Archive: Sep 2011

Amputation Rates Vary Widely Across US

September 30, 2011

Location, Location, Location: Geographic Clustering of Lower-Extremity Amputation Among Medicare Beneficiaries With Diabetes David J. Margolis, MD, PHD?, Ole Hoffstad, MA, Jeffrey Nafash, BA, Charles E. Leonard, PHARMD, MSCE, Cristin P. Freeman, MPH, Sean Hennessy, PHARMD, PHD and Douglas J. Wiebe, PHD +Author Affiliations Department of Biostatistics and Epidemiology and the Center for Clinical Epidemiology and Biostatistics, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania Corresponding author: David J. Margolis, margo@mail.med.upenn.edu. Abstract OBJECTIVE Lower-extremity amputation (LEA) is common among persons…

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Early Insulin Use in the Progression of Diabetes by the Master, Dr Aaron Vinik

September 29, 2011

Dr. Aaron I. Vinik on Early Insulin Use in the Progression of Diabetes One of the leading diabetes researchers in the world, Dr. Aaron I. Vinik, Director of Research and Neuroendocrine Unit, EVMS Strelitz Diabetes Research Center, shares his views on early insulin initiation. The natural history of type 2 Diabetes (T2DM) is a progressive worsening of glycemic control as a consequence of progressive beta cell failure so that ultimately all patients with T2DM are equivalent to patients with type…

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Primer in Wound Preparation by Rogers

September 26, 2011

Current Concepts In Wound Bed Preparation Volume 24 – Issue 8 – August 2011 3054 reads 0 comments Author(s): Lee C. Rogers, DPM Proper preparation of the wound bed is essential to priming the wound for effective healing. Accordingly, this author discusses key principles from the literature and shares insights from his clinical experience in employing debridement and adjunctive modalities to help facilitate better wound healing and eventual wound closure. Wound bed preparation is a term that describes making the…

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Who Says That Wound Care Isn't Sexy: Wounds Get Wet Before They Get Hot

September 25, 2011

Bruin Biometrics’ Sub-Epidermal Moisture Scanner Might Detect Decubitus Ulcers Before They Show Up by GAVIN CORLEY on Sep 6, 2011 • No Comments Bruin Biometrics, LLC,  a wireless health technology company, and researchers at UCLA have developed a device for measuring the risk of pressure ulcer formation. The Sub-Epidermal Moisture (SEM) scanner is a handheld device which measures the dielectric properties of the tissue being assessed and provides an estimation of the sub-epidermal moisture which is indicative of risk of decub ulcer formation. The SEM scanner is…

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FREMS as a Novel Therapy for treatment of DFU

September 25, 2011

Case Presentation and Conclusion: A Novel Therapy for Treatment of a Diabetic Ulceration by Conway T. McLean, DPM   Conway T. McLean, DPM Director of Podiatric Surgery Cottage Clinics Chicago, IL A diabetic patient presented to the office with a common presenting complaint, a non-healing wound. Like so many individuals with diabetes, this particular patient’s level of self-care (as well as their understanding of the disease) was somewhat lacking. A limb-threatening infection had developed of the left foot, due, at…

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Suture-less Vascular Anastomosis:Entering a New Era in Limb Salvage

September 25, 2011

Researchers Develop Method of Joining Blood Vessels Without Sutures by SCOTT JUNG on Aug 29, 2011 • 3:08 pm No Comments For 100 years, the process of vascular anastomosis has largely been the same. Surgeons take a needle and thread and delicately suture together the walls of the blood vessel. Though literally sewing together blood vessels is a widely utilized surgical procedure, it isn’t without its issues. Intimal hyperplasia, a cell response to the trauma of the needle and thread, causes blood vessels to narrow…

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