Arulanantham Zechariah Jebakumar, Helen Jebakumari Yesurathinam
The local factors of the diabetic foot ulcer are peripheral , anatomic foot deformity, trauma, improperly fitted shoes, and history of foot ulceration or lower limb elimination in the past, , callus, incomplete joint mobility and irregular foot pressures. There is a triad of , trauma and deformity seen in about two-thirds of the diabetic foot ulcer patients. The other risk factors are dry or skin, toe-web and . In some studies, there are sexual differences and ethnic elements. international agreement on the diabetic foot devised a foot risk criteria with increased risk for foot ulceration by categorizing foot risk. Patients who have no and no history of foot ulcer in the past are said to be low-risk patients. The annual occurrence of a diabetic foot ulcer is predictable to be 2 to 3%. There are two important functions of the foot. They support the body weight as well as act as a lever to propel the body during walking and running. The foot is composed of many small bones so that it can adapt itself while walking on uneven surfaces, rather than being made of single bone which makes it harder to walk on such surfaces. Several risk factors act together and lead to the formation of the foot in diabetes patients. It can be approximately separated into local factors and general or systemic factors. The general factors include poor control, the period of diabetes, peripheral vascular disease, chronic renal disease, visual loss or blindness and old age. The local factors are peripheral , anatomic foot deformity, trauma, improperly fitted shoes, history of foot ulceration or lower limb amputation in the past, , callus, imperfect joint mobility and abnormal foot pressures. There is a triad of , trauma and deformity seen in about two-thirds of the diabetic foot ulcer patients.
{"title":"A Study of Chronic Foot Ulcers for Diabetic Patients","authors":"Arulanantham Zechariah Jebakumar, Helen Jebakumari Yesurathinam","doi":"10.26452/ijds.v6i1.1265","DOIUrl":"https://doi.org/10.26452/ijds.v6i1.1265","url":null,"abstract":"The local factors of the diabetic foot ulcer are peripheral , anatomic foot deformity, trauma, improperly fitted shoes, and history of foot ulceration or lower limb elimination in the past, , callus, incomplete joint mobility and irregular foot pressures. There is a triad of , trauma and deformity seen in about two-thirds of the diabetic foot ulcer patients. The other risk factors are dry or skin, toe-web and . In some studies, there are sexual differences and ethnic elements. international agreement on the diabetic foot devised a foot risk criteria with increased risk for foot ulceration by categorizing foot risk. Patients who have no and no history of foot ulcer in the past are said to be low-risk patients. The annual occurrence of a diabetic foot ulcer is predictable to be 2 to 3%. There are two important functions of the foot. They support the body weight as well as act as a lever to propel the body during walking and running. The foot is composed of many small bones so that it can adapt itself while walking on uneven surfaces, rather than being made of single bone which makes it harder to walk on such surfaces. Several risk factors act together and lead to the formation of the foot in diabetes patients. It can be approximately separated into local factors and general or systemic factors. The general factors include poor control, the period of diabetes, peripheral vascular disease, chronic renal disease, visual loss or blindness and old age. The local factors are peripheral , anatomic foot deformity, trauma, improperly fitted shoes, history of foot ulceration or lower limb amputation in the past, , callus, imperfect joint mobility and abnormal foot pressures. There is a triad of , trauma and deformity seen in about two-thirds of the diabetic foot ulcer patients.","PeriodicalId":156957,"journal":{"name":"International Journal of Dermatopathology and Surgery","volume":"47 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126103459","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The local factors of the diabetic foot ulcer are peripheral neuropathy, anatomic foot deformity, trauma, improperly fitted shoes, and history of foot ulceration or lower limb elimination in the past, oedema, callus, incomplete joint mobility and irregular foot pressures. There is a triad of neuropathy, trauma and deformity seen in about two-thirds of the diabetic foot ulcer patients. The other risk factors are dry or fissured skin, toe-web tinea and onychomycosis. In some studies, there are sexual differences and ethnic elements.The international agreement on the diabetic foot devised a foot risk criteria with increased risk for foot ulceration by categorizing foot risk. Patients who have no neuropathy and no history of foot ulcer in the past are said to be low-risk patients. The annual occurrence of a diabetic foot ulcer is predictable to be 2 to 3%. There are two important functions of the foot. They support the body weight as well as act as a lever to propel the body during walking and running. The foot is composed of many small bones so that it can adapt itself while walking on uneven surfaces, rather than being made of single bone which makes it harder to walk on such surfaces. Several risk factors act together and lead to the formation of the foot in diabetes patients. It can be approximately separated into local factors and general or systemic factors. The general factors include poor glycemic control, the period of diabetes, peripheral vascular disease, chronic renal disease, visual loss or blindness and old age. The local factors are peripheral neuropathy, anatomic foot deformity, trauma, improperly fitted shoes, history of foot ulceration or lower limb amputation in the past, oedema, callus, imperfect joint mobility and abnormal foot pressures. There is a triad of neuropathy, trauma and deformity seen in about two-thirds of the diabetic foot ulcer patients.
