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2.
J Foot Ankle Res ; 13(1): 63, 2020 Oct 15.
Artigo em Inglês | MEDLINE | ID: mdl-33059721

RESUMO

BACKGROUND: The arrival of the novel coronavirus (SARS-CoV-2) has impacted the many aspects of modern life, especially, in the immediate term, the delivery of healthcare. CONTEXT: This commentary examines the profession of podiatry and how it has adapted and responded to the emerging crisis. It focusses on but is not exclusive to the position in the United Kingdom (UK) and the edicts and direction from the UK Government. PODIATRY ROLES DURING THE PANDEMIC: It describes the role of podiatry in the pandemic and highlights the deployment of podiatry resources to fight the pandemic beyond traditional podiatric practice. It also looks at the shift from conventional consultation to digital solutions for managing patients in an effort to achieve the goals of maintenance of foot health whilst reducing the spread of the virus. The commentary summarises the emerging data related to a possible foot related presentation of the coronavirus. CONCLUSION: The podiatry profession proved its flexibility and adaptability during the pandemic, to adjust rapidly to ensure that patients were able to access treatment to reduce risk of infection, ulceration and amputation. Dermatological presentations on the feet have been associated with Covid-19 in adolescents as is often the case in viral infections. CPD webinars to support clinicians and manage and prevent the spread of Covid-19 have been widely disseminated along with algorithms to ensure that patients that need treatment are being treated appropriately. Podiatrists have embraced remote technology to ensure that patients are correctly and safely triaged and, signposted and given appropriate self-care advice. MSK podiatrists have the ability to play an intrinsic role within the post discharge rehabilitation pathway.


Assuntos
Betacoronavirus/isolamento & purificação , Infecções por Coronavirus/epidemiologia , Assistência à Saúde/estatística & dados numéricos , Pneumonia Viral/epidemiologia , Podiatria/organização & administração , Idoso , Idoso de 80 Anos ou mais , Tecnologia Biomédica/métodos , Tecnologia Biomédica/estatística & dados numéricos , Infecções por Coronavirus/prevenção & controle , Infecções por Coronavirus/virologia , Assistência à Saúde/tendências , Doenças do Pé/prevenção & controle , Humanos , Pandemias/prevenção & controle , Maleabilidade , Pneumonia Viral/prevenção & controle , Pneumonia Viral/virologia , Podiatria/estatística & dados numéricos , Comportamento de Redução do Risco , Reino Unido/epidemiologia
5.
PLoS One ; 15(8): e0237090, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32764796

RESUMO

Plantar pressure force data derived from gait and posture are commonly used as health indicators for foot diagnosis, injury prevention, and rehabilitation. This study developed a wearable plantar pressure force measurement and analysis (WPPFMA) system based on a flexible sensor matrix film to monitor plantar pressure force in real time. The developed system comprised a flexible sensor matrix film embedded in the insole of the shoe, a wearable data acquisition (DAQ) device with a Bluetooth module, and dedicated software with an intuitive graphical user interface for displaying the plantar pressure force data from receivers by using a terminal unit (laptop or smart-phone). The flexible sensor matrix film integrated 16 piezoresistive cell sensors to detect pressure force at different anatomical zones of the plantar and under different body positions. The signals from the flexible sensor matrix film were collected using the DAQ module embedded in the shoe and transmitted to the receivers through Bluetooth. The real-time display and analysis software can monitor, visualize, and record the detailed plantar pressure force data, such as average pressure force, maximum pressure force, and pressure force distributions and variations over time. The outcomes of the trials in which the system was worn revealed the applicability of the developed WPPFMA system for monitoring plantar pressure force under static and dynamic wearing conditions. The plantar pressure force data derived from this system provide valuable insights for personal foot care, gait analysis, and clinical diagnosis.


