766 research outputs found
Tinea pedis: diagnosis and management
No full textDermatophyte onychomycosis is a common condition, particularly in the elderly and immunosuppressed. As these sections of the population are set to increase, it is likely that the prevalence of dermatophytic nail infection will also increase. Advances in antifungal therapy, with the introduction of newer and safer drugs such as terbinafine and itraconazole, have improved out-comes significantly. However, around a quarter of patients will suffer reinfection or recurrence in the subsequent months. The possible reasons for this are considered. Data from recently published studies have demonstrated an increased mycological and clinical cure rate using a combination of topical and oral antifungal agents. This approach may be a cost-effective means of improving outcomes for patients with more resistant nail disease
Chronic dermatomycoses of the foot as risk factors for acute bacterial cellulitis of the leg: A case-control study
No full textObjective: To assess the role of foot dermatomycosis ( tinea pedis and onychomycosis) and other candidate risk factors in the development of acute bacterial cellulitis of the leg. Methods: A case-control study, including 243 patients ( cases) with acute bacterial cellulitis of the leg and 467 controls, 2 per case, individually matched for gender, age (+/-5 years), hospital and admission date (+/-2 months). Results: Overall, mycology-proven foot dermatomycosis was a significant risk factor for acute bacterial cellulitis (odds ratio, OR: 2.4; p < 0.001), as were tinea pedis interdigitalis (OR: 3.2; p < 0.001), tinea pedis plantaris (OR: 1.7; p = 0.005) and onychomycosis (OR: 2.2; p < 0.001) individually. Other risk factors included: disruption of the cutaneous barrier, history of bacterial cellulitis, chronic venous insufficiency and leg oedema. Conclusions: Tinea pedis and onychomycosis were found to be significant risk factors for acute bacterial cellulitis of the leg that are readily amenable to treatment with effective pharmacological therapy. Copyright (C) 2004 S. Karger AG, Basel
Data_Sheet_1_v1_Statistical Analysis of IABP-Surgery Data with the Co-use of Anticoagulants, Pulse of Dorsalis Pedis Artery, D-Dimer Data, and Coagulation Function.pdf
No full textData analysis was performed on IABP (intra-aortic balloon pump) patients for the use of anticoagulants, pulse of dorsalis pedis artery, D-dimer data, and coagulation function. According to the differential diagnosis of 52 patients admitted to hospital, data on the use of anticoagulants, dorsalis pedis artery pulsation, D-dimer data, and coagulation function were collected. These data were analyzed by using a nonparametric test, linear regression analysis, adjustment effect analysis, and chi-square test. Some findings of the analysis included: (1) There were differences in the dorsalis pedis artery pulsation of samples from different sexes, all of which were significant. (2) Coagulation function has a significant positive relationship with D-dimer. (3) When the D-dimer affects the prognosis, the regulatory variable (dorsalis pedis artery pulse) is at different levels, and the influence amplitude has significant differences. (4) Samples taken with different anticoagulants all showed significant differences in the dorsalis pedis artery pulsation.</p
Current Management of True Aneurysm of the Dorsalis Pedis Artery
No full textWe describe two cases of true dorsalis pedis artery aneurysms in men referred for pulsatile mass of the dorsal part of the foot. Both aneurysms were resected and grafted with interposition of a short segment of saphenous vein. Histological analysis showed true aneurysm associated with atherosclerosis. To our knowledge, only 12 cases of true dorsalis pedis artery aneurysm have been reported previously. On the basis of our experience and after reviewing the literature, the management of this uncommon pathology was discussed
Coxa pedis: can calcaneal pronation angle be considered a predictive sign of medial plantar arch overload?
