A Single Case Study of Diabetic Ulcer with Charcot's Deformityijtsrd
In patients with diabetes the incidence of acute charcot arthropathy of the foot and ankle ranges from 0.15 2.5 . It occurs as a result of arthritis in joint in diabetic patients. In contemporary science the management of wound is by oral and topical antibiotics along with use of betadine solution and eusol are in practice for wound care. Gomutra Arka been widely practiced for Vranshodhana and most of the time it is not accepted by group of people, because of smell and religious factor. So, there is a need for alternate simple and effective formulation which can be used in all wound for Vranashodhana. Hence here is an effort to find better substitute for the wound care and healing. A male patient 62 years old visited OPD Taranath Government Ayurvedic Medical College with complaint of Wound in right foot 3rd toe tip and got diagnosed as T2DM HTN Diabetic Ulcer with Charcot's Deformity. Successfully treated the wound with Karanja Arka Prakshalana for wound care. Few internal medication and Pathya Apathya for 21 days. Dr. P. V. Vijay Guptha | Dr. Syeda Ather Fathima | Dr. Shivalingappa J. Arakeri | Dr. Mohasin Kadegaon | Dr. Geethanjali Hiremath "A Single Case Study of Diabetic Ulcer with Charcot's Deformity" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-5 | Issue-6 , October 2021, URL: https://www.ijtsrd.com/papers/ijtsrd47631.pdf Paper URL : https://www.ijtsrd.com/medicine/ayurvedic/47631/a-single-case-study-of-diabetic-ulcer-with-charcot's-deformity/dr-p-v-vijay-guptha
A Single Case Study of Diabetic Ulcer with Charcot's Deformityijtsrd
In patients with diabetes the incidence of acute charcot arthropathy of the foot and ankle ranges from 0.15 2.5 . It occurs as a result of arthritis in joint in diabetic patients. In contemporary science the management of wound is by oral and topical antibiotics along with use of betadine solution and eusol are in practice for wound care. Gomutra Arka been widely practiced for Vranshodhana and most of the time it is not accepted by group of people, because of smell and religious factor. So, there is a need for alternate simple and effective formulation which can be used in all wound for Vranashodhana. Hence here is an effort to find better substitute for the wound care and healing. A male patient 62 years old visited OPD Taranath Government Ayurvedic Medical College with complaint of Wound in right foot 3rd toe tip and got diagnosed as T2DM HTN Diabetic Ulcer with Charcot's Deformity. Successfully treated the wound with Karanja Arka Prakshalana for wound care. Few internal medication and Pathya Apathya for 21 days. Dr. P. V. Vijay Guptha | Dr. Syeda Ather Fathima | Dr. Shivalingappa J. Arakeri | Dr. Mohasin Kadegaon | Dr. Geethanjali Hiremath "A Single Case Study of Diabetic Ulcer with Charcot's Deformity" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-5 | Issue-6 , October 2021, URL: https://www.ijtsrd.com/papers/ijtsrd47631.pdf Paper URL : https://www.ijtsrd.com/medicine/ayurvedic/47631/a-single-case-study-of-diabetic-ulcer-with-charcot's-deformity/dr-p-v-vijay-guptha
The Study to Assess the Prevalence of Diabetic Foot Syndrome and Associated R...ijtsrd
AIM the present study aims to assess the prevalence of diabetic foot syndrome and associated risk factors among people with diabetic mellitus at SMCH. METHODS AND MATERIALS A quantitative research design was used for the present study. A total 100 samples were collected using non probability purposive sampling technique. The demographic variable and prevalence of diabetic foot ulcer among diabetic patient was assessed using structured questioner and visual assessment, followed by that data was gathered and analyzed.RESULTS The results the study revealed that there is a significant association between level of prevalence with selected demographic at the level of p 0.01CONCLUSION Thus, the present despites that factors associated with level of prevalence with selected demographic. Mrs. M. Kavitha | Sherly Anand. S | Roshna P Sabu "The Study to Assess the Prevalence of Diabetic Foot Syndrome and Associated Risk Factors among People with Diabetic Mellitus" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-6 | Issue-7 , December 2022, URL: https://www.ijtsrd.com/papers/ijtsrd52558.pdf Paper URL: https://www.ijtsrd.com/medicine/other/52558/the-study-to-assess-the-prevalence-of-diabetic-foot-syndrome-and-associated-risk-factors-among-people-with-diabetic-mellitus/mrs-m-kavitha
Tingling in legs can be caused by nerve issues, poor circulation, RLS, or vitamin deficiencies. Treatments depend on the cause and may involve medication, lifestyle
changes, or therapy. Consult a healthcare professional for diagnosis and treatment.