{"title":"A Study of Chronic Foot Ulcers for diabetic patients","authors":"Arulanantham Zechariah Jebakumar, H. Yesurathinam","doi":"10.26452/ijds.v6i1.1264","DOIUrl":"https://doi.org/10.26452/ijds.v6i1.1264","url":null,"abstract":"The local factors of the diabetic foot ulcer are peripheral neuropathy, anatomic foot deformity, trauma, improperly fitted shoes, and history of foot ulceration or lower limb elimination in the past, oedema, callus, incomplete joint mobility and irregular foot pressures. There is a triad of neuropathy, trauma and deformity seen in about two-thirds of the diabetic foot ulcer patients. The other risk factors are dry or fissured skin, toe-web tinea and onychomycosis. In some studies, there are sexual differences and ethnic elements.The international agreement on the diabetic foot devised a foot risk criteria with increased risk for foot ulceration by categorizing foot risk. Patients who have no neuropathy and no history of foot ulcer in the past are said to be low-risk patients. The annual occurrence of a diabetic foot ulcer is predictable to be 2 to 3%. There are two important functions of the foot. They support the body weight as well as act as a lever to propel the body during walking and running. The foot is composed of many small bones so that it can adapt itself while walking on uneven surfaces, rather than being made of single bone which makes it harder to walk on such surfaces. Several risk factors act together and lead to the formation of the foot in diabetes patients. It can be approximately separated into local factors and general or systemic factors. The general factors include poor glycemic control, the period of diabetes, peripheral vascular disease, chronic renal disease, visual loss or blindness and old age. The local factors are peripheral neuropathy, anatomic foot deformity, trauma, improperly fitted shoes, history of foot ulceration or lower limb amputation in the past, oedema, callus, imperfect joint mobility and abnormal foot pressures. There is a triad of neuropathy, trauma and deformity seen in about two-thirds of the diabetic foot ulcer patients.","PeriodicalId":156957,"journal":{"name":"International Journal of Dermatopathology and Surgery","volume":"517 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123093808","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
T. ChandanaMadhuri, D. UmaBhanu, P. Mounika, B. Ganesh, Shaik Mujafar, P. Harika, N. Kameshwari, Shaik Faizan Ali
Today, in a generation of technological improvements, Laparoscopic cholecystectomy (L.C.) is the selection for the treatment of symptomatic illnesses of gallbladder like cholecystitis and cholelithiasis. Legitimate pain control is essential for advancing scientific outcomes and previous ambulation after surgery. Results aren't suitable for daycare surgeries. It is minimally invasive with much less postoperative ache, rapid recuperation, lesser health facility live and return to everyday interest on the earliest1. Though laparoscopic cholecystectomy is a slightly invasive surgical procedure with more secondary perioperative pain scores assessment to open procedures, it is present with enormous ranges of postoperative ache. The present prospective, unmarried blinded, randomized manipulate study protected sixty patients scheduled for laparoscopic cholecystectomy and aimed to compare the postoperative analgesia between the posterior transversus abdominis plane block and subcostal transversus abdominis aircraft block. The patients were randomly allotted to 2 businesses- Group 1 consisted of patients who received posterior T.A.P. block with zero. 2% Ropivacaine with Dexmedetomidine 1mcg/kg and Group 2 consisted of patients who obtained subcostal T.A.P. block with zero.2% Ropivacaine with Dexmedetomidine 1mcg/kg. All patients underwent laparoscopic cholecystectomy under general anaesthesia. At the quit of the surgical operation earlier than extubation, both one of the blocks were executed on the affected person underneath ultrasound steering by the identical anaesthesiologist. The objectives of the study were to compare the postoperative pain relief based on VAS at rest and VAS at deep breathing, to compare the time taken for the administration of rescue analgesia (duration of analgesia) and to compare the time taken to perform the block.
