1) The document reviews evidence on using temperature monitoring tools like infrared thermometers to predict and prevent diabetic foot ulcers.
2) It summarizes 4 studies that found using temperature monitoring was associated with lower ulcer incidence rates compared to standard therapies.
3) However, the review found that more robust research is still needed before widespread implementation of temperature monitoring, as the studies had limitations like varying measurement methods and possible bias.
Background and aims: Hypothyroid patients are usually follow-up in internal diseases with endocrinology and metabolism clinics in Turkey. The aim in this study is to determine the differences between these two clinics in terms of reaching the target.
Background and aims: Hypothyroid patients are usually follow-up in internal diseases with endocrinology and metabolism clinics in Turkey. The aim in this study is to determine the differences between these two clinics in terms of reaching the target.
Sex, Drugs & Scotland's Health- Population- level estimates of Hepatitis C re...HIVScotland
Delivered at Sex, Drugs & Scotland's Health Virtual Conference, this presentation was delivered by Dr Alan Yeung.
More information about the virtual event is available here: http://ow.ly/YntW50GWhJ0
Obstetric Early Warning scores – the 4 P’s study - Peter WatkinsonIntensive Care Society
Dr Peter Watkinson, Associate Professor of Intensive Care Medicine, is joint clinical lead for the Critical Care Research Group based at the Kadoorie Centre for Critical Care Research & Education at the John Radcliffe Hospital, Oxford.
He is an NHS consultant in intensive care and acute medicine and is part of the senior clinical team at the Oxford University Hospitals NHS Foundation Trust. His research interests focus on the identification of the deteriorating patient in hospital and he has designed and run a number of studies in the field of wearable monitoring devices. The research group is now exploring the opportunities offered through non-contact monitoring and standard electronically-recorded descriptors of a patient’s condition.
The research group has a strong link with the University of Oxford Institute of Biomedical Engineering. Using data collected from thousands of patients’ vital signs in Oxford and elsewhere the multi-disciplinary team investigates ways to locate patterns which precede and predict clinical deterioration in hospitalised patients.
Other areas of interest for the research group include development of electronic monitoring systems, use of human factors techniques to introduce new technology into the healthcare environment, and assessing the longer-term effects of critical illnesses on patients’ quality of life.
The impact of Chemical, Biological, Radiological, Nuclear and Explosive event...Jamie Ranse
Ranse J. (2021). The impact of Chemical, Biological, Radiological, Nuclear and Explosive events on Emergency Departments: An integrative review; invited speaker for Qatar Health 2021, Doha, Qatar, 22nd January. [online]
Impact of mass gatherings on ambulance services and emergency departmentsJamie Ranse
Ranse J. (2020). Impact of mass gatherings on ambulance services and emergency departments; invited speaker for Qatar Health 2020, Doha, Qatar, 17th January
Tofiq journal of medical sciencesمجلة توفيق العدد الثاني 2015Taghreed Al-Noor
TOFIQ Journal of Medical Sciences (TJMS) is published by TOFIQ: an
NGO registered at the State of Maryland as a non-profit organization
dedicated to helping Iraq Higher Education and Research.
TJMS is devoted to the publication of original research, commentaries
on a current topic, reviews, letters to the editor, and editorials in the
field of medical sciences. The early focus of the journal is on clinical
burden of disease in Iraq: documentation of its nature and extent;
clinical patterns and epidemiology; diagnostic findings; and
therapeutic strategies.
Focus
Holistic Forecasting of Onset of Diabetes through Data Mining Techniquesijcnes
Diabetes is one of the modern day diseases that poses serious threat for the affected and is ever challenging for physicians who are involved in its management and control.Type2 diabetes mellitus ranges in exponential rating day by day in its increase. Mere not being aware of the facts and causes that can lead to such state, unawareness about diabetic symptoms and late detection make diabetic condition unmanageable and is really a challenging task to be faced all victims. This paper suggests holistic measures and means by which any common man can get into it to check whether he / she is a would-be victim of Diabetes through simple checking of symptoms that may lead to Diabetic condition, analyses the factual causes of the aforesaid disease. This would certainly make a person to ensure for the locus-centric state of whether of being a diabetic or not. The problem of diagnosing the onset and incidence of Diabetes is addressed more with a data mining approach in mind. As the success of any data mining approach is solely dependant on the underlying dataset upon which learning is manifested and taken for, this paper inspects more on locating prima-facie symptoms of diabetes disorder. A sagacious insight of analyzing the actual causes of diabetes is set and hence a comprehensive set of data for diabetic condition is proposed here. Subjecting this data to data analysis through simple data mining techniques v.i.z., FP-Growth and Apriori would certainly model a holistic inference engine that could help a doctor to be more astute in confirming the diabetic condition of patients. Association rules are also being inducted based on both of these approaches. A heuristic computer aided diagnosis (CAD) system for diabetes can be built upon this
Let's Talk Research 2015 - Michael Harrison Blount - An Action Research appro...NHSNWRD
An Action Research approach to facilitating the integration of best practice in the Assessment and Management of Diabetes Related Lower Limb Problems in India.
