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Negative pressure wound therapy for managing diabetic foot ulcers : a review of the clinical effectiveness, cost-effectiveness, and guidelines
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Year: 2014 Publisher: Ottawa, ON : Canadian Agency for Drugs and Technologies in Health,

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Keywords

Foot --- Ulcers.


Book
Negative pressure wound therapy for managing diabetic foot ulcers : a review of the clinical effectiveness, cost-effectiveness, and guidelines
Author:
Year: 2014 Publisher: Ottawa, ON : Canadian Agency for Drugs and Technologies in Health,

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Keywords

Foot --- Ulcers.


Book
Managing the diabetic foot
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ISBN: 9780470655054 0470655054 Year: 2014 Publisher: Wiley Blackwell

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Foot problems in diabetic patients are some of the most challenging complications to treat, due to an often quite late presentation of symptoms from the patient. Therefore visual recognition of presenting clinical signs is absolutely key for a successful diagnosis and subsequently, the right management programme. The 3rd edition of Managing the Diabetic Foot once again provides a practical, handy and accessible pocket guide to the clinical management of patients with severe feet problems associated with diabetes, such as ulcers, infections and necrosis. By focusing on the need for a speedy response to the clinical signs, it will enable doctors make rapid, effective management decisions in order to help prevent deterioration and avoid the need for evental foot amputation.Each chapter focuses specifically on the different stages of foot disease and the clinical management required at that particular stage, ie, the normal foot; high-risk foot, ulcerated foot, infected foot, necrotic foot and unsalvageable foot.


Book
Richtungseffekte bei Schiedsrichterentscheidungen im fussball
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ISBN: 3862197050 9783862197057 9783862197040 3862197042 Year: 2014 Publisher: Kassel, Germany : kassel university press GmbH,

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Principles and management of pediatric foot and ankle deformities and malformations
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ISBN: 1496324269 1469883333 9781469883335 9781496324269 9781451130454 Year: 2014 Publisher: [Place of publication not identified]

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"This book will combine principles of assessing foot disorders and deformities and treatment with practical suggestions"--


Book
The 1929 Bunion Derby
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ISBN: 081565281X 9780815652816 9780815610366 081561036X Year: 2014 Publisher: Syracuse, New York

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Compression therapy in diabetic foot ulcer management : a review of clinical effectiveness, cost-effectiveness and guidelines
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Year: 2014 Publisher: Ottawa, ON : Canadian Agency for Drugs and Technologies in Health,

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The most common chronic complication of diabetes mellitus (DM) is diabetic foot ulcers (DFUs), with a prevalence of four to ten percent among DM patients. Local circulation is an essential requirement for efficient wound healing, providing sufficient oxygen and nutrient delivery. Therefore it is possible that compression therapies can improve local circulation and improve clinical outcomes for patients with DFUs, as has been demonstrated for other wound types. Compression therapies apply controlled external pressure to promote local circulation by simulating vasodilation or reduction of venous congestion and edema. The controlled external pressure is applied using bandages, specialized stockings, or inflatable garments. Intermittent pneumatic compression (IPC) is a compression therapy utilizing sleeves that are inflated to a defined pressure before being deflated, simulating the effect of walking and weight-bearing on the venous system. A related treatment called compressed air massage utilizes a stream of compressed air directly on the affected area and may have similar local circulation effects. However, DFUs are a unique wound type and are often accompanied by contraindications for compression therapy including ischemia and peripheral vascular disease (PVD). The purpose of this report is to retrieve and review existing clinical efficacy evidence for compression therapy in the treatment of DFUs. Additionally this report aims to retrieve and review evidence for compression therapy cost-effectiveness, and to retrieve and review the existing compression therapy guidelines for the treatment of DFUs.