Total Knee Arthroplasty | Knee Replacement | South Windsor, Rocky Hill, Glast...James Mazzara
https://hartfordsportsorthopedics.com/
In this presentation, Dr. Mazzara discusses total knee arthroplasty. His presentation highlights:
The anatomy of the knee
Normal articular cartilage
Causes and symptoms of osteoarthritis
Diagnosis of osteoarthritis
Non-surgical treatment for osteoarthritis
Candidates for total knee arthroplasty
Surgical approach to knee replacement
Potential complications of knee arthroplasty
Computer-assisted total knee replacement
Post-operative protocol
To learn more about total knee arthroplasty, please visit: https://hartfordsportsorthopedics.com/computer-guided-total-knee-replacement-south-windsor-rocky-hill-glastonbury-ct/
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.
Overview of intravenous anti-epileptic drugs, including benzodiazepine(BZD), phenytoin, valproate, levetiracetam, phenobarbital, lacosamide and general anesthetics.
Antiplatelet agents in acute ischemic strokeYung-Tsai Chu
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Migraine pathophysiology, diagnosis and treatmentsYung-Tsai Chu
Introduction of migraine, including symptoms, epidemiology, pathophysiology(neurotransmitter, neural network, channel, CGRP), diagnostic criteria and treatment (oral, intravenous therapy at ED and long-term prevention)
The Study to Assess the Prevalence of Diabetic Foot Syndrome and Associated R...ijtsrd
AIM the present study aims to assess the prevalence of diabetic foot syndrome and associated risk factors among people with diabetic mellitus at SMCH. METHODS AND MATERIALS A quantitative research design was used for the present study. A total 100 samples were collected using non probability purposive sampling technique. The demographic variable and prevalence of diabetic foot ulcer among diabetic patient was assessed using structured questioner and visual assessment, followed by that data was gathered and analyzed.RESULTS The results the study revealed that there is a significant association between level of prevalence with selected demographic at the level of p 0.01CONCLUSION Thus, the present despites that factors associated with level of prevalence with selected demographic. Mrs. M. Kavitha | Sherly Anand. S | Roshna P Sabu "The Study to Assess the Prevalence of Diabetic Foot Syndrome and Associated Risk Factors among People with Diabetic Mellitus" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-6 | Issue-7 , December 2022, URL: https://www.ijtsrd.com/papers/ijtsrd52558.pdf Paper URL: https://www.ijtsrd.com/medicine/other/52558/the-study-to-assess-the-prevalence-of-diabetic-foot-syndrome-and-associated-risk-factors-among-people-with-diabetic-mellitus/mrs-m-kavitha
Tingling in legs can be caused by nerve issues, poor circulation, RLS, or vitamin deficiencies. Treatments depend on the cause and may involve medication, lifestyle
changes, or therapy. Consult a healthcare professional for diagnosis and treatment.
Total Knee Arthroplasty | Knee Replacement | South Windsor, Rocky Hill, Glast...James Mazzara
https://hartfordsportsorthopedics.com/
In this presentation, Dr. Mazzara discusses total knee arthroplasty. His presentation highlights:
The anatomy of the knee
Normal articular cartilage
Causes and symptoms of osteoarthritis
Diagnosis of osteoarthritis
Non-surgical treatment for osteoarthritis
Candidates for total knee arthroplasty
Surgical approach to knee replacement
Potential complications of knee arthroplasty
Computer-assisted total knee replacement
Post-operative protocol
To learn more about total knee arthroplasty, please visit: https://hartfordsportsorthopedics.com/computer-guided-total-knee-replacement-south-windsor-rocky-hill-glastonbury-ct/
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.