Michael Harrison-Blount MSc. BSc (Hons). MChS. MFPM RCPS (Glasg). CSci
Lecturer in Podiatry
School of Health SciencesUniversity of Salford
t: +44 0161 2953516
email; m.j.harrison-blount@salford.ac.uk | www.salford.ac.uk
Sex, Drugs & Scotland's Health- Population- level estimates of Hepatitis C re...HIVScotland
Delivered at Sex, Drugs & Scotland's Health Virtual Conference, this presentation was delivered by Dr Alan Yeung.
More information about the virtual event is available here: http://ow.ly/YntW50GWhJ0
Obstetric Early Warning scores – the 4 P’s study - Peter WatkinsonIntensive Care Society
Dr Peter Watkinson, Associate Professor of Intensive Care Medicine, is joint clinical lead for the Critical Care Research Group based at the Kadoorie Centre for Critical Care Research & Education at the John Radcliffe Hospital, Oxford.
He is an NHS consultant in intensive care and acute medicine and is part of the senior clinical team at the Oxford University Hospitals NHS Foundation Trust. His research interests focus on the identification of the deteriorating patient in hospital and he has designed and run a number of studies in the field of wearable monitoring devices. The research group is now exploring the opportunities offered through non-contact monitoring and standard electronically-recorded descriptors of a patient’s condition.
The research group has a strong link with the University of Oxford Institute of Biomedical Engineering. Using data collected from thousands of patients’ vital signs in Oxford and elsewhere the multi-disciplinary team investigates ways to locate patterns which precede and predict clinical deterioration in hospitalised patients.
Other areas of interest for the research group include development of electronic monitoring systems, use of human factors techniques to introduce new technology into the healthcare environment, and assessing the longer-term effects of critical illnesses on patients’ quality of life.
The impact of Chemical, Biological, Radiological, Nuclear and Explosive event...Jamie Ranse
Ranse J. (2021). The impact of Chemical, Biological, Radiological, Nuclear and Explosive events on Emergency Departments: An integrative review; invited speaker for Qatar Health 2021, Doha, Qatar, 22nd January. [online]
Impact of mass gatherings on ambulance services and emergency departmentsJamie Ranse
Ranse J. (2020). Impact of mass gatherings on ambulance services and emergency departments; invited speaker for Qatar Health 2020, Doha, Qatar, 17th January
Tofiq journal of medical sciencesمجلة توفيق العدد الثاني 2015Taghreed Al-Noor
TOFIQ Journal of Medical Sciences (TJMS) is published by TOFIQ: an
NGO registered at the State of Maryland as a non-profit organization
dedicated to helping Iraq Higher Education and Research.
TJMS is devoted to the publication of original research, commentaries
on a current topic, reviews, letters to the editor, and editorials in the
field of medical sciences. The early focus of the journal is on clinical
burden of disease in Iraq: documentation of its nature and extent;
clinical patterns and epidemiology; diagnostic findings; and
therapeutic strategies.