Assuntos
Doenças do Pé/diagnóstico , Pé/fisiologia , Análise da Marcha/instrumentação , Monitorização Fisiológica/instrumentação , Dispositivos Eletrônicos Vestíveis , Fenômenos Biomecânicos , Estudos de Viabilidade , Doenças do Pé/fisiopatologia , Humanos , Postura/fisiologia , Pressão , Sapatos , Smartphone , Software
6.
PLoS One ; 15(7): e0235549, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32628702

RESUMO

This study aimed to characterize oligofructose-induced laminitis in zebu cattle and comparatively evaluate four different diagnostic methods for laminitis. A total of 29 rumen-cannulated Nelore heifers, weighing 474.5 ± 58.5 kg were used. Laminitis was experimentally induced by intraruminal administration of 0.765 g/kg oligofructose twice daily for three consecutive days, followed by a single dose of 10.71 g/kg oligofructose on the fourth day. The animals were evaluated before administration of the highest dose of oligofructose (basal) and every six hours for up to 24 hours (6, 12, 18, 24 hours) and thereafter, every 12 hours for up to 72 hours (36, 48, 60, 72 hours) post-induction. The following diagnostic methods were used: hoof pain sensitivity test (hoof-testing), locomotion scoring, hoof infrared thermography, and force platform. Diagnosis of laminitis was confirmed after two positive responses to hoof pressure testing. Using a receiver operator characteristic (ROC) curve, we defined the appropriate cut-off for infrared thermography and force plate as 30 °C and < 24%, respectively. From the 29 heifers, 27 developed laminitis (93.1%) which occurred between 24 h to 72 h in the digits from two limbs, with more frequent sensitivity in the lateral digits. Locomotion analysis detected twenty-eight heifers with laminitis and showed that a greater (P = 0.006) number of animals had lameness in two limbs (n = 13; 56%). Using hoof-testing as gold standard for the diagnosis of laminitis the locomotion score displayed 100% sensitivity, 97% specificity and 98% accuracy; infrared thermography showed 96% sensitivity, 63% specificity, and 75% accuracy whilst force plate had 76% sensitivity, 82% specificity and 79% accuracy. This suggests that, for the diagnosis of laminitis in cattle, pain evaluation is more efficient. Considering the difficult to evaluate pain sensitivity in Nelore animals, filmed locomotion score, infrared thermography and force plate methods can be indicated for non-invasive lameness detection in beef farms.


Assuntos
Doenças dos Bovinos/diagnóstico por imagem , Doenças dos Bovinos/fisiopatologia , Doenças do Pé/veterinária , Raios Infravermelhos , Locomoção , Termografia , Animais , Bovinos
7.
Environ Sci Pollut Res Int ; 27(31): 38695-38700, 2020 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-32632676

RESUMO

The possibility of superficial foot mycoses to spread through contaminated mosque carpets between worshipers imposes a great health burden and is never addressed in Riyadh, SA. We aimed to assess the prevalence of fungal infections, especially human dermatophytosis acquired from mosque carpets, in five different regions of Riyadh, Saudi Arabia and establish a means of contamination control. A cross-sectional study of 100 mosques in Riyadh, Saudi Arabia, was conducted, using a multistage random cluster sampling technique. The study included mosques that had an ablution area and regularly hosted five prayers a day. Sterile swabs were used for sampling, and the samples were transported to the laboratory for culture and analysis using a micro-scan system. A total of 199 (65%) samples contained several fungal species. Rhodotorula (74%), Cladosporium (47%), Bipolaris (46.6%), other yeasts (43.7%), Alternaria (40%), dematiaceous molds (34%), Curvularia (32.4%), and Candida (31%) were the most frequently isolated species. Species belonging to several other genera were also detected. This study revealed a relatively high prevalence of fungal organisms in mosque carpets in Riyadh, suggesting the need for implementing new strategies and laws to increase the level of hygiene awareness among worshipers and mosque caretakers to limit the spread of foot fungal infections.