Overview of intravenous anti-epileptic drugs, including benzodiazepine(BZD), phenytoin, valproate, levetiracetam, phenobarbital, lacosamide and general anesthetics.
Antiplatelet agents in acute ischemic strokeYung-Tsai Chu
Review of antiplatelet agents in acute ischemic stroke. Including aspirin, clopidogrel, cilostazol, ticagrelor. Also discussed the indication of DAPT(dual antiplatelet therapy)
Migraine pathophysiology, diagnosis and treatmentsYung-Tsai Chu
Introduction of migraine, including symptoms, epidemiology, pathophysiology(neurotransmitter, neural network, channel, CGRP), diagnostic criteria and treatment (oral, intravenous therapy at ED and long-term prevention)
Cardiovascular disease in diabetes mellitusYung-Tsai Chu
Reference: 2018 ADA guideline. Topics: hypertension management(drug choice and combination), indications for hyperlipidemia treatment, atherosclerosis disease prevention with antiplatelet agents and issues about coronary artery diseases.
Basic English Email Writing, including principles, phrases, and examples. Supposed to be applicable to all email writing. Mainly for formal communication
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Structure(Subject Line, Greeting, Opening, Main Body, Ending, Sign-Off)
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Trauma Outpatient Center is a comprehensive facility dedicated to addressing mental health challenges and providing medication-assisted treatment. We offer a diverse range of services aimed at assisting individuals in overcoming addiction, mental health disorders, and related obstacles. Our team consists of seasoned professionals who are both experienced and compassionate, committed to delivering the highest standard of care to our clients. By utilizing evidence-based treatment methods, we strive to help our clients achieve their goals and lead healthier, more fulfilling lives.
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Navigating Challenges: Mental Health, Legislation, and the Prison System in B...Guillermo Rivera
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Cold Sores: Causes, Treatments, and Prevention Strategies | The Lifesciences ...The Lifesciences Magazine
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According to Chris Mouchabhani, Managing Partner at M Capital Group, “Despite all economic scenarios that one may consider, beyond overall economic shocks, medical technology should remain one of the most promising and robust sectors over the short to medium term and well beyond 2028.”
There is a movement towards home-based care for the elderly, next generation scanning and MRI devices, wearable technology, artificial intelligence incorporation, and online connectivity. Experts also see a focus on predictive, preventive, personalized, participatory, and precision medicine, with rising levels of integration of home care and technological innovation.
The average cost of treatment has been rising across the board, creating additional financial burdens to governments, healthcare providers and insurance companies. According to MCG, cost-per-inpatient-stay in the United States alone rose on average annually by over 13% between 2014 to 2021, leading MedTech to focus research efforts on optimized medical equipment at lower price points, whilst emphasizing portability and ease of use. Namely, 46% of the 1,008 medical technology companies in the 2021 MedTech Innovator (“MTI”) database are focusing on prevention, wellness, detection, or diagnosis, signaling a clear push for preventive care to also tackle costs.
In addition, there has also been a lasting impact on consumer and medical demand for home care, supported by the pandemic. Lockdowns, closure of care facilities, and healthcare systems subjected to capacity pressure, accelerated demand away from traditional inpatient care. Now, outpatient care solutions are driving industry production, with nearly 70% of recent diagnostics start-up companies producing products in areas such as ambulatory clinics, at-home care, and self-administered diagnostics.
This document is designed as an introductory to medical students,nursing students,midwives or other healthcare trainees to improve their understanding about how health system in Sri Lanka cares children health.