{"title":"Efficient techniques for postoperative analgesia in laparoscopic cholecystectomy","authors":"T. ChandanaMadhuri, D. UmaBhanu, P. Mounika, B. Ganesh, Shaik Mujafar, P. Harika, N. Kameshwari, Shaik Faizan Ali","doi":"10.26452/ijds.v6i1.1249","DOIUrl":"https://doi.org/10.26452/ijds.v6i1.1249","url":null,"abstract":"Today, in a generation of technological improvements, Laparoscopic cholecystectomy (L.C.) is the selection for the treatment of symptomatic illnesses of gallbladder like cholecystitis and cholelithiasis. Legitimate pain control is essential for advancing scientific outcomes and previous ambulation after surgery. Results aren't suitable for daycare surgeries. It is minimally invasive with much less postoperative ache, rapid recuperation, lesser health facility live and return to everyday interest on the earliest1. Though laparoscopic cholecystectomy is a slightly invasive surgical procedure with more secondary perioperative pain scores assessment to open procedures, it is present with enormous ranges of postoperative ache. The present prospective, unmarried blinded, randomized manipulate study protected sixty patients scheduled for laparoscopic cholecystectomy and aimed to compare the postoperative analgesia between the posterior transversus abdominis plane block and subcostal transversus abdominis aircraft block. The patients were randomly allotted to 2 businesses- Group 1 consisted of patients who received posterior T.A.P. block with zero. 2% Ropivacaine with Dexmedetomidine 1mcg/kg and Group 2 consisted of patients who obtained subcostal T.A.P. block with zero.2% Ropivacaine with Dexmedetomidine 1mcg/kg. All patients underwent laparoscopic cholecystectomy under general anaesthesia. At the quit of the surgical operation earlier than extubation, both one of the blocks were executed on the affected person underneath ultrasound steering by the identical anaesthesiologist. The objectives of the study were to compare the postoperative pain relief based on VAS at rest and VAS at deep breathing, to compare the time taken for the administration of rescue analgesia (duration of analgesia) and to compare the time taken to perform the block.","PeriodicalId":156957,"journal":{"name":"International Journal of Dermatopathology and Surgery","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125818440","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The demonstration of laryngoscopy and intubation evokes reflex tachycardia and hypertension and dysrhythmias. Even though this weight rejoinder is fleeting, it is sufficiently significant to reason undesired results on a cardiovascular machine-like dysrhythmia and myocardial ischemia. These cardiovascular variations are dangerous in matured, hypertensive, and ischemic coronary illness victims fundamental legitimately to myocardial localized necrosis or dysrhythmias. This forthcoming, randomized, twofold blinded, study assessed the adequacy of the unmarried oral portion of 150mg Pregabalin and 100mcg Clonidine given an hour before acceptance on the constriction of hemodynamic reaction to tracheal and laryngoscopy intubation. Sixty ASA1 and two or three patient of 15 to 65 year age establishment of together genders experiencing surgery have been randomized into organizations Group-C – a hundred mcg Clonidine Group-P – 150mg Pregabalin General sedative strategies have been normalized. Heart charge, systolic, diastolic, and propose blood strain had been chronicled at standard and 1min, 3min, and 5 minutes subsequently laryngoscopy and intubation. Results have been arranged, and measurable examination transformed into accomplished the utilization of Microsoft exceed expectations and SPSS programming program. Understudy t-test was utilized for measurable factors and chi-square test for subjective factors. With the victims coordinated for segment contours, the outcomes affirmed that there was no impressive distinction in pattern hemodynamic factors among the two gatherings. There become inherently less height in blood strain subsequent laryngoscopy and intubation in pregabalin gathering. Even though tachycardia happened in the two associations subsequent intubation, the expansion heart cost was less in pregabalin foundation.