Assuntos
Pisos e Cobertura de Pisos , Doenças do Pé , Fungos , Micose Fungoide , Estudos Transversais , Doenças do Pé/epidemiologia , Doenças do Pé/microbiologia , Humanos , Higiene , Micose Fungoide/epidemiologia , Arábia Saudita/epidemiologia
8.
Foot Ankle Int ; 41(8): 1017-1026, 2020 08.
Artigo em Inglês | MEDLINE | ID: mdl-32639852

RESUMO

The COVID-19 pandemic has necessitated a rapid and drastic shift for clinicians and patients away from traditional in-person visits and toward internet-based virtual visits. The adoption of telehealth services is likely to persist in some capacity even as in-person visits resume, given the convenience and efficiency of telehealth consultations for patients and perhaps surgeons. A primary challenge of virtual visits, particularly in the field of orthopedic surgery, is the physical examination. However, for the foot and ankle, routine physical examination maneuvers can be completed virtually with little modification given proper patient instruction. We present a comprehensive virtual foot and ankle examination for telehealth visits, including instructions that can be provided to patients verbatim and a corresponding checklist for provider documentation.Level of Evidence: Level V, expert opinion.


Assuntos
Tornozelo , , Exame Físico/métodos , Telemedicina/métodos , Infecções por Coronavirus/epidemiologia , Deformidades do Pé/diagnóstico , Doenças do Pé/diagnóstico , Humanos , Ortopedia/métodos , Pandemias , Pneumonia Viral/epidemiologia , Amplitude de Movimento Articular
9.
Vet Clin North Am Equine Pract ; 36(2): 379-394, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-32654786

RESUMO

Laminitis is a devastating disease with diverse etiologies and few, if any, effective treatments. Gene expression and hypothesis-generating genomic studies have provided a fresh look at the key molecular players at crucial timepoints in diverse experimental and naturally affected tissues. We summarize findings to date, and propose a unifying model of the laminitis disease process that includes several pathogenesis concepts shared with other diseases of epidermal and epithelial tissues. The value of these new pathways as potential therapeutic targets is exciting but will require careful future work to validate new methods and launch systematic clinical trials.


Assuntos
Doenças do Pé/veterinária , Doenças dos Cavalos/genética , Doenças dos Cavalos/metabolismo , Animais , Doenças do Pé/genética , Doenças do Pé/metabolismo , Doenças do Pé/patologia , Casco e Garras/metabolismo , Casco e Garras/patologia , Doenças dos Cavalos/patologia , Cavalos , Inflamação/genética , Inflamação/metabolismo , Inflamação/patologia , Inflamação/veterinária , Transdução de Sinais
10.
J Foot Ankle Res ; 13(1): 38, 2020 Jun 23.
Artigo em Inglês | MEDLINE | ID: mdl-32576291

RESUMO

The recent and rapid emergence of COVID-19 infection has led to a flood of publications describing all aspects of the disease and its presentation. The appearance of chilblain-like lesions, in children and young adults has particularly caught the attention of healthcare professionals with an interest in the foot. With such a novel infection, demand for information is high at a time when evidence is scarce. Consequently, there has been a renaissance in the publication of case studies. This type of research, previously relegated from many mainstream journals, as a low level source of evidence, has permitted the rapid reporting, publication and dissemination of much needed clinical data which can be used as a foundation to inform further research and investigations about a new global infection.