PET CT beginners Guide covers some of the underrepresented topics in PET CTMiadAlsulami
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Professor Orazio Schillaci, Minister of Health, Italy
Dr Hans Groth, Chairman of the Board, World Demographic & Ageing Forum
Professor Ilona Kickbusch, Founder and Chair, Global Health Centre, Geneva Graduate Institute and co-chair, World Health Summit Council
Dr Natasha Azzopardi Muscat, Director, Country Health Policies and Systems Division, World Health Organisation EURO
Dr Marta Lomazzi, Executive Manager, World Federation of Public Health Associations
Dr Shyam Bishen, Head, Centre for Health and Healthcare and Member of the Executive Committee, World Economic Forum
Dr Karin Tegmark Wisell, Director General, Public Health Agency of Sweden
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Diabetic Foot, Causes, Risk Factors, and Clinical Evaluation
1. Diabetic Foot
Causes, Risk Factors and
Clinical Evaluation
Reference:
Satish Chandra Mishra et al. Diabetic foot. BMJ 2017; 359
David G. Armstrong et al. Diabetic Foot Ulcers and Their Recurrence. N Engl J
Med 2017; 376:2367-2375
Summarized By Yung-Tsai Chu
2. Pathway of Diabetic Foot Ulcer
Poor
Glycemic
Control
Neuropathy
Peripheral Artery Disease
Sensory
Motor
Autonomic
Loss of Protective Sensation
Less Sweating→ Dry Skin
Foot Deformity
Reference: David G. Armstrong et al. Diabetic Foot Ulcers and Their Recurrence.N Engl J Med 2017; 376:2367-2375
3. Risk Factors of Recurrence
High Vibration Threshold
Presence of Preulcerative Lesion
Presence of Peripheral Artery Disease
Presence of Osteomyelitis
Geriatric Depression Scale >= 10
CRP > 1.5mg/dL
HbA1c >7.5%
Reference: David G. Armstrong et al. Diabetic Foot Ulcers and Their Recurrence.N Engl J Med 2017; 376:2367-2375
4. Clinical Evaluation
Foot Examination
Reference: Satish Chandra Mishra et al. Diabetic foot. BMJ 2017; 359
General Assessment Signs of Sepsis Visibly Unwell, Drowsy, Fever etc.
Active Disease Ulcer, Rest Pain, Gangrene, Cellulitis
Temp and Color
Ischemia: Cold, Pale/Dusky
Acute Charcot Foot: Warm, Red or
Swollen
Nails, Callus, Maceration, Pes Cavus,
Skin Fissures, Claw/Hammer Toes,
Rocker Bottom Foot, Fungal Infection
Lesions or
Deformities
(DEF)
5. Clinical Evaluation
Foot Examination
Reference: Satish Chandra Mishra et al. Diabetic foot. BMJ 2017; 359
General Assessment Signs of Sepsis Visibly Unwell, Drowsy, Fever etc.
Active Disease Ulcer, Rest Pain, Gangrene, Cellulitis
Temp and Color
Ischemia: Cold, Pale/Dusky
Acute Charcot Foot: Warm, Red or
Swollen
Lesions or
Deformities
(DEF)
Nails, Callus, Maceration, Pes Cavus,
Skin Fissures, Claw/Hammer Toes,
Rocker Bottom Foot, Fungal Infection
Urgent Referral
6. Clinical Evaluation
Foot Examination
Loss of Protective Sensation
(LOPS)
Peripheral Artery Disease
(PAD)
Pinprick Monofilament
Vibration Tuning Fork
Reference: Satish Chandra Mishra et al. Diabetic foot. BMJ 2017; 359
General Assessment
History of Intermittent Claudication
Posterior Tibial Artery
Dorsalis Pedis Artery
Foot Pulses
Ankle-Brachial Index < 0.9
7. Risk Assessment and Referrals
Reference: Satish Chandra Mishra et al. Diabetic foot. BMJ 2017; 359
Presentation Management Follow-up
Low Risk Callus Alone
Patient Education
Glycemic Control, Foot care
Every Year
Medium Risk 1 of Followings:
Deformity, LOPS or PAD
Patient Education
Manage PAD
● Statin + Antiplatelet
● Exercise
● Vascular Intervention
Every
3-6 Months
High Risk
● Previous Amputation or
Ulceration
● 2 of Followings:
Deformity, LOPS or PAD
Diabetic Foot Center
Foot Protection Services
Surgical Management
Every
1-2 months