Book
Debridement procedures for managing diabetic foot ulcers : a review of clinical effectiveness, cost-effectiveness, and guidelines
Authors: ---
Year: 2014 Publisher: [Ottawa, Ontario] : Canadian Agency for Drugs and Technologies in Health,

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Debridement is the removal of necrotic tissue, foreign debris, bacterial growth, callus, wound edge, and wound bed tissue from chronic wounds in order to stimulate the wound healing process. Stimulation of wound healing mediated by debridement is thought to occur by the conversion of a chronic non-healing wound environment to an acute healing environment through the removal of cells that are not responsive to endogenous healing stimuli. Debridement is used commonly in standard wound treatment of diabetic foot ulcers (DFUs). Methods of debridement include surgery (sharp debridement), chemical debridement (antiseptics, polysaccharide beads, pastes), autolytic (hydrogels, hydrocolloids and transparent films), biosurgery (maggots), mechanical (hydrodebridement), and biochemical debridement (enzyme preparations). Callus is a buildup of keratinized skin formed under conditions of repeated pressure or friction and may contribute to ulcer formation by creating focal areas of high plantar pressure. The debridement of callus has been proposed to be relevant for both treatment and prevention of DFU. The purpose of this report is to retrieve and review existing evidence of comparative clinical effectiveness of different methods of debridement for the treatment of DFUs. Additionally examined in this report is the clinical effectiveness for treatment and prevention of DFU using callus debridement. Cost-effectiveness, and existing debridement guidelines for the treatment of DFUs will also be reviewed.


Book
Compression therapy in diabetic foot ulcer management : a review of clinical effectiveness, cost-effectiveness and guidelines
Author:
Year: 2014 Publisher: Ottawa, ON : Canadian Agency for Drugs and Technologies in Health,

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Abstract

The most common chronic complication of diabetes mellitus (DM) is diabetic foot ulcers (DFUs), with a prevalence of four to ten percent among DM patients. Local circulation is an essential requirement for efficient wound healing, providing sufficient oxygen and nutrient delivery. Therefore it is possible that compression therapies can improve local circulation and improve clinical outcomes for patients with DFUs, as has been demonstrated for other wound types. Compression therapies apply controlled external pressure to promote local circulation by simulating vasodilation or reduction of venous congestion and edema. The controlled external pressure is applied using bandages, specialized stockings, or inflatable garments. Intermittent pneumatic compression (IPC) is a compression therapy utilizing sleeves that are inflated to a defined pressure before being deflated, simulating the effect of walking and weight-bearing on the venous system. A related treatment called compressed air massage utilizes a stream of compressed air directly on the affected area and may have similar local circulation effects. However, DFUs are a unique wound type and are often accompanied by contraindications for compression therapy including ischemia and peripheral vascular disease (PVD). The purpose of this report is to retrieve and review existing clinical efficacy evidence for compression therapy in the treatment of DFUs. Additionally this report aims to retrieve and review evidence for compression therapy cost-effectiveness, and to retrieve and review the existing compression therapy guidelines for the treatment of DFUs.


Book
Debridement procedures for managing diabetic foot ulcers : a review of clinical effectiveness, cost-effectiveness, and guidelines
Authors: ---
Year: 2014 Publisher: [Ottawa, Ontario] : Canadian Agency for Drugs and Technologies in Health,

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Abstract

Debridement is the removal of necrotic tissue, foreign debris, bacterial growth, callus, wound edge, and wound bed tissue from chronic wounds in order to stimulate the wound healing process. Stimulation of wound healing mediated by debridement is thought to occur by the conversion of a chronic non-healing wound environment to an acute healing environment through the removal of cells that are not responsive to endogenous healing stimuli. Debridement is used commonly in standard wound treatment of diabetic foot ulcers (DFUs). Methods of debridement include surgery (sharp debridement), chemical debridement (antiseptics, polysaccharide beads, pastes), autolytic (hydrogels, hydrocolloids and transparent films), biosurgery (maggots), mechanical (hydrodebridement), and biochemical debridement (enzyme preparations). Callus is a buildup of keratinized skin formed under conditions of repeated pressure or friction and may contribute to ulcer formation by creating focal areas of high plantar pressure. The debridement of callus has been proposed to be relevant for both treatment and prevention of DFU. The purpose of this report is to retrieve and review existing evidence of comparative clinical effectiveness of different methods of debridement for the treatment of DFUs. Additionally examined in this report is the clinical effectiveness for treatment and prevention of DFU using callus debridement. Cost-effectiveness, and existing debridement guidelines for the treatment of DFUs will also be reviewed.

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