No full textPurpose: To assess whether a correlation between the calcaneal pronation angle and the presence of internal plantar arch overload signs (such as upper-medial spring ligament lesion, posterior tibial tendon tenosynovitis, etc.) could lead to a better understanding of coxa pedis pathology. Material and methods: One hundred ankle MRIs of consecutive patients were retrospectively reviewed measuring the calcaneal pronation angle and either the presence or absence of internal plantar arch overload signs. Next, the association of overload signs with increasing pronation angle was evaluated to establish a cut-off point beyond which coxa pedis pathology could be defined. Results: The tibial-calcaneal angle values in patients with and without effusion proved to be significantly different (p < 0.0001). The tibial-calcaneal angle values in patients with and without oedema also demonstrated a significant difference (p < 0.0056). Regarding posterior tibial tendon, a significant difference was found between the two groups (p < 0.0001). For plantar fascia enthesopathy, the result was borderline significant (p < 0.054). A linear correlation was found between the value of pronation angle and the extent of spring ligament injury (p < 0.0001). In contrast, no correlation with age was found. Conclusion: In conclusion, the literature associates medial longitudinal plantar arch overload with posterior tibial tendinopathy and spring ligament complex injuries. Our data show that both injuries are highly correlated with increased calcaneal pronation angle, which could be considered a predictive sign of internal plantar arch overload, prior to the development of the associated signs
Identification of epidemiology and factors related to tinea pedis infection and onychomycosis
No full textLa tinea pedis y la onicomicosis son infecciones cutáneas superficiales frecuentes y se observan en regiones tropicales y subtropicales. La tinea pedis se distingue por lesiones en la planta del pie, mientras que la onicomicosis afecta la estructura morfológica de la uña. Se reconoce que los principales microorganismos relacionados a estas dos patologías son Trichophyton rubrum y Trichophyton mentagrophytes.
El objetivo del presente trabajo es identificar la epidemiología y factores relacionados con la infección por tinea pedís y onicomicosis.
Se investigaron artículos y trabajos de grado en idioma inglés, español y portugués dentro de los años 2015 al 2022 donde se trabajaron con 148 estudios para la construcción del trabajo. Una particularidad de las tiñas es que se propagan por relación estrecha con las hifas y conidios que se encuentran en la piel o escamas de las uñas y el cabello de las personas o pelos de los animales con la infección. Además, es posible su viabilidad por un largo periodo en fómites, en el suelo de los vestidores de las piscinas, en la zona de las duchas principalmente compartidas y en el hogar. Estas dos enfermedades son una causa importante de consulta médica y a pesar de no poseer una tasa de mortalidad significativa, tienen un alto impacto emocional, fisiológico, incluso puede causar estigmatización y exclusión social. Los cambios ungueales generan dolor al caminar o al estar de pie durante mucho tiempo, acompañado por una delimitación en la movilidad o al momento de realizar algunas actividades.
La revisión realizada arrojó resultados que permiten inferir que la onicomicosis y la tinea pedis tiene una prevalencia mayor en la población masculina, con un porcentaje superior al 40%. Adicionalmente, la onicomicosis con manifestación clínica más común es la subungueal distal; finalmente, para la tinea pedís más descrita en la comunidad general es la tinea interdigital. (tomado del texto)Tinea pedis and onychomycosis are common superficial skin infections and are seen in tropical and subtropical regions. Tinea pedis is distinguished by lesions on the sole of the foot, while onychomycosis affects the morphological structure of the nail. It is recognized that the main microorganisms related to these two pathologies are Trichophyton rubrum and Trichophyton mentagrophytes.
The aim of this study is to identify the epidemiology and factors related to tinea pedis infection and onychomycosis.
Articles and degree works in English, Spanish and Portuguese language were investigated within the years 2015 to 2022 where 148 studies were worked with for the construction of the work. A particularity of ringworms is that they spread by close relationship with hyphae and conidia found on the skin or nail scales and hair of people or animal hairs with the infection. In addition, long-term viability is possible in fomites, on the floor of swimming pool locker rooms, in the area of mainly shared showers and in the home. These two diseases are an important cause of medical consultation and although they do not have a significant mortality rate, they have a high emotional and physiological impact and can even cause stigmatization and social exclusion. Nail changes generate pain when walking or standing for a long time, accompanied by a limitation in mobility or when performing certain activities.
