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Détail de l'auteur
Auteur David G. Armstrong
Documents disponibles écrits par cet auteur
Ajouter le résultat dans votre panier Affiner la rechercheAll Feet on Deck: The Role of Podiatry During the COVID-19 Pandemic Preventing Hospitalizations in an Overburdened Health-Care System, Reducing Amputation and Death in People with Diabetes / Lee C. Rogers in Journal of the American Podiatric Medical Association, vol. 113, 02 (Mars 2023)
[article]
in Journal of the American Podiatric Medical Association > vol. 113, 02 (Mars 2023)
Titre : All Feet on Deck: The Role of Podiatry During the COVID-19 Pandemic Preventing Hospitalizations in an Overburdened Health-Care System, Reducing Amputation and Death in People with Diabetes Type de document : article de périodique Auteurs : Lee C. Rogers ; Lawrence A. Lavery ; Warren S. Joseph ; David G. Armstrong Année de publication : 2023 Langues : Anglais (eng) Descripteurs (mots clés) : [Thésaurus Mesh]Amputation chirurgicale
[Thésaurus Mesh]COVID-19
[Thésaurus Mesh]Hospitalisation
[Thésaurus Mesh]Pandémies
[Thésaurus Mesh]Pied diabétique
[Thésaurus Mesh]Podologie
[Thésaurus Mesh]Ulcère du piedRésumé : The coronavirus disease of 2019 pandemic is driving significant change in the health-care system and disrupting the best practices for diabetic limb preservation, leaving large numbers of patients without care. Patients with diabetes and foot ulcers are at increased risk for infections, hospitalization, amputations, and death. Podiatric care is associated with fewer diabetes-related amputations, emergency room visits, hospitalizations, length-of-stay, and costs. However, podiatrists must mobilize and adopt the new paradigm of shifts away from hospital care to community-based care. Implementing the proposed Pandemic Diabetic Foot Triage System, in-home visits, higher acuity office visits, telemedicine, and remote patient monitoring can help podiatrists manage patients while reducing the coronavirus disease of 2019 risk. The goal of podiatrists during the pandemic is to reduce the burden on the health-care system by keeping diabetic foot and wound patients safe, functional, and at home. Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité aucun exemplaire Dosing Activity and Return to Preulcer Function in Diabetes-Related Foot Ulcer Remission : Patient Recommendations and Guidance from the Limb Preservation Consortium at USC and the Rancho Los Amigos National Rehabilitation Center / Malindu E. Fernando in Journal of the American Podiatric Medical Association, vol.111,05 (septembre-octobre 2021)
[article]
in Journal of the American Podiatric Medical Association > vol.111,05 (septembre-octobre 2021)
Titre : Dosing Activity and Return to Preulcer Function in Diabetes-Related Foot Ulcer Remission : Patient Recommendations and Guidance from the Limb Preservation Consortium at USC and the Rancho Los Amigos National Rehabilitation Center Type de document : article de périodique Auteurs : Malindu E. Fernando ; Stephanie L. Woelfel ; Diana Perry ; Bijan Najafi ; Tanzim Khan ; Charles DuBourdieu ; Laura Shin ; David G. Armstrong Année de publication : 0021 Langues : Anglais (eng) Descripteurs (mots clés) : [Thésaurus Mesh]:U:Ulcère du pied:Ulcère du pied / prévention et contrôle
[Thésaurus Mesh]Activité motrice
[Thésaurus Mesh]Coûts des soins de santé
[Thésaurus Mesh]Marche à pied
[Thésaurus Mesh]Morbidité
[Thésaurus Mesh]Pied diabétique
[Thésaurus Mesh]Récidive
[Thésaurus Mesh]Ulcère du piedRésumé : Diabetes-related foot ulcers are a leading cause of global morbidity, mortality, and health-care costs. People with a history of foot ulcers have a diminished quality of life attributed to limited walking and mobility. One of the largest concerns is ulceration recurrence. Approximately 40% of patients with ulcerations will have a recurrent ulcer in the year after healing, and most occur in the first 3 months after wound healing. Hence, this period after ulceration is called “remission” due to this risk of reulceration. Promoting and fostering mobility is an integral part of everyday life and is important for