Focus
Holistic Forecasting of Onset of Diabetes through Data Mining Techniquesijcnes
Diabetes is one of the modern day diseases that poses serious threat for the affected and is ever challenging for physicians who are involved in its management and control.Type2 diabetes mellitus ranges in exponential rating day by day in its increase. Mere not being aware of the facts and causes that can lead to such state, unawareness about diabetic symptoms and late detection make diabetic condition unmanageable and is really a challenging task to be faced all victims. This paper suggests holistic measures and means by which any common man can get into it to check whether he / she is a would-be victim of Diabetes through simple checking of symptoms that may lead to Diabetic condition, analyses the factual causes of the aforesaid disease. This would certainly make a person to ensure for the locus-centric state of whether of being a diabetic or not. The problem of diagnosing the onset and incidence of Diabetes is addressed more with a data mining approach in mind. As the success of any data mining approach is solely dependant on the underlying dataset upon which learning is manifested and taken for, this paper inspects more on locating prima-facie symptoms of diabetes disorder. A sagacious insight of analyzing the actual causes of diabetes is set and hence a comprehensive set of data for diabetic condition is proposed here. Subjecting this data to data analysis through simple data mining techniques v.i.z., FP-Growth and Apriori would certainly model a holistic inference engine that could help a doctor to be more astute in confirming the diabetic condition of patients. Association rules are also being inducted based on both of these approaches. A heuristic computer aided diagnosis (CAD) system for diabetes can be built upon this
Let's Talk Research 2015 - Michael Harrison Blount - An Action Research appro...NHSNWRD
An Action Research approach to facilitating the integration of best practice in the Assessment and Management of Diabetes Related Lower Limb Problems in India.
Michael Harrison-Blount MSc. BSc (Hons). MChS. MFPM RCPS (Glasg). CSci
Lecturer in Podiatry
School of Health SciencesUniversity of Salford
t: +44 0161 2953516
email; m.j.harrison-blount@salford.ac.uk | www.salford.ac.uk
This 6th edition of the IDF Diabetes Atlas once again sets the standard for evidence on the global epidemiology of diabetes. The new estimates build on the groundwork laid by previous editions, and confirm the precipitous rise in diabetes over
the last few years. An astounding 382 million people are estimated to have diabetes, with dramatic increases seen in countries all over the world. The overwhelming burden of the disease continues to be shouldered by low- and middleincome
countries, where four out of five people with diabetes are living. Socially and economically disadvantaged people in every country carry the greatest burden of diabetes and are often the most
affected financially.
Behaviour change techniques targeting diet and physical activity in type 2 di...Health Evidence™
Health Evidence hosted a 60 minute webinar examining the behaviour change techniques (BCTs) and features of dietary and physical activity interventions associated with reducing HbA1c in people with type 2 diabetes. Click here for access to the audio recording for this webinar: https://youtu.be/Fb6_t7_TGxw
Kevin Cradock, PhD student, National University of Ireland, Galway led the session and presented findings from his recent systematic review:
Cradock K, OLaighin G, Finucane F, Gainforth H, Quinlan L, & Ginis K. (2017). Behaviour change techniques targeting both diet and physical activity in type 2 diabetes: A systematic review and meta-analysis. International Journal of Behavioral Nutrition and Physical Activity, 14(1), 18.
Changing diet and physical activity behaviour is one of the cornerstones of type 2 diabetes treatment, but changing behaviour is challenging. The objective of this study was to identify behaviour change techniques (BCTs) and intervention features of dietary and physical activity interventions for patients with type 2 diabetes that are associated with changes in HbA1c. Thirteen RCTs were identified. Diet and physical activity interventions achieved clinically significant reductions in HbA1c at three and six months, but not at 12 and 24 months. Specific BCTs and intervention features identified may inform more effective structured lifestyle intervention treatment strategies for type 2 diabetes.
Our aim is to alleviate human suffering related to diabetes and its complications among those least able to withstand the burden of the disease. From 2002 to March 2017, the World Diabetes Foundation provided USD 130 million in funding to 511 projects in 115 countries. For every dollar spent, the Foundation raises approximately 2 dollars in cash or as in-kind donations from other sources. The total value of the WDF project portfolio reached USD 377 million, excluding WDF’s own advocacy and strategic platforms.