Assuntos
Infecções por Coronavirus , Medicina Baseada em Evidências , Pandemias , Pneumonia Viral , Publicações/tendências , Projetos de Pesquisa/tendências , Betacoronavirus/isolamento & purificação , Infecções por Coronavirus/diagnóstico , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/fisiopatologia , Infecções por Coronavirus/terapia , Gerenciamento Clínico , Medicina Baseada em Evidências/métodos , Medicina Baseada em Evidências/tendências , Doenças do Pé/epidemiologia , Doenças do Pé/terapia , Humanos , Pneumonia Viral/diagnóstico , Pneumonia Viral/epidemiologia , Pneumonia Viral/fisiopatologia , Pneumonia Viral/terapia
11.
Medicine (Baltimore) ; 99(21): e19936, 2020 May 22.
Artigo em Inglês | MEDLINE | ID: mdl-32481257

RESUMO

Rapid growth of cutaneous melanoma is associated with aggressive histopathologic features and poor prognosis. However, the impact of growth rate (GR) in acral melanoma (AM) remains largely unknown.We performed this study to identify the impact of GR on lymph node metastasis and survival in AM.We analyzed cases of invasive AM diagnosed at our institution between 1998 and 2017. We investigated the impact of GR on the prognosis of AM.A total of 126 cases of invasive AM were included. Log (GR) was significant associated with lymph node metastasis in the univariate logistic regression analysis (P = .005). The log-rank test revealed statistically significant differences in disease-free survival (DFS) and disease-specific survival (DSS) among the GR quartiles. In the Cox regression analysis, log (GR) was an independent predictor for DFS (P = .041), but not for DSS in multivariate analysis. In the subgroup analysis, log (GR) was an independent predictor for early-stage (≤2A) AM (DFS, P = .002; DSS, P = .004).The limitations of this study include the retrospective design of the study and possible recall bias.Our results suggest that GR is an important prognostic factor for DFS and DSS in AM patients and an independent predictor for early-stage AM.


Assuntos
Doenças do Pé/mortalidade , Doenças do Pé/patologia , Mãos , Melanoma/mortalidade , Melanoma/patologia , Neoplasias Cutâneas/mortalidade , Neoplasias Cutâneas/patologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Metástase Linfática , Masculino , Melanoma/secundário , Pessoa de Meia-Idade , Prognóstico , República da Coreia , Estudos Retrospectivos , Taxa de Sobrevida
13.
J Zoo Wildl Med ; 51(2): 379-384, 2020 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-32549568

RESUMO

Pododermatitis is an important cause of morbidity and mortality in flamingos under human care; management and treatment options vary widely based on subjective assessment from veterinarians or animal care staff (ACS). The objective of this study was to evaluate the agreement of pododermatitis severity scores assigned by veterinarians, ACS, and veterinary students when given a standardized rubric. Twenty-four greater flamingos (Phoenicopterus roseus) from a single zoo-managed flock were evaluated over time for pododermatitis. The individual feet of each bird were imaged, blinded, randomized, and scored for hyperkeratosis, fissures, nodules, papillomatous growth, and overall subjective score by seven evaluators (three veterinary specialists, two ACS, and two veterinary students) using a previously established flamingo pododermatitis scoring rubric. Interindividual reliability between evaluators and intraindividual agreement among specialists was determined. Reliable interindividual agreement was seen for fissures (Krippendorff's α [KA] = 0.807) between all seven evaluators, whereas the other individual lesions had very low reliability. Between the specialists, fissures had low interindividual reliability (KA = 0.782). Two specialists had strong intraindividual agreement for fissure score and one specialist had strong intraindividual agreement for overall subjective score (Cohen's κ [CK] 0.8-0.9, P < 0.01). Hyperkeratosis, papillomatous growth, nodules, and overall subjective score had low to moderate inter- and intraindividual reliability or agreement (KA, 0.06-0.49; CK, 0.02-0.8). In conclusion, the current scoring method for flamingo pododermatitis does not supply a reliable method for tracking foot health based on images alone across timepoints, except for fissures. Further analysis of the scoring system being used during a physical examination is warranted.


