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Détail de l'auteur
Auteur Chia-Ding Shih
Documents disponibles écrits par cet auteur
Ajouter le résultat dans votre panier Affiner la rechercheInitial report on the use of in-office cone beam computed tomography for early diagnostis of osteomyelitis in diabetic patients / Chia-Ding Shih in Journal of the American Podiatric Medical Association, vol.106, 2 (Mars-avril 2016)
[article]
in Journal of the American Podiatric Medical Association > vol.106, 2 (Mars-avril 2016) . - 128-132
Titre : Initial report on the use of in-office cone beam computed tomography for early diagnostis of osteomyelitis in diabetic patients Type de document : article de périodique Auteurs : Chia-Ding Shih, Auteur ; Irina Bazarov, Auteur ; Tara Harrington, Auteur Année de publication : 2016 Article en page(s) : 128-132 Langues : Anglais (eng) Descripteurs (mots clés) : [Thésaurus Mesh]:O:Ostéomyélite:Ostéomyélite / diagnostic
[Thésaurus Mesh]Diabète
[Thésaurus Mesh]Pied diabétique
[Thésaurus Mesh]Tomodensitométrie à faisceau coniqueRésumé : Osteomyelitis is one of the most feared sequelae of diabetic foot ulceration, which often leads to lower-extremity amputation and disability. Early diagnosis of osteomyelitis increases the likelihood of successful treatment and may limit the amount of bone resected, preserving ambulatory function. Although a variety of techniques exist for imaging the diabetic foot, standard radiography is still the only in-office imaging modality used today. However, radiographs lack sensitivity and specificity, making it difficult to diagnose bone infection at its early stages. In this report, we describe our initial experience with a cone beam computed tomography (CBCT)–based device, which may serve as an accurate and readily available tool for early diagnosis of osteomyelitis in a patient with diabetes. Two patients with infected diabetic foot ulcers were evaluated for osteomyelitis using radiography and CBCT. Positive imaging findings were confirmed by bone biopsy. In both patients, CBCT captured early osteolytic changes that were not apparent on radiographs, leading to early surgical intervention and successful treatment. The CBCT was helpful in facilitating detection and early clinical intervention for osteomyelitis in two diabetic patients with foot ulcers. These results are encouraging and warrant future evaluation. Note de contenu : Clinically speaking Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité J Périodique Erasme - périodiques Périodiques Disponible Medicaid Coverage for Routine Foot Care : Prevention Is Not Routine / Thomas W. Brewer in Journal of the American Podiatric Medical Association, vol. 113, 03 (Mai 2023)
[article]
in Journal of the American Podiatric Medical Association > vol. 113, 03 (Mai 2023)
Titre : Medicaid Coverage for Routine Foot Care : Prevention Is Not Routine Type de document : article de périodique Auteurs : Thomas W. Brewer ; Bethany G. Lanese ; Chia-Ding Shih ; Rachel H. Albright Année de publication : 2023 Langues : Anglais (eng) Descripteurs (mots clés) : [Thésaurus Mesh]Assurance maladie
[Thésaurus Mesh]Couverture d'assurance
[Thésaurus Mesh]États-Unis d'Amérique
[Thésaurus Mesh]Medicaid (USA)
[Thésaurus Mesh]PodologieMots-clés : soins de routine des pieds Résumé : Background: Despite national and international guidelines supporting podiatric services as a means of prevention for lower-extremity complications, especially in at-risk individuals, current coverage for these services under the US Medicaid program is not universal. The vast differences between state Medicaid programs regarding reimbursable foot care services is confusing and potentially serves as a barrier for the most vulnerable populations to receive preventative services. This article provides a brief discussion of “routine” podiatric services from a clinical perspective and provides a review of state Medicaid programs including optional services (eg, podiatric coverage).
Methods: Using data from a national survey of state Medicaid programs, we present and discuss common Medicaid coverage schemes for routine foot care provided by podiatric physicians.
Results: Analysis demonstrated that states vary dramatically in basic descriptions of preventive foot care, levels of coverage, eligibility, and methods of documenting coverage details.