Memorias Conferencia Científica Anual sobre Síndrome Metabólico 2017 - Programa Científico
Futuro en el tratamiento de la DM2
Dr. Guillermo E. Umpierrez
Professor of Medicine in the Division of Endocrinology at Emory University School of Medicine, Section Head, Diabetes and Endocrinology. USA. Editor en Jefe del BJM Open Diabetes Research and Care
Effectiveness of Telenursing on Diabetic Patients with Glucose Self Monitorin...ijtsrd
BACKGROUND Diabetes is one of the most common debilitating diseases in the elderly requiring reasonable blood sugar control to prevent complications. Telenursing has been presented as a cost effective method to control blood glucose levels. AIM The present study aims to assess the effect on telenurisng on self glucose control among clients with type to diabetes mellitus at Saveetha medical college and hospital. METHODS AND MATERIALS A quantitative research design was used for the present study. A total 100 samples were collected using quota sampling technique. The demographic variable pretest and posttest level of complaints on self glucose monitoring was assessed using structured questionnaire, telenursing on glucose self monitoring and mangement was given among diabetes mellitus followed by that data was gathered and analyzed. RESULTS The results the study revealed that there is a significant association between the selected demographic variables and posttest level of diabetes mellitus at the level of p 0.01. CONCLUSION Thus, the present despites that factors associated with posttest level of diabetes mellitus among demographic variable. Mrs. Sindhupriya. R | Kanimozhi. N "Effectiveness of Telenursing on Diabetic Patients with Glucose Self-Monitoring among with General Population at Arakkonam GH" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-7 | Issue-5 , October 2023, URL: https://www.ijtsrd.com/papers/ijtsrd60034.pdf Paper Url: https://www.ijtsrd.com/biological-science/other/60034/effectiveness-of-telenursing-on-diabetic-patients-with-glucose-selfmonitoring-among-with-general-population-at-arakkonam-gh/mrs-sindhupriya-r
A Study of Knowledge and Practice of Foot Care in Patients with Diabetes Mell...Sunil Vadithya
A Study of Knowledge and Practice of Foot Care in Patients with Diabetes Mellitus A Study of Knowledge and Practice of Foot Care in Patients with Diabetes Mellitus
1. Diabetic Hot Spots:
Can they be predicted using temperature monitoring tools and
subsequently prevent foot ulceration?
Primary Author: Fiona Simpson Secondary Author: Professor Stuart Baird (Supervisor) Contact: GCU Podiatry Department
Student ID: S1218907 School of Health and Life Sciences
Email: fsimps200@caledonian.ac.uk 70 Cowcaddens Road, Glasgow, G4 0BA
1. BACKGROUND
OBJECTIVE
To critically appraise evidence and assess the
effectiveness of self-temperature monitoring tools,
specifically infrared thermometers to predict areas
of and prevent diabetic foot ulceration.
Diabetes can no longer be sugar-coated; the chronic life-
altering condition is one of the largest non-communicable
diseases, labelled the silent killer.
• Worldwide: 415 million adults (IDF, 2015)
• UK: 1 in 16 individuals (Diabetes UK, 2015)
2. METHODOLOGY
3. FINDINGS
Study Study Results SIGN Level
of Evidence
Primary Outcomes: Foot Ulcer Incidence
Lavery et al
(2004)
Temperature monitoring: n=1/44
Standard therapy: n=7/41
Ulceration sites had consistently higher temperatures compared
to areas that did not ulcerate.
Low Quality
(1-)
Lavery et al
(2007)
Temperature monitoring: n=5/59
Standard: n=17/58; Structured therapy: n=17/56
Statistically significant (p=0.008; 0.0061)
High Quality
(1++)
Armstrong et
al (2007)
Temperature monitoring: n=5
Standard therapy: n=14
Statistically significant (p= 0.038)
A week prior to ulceration, sites experienced 4.8x greater
temperature than a site that did not breakdown (p=0.001)
Low Quality
(1-)
Skafjeld et al
(2015)
Temperature monitoring: n= 7/21
Standard therapy: n=10/20
No statistically significant difference (p=0.532)
Acceptable
Quality
(1+)
4. DISCUSSION
The research presented highlights raised temperatures can be
representative of forthcoming ulceration. Monitoring
temperature via infrared thermometers such as TempTouch can
predict these areas and act as an insightful tool for prevention.
Although this was not consistent throughout all studies.