Assuntos
Criação de Animais Domésticos/métodos , Doenças das Aves/patologia , Aves , Dermatite/veterinária , Doenças do Pé/veterinária , Animais , Animais de Zoológico , Dermatite/patologia , Doenças do Pé/patologia , Reprodutibilidade dos Testes
14.
Clin Orthop Surg ; 12(2): 245-251, 2020 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-32489548

RESUMO

Background: Accessory bones and tarsal coalitions are the most common developmental variations of the foot and ankle. However, their clinical implications are not well understood because there is no established prevalence data in the normal population and the reported prevalence varies widely. Therefore, we aimed to investigate the incidence of accessory ossicles and tarsal coalitions in a healthy, asymptomatic Korean population. Methods: A total of 448 healthy, asymptomatic participants (224 men and 224 women; 896 feet) were enrolled and stratified by age and sex. To investigate the presence of accessory bones and tarsal coalitions in the foot and ankle, we obtained the weight-bearing standing radiographs (anteroposterior and lateral views) from each participant. Results: Accessory ossicles were found in 49.2% of the healthy, asymptomatic Korean adults. The prevalence of accessory bones in adults was the highest with 34% for the accessory navicular, 5.8% for the os trigonum, 3.9% for the os peroneum, and 1.7% for the os subfibulare. The prevalence of tarsal coalitions in adults was 0.4% and that of symphalangism was 16% for the fourth toe and 80.6% for the fifth toe. The frequency of the accessory navicular and fifth toe symphalangism was significantly higher in women. Most of the accessory navicular and fourth and fifth toe symphalangism were bilateral, whereas the os subfibulare was mostly unilateral. Conclusions: The prevalence of accessory bones and tarsal coalitions in the healthy, asymptomatic Korean population showed some variation according to age and sex.


Assuntos
Doenças do Pé/diagnóstico por imagem , Ossos do Tarso/anormalidades , Ossos do Tarso/diagnóstico por imagem , Coalizão Tarsal/diagnóstico por imagem , Adolescente , Adulto , Fatores Etários , Idoso , Criança , Feminino , Voluntários Saudáveis , Humanos , Masculino , Pessoa de Meia-Idade , Prevalência , Radiografia , República da Coreia , Fatores Sexuais , Adulto Jovem
15.
J Dairy Sci ; 103(7): 6412-6421, 2020 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-32359987

RESUMO

Sole ulcers are reportedly one of the most prevalent diseases associated with lameness in dairy cattle, significantly affecting animal welfare and farm profitability. The degree to which sole soft tissues, healthy or ulcerated, are able to maintain their structure and function when subjected to compressive forces remains unknown. Therefore, the aims of the present study were to assess sole tissue biomechanics in healthy and ulcerated claws and to describe correlated histology. Cylindrical samples were harvested from zones 4 and 6, as described by the international foot map, from hind lateral healthy (n = 12) and ulcerated bovine claws (n = 8; animals n = 12). Tissue biomechanics and morphology were evaluated via compressive tests and hematoxylin-eosin-phloxine-saffron staining, respectively. A 2-sample t-test was used to compare zones' mechanical properties between healthy and ulcerated tissues, and the Cochran-Mantel-Haenszel test was used to measure the effect of claw zone on histology. The fibril modulus (Ef) and permeability (k) respectively increased and decreased in ulcerated claws (Ef = 0.201 ± 0.104 MPa; k = 0.128 ± 0.069 mm2/MPa·s) compared with healthy claws (Ef = 0.105 ± 0.050 MPa; k = 0.452 ± 0.365 mm2/MPa·s) only for zone 6. Histology scores equal to or greater than 3 were associated with macroscopic presence of ulceration. A higher proportion of adipose tissue (30% or more) was associated with zone 6 compared with zone 4, but no difference was seen between healthy and ulcerated claws. Ulcerated claws had a higher prevalence of exostoses compared with healthy ones (33% vs. 8%). Sole soft tissues showed, as hypothesized, a viscoelastic behavior using unconfined compression testing, which, however, may not reflect in vivo loading conditions. Clinical and histological signs of sole ulceration were not associated with decreased strength of the supportive apparatus of the distal phalanx in zone 4 in this study.