Conclusions: The authors recommend bringing Medicaid in line with other federal health programs and including podiatric physicians in the definition of “physician” for coverage purposes. States should move away from describing preventative services as “routine” and choose language that more accurately reflects the true nature and purpose of the care.Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité aucun exemplaire Opioid Problems Within Our Profession: Cognitive Bias in Postoperative Opioid-Prescribing Practice A Novel Effect / Bradley M. Brooks in Journal of the American Podiatric Medical Association, vol. 113, 03 (Mai 2023)
[article]
in Journal of the American Podiatric Medical Association > vol. 113, 03 (Mai 2023)
Titre : Opioid Problems Within Our Profession: Cognitive Bias in Postoperative Opioid-Prescribing Practice A Novel Effect Type de document : article de périodique Auteurs : Bradley M. Brooks ; Chia-Ding Shih ; Reed W. R. Bratches ; Allison S. Arp ; Gerard J. Coughlin ; Kristina B. Wolff ; Brandon M. Brooks Année de publication : 2023 Langues : Anglais (eng) Descripteurs (mots clés) : [Thésaurus HELB]:Paramédical:Podologue
[Thésaurus HELB]:Paramédical:prescription
[Thésaurus Mesh]Analgésiques morphiniques
[Thésaurus Mesh]Collecte de données
[Thésaurus Mesh]Douleur postopératoire
[Thésaurus Mesh]Gestion de la douleur
[Thésaurus Mesh]Prescription inappropriéeRésumé : Background: Given that excess opioid prescriptions contribute to the US opioid epidemic and there are few national opioid-prescribing guidelines for the management of acute pain, it is pertinent to determine whether prescribers can sufficiently assess their own prescribing practice. We investigated podiatric surgeons’ ability to evaluate whether their own opioid-prescribing practice is less than, near, or above that of an “average” prescriber.
Methods: We administered a scenario-based, voluntary, anonymous, online questionnaire consisting of five surgery-based scenarios commonly performed by podiatric surgeons. Respondents were asked the quantity of opioids they would prescribe at the time of surgery. Respondents were also asked to rate their prescribing practice compared with the average (median) podiatric surgeon. We compared self-reported behavior to self-reported perception (“I prescribe less than average,” “I prescribed about average,” and “I prescribe more than average”). Analysis of variance was used for univariate analysis among the three groups. We used linear regression to adjust for confounders. Data restriction was used to account for restrictive state laws.
Results: One hundred fifteen podiatric surgeons completed the survey in April 2020. Less than half of the time, respondents accurately identified their own category. Consequently, there were no statistically significant differences among podiatric surgeons who reported that they “prescribe less,” “prescribe about average,” and “prescribe more.” Paradoxically, there was a flip in scenario 5: respondents who reported they “prescribe more” actually prescribed the least and respondents who believed they “prescribe less” actually prescribed the most.
Conclusions: Cognitive bias, in the form of a novel effect, occurs in postoperative opioid-prescribing practice; in the absence of procedure-specific guidelines or an objective standard, podiatric surgeons, more often than not, were unaware of how their own opioid-prescribing practice measured up to that of other podiatric surgeons.Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité aucun exemplaire Postprocedural Opioid-Prescribing Practice in Nail Surgery / Brandon M. Brooks in Journal of the American Podiatric Medical Association, vol. 113, 03 (Mai 2023)
[article]
in Journal of the American Podiatric Medical Association > vol. 113, 03 (Mai 2023)
Titre : Postprocedural Opioid-Prescribing Practice in Nail Surgery Type de document : article de périodique Auteurs : Brandon M. Brooks ; Qiyang Li ; Adam E. Fleischer ; Natalie A. Anderson ; Aaron Z. Handa ; Chia-Ding Shih Année de publication : 2023 Langues : Anglais (eng) Descripteurs (mots clés) : [Thésaurus Mesh]:O:Ongle incarné:Ongle incarné / chirurgie
[Thésaurus Mesh]:O:Ongle incarné:Ongle incarné / thérapie
[Thésaurus Mesh]Collecte de données
[Thésaurus Mesh]Douleur postopératoire
[Thésaurus Mesh]Gestion de la douleur
[Thésaurus Mesh]Ongle incarné
[Thésaurus Mesh]Période périopératoireMots-clés : matricectomie chimique Résumé : Background: Ingrown toenails are a common condition requiring outpatient procedures in podiatric medical clinics. To prevent recurrence, chemical matrixectomy is often recommended. Postprocedural pain management is largely based on preferences rather than on a formal guideline. This study aims to explore the postprocedural prescribing behavior among practicing podiatric physicians to foster future guideline and policy development.