{"title":"A Prospective Study on Surgeries Under General Anaesthesia","authors":"Avula Anil Kumar, Mittinti Niharika, Shaik Shahin Kouser","doi":"10.26452/ijds.v5i1.1243","DOIUrl":"https://doi.org/10.26452/ijds.v5i1.1243","url":null,"abstract":"The demonstration of laryngoscopy and intubation evokes reflex tachycardia and hypertension and dysrhythmias. Even though this weight rejoinder is fleeting, it is sufficiently significant to reason undesired results on a cardiovascular machine-like dysrhythmia and myocardial ischemia. These cardiovascular variations are dangerous in matured, hypertensive, and ischemic coronary illness victims fundamental legitimately to myocardial localized necrosis or dysrhythmias. This forthcoming, randomized, twofold blinded, study assessed the adequacy of the unmarried oral portion of 150mg Pregabalin and 100mcg Clonidine given an hour before acceptance on the constriction of hemodynamic reaction to tracheal and laryngoscopy intubation. Sixty ASA1 and two or three patient of 15 to 65 year age establishment of together genders experiencing surgery have been randomized into organizations Group-C – a hundred mcg Clonidine Group-P – 150mg Pregabalin General sedative strategies have been normalized. Heart charge, systolic, diastolic, and propose blood strain had been chronicled at standard and 1min, 3min, and 5 minutes subsequently laryngoscopy and intubation. Results have been arranged, and measurable examination transformed into accomplished the utilization of Microsoft exceed expectations and SPSS programming program. Understudy t-test was utilized for measurable factors and chi-square test for subjective factors. With the victims coordinated for segment contours, the outcomes affirmed that there was no impressive distinction in pattern hemodynamic factors among the two gatherings. There become inherently less height in blood strain subsequent laryngoscopy and intubation in pregabalin gathering. Even though tachycardia happened in the two associations subsequent intubation, the expansion heart cost was less in pregabalin foundation.","PeriodicalId":156957,"journal":{"name":"International Journal of Dermatopathology and Surgery","volume":"20 11","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120857244","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Someswar Deb, Thejaswini Karanth, Pranathi R, Ravikumar K
The usual mechanism of injury is high energy trauma, more often a road traffic accident (RTA) in a younger population and a domestic accident, more often a fall in elderly people. Distal femoral fractures are reported to have high morbidity and mortality associated with them. Many studies have recommended, through radiological examination, including evaluation by CT scan, considering the high proportion of distal femur fractures involving intraarticular surface, apart from routine clinical examination. As high as 55% of the distal femur fractures are reported to involve intra-articular surface.Fractures of the distal femur are relatively rare but are said to have severe consequences. The reported frequency of distal femur fractures among overall fractures is about 0.4%, and they constitute about 3% of femoral fractures. Many studies have also advised that the presence of pulsation may mislead the clinician, as it is a poor indicator of the absence of vascular injury and have recommended proper tests to rule out this serious associated injury. A femoral nerve block is indicated and recommended by the same authors in the emergency room. Various internal fixation methods have evolved over the last few decades and are in clinical practice to target distal femur fractures. Many prospective studies have been conducted in western countries to assess the long term functional outcomes of many of these techniques. But the amount of literature published on the subject relatively less from developing countries like India. Since the outcomes may heavily depend on the population characteristics, the technical skill of the surgeons and the support therapy in the preoperative period, it is the need of the hour to generate evidence specific to a particular setting, to guide future clinical decisions.
{"title":"A Study on Various Approaches of Functional Outcome of Distal Femur Fractures","authors":"Someswar Deb, Thejaswini Karanth, Pranathi R, Ravikumar K","doi":"10.26452/ijds.v5i1.1385","DOIUrl":"https://doi.org/10.26452/ijds.v5i1.1385","url":null,"abstract":"The usual mechanism of injury is high energy trauma, more often a road traffic accident (RTA) in a younger population and a domestic accident, more often a fall in elderly people. Distal femoral fractures are reported to have high morbidity and mortality associated with them. Many studies have recommended, through radiological examination, including evaluation by CT scan, considering the high proportion of distal femur fractures involving intraarticular surface, apart from routine clinical examination. As high as 55% of the distal femur fractures are reported to involve intra-articular surface.Fractures of the distal femur are relatively rare but are said to have severe consequences. The reported frequency of distal femur fractures among overall fractures is about 0.4%, and they constitute about 3% of femoral fractures. Many studies have also advised that the presence of pulsation may mislead the clinician, as it is a poor indicator of the absence of vascular injury and have recommended proper tests to rule out this serious associated injury. A femoral nerve block is indicated and recommended by the same authors in the emergency room. Various internal fixation methods have evolved over the last few decades and are in clinical practice to target distal femur fractures. Many prospective studies have been conducted in western countries to assess the long term functional outcomes of many of these techniques. But the amount of literature published on the subject relatively less from developing countries like India. Since the outcomes may heavily depend on the population characteristics, the technical skill of the surgeons and the support therapy in the preoperative period, it is the need of the hour to generate evidence specific to a particular setting, to guide future clinical decisions. ","PeriodicalId":156957,"journal":{"name":"International Journal of Dermatopathology and Surgery","volume":"3 10","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132365528","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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