The review yielded results that allow inferring that onychomycosis and tinea pedis have a higher prevalence in the male population, with a percentage of more than 40%. In addition, the most common onychomycosis with clinical manifestation is distal subungual onychomycosis; finally, the most described tinea pedis in the general community is interdigital tinea. (tomado del texto)INTRODUCCIÓN 12 -- 1. GENERALIDADES Y DESCRIPCIÓN DE AGENTES ETIOLÓGICOS 13 -- 1.1 TINEA PEDIS 13 -- 1.2 ONICOMICOSIS 15 -- 1.3 DIAGNÓSTICO 17 -- 1.4 AGENTES ETIOLÓGICOS 18 -- 2. EPIDEMIOLOGÍA DE LA TINEA PEDIS Y ONICOMICOSIS A NIVEL INTERNACIONAL Y NACIONAL 25 -- 2.1 TINEA PEDIS 25 -- 2.2 ONICOMICOSIS 26 -- 3. FACTORES RELACIONADOS CON LA INFECCIÓN PORTINEA PEDÍS Y ONICOMICOSIS EN DIFERENTES POBLACIONES 28 -- 4. CONCLUSIONES 32 -- 5. RECOMENDACIONES 33 -- BIBLIOGRAFÍA 34PregradoProfesional en Bacteriología y Laboratorio ClínicoBacteriología y Laboratorio Clínic
The Morphological Study of the Dorsalis Pedis Artery of Korean Adult
No full text의학과/석사[영문]
[한글]
족배부 피판은 여러가지 장점때문에 두경부, 수부 및 족부의 재건에 이용되고 있으며
미세현미경 문합술의 발달로 일해 이의 활용에 대한 많은 연구결과들이 보고되고 있다.
족배부 피판을 이용하여 재건술을 실시하기 위해서는 족배부의 정확한 해부학적 지식이
필요할 것으로 생각되므로 이에 저자는 연세대학교 의과대학해부학 교실에서 22구의 사채
좌우 44례에서 족배동맥의 외직경 및 길이를 계측하고, 주행 및 변형, 주요표식과의 관
계 등을 조사하여 다음과 같은 결론을 얻었다.
1. 족배동맥의 기시부에서의 외직경은 평균 2.9㎜이고 제1 족지간으로부터의 길이는 평
균 13.5㎝였다.
2. 제 1 배부 중족근동맥의 외직경은 평균 1.5mm이고 재1 족지간으로부터의 길이는 평
균 4.5㎝였다.
3 .족배동맥의 주행 및 변형을 조사한 결과 정상적인 주행을 하는 Type Ⅰ은 77%로 가
장 많았고, 외측 족근동맥이 발달된 Type Ⅱ는 9%, 제1 배부 중족근동맥이 없는 Type Ⅲ
는 9%였고, 족배부의 원위 1/3부위가 후경골동맥의 분지들에 의해 공급는 Type Ⅳ는 5%로
나타났다.
The Morphological Study of the Dorsal is Pedis Artery of Korean Adult
Kang, Hee Moon
Department of Medical Science The Graduate School Yonsei University
(Directed by Prof. Chung, In Hyuk, M. D.)
The dorsalis pedis flap has been used in reconstruction of the head and neck, the
hand and the foot. The free skin f lap transfer by microvascular anastomosis has
been developed recently for wide employment in reconstructive surgery.
The anatomy of the flap and the specific size, pattern, location and the
variation of the vessel are important in the wide and varied reconstructive
applications of the flap. Using 22 Korean adult cadavers, the mean length and
diameter were measured and the course and variation of the dorsal is pedis artery
and the relationship among the adjacent structures were studied. The results are
summerized as follows:
1. The mean diameter of the dorsalis pedis artery on the upper limit of the
extensor retinaculum is 2.9mm and the mean length of the vascular pedicle from the
1st web space is 13.5 Cm.