Methods: We administered an open, voluntary, anonymous questionnaire via an online survey platform that included a common nail procedure scenario (chemical matrixectomy) and a prescribed demographics section. Podiatric physicians were asked what they would prescribe to manage postprocedural pain. Opioid and nonopioid options were provided. We developed two multiple logistic regression models to identify associations between prescriber characteristics and prescribing opioids after “standard” chemical matrixectomy.
Results: Of the 860 podiatrists who completed the survey, 8.7% opted to prescribe an opioid. Hydrocodone was most commonly chosen. A median of 18 opioid pills were prescribed. No prescriber characteristics were associated with prescribing opioids after chemical matrixectomy scenario. There is a large discrepancy and knowledge gap in the literature on the optimal postprocedural pain management for outpatient procedures, including procedures in specialties such as dentistry and dermatology. The median number of opioids prescribed by podiatrists is higher than that by dentists for management of third molar extraction. In contrast, opioid-prescribing behavior among the 8.7% of respondents is similar to dermatologic management of postprocedural pain in Mohs surgery.
Conclusions: Podiatric physicians cannot assume that their prescribing of opioids does not affect the opioid abuse problem in the United States. The presented study serves to be an initiation for procedure-specific opioid prescription benchmarking to foster future guideline and policy development. After nail procedures, opioids should not be routinely prescribed.Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité aucun exemplaire The Diabetic Foot–Pain–Depression Cycle / Brandon M. Brooks in Journal of the American Podiatric Medical Association, vol. 113, 03 (Mai 2023)
[article]
in Journal of the American Podiatric Medical Association > vol. 113, 03 (Mai 2023)
Titre : The Diabetic Foot–Pain–Depression Cycle Type de document : article de périodique Auteurs : Brandon M. Brooks ; Chia-Ding Shih ; Bradley M. Brooks ; Dyane E. Tower ; Tiffany Tran ; Janet E. Simon ; David G. Armstrong Année de publication : 2023 Langues : Anglais (eng) Descripteurs (mots clés) : [Thésaurus Mesh]Amputation chirurgicale
[Thésaurus Mesh]Analgésiques morphiniques
[Thésaurus Mesh]Antidépresseurs
[Thésaurus Mesh]Collecte de données
[Thésaurus Mesh]Dépression
[Thésaurus Mesh]Douleur
[Thésaurus Mesh]Gestion de la douleur
[Thésaurus Mesh]Membre inférieur
[Thésaurus Mesh]Pied diabétiqueRésumé : Background: More than 86,000 Americans with type 2 diabetes mellitus (T2DM) undergo nontraumatic lower-extremity amputations annually. The opioid-prescribing practice of podiatric surgeons remains understudied. We hypothesized that patients with T2DM who undergo any forefoot amputation while using antidepressant medication will have reduced odds of using opioids beyond 7 days.
Methods: We completed a retrospective cohort study examining patients with T2DM who underwent forefoot amputation (toe, ray, transmetatarsal). Data were restricted to patients with a hemoglobin A1c level less than 8.0% and an ankle-brachial index greater than 0.8. The outcome was use of postoperative opioids beyond 7 days. Patients received an initial opioid prescription of 7 days or less. We developed simple logistic regression models to identify the odds of a patient using opioids beyond 7 days by patient variables: age, race, sex, amputation level, body mass index, antidepressant medication use, and marital status. Variables with P < .1 in the univariate analysis were included in the multiple logistic regression model.
Results: Fifty patients met the inclusion criteria. Antidepressant use and marital status were the only statistically significant variables. Adjusting for marital status, patients with antidepressant use had decreased odds (odds ratio, 0.018; 95% confidence interval, 0.001–0.229; P = .002) of using opioids beyond 7 days after a diabetic forefoot amputation.
Conclusions: Patients with T2DM who used antidepressants had significantly reduced odds of using opioids beyond 1 week after forefoot amputations compared with those without antidepressant use. We proposed an underlying diabetic foot–pain–depression cycle. To break the cycle, podiatric surgeons should screen this population for depression preoperatively and postoperatively and not hesitate to make a mental health referral if warranted. Nontraumatic amputations can be a traumatic experience for patients; psychiatrists and other mental health providers should be members of limb preservation teams.Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité aucun exemplaire Toenail Dust as a Potential Occupational Hazard in Podiatric Medicine / Komal Saini in Journal of the American Podiatric Medical Association, vol. 112, 05 (Septembre 2022)
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