Volume 16 - Issue 1 - January 2003
Diabetes Watch »
A recently released study by The Centers for Disease Control and Prevention (CDC) revealed that the number of diagnosed cases of diabetes rose by a third (from 4.9 to 6.5 percent) between 1990-1998. This percentage will increase to 9 by 2025. The breakdown of cases by age was particularly alarming. The incidence of diabetes increased 40 percent over a period of eight years for people 40 and over. It increased 70 percent for people 30 and over.
This is of serious concern when you consider the resulting complications that may be prevalent earlier in life and the exuberant medical care costs th
New Products »
Is it possible to foster improved wound healing as patients return to work?
KCI has attempted to answer that question in the affirmative with its VACFreedom, the latest model of the successful Vacuum Assisted Closure (VAC) device. Recently showcased at the National Association of Home Care 21st Annual Meeting and HOMECARE Expo in Salt Lake City, the V.A.CFreedom system offers improved portability and ease of use for patients, according to KCI.
The system provides a large 300ml canister that facilitates fewer dressing changes and a TRAC (Therapeutic Regulated Accurate Care) Pad that maximiz
News and Trends »
Can the ancient remedy of honey make an impact in treating wounds that are resistant to traditional antibiotics? Two articles, published recently in Ostomy Wound Management and in the Journal of Applied Microbiology, suggest honey may show some promise in wound healing.
The Journal of Applied Microbiology study involved 18 strains of MRSA and seven strains of vancomycin-sensitive enterococci (VSE), which were isolated from infected wounds. Researchers established their sensitivity to two natural honeys of median levels of antibacterial activity and compared that with an
Surgical Pearls »
The advantages of lesser proximal interphalangeal joint arthrodesis in hammertoe surgery are numerous and well known. Arthrodesis is indicated in patients who have compromised intrinsic muscle function and are lacking both digital and metatarsophalangeal joint stability. Indeed, digital arthrodesis has always been an excellent procedure to consider if you fear reoccurrence of the hammertoe deformity due to biomechanical factors.
Through the years, surgeons have employed several methods and devices to facilitate fusion across the lesser proximal interphalangeal joints (PIPJ) for stable hammer
Technology In Practice »
Proper diagnosis and treatment of foot ulcerations is essential to preventing lower extremity amputations. With this in mind, Footlogic offers its PressureStat device. An alternative to the traditional optical pedobarograph, the PressureStat gives you a quick and effective way to identify plantar pressure abnormalities associated with diabetes. A 1999 study in Diabetic Medicine showed that the PressureStat performed well in correctly identifying all high pressure areas in patients versus other pressure data techniques in assessing and preventing diabetic foot ulcers.1
Wound Care Q&A »
As Aristidis Veves, MD and Thanh Dinh, DPM, point out, it is well-known that the chronic diabetic foot ulcer is stuck in the inflammation phase of the wound healing cycle. Research studies have shown that non-healing wounds may have specific biochemical imbalances, notes Liza Ovington, PhD. In particular, non-healing wounds have been shown to have excessively high levels of proteolytic enzymes such as matrix metalloproteases (MMPs).
While these enzymes are necessary in various aspects of the healing process, such as cellular migration, debridement and phagocytosis, Dr. Ovington notes that hi
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