Assuntos
Doenças dos Bovinos/patologia , Doenças do Pé/veterinária , Úlcera do Pé/veterinária , Casco e Garras/patologia , Animais , Fenômenos Biomecânicos , Bovinos , Feminino , Doenças do Pé/patologia , Úlcera do Pé/patologia , Coxeadura Animal/patologia
16.
Anim Genet ; 51(4): 607-610, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-32412131

RESUMO

An 11G nucleotide repeat in the 3' UTR of FAM174A was recently postulated as a risk allele with a dominant mode of inheritance for equine metabolic syndrome (EMS) and laminitis status in Arabian horses. The objective of this project was to evaluate this hypothesis in a large and diverse across-breed population. A total of 301 ponies, 292 Morgans, 64 Arabians, 49 Tennessee Walking Horses and 59 Quarter Horses were genotyped for six observed G repeat alleles in the FAM174A 3' UTR. Phenotype data included laminitis status, baseline insulin, glucose, non-esterified fatty acids, triglycerides, adiponectin, leptin, ACTH, insulin and glucose post oral sugar test, and two proxies for insulin resistance. The 11G allele frequencies were 18.8, 6.9, 1.8, 0.2 and 0.0% in the Arabians, Tennessee Walkers, ponies, Morgans and Quarter Horses respectively. Association analyses between FAM174A genotype and EMS phenotypes, and between allele count and EMS phenotypes, identified no statistically significant associations. When a dominant effect for the 11G allele was evaluated, a statistically significant association with adiponectin levels was identified in the ponies, and pairwise comparisons revealed that the estimated marginal means were higher in ponies with the 11G allele vs. alternative alleles (i.e. the allele had a protective effect). In conclusion, our data do not support the FAM174A 11G allele as a risk allele for EMS in our studied breeds.


Assuntos
Doenças do Pé/veterinária , Doenças dos Cavalos/genética , Síndrome Metabólica/veterinária , Alelos , Animais , Feminino , Doenças do Pé/genética , Cavalos , Masculino , Síndrome Metabólica/genética , Fatores de Risco
17.
Health Qual Life Outcomes ; 18(1): 118, 2020 May 01.
Artigo em Inglês | MEDLINE | ID: mdl-32357937

RESUMO

BACKGROUND: The purpose of this study was to translate and transculturally adapt the original English version of the Oxford Ankle Foot Questionnaire (OAFQ) into a Korean version, and to evaluate its psychometric properties. METHODS: A Korean OAFQ for children was developed according to established guidelines. To test validity, 169 consecutive patients with foot and ankle problems and their caregivers each completed the OAFQ. The children also completed a Korean version of the KIDSCREEN-52 health related quality of life questionnaire (KIDSCREEN-52 HRQOL). To validate the Korean version of the OAFQ, reliability (child-parent agreement and internal consistency), feasibility (floor and ceiling effects), and construct validity were evaluated, and factor analysis was performed. RESULTS: In terms of reliability, Cronbach's α values were > 0.7 in all subscales of the OAFQ (0.765 to 0.901). Child-parent agreement was confirmed by high intraclass correlation coefficients for all subscales (0.791 to 0.863). In terms of construct validity, there were moderate correlations between the subscales of the OAFQ and the subscales of the KIDSCREEN-52 HRQOL. Factor analysis revealed a three-component solution for both the child/adolescent and parent-proxy version, by combining the school and play, and footwear items into one subscale. In terms of feasibility, no floor effects were found for all subscales. However, ceiling effects were observed for the school and play, and emotional subscales for child/adolescent and parent-proxy versions. CONCLUSIONS: The OAFQ was successfully translated and transculturally adapted into the Korean language; the Korean version of the OAFQ represents a reliable and valid instrument for evaluating children's foot or ankle problems. However, factor analysis suggested the use of a three-subscale questionnaire.


