*Strathclyde Institute for Pharmacy and Biomedical Sciences, University of Strathclyde, Glasgow, and † School of Engineering and Science, University of the [...]