2. The mean diameter of the 1st metatarsal artery is 1.5mm and the mean length of
the vascular pedicle from the 1st web space is 4.5 Cm.
3. The course and variation of the dorsalis pedis artery. type Ⅰ is 77%, normal
course of the dorsalis penis artery. type Ⅱ is 8%, dominant blood supply from the
lateral tarsal artery. type Ⅲ is 8%, the absence of the 1st metatarsal artery.
type Ⅳ is 5%, the distal skin on the dorsum of the foot is supplied by the
posterior tibial artery.restrictio
Foot claudication with plantar flexion as a result of dorsalis pedis artery impingement in an Irish dancer
No full textDorsalis pedis artery impingement is an extremely rare cause of foot claudication, with a single case reported in the literature. In this report, we describe the case of a 17-year-old female Irish dancer who presented with intermittent bilateral foot pain and discoloration during active plantar flexion
Anomalous origin of dorsalis pedis artery and its clinical significance
No full textArterial variations of the lower limb have been reported in the past. However, we report in here a very unusual variation. During routine dissections, an anomalous origin of the dorsalis pedis artery (DPA) was noted on the right foot of an adult male cadaver. In here, the arteries of the crural region arose from the popliteal artery, as usual. However, the anterior tibial artery (ATA) was very slender. The peroneal artery (PA) was larger than usual and reached the anterior compartment of the leg by piercing the interosseous membrane at its lower part. In the foot, the ATA joined with the PA to form the DPA. Knowledge of such type of variations in the anatomy of DPA is important for angiographers, vascular surgeons and reconstructive surgeons who operate upon these regions
ASUHAN GIZI PADA PASIEN DIABETES MELITUS TIPE 2 DENGAN ULKUS PEDIS SINISTRA 1 DI RSUD BANYUMAS
No full textLatar belakang : Diabetes Melitus adalah penyakit kronis yang terjadi karena pankreas tidak menghasilkan cukup insulin. Terapi gizi medis melalui perencanaan makanan merupakan salah satu langkah pertama yang harus dilakukan dalam pengelolaan DM.Tujuan penelitian : Mendeskripsikan proses asuhan gizi terstandar pada pasien Diabetes Mellitus tipe 2 dengan Ulkus Pedis Sinistra I di RSUD Banyumas.Metode penelitian : Penelitian gizi klinik dengan pendekatan studi kasus. Sampel penelitian adalah pasien Diabetes Mellitus tipe 2 dengan Ulkus Pedis Sinistra I di RSUD Banyumas. Pengambilan data menggunakan formulir skrining gizi MST, formulir FFQ, dan rekam medis pasien yang diambil dengan cara wawancara, observasi, dan analisi dokumen. Data diolah dan dianalisis secara deskriptif.Hasil : Assesmen gizi pemeriksaan fisik menunjukkan mual, nyeri, bengkak, dan kemerahan akibat adanya luka pada telapak kaki kiri, pasien tampak lemah, serta sebagian gigi sudah tanggal. Antropometri TB estimasi : 153.6 cm, BB estimasi : 39.1 cm, BBI : 53.6 cm. Data biokimia : GDS 582 mg/dL. Asupan makan pasien dikategorikan defisit berat. Diagnosis gizi yang diberikan yaitu asupan oral tidak adekuat, peningkatan zat gizi tertentu (protein), penurunan kebutuhan zat gizi (karbohidrat sederhana), dan kurangnya pengetahuan berhubungan dengan makanan/zat gizi. Intervensi gizi dengan pemberian diet RKH pada pasien dalam bentuk saring melalui oral dengan frekuensi pemberian 3x makan utama dan 3x selingan. Monitoring dan evaluasi asupan pasien fluktuatif, namun pada hari terakhir asupan makan pasien menjadi lebih baik.Simpulan : Pasien menunjukkan kondisi klinis mengalami peningkatan dan asupan makan menjadi normal, serta nilai kadar gula darah menjadi normal. Asuhan gizi dihentikan karena tujuan intervensi sudah tercapai
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