5. CONCLUSION
REFERENCES
ARMSTRONG, D.G. et al., 2007. Skin Temperature Monitoring Reduces the Risk for Diabetic Foot Ulceration in High-Risk
Patients. The American Journal of Medicine [online]. 120 (2), pp. 1042-1046. [viewed 9 March 2016]. Available from:
http://www.amjmed.com/article/S0002-9343(07)00739-5/pdf
DIABETES UK, 2015. Diabetes: Facts and Stats [online]. Diabetes UK. [viewed 5 March 2016]. Available from:
https://www.diabetes.org.uk/Documents/Position%20statements/Diabetes%20UK%20Facts%20and%20Stats_Dec%202015.pdf
FREED, S. 2008. TempTouch – Infrared Skin Thermometer [online]. Diabetes in Control. [viewed 12 March 2016]. Available
from: http://www.diabetesincontrol.com/temptouchr/
INTERNATIONAL DIABETES FEDERATION, 2015. IDF Diabetes Atlas 7th Edition [online]. International Diabetes
Federation. [viewed 5 March 2016]. Available from: http://www.diabetesatlas.org/
LAVERY, L.A. et al., 2004. Home Monitoring of Foot Skin Temperature to Prevent Ulceration. Diabetes Care [online]. 27 (11),
pp. 2642-2647. [viewed 9 March 2016]. Available from: http://care.diabetesjournals.org/content/27/11/2642.full.pdf+html
LAVERY, L.A. et al., 2007. Preventing Diabetic Foot Ulcer Recurrence in High-Risk Patients. Diabetes Care [online]. 30 (1),
pp. 14-20. [viewed 9 March 2016]. Available from: http://care.diabetesjournals.org/content/30/1/14.full.pdf+html
SKAFJELD, A. et al., 2015. A Pilot study testing the feasibility of skin temperature monitoring to reduce recurrent foot ulcers in
patients with diabetes – a randomized controlled trial. BMC Endocrine Disorders [online]. 15 (55), pp. 1-7. [viewed 9 March
2016]. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4600271/pdf/12902_2015_Article_54.pdf
THE FOOT SHOP, 2008. Diabetes: The Diabetic Foot [online]. The Foot Shop. [viewed 12 March 2016]. Available from:
http://www.thefootshop.org.uk/conditions/dia.html
This review established a correlation between self
temperature monitoring and diabetic foot ulcer
prevention - characterised by reduced ulcer incidence
rates compared to standard therapies.
However, more robust research needs to be undertaken
before devices could be implemented, with standardised
procedures in place. Finally, temperature monitoring has
the potential to be the next step in the diabetic foot
ulceration prevention pathway.
Identified:
439
Identified:
439
Screened:
393
Eligible:
188
Included:
4
PREDICTIVE PREVENTIVEPROACTIVE
Research Strengths
• All studies primary outcome being measured was DFU incidence.
• All studies evaluated the same infrared thermometer - TempTouch.
• All studies compared positive control groups including standard therapy - ethical.
Research Limitations
• Information often withheld e.g. randomisation, concealment, group allocation, attrition rates
• Different outcome measurements used by each study - some tools not validated
• Comparability between studies weak
• Two studies conducted by exact same research group - possible bias.
The critical review process was undertaken between
September 2015 and February 2016.
7 relevant podiatry databases were searched thoroughly
including AMED, CINAHL, Cochrane Library, Health
Source, MEDLINE, ProQuest and Web of Science.
The search strategy was composed of five sets of terms;
synonyms of - temperature monitoring, self-assessment,
diabetic foot ulceration, prevention and prediction.
Figure 2 highlights the eligibility screening process. All four
studies included were randomised controlled trials and were
analysed thematically: primary outcome measure, inclusion
and exclusion criteria, study methods, study design, outcome
statistics and analysis.
Diabetic foot ulceration is an increasing yet preventable
costly consequence:
• biggest perpetrator of non-traumatic lower limb
amputation
• negative predictor of mortality
Inflammation precedes ulceration – a characteristic sign is
elevated temperature. As ulceration and neuropathy go hand
in hand, inflammatory signs can go undetected.
Temperature can be monitored
objectively by patients using infrared
thermometers. Despite its success in
other aspects of diabetic footcare; no
guidance currently exists on this
subject. Figure 1: Ulceration Diagram
(The Foot Shop, 2008)
Figure 3: TempTouch
(Freed, 2008)
Figure 2: Study Selection
Every paper had issues relating to
methodological rigour; impacting
validity, generalisability and
repeatability.
Implications and Considerations
• In line with healthcare plans: prevention is better than cure
• Cost effective and simple device
• Compliance and result interpretation issues
• Possible increase in podiatry appointments and workload
• Transferred to part of diabetic annual review assessment for
long term monitoring
PODIATRYNHS