Volume 20 - Issue 10 - October 2007

Diabetes Watch »

Can Daptomycin Have An Impact With Skin And Skin Structure Infections?

By Gerard Guerin, DPM, CWS | 12107 reads | 0 comments

Podiatrists commonly encounter and treat skin and skin-structure infections (SSSIs), ranging from cellulitis to more complicated surgical site infections and infected diabetic foot ulcers. Aerobic gram-positive cocci, such as Staphylococcus aureus and streptococci, are the most common causative agents of skin infections.1

While the treatment of simple and superficial infections is relatively straightforward with brief courses of oral antibiotics, many skin infections of the foot are complicated by diabetes.1,2 Foot ulceration, usually secondary to peripheral neuropathy or peripheral vascul



News and Trends »

News & Trends

By Brian McCurdy, Senior Editor | 3213 reads | 0 comments

Do Trauma Patients With Diabetes Face Higher Complication Rates?

Patients with diabetes face a higher risk of complications in a number of areas. A large study recently published in the Archives of Surgery notes that those with diabetes also face more complications from trauma surgery.

From 1984 to 2002, researchers examined 12,489 patients with diabetes, matching their ages, sex and injury severity with 12,489 non-diabetic patients from 27 Pennsylvania trauma centers. The study concluded that patients with diabetes spent more time in the intensive care unit and received venti



Feature »

Inside Secrets For Maximizing Reimbursement

By David Edward Marcinko,MBA, CMP, and Hope Rachel Hetico, RN, MHA, CMP | 3641 reads | 0 comments

Maximizing practice reimbursement is an ongoing challenge on a road full of significant obstacles. Accordingly, these authors suggest a new approach to improving internal processes that can simultaneously improve compliance and bolster incoming revenue.

When one speaks of maximizing medical practice reimbursement, most physicians immediately think of the National Correct Coding Initiative (NCCI) or coding-oriented consultants. However, bolstering reimbursement involves more than just using the newest Current Procedural Terminology® (CPT) codes, parsing old codes or even becoming a C



Feature »

Current Insights On Growth Factor Therapy

By Patris A.Toney, DPM, MPH, and Vickie R. Driver, DPM, MS | 7908 reads | 0 comments

Recent advances with growth factor therapy have created more possibilities for wound care. These authors review currently available modalities and emerging treatments, and survey the literature on the effectiveness of growth factor therapy for chronic wounds.

The future of growth factor therapy in wound care is advancing rapidly. There is also increasing evidence in the literature to support the efficacy of growth factors in wounds, particularly chronic wounds, and how they can help facilitate desired healing outcomes. With advances in research over the past decades, physicians and r



Feature »

How To Treat Overuse Injuries In Athletes

By Patrick DeHeer, DPM, and Debra Mardis, DPM | 19607 reads | 0 comments

Given the frequency with which overuse injuries occur in athletic patients, this author offers insights and pearls on treating common injuries ranging from posterior tibial tendon injuries and tibialis anterior tendinitis to peroneal tendon injuries and Achilles tendon injuries.

Approximately 50 percent of all sports injuries are secondary to overuse.1 Overuse injuries result from repetitive microtrauma that leads to local tissue damage in the form of cellular and extracellular degeneration. Injury is most likely to occur when an athlete changes the intensity or length of training. This has



Feature »

DIGITAL THERMOMETRY: Can It Have An Impact?

By Lawrence A. Lavery, DPM | 5859 reads | 0 comments

Assessing skin temperatures in the diabetic foot can help identify patients at a high risk for various complications. Accordingly, this author shares insights from the research on the possible advantages of using digital thermometry as a self-assessment tool to help prevent diabetic foot ulcers.

Preventing foot ulceration and re-ulceration in high-risk patients with diabetes is a challenge. Clinical outcomes are much better when high-risk patients receive proper foot care, education and protective shoes. There is a growing body of work which demonstrates that programs aimed at treatm