Download Levin and O'Neal's The Diabetic Foot by John H. Bowker MD, Michael A. Pfeifer MD PDF

By John H. Bowker MD, Michael A. Pfeifer MD

The recent sixth version of LEVIN AND O'NEAL'S THE DIABETIC FOOT, one of many fundamental references for the interdisciplinary staff treating diabetic sufferers, is up-to-date and newly reorganized with new sections on pathogenesis of artherosclerosis and thrombosis, progress elements and the fix of wounds, controlled care and foot care, surgical pathology of the foot and clinicopathologic correlations, cosmetic surgery, and psychosocial elements of diabetic foot difficulties. Seven new chapters comprise info on neuropathy within the diabetic foot; nutrients; staging and category of foot ulcers: review, dressing and topical facets; the position of the wound care (stroma) nurse; sufferer schooling; and self-management of diabetic foot difficulties.

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Extra resources for Levin and O'Neal's The Diabetic Foot

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2. American Diabetes Association: Report of the Expert Committee on the Diagnosis and Classification of Diabetes Mellitus. Diabetes Care 20:1183–1197, 1997. 3. American Diabetes Association: Report of the Expert Committee on the Diagnosis and Classification of Diabetes Mellitus. Diabetes Care 26:3160–3167, 2003. 4. American Diabetes Association: Standards of medical care for patients with diabetes mellitus. Diabetes Care 30(suppl 1):S4–S41, 2007. 5. Harris MI, Klein R, Welborn TA, Knuiman MW: Onset of NIDDM occurs at least 4–7 years before clinical diagnosis.

86. Mayfield JA, Reiber GE, Nelson RG, Greene T: A foot risk classification system to predict diabetic amputation in Pima Indians. Diabetes Care 19(7):704–709, 1996. 21 87. Lee J, Lu M, Lee V, et al: Lower extremity amputation: Incidence, risk factors, and mortality in the Oklahoma Indian Diabetes Study. Diabetes 42:876–882, 1993. 88. Hennis AJJ, Fraser HS, Jonnalagadda R, et al: Explanations for the high risk of diabetes-related amputation in a Caribbean population of black African descent and potential for prevention.

Although the EDIC follow-up demonstrated narrowing of the differences between the groups in terms of median A1C, differences between the groups persisted, with continued lower risk of retinopathy, nephropathy, and neuropathy in the previous intensive therapy group. There is no way to distinguish whether the differences that were noted are related to continuing effects from some self-perpetuating process initiated by hyperglycemia or whether they also demonstrate, to some extent, a sustained effect of intensive control, perhaps below a threshold.

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