Wyniki wyszukiwania - BazTech

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Phototherapy in the Treatment of Diabetic Foot - A Preliminary Study

Mikołajczyk Zbigniew, Nowak Iwona, Kawiński Andrzej, Mik Michał

Autex Research Journal

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2021

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Vol. 21, no. 4

482--490

EN

The first part of the publication presents a substantively insightful literature study on the essence and effects of light waves on wound healing in living organisms, including the use of phototherapy in the treatment of the diabetic foot. A knitted textile dressing was designed and manufactured for phototherapy of patients with diabetes suffering from diabetic foot syndrome (DFS). The proposed solution is intended for the treatment of dermal tissues within the patient's foot affected because of diabetic disease at an early stage. Thus, the use of a knitted dressing with incorporated fiber optic structures and powered by a semiconductor laser emitting a 405 nm light wave from its entire surface would prevent further anomalies of the patient's tissues and help to avoid surgical intervention.

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Analityka w diagnozowaniu zakażeń trudno gojących się ran a zespół stopy cukrzycowej

Maślak Ewelina, Złoch Michał, Railean Viorica, Buszewski Bogusław

Analityka : nauka i praktyka

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2020

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nr 2

28--38

PL

Ciągły rozwój technik identyfikacji patogenów wywołujących zakażenia ran przewlekłych jest kluczowym aspektem w podejmowaniu skutecznych schematów leczenia oraz poprawy zdrowia i komfortu życia milionów pacjentów na całym świecie.

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Application of DCT-derived parameters for early detection of polyneuropathy in diabetic patients

Dzienniak D., Cieślik J.

Bio-Algorithms and Med-Systems

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2016

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Vol. 12, no. 4

179--186

EN

Diabetic foot is one of the most severe complications of diabetes. Early diagnosis of this syndrome can ensure proper medical care and adequate treatment. Various image analysis methods can be used to speed up the diagnosis process, and automated diagnosis can be applied as a screening technique to reduce its cost. Introducing auxiliary diagnostic parameters may help to detect polyneuropathy or neuropathy, both of which often precede the appearance of diabetic foot syndrome. The present paper describes a study performed on a group of diabetic patients by analyzing plantar pressure distribution images. As part of this study, 2D discrete cosine transform (DCT) is computed for the forefoot and rearfoot regions of each diabetic subject in a group of 37 patients. Three new DCT-based parameters are introduced to help to detect polyneuropathy or at least indicate that the patient may have polyneuropathy without a time-consuming examination. The results indicate a certain relationship between these parameters and the presence of polyneuropathy. This information could be used in further diagnosis to prevent foot ulcers from developing in patients with diabetes.

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Preventive systems for the late complications of diabetes

Ładyżyński P., Wójcicki J. M., Foltyński P.

Biocybernetics and Biomedical Engineering

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2011

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Vol. 31, no. 2

3-21

EN

Aim of this work is to review and characterize methods and systems that are used to prevent onset and to slow down the progression of the late complications of diabetes. Two groups of methods and systems that might be used to prevent or to slow down the progression of the late complications of diabetes are characterized in this paper. Each of these two groups serves a different purpose. The first group is composed of the systems that facilitate a maintenance of strict metabolic control in diabetic patients, i.e. the systems which are used for monitoring and treatment of diabetes. The second group contains systems that are aimed at screening/monitoring or treatment of the risk factors or the early signs of the late complications. Obesity increases risk of diabetes and its complications. Thus, body mass monitoring and control systems are examples of the tools that belong to this group. Other examples include the diabetic retinopathy telescreening systems and the systems for monitoring of the diabetic foot syndrome.

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Comparison of the wound area assessment methods in the diabetic foot syndrome

Molik M., Foltyński P., Ładyżyński P., Tarwacka J., Migalska-Musiał K., Ciechanowska A., Sabalińska S., Młynarczuk M., Wójcicki J. M., Krzymień J., Karnafel W.

