Indian Journal Of Clinical Practice
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From Risk of Amputation to Complete Wound Healing: The Role of Diperoxochloric Acid in Diabetic Foot Ulcer Treatment
Get PDFPatients with diabetes mellitus are at risk for developing diabetic foot ulcers (DFUs), which significantly affect the qualityof life and can lead to lower limb amputation. This report describes a case of a nonhealing DFU, treated successfully with atopical solution containing ‘Diperoxochloric acid’ (DPOCL). A 46-year-old female with uncontrolled type 2 diabetes mellitusand hypertension came with a nonhealing abscess on her left great toe, for which amputation had been initially recommended.The use of DPOCL reduced the wound size by approximately 70% in 1 week and complete wound closure was observed in28 days. This demonstrates the potential of DPOCL as an alternative therapy in DFU in wound care
The Obese Kidneys
Get PDFA high incidence of metabolic diseases such as type 2 diabetes mellitus and hypertension, which are well-known as a causeof chronic kidney disease (CKD), is seen in people who are overweight or obese. This has been extensively studied anddocumented when it comes to how ectopic fat affects different organs for example, the liver. Recently, obesity has alsoemerged as an independent risk factor for renal disease in individuals with diabetes as well as those without diabetes.When visceral fat accumulates in the kidneys, it causes structural alterations in the kidney along with functional damageleading to the condition referred to as fatty kidney disease (FKD). With this review, we aim to elucidate pathophysiology,diagnostics challenges, and available treatments for the prevention and management of FKD. This knowledge is importantfor prevention and early diagnosis of CKD, guiding research and improving patient care
HUNGER (Hunger Gradation Evaluation and Resolution): The Basis of Obesity Care
Get PDFThis communication describes hunger awareness training as a means of managing appetite, optimizing nutritional intake,and improving obesity-related outcomes. The HUNGER (Hunger Gradation Evaluation and Resolution) games use theendocrine, nervous (sensory, autonomic, and motor), and psycho-cognitive symptoms and signals of hunger to help controlunnecessary food intake. The model lists three types of hunger - homeostatic, habitual, and hedonistic, as opposed to the
conventional binary classification of homeostatic and hedonistic cues. Habitual hunger can be defined as eating due to pre-set habits, activated by routines of time, place of company, without either physiological need or pleasure. Hunger training
stimulates introspection, facilitates self-management of disease, and promotes patient provider communication. It can becustomized according to the needs of the person living with obesity, their caregivers, and the health care system. Furthervalidation of the module is required to utilize it fully
A Rare Convergence: A Case Report on Bilateral Hypoglossal Schwannoma in a Patient with Charcot-Marie-Tooth Disease 2
Get PDFThis case presents a rare co-occurrence of Charcot-Marie-Tooth disease type 2 (CMT2) and schwannoma, shedding light onthe intricate relationship between two neurogenic disorders. CMT is a hereditary sensorimotor peripheral neuropathy whileschwannoma is a benign encapsulated tumor involving Schwann cells. The co-occurrence has been previously described in2 patients in a family with CMT type 1A. Our case reports the first documented instance of the co-occurrence of bilateralhypoglossal schwannoma in CMT2