Assuntos
Tornozelo/fisiopatologia , Doenças do Pé/fisiopatologia , Qualidade de Vida/psicologia , Inquéritos e Questionários/normas , Adolescente , Criança , Comparação Transcultural , Análise Fatorial , Feminino , Humanos , Masculino , Reprodutibilidade dos Testes , República da Coreia , Traduções
18.
Res Vet Sci ; 131: 146-152, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-32371299

RESUMO

Claw Horn Disruption Lesions (CHDL) negatively affect the sole soft tissue structures located beneath the sole horn. The aim of the present study was to investigate the effect of CHDL on sole soft tissues by ultrasound means, correlating Body condition score (BCS), locomotion score and CHDL with ultrasonography evaluations of sole soft tissues in Holstein dairy cows. 100 Holstein dairy cows were enrolled in the study. BCS and locomotion score were assessed and functional trimming was performed on all animals. 84 healthy claws and 174 claws with solely one CHDL per claw were evaluated both clinically and with ultrasound, and CHDL were identified and recorded. Sole soft tissues thickness (mm) and echogenicity was determined, and ultrasonographic alterations, related to CHDL presence, where measured long their vertical (L1) and horizontal (L2) axis. Statistically significant (P < .001) differences were found in echogenicity between healthy claws and all the affected ones, with the healthy ones being mainly anechoic. Statistically significant (P < .001) differences were found for vertical (L1) and horizontal (L2) axis measures between the diverse CHDL, confirming ultrasonography as a useful tool to distinguish lesions and their extension by measuring L1 and L2. BCS had an influence both on sole soft tissues ultrasonographic appearance and on CHDL insurgency. These results confirm ultrasonography as a reliable tool for detecting an increase in sole soft tissues echogenicity, that was seen to occur with CHDL insurgency, and in determining lesion extension.


Assuntos
Doenças dos Bovinos/diagnóstico por imagem , Doenças do Pé/veterinária , Casco e Garras/diagnóstico por imagem , Coxeadura Animal/diagnóstico por imagem , Ultrassonografia/veterinária , Animais , Bovinos , Doenças dos Bovinos/patologia , Feminino , Doenças do Pé/diagnóstico por imagem , Casco e Garras/patologia , Ultrassonografia/métodos
19.
Artigo em Inglês | MEDLINE | ID: mdl-32455874

RESUMO

BACKGROUND AND OBJECTIVES: Type 2 Diabetes Mellitus (T2DM) is a chronic disease characterized by hyperglycemia. T2DM affects millions of people, and has a lot of complications such as impaired sensation in the feet. Moreover, it is important to know the health of the feet of people with T2DM. The aim of this study is to know the preliminary values of the Foot Health Status Questionnaire (FHSQ) in people with T2DM. MATERIALS AND METHODS: A total of 87 patients with T2DM with an average age of 65.56 years, divided in 54 men and 33 women, participated in this cross-sectional study. The main outcome was the health of the foot as measured by the FHSQ questionnaire. This questionnaire collects data on eight dimensions: Foot Pain, Foot Function, Shoe, General Foot Health, General Health, Physical Activity, Social Capacity, and Vigor. RESULTS: Patients with T2DM have lower values in Foot Pain; median values in General Foot Health and high values in Foot Function, Shoe, Physical Activity and Social Capacity. Some of these dimensions are affected by age, diabetes control, Body Mass Index (BMI), and years of diagnosis. Females with T2DM have more problems than males in the Shoe, General Foot Health, Physical Activity and Vigor dimensions. CONCLUSIONS: this research gives us preliminary values of the FHSQ in Spanish patients with T2DM and divided by gender, age, diabetes control, BMI, and years of diagnosis in people with T2DM.


Assuntos
Diabetes Mellitus Tipo 2 , Doenças do Pé , Nível de Saúde , Idoso , Estudos Transversais , Diabetes Mellitus Tipo 2/complicações , Feminino , , Humanos , Masculino , Inquéritos e Questionários
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