Biocybernetics and Biomedical Engineering

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2010

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Vol. 30, no. 4

3-15

EN

The paper presents results of comparison of the wound area assessment methods in the diabetic foot syndrome (DFS). Wound size is a basic parameter that is used to evaluate efficacy of the applied treatment. Four measurement methods were used: the rulers, the planimetric Visitrak (Smith & Nephew, England), the Silhouette (Aranz Medical, New Zealand) applying lasers, digital photography and planimetry as well as the patient's module of TeleDiaFoS telecare system with the foot scanning capabilities. Study group consisted of 18 DFS patients. Nineteen wounds were successfully measured with all 4 methods. The results of the Visitrak and the Silhouette can be used interehangeably (r = 0.994, slope = 1.01, intercept = 0.154 cm2). For the other systems strong linear relationships exist that can be used to convert the wound area measured with one method to the corresponding value of another method. The correlation coefficients higher than 0.985 were obtained in ease of 3 systems: Visitrak, Silhouette and TeleDiaFoS. The TeleDiaFoS system can provide a physician with the patient-self-taken wound images that can be used for reliable assessment of the wound healing process during home tele-monitoring of the DFS patients.

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Hiperbaryczna terapia tlenowa jako uzupełnienie chirurgicznego leczenia zespołu stopy cukrzycowej

Knefel G., Kawecki M., Szymańska B., Nowak M., Glik J., Cieślar G., Sieroń A.

Acta Bio-Optica et Informatica Medica. Inżynieria Biomedyczna

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2008

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Vol. 14, nr 1

47-50

PL

W pracy przedstawiono wyniki skojarzonego leczenia obejmującego farmakoterapię, postępowanie chirurgiczne oraz hiperbaryczną terapię tlenową HBO u chorych z zespołem stopy cukrzycowej. Materiał stanowiło 24 pacjentów - 11 kobiet i 13 mężczyzn - w średnim wieku 48 lat, chorujących na cukrzycę od 3 do 32 lat. Procedura terapeutyczna polegała na wyrównaniu poziomu glikemii i zaburzeń metabolicznych, chirurgicznym opracowaniu rany (debridement) oraz hiperbarii tlenowej (od 2 do 60 trwających 70 minut ekspozycji na działanie tlenu pod ciśnieniem 2,5 ATA). U 13 pacjentów uzyskano całkowite ustąpienie lub znaczne zmniejszenie zmian miejscowych, a u 5 chorych leczenie zapobiegło planowanej amputacji stopy. Amputacje wykonano jedynie u 4 pacjentów. 7 chorych zrezygnowało z kontynuacji leczenia w trakcie cyklu terapeutycznego, pomimo uzyskanej poprawy stanu miejscowego. Uzyskane wyniki potwierdzają, że zastosowanie HBO jako leczenia uzupełniającego w terapii stopy cukrzycowej jest skuteczną metodą, pozwalającą na znaczne ograniczenie rozległości uszkodzeń tkanek powstałych w przebiegu cukrzycy. HBO przyczynia się do redukcji powikłań związanych z wystąpieniem infekcji tkanek miękkich i kości oraz umożliwia samoistne zagojenie się ran.

EN

The results of a combined treatment of patients with diabetic foot syndrome including pharmacotherapy, surgical procedures, as well as hyperbaric oxygen therapy (HBO) are presenetd. 24 patients (11 women and 13 men) witli mean age of 48 years, suffering from diabetes within a period of 3 to 32 years, were included in the trial. Therapeutic procedures consisted of the compensation of glycemia and metabolic disorders, surgical debridement of wound, as well as hyperbaric oxygen therapy (2 to 60 exposures to hyperbaric oxygen at a pressure of 2,5 ATA, within 70 minutes). In case of 13 patients total subsidence or significant improvement of local lesions was achieved and in 5 patients the combined treatment enabled to avoid foot amputation, which was previously anticipated. The necessity of amputation procedure occurred in case of 4 patients, only. Seven patients discontinued therapeutic cycle, despite the improvement of the local status. The obtained results confirm that application of HBO as supplementary method in the treatment of diabetic foot syndrome is an efficient form of therapy enabling limitation of extensiveness of tissue lesions caused by diabetes, reduction of complications related to infection in soft tissues and bones, as well as it stimulates self-originated healing of wounds.