maintaining good physical health and health-related quality of life for all people living with diabetes. In this short perspective, we provide recommendations on how to safely increase walking activity and facilitate appropriate off-loading and monitoring in people with a recently healed foot ulcer, foot reconstruction, or partial foot amputation. Interventions include monitored activity training, dosed out in steadily increasing increments and coupled with daily skin temperature monitoring, which can identify dangerous “hotspots” prone to recurrence. By understanding areas at risk, patients are empowered to maximize ulcer-free days and to enable an improved quality of life. This perspective outlines a unified strategy to treat patients in the remission period after ulceration and aims to provide clinicians with appropriate patient recommendations based on best available evidence and expert opinion to educate their patients to ensure a safe transition to footwear and return to activity. Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité aucun exemplaire SCAI/ACR/APMA/SCVS/SIR/SVM/SVS/VESS Position Statement on Competencies for Endovascular Specialists Providing CLTI Care / Beau M. Hawkins in Journal of the American Podiatric Medical Association, vol. 112, 03 (Mai 2022)
[article]
in Journal of the American Podiatric Medical Association > vol. 112, 03 (Mai 2022)
Titre : SCAI/ACR/APMA/SCVS/SIR/SVM/SVS/VESS Position Statement on Competencies for Endovascular Specialists Providing CLTI Care Type de document : article de périodique Auteurs : Beau M. Hawkins ; Jun Li ; Luke R. Wilkins ; Teresa L. Carman ; Amy B. Reed ; David G. Armstrong ; Philip Goodney ; Christopher J. White ; Aaron Fischman ; Marc L. Schermerhorn ; Dmitriy N. Feldman ; Mehdi H. Shishehbor Année de publication : 2022 Langues : Anglais (eng) Descripteurs (mots clés) : [Thésaurus Mesh]Maladie artérielle périphérique Mots-clés : Ischémie chronique menaçant un membre Résumé : Chronic limb-threatening ischemia (CLTI) is the advanced stage of peripheral artery disease (PAD) characterized by rest pain or tissue loss. Up to 2 million individuals have this condition in the United States, and prevalence is anticipated to grow owing to aging of the population and increase in atherosclerotic risk factors such as diabetes and renal disease.1 In addition to the threat of limb dysfunction and amputation, patients with CLTI are at a high risk of cardio- and cerebrovascular morbidity and mortality, with risk that exceeds that of most other cardiovascular patients. Within 1 year, 1 in 5 CLTI patients dies, and an additional one quarter will require major limb amputation. [...] Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité aucun exemplaire Temperature as a Causative Factor in Diabetic Foot Ulcers: A Call to Revisit Ulceration Pathomechanics / Metin Yavuz in Journal of the American Podiatric Medical Association, vol. 109, 05 (Septembre-décembre 2019)
[article]
in Journal of the American Podiatric Medical Association > vol. 109, 05 (Septembre-décembre 2019)
Titre : Temperature as a Causative Factor in Diabetic Foot Ulcers: A Call to Revisit Ulceration Pathomechanics Type de document : article de périodique Auteurs : Metin Yavuz ; Ali Ersen ; Jessica Hartos ; Lawrence A. Lavery ; Dane K. Wukich ; Gordon B. Hirschman ; David G. Armstrong ; Linda S. Adams Année de publication : 2019 Langues : Anglais (eng) Descripteurs (mots clés) : [Thésaurus Mesh]:U:Ulcère du pied:Ulcère du pied / prévention et contrôle
[Thésaurus Mesh]:U:Ulcère du pied:Ulcère du pied / thérapie
[Thésaurus Mesh]Complications du diabète
[Thésaurus Mesh]Marqueurs biologiques
[Thésaurus Mesh]Pied
[Thésaurus Mesh]Pied diabétique
[Thésaurus Mesh]Température
[Thésaurus Mesh]Ulcère du piedMots-clés : diabetes complications diabetic foot foot ulcer therapeutics prevention Biomarkers Résumé : Background: Diabetic foot ulcers (DFUs) are a major burden to patients and to the health-care systems of many countries. To prevent or treat ulcers more effectively, predictive biomarkers are needed. We examined temperature as a biomarker and as a causative factor in ulcer development.
