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  1. Article: Prevention of diabetic foot ulcers: Holy grail of foot clinics

    Rathur H. / Rajbhandari S.M.

    International Journal of Diabetes and Metabolism

    2019  Volume 11, Issue 3, Page(s) 56–61

    Institution Lancashire Teaching Hospital (Chorley & South Ribble),UK
    Keywords Diabetic foot ulcer ; prevention ; chronic complication
    Language English
    Publishing date 2019-03-01
    Publisher S. Karger AG
    Publishing place Basel, Switzerland
    Document type Article
    Note Review
    ZDB-ID 2938821-1
    ISSN 2073-5944 ; 1606-7754
    ISSN (online) 2073-5944
    ISSN 1606-7754
    DOI 10.1159/000497552
    Database Karger publisher's database

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  2. Article: Pathogenesis of foot ulcers and the need for offloading.

    Rathur, H M / Boulton, A J

    Hormone and metabolic research = Hormon- und Stoffwechselforschung = Hormones et metabolisme

    2005  Volume 37 Suppl 1, Page(s) 61–68

    Abstract: Diabetic foot ulceration represents a major medical, social and economic problem all over the world. While more than 5% of diabetic patients have a history of foot ulceration, the cumulative lifetime incidence may be as high as 15%. Ethnic differences ... ...

    Abstract Diabetic foot ulceration represents a major medical, social and economic problem all over the world. While more than 5% of diabetic patients have a history of foot ulceration, the cumulative lifetime incidence may be as high as 15%. Ethnic differences exist in both ulcer and amputation incidences. Foot ulceration results from the interaction of several contributory factors, the most important of which is neuropathy. The use of the total-contact cast is demonstrated in the treatment of plantar neuropathic ulcers. Histological evidence suggests that pressure relief results in chronic foot ulcers changing their morphological appearance by displaying some features of an acute wound. Thus, repetitive stresses on the insensate foot appear to play a major role in maintaining ulcer chronicity. It is hoped that research activity in foot disease will ultimately result in fewer ulcers and less amputation in diabetes.
    MeSH term(s) Casts, Surgical/economics ; Chronic Disease ; Diabetic Foot/economics ; Diabetic Foot/pathology ; Diabetic Foot/therapy ; Foot/pathology ; Humans
    Language English
    Publishing date 2005-04
    Publishing country Germany
    Document type Journal Article ; Review
    ZDB-ID 80125-2
    ISSN 1439-4286 ; 0018-5043
    ISSN (online) 1439-4286
    ISSN 0018-5043
    DOI 10.1055/s-2005-861398
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Recent advances in the diagnosis and management of diabetic neuropathy.

    Rathur, H M / Boulton, A J M

    The Journal of bone and joint surgery. British volume

    2005  Volume 87, Issue 12, Page(s) 1605–1610

    MeSH term(s) Diabetic Foot/diagnosis ; Diabetic Foot/etiology ; Diabetic Foot/therapy ; Diabetic Neuropathies/diagnosis ; Diabetic Neuropathies/etiology ; Diabetic Neuropathies/therapy ; Humans
    Language English
    Publishing date 2005-12
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 220626-2
    ISSN 2044-5377 ; 0301-620X ; 0447-9076
    ISSN (online) 2044-5377
    ISSN 0301-620X ; 0447-9076
    DOI 10.1302/0301-620X.87B12.16710
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Pathogenesis of Foot Ulcers and the Need for Offloading

    Rathur, H. M. / Boulton, A. J.

    Hormone and Metabolic Research

    2005  Volume 37, Issue S 1, Page(s) 61–68

    Abstract: Diabetic foot ulceration represents a major medical, social and economic problem all over the world. While more than 5 % of diabetic patients have a history of foot ulceration, the cumulative lifetime incidence may be as high as 15 %. Ethnic differences ... ...

    Abstract Diabetic foot ulceration represents a major medical, social and economic problem all over the world. While more than 5 % of diabetic patients have a history of foot ulceration, the cumulative lifetime incidence may be as high as 15 %. Ethnic differences exist in both ulcer and amputation incidences. Foot ulceration results from the interaction of several contributory factors, the most important of which is neuropathy. The use of the total-contact cast is demonstrated in the treatment of plantar neuropathic ulcers. Histological evidence suggests that pressure relief results in chronic foot ulcers changing their morphological appearance by displaying some features of an acute wound. Thus, repetitive stresses on the insensate foot appear to play a major role in maintaining ulcer chronicity. It is hoped that research activity in foot disease will ultimately result in fewer ulcers and less amputation in diabetes.
    Keywords Diabetic foot ; Diabetic neuropathy ; Foot ulcer ; Amputation ; Total Contact Cast (TCC)
    Language English
    Publishing date 2005-01-01
    Publishing place Stuttgart ; New York
    Document type Article
    ZDB-ID 80125-2
    ISSN 1439-4286 ; 0018-5043
    ISSN (online) 1439-4286
    ISSN 0018-5043
    DOI 10.1055/s-2005-861398
    Database Thieme publisher's database

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  5. Article ; Online: Management of gastroparesis-associated malnutrition.

    Bharadwaj, Shishira / Meka, Krishna / Tandon, Parul / Rathur, Abdullah / Rivas, John M / Vallabh, Hiren / Jevenn, Andrea / Guirguis, John / Sunesara, Imran / Nischnick, Amy / Ukleja, Andrew

    Journal of digestive diseases

    2016  Volume 17, Issue 5, Page(s) 285–294

    Abstract: Gastroparesis (GP) is a chronic debilitating dysmotility characterized by unrelenting nausea, vomiting, bloating, early satiety, postprandial fullness and abdominal pain. Patients with GP experience other associated conditions, including gastroesophageal ...

    Abstract Gastroparesis (GP) is a chronic debilitating dysmotility characterized by unrelenting nausea, vomiting, bloating, early satiety, postprandial fullness and abdominal pain. Patients with GP experience other associated conditions, including gastroesophageal reflux disease, gastric bezoars and small bowel bacterial overgrowth. Furthermore, GP is associated with poor quality of life, increased emergency room visits, hospitalizations and subsequent increased healthcare costs. Currently, the managements of GP consist of glycemic control, antiemetics, prokinetics and the use of gastric electrical stimulation. However, most GP patients are at risk for significant nutritional abnormalities. As such, it is essential to screen and diagnose malnutrition in these patients. Poor oral intake in such patients could be supplemented by enteral tube feeding. Parenteral nutrition, although a last resort, is associated with a number of complications and should be used only for the short term. In summary, a systematic approach including initial nutritional screening, diet recommendations, medical therapy, nutritional re-evaluation and enteral and parental nutrition should be considered in complex GP patients.
    MeSH term(s) Disease Management ; Gastric Emptying ; Gastrointestinal Agents/therapeutic use ; Gastroparesis/complications ; Gastroparesis/therapy ; Humans ; Malnutrition/diagnosis ; Malnutrition/etiology ; Malnutrition/therapy ; Nutrition Assessment ; Nutritional Support/methods ; Quality of Life
    Chemical Substances Gastrointestinal Agents
    Language English
    Publishing date 2016-05
    Publishing country Australia
    Document type Case Reports
    ZDB-ID 2317117-0
    ISSN 1751-2980 ; 1751-2972
    ISSN (online) 1751-2980
    ISSN 1751-2972
    DOI 10.1111/1751-2980.12344
    Database MEDical Literature Analysis and Retrieval System OnLINE

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