Methods: Thirty-seven individuals with diabetes were enrolled in this observational case-control study: nine with diabetic neuropathy and ulcer history (DFU), 14 with diabetic neuropathy (DN), and 14 nonneuropathic control participants (DC). Resting barefoot plantar temperatures were recorded using an infrared thermal camera. Mean temperatures were determined in four anatomical regions—hallux and medial, central, and lateral forefoot—and separate linear models with specified contrasts among the DFU, DN, and DC groups were set to reveal mean differences for each foot region while controlling for group characteristics.
Results: The mean temperature reading in each foot region was higher than 30.0°C in the DFU and DN groups and lower than 30.0°C in the DC group. Mean differences were greatest between the DFU and DC groups, ranging from 3.2°C in the medial forefoot to 4.9°C in the hallux.
Conclusions: Increased plantar temperatures in individuals with a history of ulcers may include acute temperature increases from plantar stresses, chronic inflammation from prolonged stresses, and impairment in temperature regulation from autonomic neuropathy. Diabetic foot temperatures, particularly in patients with previous ulcers, may easily reach hazard thresholds indicated by previous pressure ulcer studies. The results necessitate further exploration of temperature in the diabetic foot and how it may contribute to ulceration.Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité aucun exemplaire The Degree of Blood Supply and Infection Control Needed to Treat Diabetic Chronic Limb-Threatening Ischemia with Forefoot Osteomyelitis / Miki Fujii in Journal of the American Podiatric Medical Association, vol. 111, 02 (Mars-avril 2021)
[article]
in Journal of the American Podiatric Medical Association > vol. 111, 02 (Mars-avril 2021)
Titre : The Degree of Blood Supply and Infection Control Needed to Treat Diabetic Chronic Limb-Threatening Ischemia with Forefoot Osteomyelitis Type de document : article de périodique Auteurs : Miki Fujii ; Hiroto Terashi ; Koichi Yokono ; David G. Armstrong Année de publication : 2021 Langues : Anglais (eng) Descripteurs (mots clés) : [Thésaurus Mesh]Ischémie
[Thésaurus Mesh]Ostéomyélite
[Thésaurus Mesh]Pied
[Thésaurus Mesh]Pied diabétique
[Thésaurus Mesh]Plaies et blessures
[Thésaurus Mesh]Thérapeutique
[Thésaurus Mesh]Ulcère du piedRésumé : Background: Diabetic foot ulcers combined with ischemia and infection can be difficult to treat. Few studies have quantified the level of blood supply and infection control required to treat such complex diabetic foot ulcers. We aimed to propose an index for ischemia and infection control in diabetic chronic limb-threatening ischemia (CLTI) with forefoot osteomyelitis. Methods: We retrospectively evaluated 30 patients with diabetic CLTI combined with forefoot osteomyelitis who were treated surgically from January 2009 to December 2016. After 44 surgeries, we compared patient background (age, sex, hemodialysis), infection status (preoperative and 1- and 2-week postoperative C-reactive protein [CRP] levels), surgical bone margin (with or without osteomyelitis), vascular supply (skin perfusion pressure), ulcer size (wound grade 0–3 using the Society for Vascular Surgery Wound, Ischemia, and foot Infection classification), and time to wound healing between patients with healing ulcers and those with nonhealing ulcers. Results: Preoperative CRP levels and the ratio of ulcers classified as wound grade 3 were significantly lower and skin perfusion pressure was significantly higher in the healing group than in the nonhealing group (P , .05). No other significant differences were found between groups. Conclusions: This study demonstrates that debridement should be performed first to control infection if the preoperative CRP level is greater than 40 mg/L. Skin perfusion pressure of 55 mm Hg is strongly associated with successful treatment. We believe that this research could improve the likelihood of salvaging limbs in patients with diabetes with CLTI 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)
PermalinkThe Effects of the COVID-19 Economic Downturn on Medicaid Coverage for Podiatry Services / Thomas W. Brewer in Journal of the American Podiatric Medical Association, vol. 113, 02 (Mars 2023)
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